Construct and criterion-related validation of nutrient profiling models: A systematic review of the literature

Cooper, Sheri; Pelly, Fiona E.; Lowe, John B.

doi:10.1016/j.appet.2016.02.001

Cited by 29 publications

(34 citation statements)

References 80 publications

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“…Thirteen peer‐reviewed publications and two government reports assessed the performance of the HSR algorithm using different validation methods 54,55 …”

Section: Resultsmentioning

confidence: 99%

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The performance and potential of the Australasian Health Star Rating system: a four‐year review using the RE‐AIM framework

Jones

Thow

Mhurchú

et al. 2019

Australian and New Zealand Journal of Public Health

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Results:Thirty-three peer-reviewed publications, 21 government and three independent reports informed the assessment. Awareness and trust in HSR was increasing, though campaign reach remained low. Consumers liked, could understand and use the HSR logo, though effects on purchasing were largely unknown. The algorithm was the focus of a formal review. HSR was present on 20-28% of products but biased to those that scored better (HSR≥3.0). Necessary stakeholders were mostly engaged. Conclusions:A substantial body of work supports continuation and strengthening of HSR. Reasonable refinements to HSR's star graphic and algorithm, action to initiate mandatory implementation, and strengthened HSR governance present the clearest opportunities for improving public health impact.Implications for public health: Development and implementation of government-led front-ofpack nutrition labelling systems have the potential to improve public health, while engaging a diverse set of stakeholders.

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“…Thirteen peer‐reviewed publications and two government reports assessed the performance of the HSR algorithm using different validation methods 54,55 …”

Section: Resultsmentioning

confidence: 99%

“…weight gain or cancer risk 58 . The most frequently validated of these is the United Kingdom (UK) Ofcom model, from which HSR originated 55,58 . Results of studies assessing its performance in UK and French cohorts have found prospective associations with health outcomes in most, 98–103 but not all studies 104 .…”

Section: Discussionmentioning

confidence: 99%

The performance and potential of the Australasian Health Star Rating system: a four‐year review using the RE‐AIM framework

Jones

Thow

Mhurchú

et al. 2019

Australian and New Zealand Journal of Public Health

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“…The products that present mostly excess contents of various critical nutrients should be regulated in their offer and their advertising, as some countries have already done, as well as the implementation of frontal labeling, such as in Chile [ 20 ], Ecuador [ 38 ] and France [ 39 ], and thus be able to include dietary guidelines to promote a healthy and balanced diet, allowing the inclusion of prefabricated foods in a healthy and responsible way [ 40 ]. This should include basic studies regarding the consumption of nutrients in the population to identify the existence of a positive impact on the practice of food selection based on its nutritional quality.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Nutritional Quality of Processed Foods in Honduras: Comparison of Three Nutrient Profiles

Santana

Andrade

Aleman

et al. 2020

IJERPH

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Obesity is considered a global pandemic. Different countries have worked to implement front-of-package (FOP) labeling systems that define thresholds for critical nutrients (CN) as part of their public health policies. The objective of this study is to identify the proportion of Processed (PF) and Ultra-Processed (UPF) Foods marketed in Honduras, which meet or fall short of the criteria of three Nutrient Profile Models (NPM): PAHO (2016), Chile (2017) and the Central American Technical Regulation Proposal-Nutritional Warning Front Labeling (CATRP-NWFL 2017). This study is descriptive; 1009 products from 206 brands were collected nationwide. Descriptive statistics were performed. The mean CN compliance with the three models was 49.3% for sodium, 30.6% for sugars, 63.1% and 96% for saturated and trans fats. The PAHO and Chilean (NPM) similarly concentrated on the lower compliance with the established criteria, unlike the CATRP, which has less stringent criteria. This is the first assessment of CN content in PF and UPF in Honduras under three different NPMs. We highlight the importance of defining or adopting criteria for the implementation of NWFL as information for the consumer and thereby contribute to reducing the risks of obesity and related diseases.

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“…However, consumers, including parents, have difficulty in understanding the numeric information presented on non‐interpretive labels . Consequently, several public health initiatives have been established to promote and support healthier eating . One initiative includes interpretive, front‐of‐pack (FOP) labels which aim to simplify nutrition information, enabling individuals to make more informed food choices .…”

Section: Introductionmentioning

confidence: 99%

“…[27][28][29] Consequently, several public health initiatives have been established to promote and support healthier eating. 30,31 One initiative includes interpretive, front-of-pack (FOP) labels which aim to simplify nutrition information, enabling individuals to make more informed food choices. 25,29,[32][33][34][35] An example of an interpretative FOP label is the Daily Intake Guide (DIG) which was introduced in Australia in 2006 to provide consumers with the percentage of energy, protein, fat, saturated fat, carbohydrates, sugars and sodium per serve of a food.…”

Section: Introductionmentioning

confidence: 99%

Nutritional quality and reformulation of a selection of children's packaged foods available in Australian supermarkets: Has the Health Star Rating had an impact?

Morrison

Meloncelli

Pelly

2018

Nutrition & Dietetics

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Aim To examine whether the nutritional quality of children's packaged food products available in Australian supermarkets improved between 2013 and 2016, and whether any change could be detected in product reformulation since the introduction of the Health Star Rating (HSR) labelling scheme. Methods Packaged food products marketed towards children were purchased from three Australian supermarkets in July 2013 (for a previous study) and July 2016. Nutritional quality was assessed using the Food Standards Australian New Zealand Nutrient Profiling Scoring Criterion. Comparisons were made between the nutrient composition and formulation of products (a) available in 2013 and 2016; and (b) with and without HSR graphics. Results Of the 252 children's packaged products analysed, 53.6% were classified as ‘less healthy’. HSR‐labelled products had a significantly higher proportion classified as ‘healthy’ than those without the HSR (χ2 = 26.5; P < 0.0001; 73.8% and 59.0%, respectively). Overall, 28.5% displayed the HSR; the majority (81.5%) having a rating of ≥3.0 stars. Cereal‐based products had the greatest uptake of the scheme, with HSR‐labelled products having significantly lower mean energy and saturated fat content (P < 0.01) and higher mean protein and fibre content (P < 0.001) than non‐HSR products. Reformulation of products that were available in 2013 had occurred in 100% of HSR‐labelled products in comparison to 61.3% of non‐HSR labelled products. Conclusions Despite the introduction of the HSR, more than half of children's packaged foods sampled are ‘less healthy’. However, early indications suggest that the HSR may stimulate healthier product reformulation.

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Construct and criterion-related validation of nutrient profiling models: A systematic review of the literature

Cited by 29 publications

References 80 publications

The performance and potential of the Australasian Health Star Rating system: a four‐year review using the RE‐AIM framework

The performance and potential of the Australasian Health Star Rating system: a four‐year review using the RE‐AIM framework

Evaluation of the Nutritional Quality of Processed Foods in Honduras: Comparison of Three Nutrient Profiles

Nutritional quality and reformulation of a selection of children's packaged foods available in Australian supermarkets: Has the Health Star Rating had an impact?

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