ArticleNutrients2018
Uptake of Australia's Health Star Rating System.
Article in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Front-of-Package Nutrition Labeling and Its Impact on Food Industry Practices: A Systematic Review of the Evidence.Nutrients · 2023Pooled it
- A Randomized Controlled Study to Test Front-of-Pack (FOP) Nutrition Labels in the Kingdom of Saudi Arabia.Nutrients · 2023Trial
- Impact of front-of-pack labels on the perceived healthfulness of a sweetened fruit drink: a randomised experiment in five countries.Public health nutrition · 2022Trial
- Sustaining Health Promotion in Australian Supermarkets: Qualitative Perspectives From the Reach for the Stars Programme.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026Article
- Availability, healthiness and sodium content of packaged and unpackaged foods and beverages in nigeria: a cross-sectional study.Journal of health, population, and nutrition · 2025Article
- Modifying the Health Star Rating nutrient profiling algorithm to account for ultra-processing.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025Article
- Selective industry adoption of a voluntary front-of-pack nutrition label results in low and skewed uptake: 10-year results for the Health Star Rating.European journal of clinical nutrition · 2024Article
- Barriers and enablers to salt intake reduction in Australian adults with high blood pressure.The British journal of nutrition · 2024Article
- Health Star Rating of Nonalcoholic, Packaged, and Ready-to-Drink Beverages in Türkiye: A Decision Tree Model Study.Preventive nutrition and food science · 2024Article
- Energy, nutrient and overall healthiness of processed packaged foods in Fiji, a comparison between 2018 and 2020.BMC public health · 2024Article
- Validation of Food Compass with a healthy diet, cardiometabolic health, and mortality among U.S. adults, 1999-2018.Nature communications · 2022Article
- The Conceptual Framework for the International Food Policy Study: Evaluating the Population-Level Impact of Food Policy.The Journal of nutrition · 2022Article
- Article
- Packaged food supply in Fiji: nutrient levels, compliance with sodium targets and adherence to labelling regulations.Public health nutrition · 2021Article
- A Cross-Sectional Audit of Nutrition and Health Claims on Dairy Yoghurts in Supermarkets of the Illawarra Region of New South Wales, Australia.Nutrients · 2021Article
- Stakeholder perspectives on the effectiveness of the Victorian Salt Reduction Partnership: a qualitative study.BMC nutrition · 2021Article
- Seventeen-Year Associations between Diet Quality Defined by the Health Star Rating and Mortality in Australians: The Australian Diabetes, Obesity and Lifestyle Study (AusDiab).Current developments in nutrition · 2020Article
- The nutritional quality of supermarket own brand chilled convenience foods: an Australian cross-sectional study reveals limitations of the Health Star Rating.Public health nutrition · 2020Article
- Development of Criteria for a Positive Front-of-Package Food Labeling: The Israeli Case.Nutrients · 2020Article
- Nutrient Profiling Systems, Front of Pack Labeling, and Consumer Behavior.Current atherosclerosis reports · 2020Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In June 2014, Australia and New Zealand adopted a voluntary front-of-pack nutrition labelling scheme in the form of the Health Star Rating (HSR) system. Our aim was to assess its uptake in Australia while a formal five-year review of the system is underway. Numbers and proportions of products eligible to carry a HSR were recorded each year between 2014 and 2017 as part of an annual survey of four large Australian retail outlets. Mean HSR values were determined for products that were and were not labelled with a HSR logo, and summary data presented overall, by HSR score, by major food category, and for leading manufacturers. Results show that uptake is increasing: HSR appeared on 4348/15,767 (28%) of eligible products in 2017 and has now appeared on 7922 products since implementation. Of those products displaying a HSR logo, more than three-quarters (76.4%) displayed a HSR of ≥3.0. Products displaying a HSR logo had a higher mean HSR (3.4), compared to products not displaying a HSR logo (2.7). Uptake was highest on convenience foods (44%), cereals (36.7%), and fruit and vegetable products (35.9%). More than 100 manufacturers were using the system, but retailers Coles, Woolworths and Aldi were together responsible for 54% of uptake. For all except Coles, Woolworths and Campbell Arnott's, the mean HSR of products displaying a logo on pack was higher than products made by that manufacturer not showing a HSR logo. We conclude that to ensure the consistent and widespread uptake required for consumers to make informed food purchases, HSR should be made mandatory at the conclusion of the five-year review.
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Registered trials
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