Modifying the Health Star Rating nutrient profiling algorithm to account for ultra‐processing.

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). M...

Descripción completa

Detalles Bibliográficos
Publicado en:Nutrition & Dietetics Vol. 82; no. 1; pp. 53 - 64
Autores principales: Barrett, Eden M., Pettigrew, Simone, Neal, Bruce, Rayner, Mike, Coyle, Daisy H., Jones, Alexandra, Maganja, Damian, Gaines, Allison, Mozaffarian, Dariush, Taylor, Fraser, Ghammachi, Nadine, Wu, Jason H. Y.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Feb2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183922385&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 183922385
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        14466368
        QMK
      jtl: Nutrition & Dietetics
      issn: 14466368
      maglogo: Y
    pubinfo:
      dt: Feb2025
      vid: 82
      iid: 1
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        183922385
        178330709
        183922385
        183922385
        10.1111/1747-0080.12892
        183922385
      ppf: 53
      ppct: 11
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: C
          – @attributes:
              type: P
      tig:
        atl: Modifying the Health Star Rating nutrient profiling algorithm to account for ultra‐processing.
      aug:
        au:
          Barrett, Eden M.
          Pettigrew, Simone
          Neal, Bruce
          Rayner, Mike
          Coyle, Daisy H.
          Jones, Alexandra
          Maganja, Damian
          Gaines, Allison
          Mozaffarian, Dariush
          Taylor, Fraser
          Ghammachi, Nadine
          Wu, Jason H. Y.
        affil: The George Institute for Global Health, University of New South Wales, Sydney New South Wales,, Australia
      sug:
        subj:
          Food, Commercially Packaged
          Health Food
          Nutritive Value
          Food Labeling Standards
          Algorithms
          Food Industry Australia
          Food Industry New Zealand
          Nutrition Policy Classification
          Human
          Cross Sectional Studies
          Australia
          New Zealand
          Access to Healthy Foods
          Government Regulations
          Food Supply
          Funding Source
      ab: 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 <3.5 Health Stars and were NOVA group 4 (for NOVA comparison) or discretionary (for Dietary Guidelines comparison), or (ii) received ≥3.5 Health Stars and were NOVA groups 1–3 or core. Results: All Health Star Rating modifications resulted in greater alignment with NOVA (ranging from 69% to 88%) compared to the original Health Star Rating (66%). None of the modifications resulted in greater alignment to the Dietary Guidelines classifications overall (69% to 76%, compared with 77% for the original Health Star Rating), but alignment varied considerably by food category. Conclusions: If ultra‐processing were incorporated into the Australian and New Zealand Health Star Rating, consideration of ultra‐processing within the broader dietary guidance framework would be essential to ensure coherent dietary messaging to Australians.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N