| Title: |
Modifying the Health Star Rating nutrient profiling algorithm to account for ultra-processing |
| Authors: |
Barrett, EM; Pettigrew, S; Neal, B; Rayner, M; Coyle, DH; Jones, A; Maganja, D; Gaines, A; Mozaffarian, D; Taylor, F; Ghammachi, N; Wu, JHY |
| Source: |
urn:ISSN:1446-6368 ; urn:ISSN:1747-0080 ; Nutrition and Dietetics, 82, 1, 53-63 |
| Publisher Information: |
Wiley |
| Publication Year: |
2025 |
| Collection: |
UNSW Sydney (The University of New South Wales): UNSWorks |
| Subject Terms: |
32 Biomedical and Clinical Sciences; 4206 Public Health; 42 Health Sciences; 3210 Nutrition and Dietetics; Nutrition; Australia; Humans; New Zealand; Cross-Sectional Studies; Nutrition Policy; Nutritive Value; Algorithms; Fast Foods; Food Handling; Health Star Rating; NOVA; food policy; front‐of‐pack label; nutrient profiling; ultra‐processed; anzsrc-for: 32 Biomedical and Clinical Sciences; anzsrc-for: 4206 Public Health; anzsrc-for: 42 Health Sciences; anzsrc-for: 3210 Nutrition and Dietetics; anzsrc-for: 0908 Food Sciences; anzsrc-for: 1111 Nutrition and Dietetics; anzsrc-for: 1117 Public Health and Health Services |
| Description: |
Aim: To modify the Australian and New Zealand Health Star Rating to account for ultra-processing and compare the alignment of the modified ratings with NOVA classifications and the current Australian Dietary Guidelines classifications of core (recommended foods) and discretionary (foods to limit). Methods: Data was cross-sectionally analysed for 25 486 products. Four approaches were compared to the original Health Star Rating: (1) five ‘negative’ points added to ultra-processed products (modification 1; inclusion approach); (2) ultra-processed products restricted to a maximum of 3.0 Health Stars (modification 2; capping approach); (3 and 4) same approach used for modifications 1 and 2 but only applied to products that already exceeded 10 ‘negative’ points from existing Health Star Rating attributes (modifications 3 and 4, respectively; hybrid approaches). Alignment occurred when products (i) received |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
unknown |
| Relation: |
https://hdl.handle.net/1959.4/104437 |
| DOI: |
10.1111/1747-0080.12892 |
| Availability: |
https://hdl.handle.net/1959.4/104437; https://unsworks.unsw.edu.au/bitstreams/1ccacd4f-2b33-4c7f-bc9f-1463d92feadd/download; https://doi.org/10.1111/1747-0080.12892 |
| Rights: |
open access ; https://purl.org/coar/access_right/c_abf2 ; CC BY ; https://creativecommons.org/licenses/by/4.0/ ; free_to_read |
| Accession Number: |
edsbas.BF11B948 |
| Database: |
BASE |