Concordance of Australian state and territory government guidelines for classifying the healthiness of foods in public settings

Abstract Objective: To investigate the concordance between Australian government guidelines for classifying the healthiness of foods across various public settings. Design: Commonly available products in Australian food service settings across 8 food categories were classified according to each...

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Main Authors: Bettina Backman, Meg Adam, Jasmine Chan, Josephine Marshall, Emalie Rosewarne, Gary Sacks, Adrian J Cameron, Miranda R Blake
Format: Article
Language:English
Published: Cambridge University Press
Series:Public Health Nutrition
Online Access:https://www.cambridge.org/core/product/identifier/S1368980025000059/type/journal_article
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author Bettina Backman
Meg Adam
Jasmine Chan
Josephine Marshall
Emalie Rosewarne
Gary Sacks
Adrian J Cameron
Miranda R Blake
author_facet Bettina Backman
Meg Adam
Jasmine Chan
Josephine Marshall
Emalie Rosewarne
Gary Sacks
Adrian J Cameron
Miranda R Blake
author_sort Bettina Backman
collection DOAJ
description Abstract Objective: To investigate the concordance between Australian government guidelines for classifying the healthiness of foods across various public settings. Design: Commonly available products in Australian food service settings across 8 food categories were classified according to each of the 17 Australian state and territory food classification guidelines applying to public schools, workplaces, and healthcare settings. Product nutrition information was retrieved from online sources. The level of concordance between each pair of guidelines was determined by the proportion of products rated at the same level of healthiness. Setting: Australia Participants: No human participants. Results: Approximately half (56%) of the 967 food and drink products assessed were classified as the same level of healthiness across all 15 ‘traffic light’-based systems. Within each setting type (e.g., schools), pairwise concordance in product classifications between guidelines ranged from 74% to 100%. ‘Vegetables’ (100%) and ‘sweet snacks and desserts’ (78%) had the highest concordance across guidelines while ‘cold ready-to-eat foods’ (0%) and ‘savoury snacks’ (23%) had the lowest concordance. In addition to differences in classification criteria, discrepancies between guidelines arose from different approaches to grouping of products. The largest proportion of discrepancies (58%) were attributed to whether products were classified as ‘Red’ (least healthy) or ‘Amber’ (moderately healthy). Conclusions: Results indicate only moderate concordance between all guidelines. National coordination to create evidence-based consistency between guidelines would help provide clarity for food businesses, which are often national, on how to better support community health through product development and reformulation.
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spelling doaj-art-d03b0b4b95564e16a17dcc2a4004704a2025-02-03T03:27:38ZengCambridge University PressPublic Health Nutrition1368-98001475-272712710.1017/S1368980025000059Concordance of Australian state and territory government guidelines for classifying the healthiness of foods in public settingsBettina Backman0https://orcid.org/0000-0001-5433-889XMeg Adam1Jasmine Chan2Josephine Marshall3Emalie Rosewarne4Gary Sacks5https://orcid.org/0000-0001-9736-1539Adrian J Cameron6Miranda R Blake7https://orcid.org/0000-0002-0649-2320Deakin University, Geelong, Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, VIC 3220, AustraliaDeakin University, Geelong, Institute for Physical Activity and Nutrition, VIC 3220, AustraliaDeakin University, Geelong, Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, VIC 3220, AustraliaDeakin University, Geelong, Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, VIC 3220, AustraliaThe George Institute for Global Health, The University of New South Wales, Sydney, NSW 2052, AustraliaDeakin University, Geelong, Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, VIC 3220, AustraliaDeakin University, Geelong, Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, VIC 3220, AustraliaDeakin University, Geelong, Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, VIC 3220, Australia Abstract Objective: To investigate the concordance between Australian government guidelines for classifying the healthiness of foods across various public settings. Design: Commonly available products in Australian food service settings across 8 food categories were classified according to each of the 17 Australian state and territory food classification guidelines applying to public schools, workplaces, and healthcare settings. Product nutrition information was retrieved from online sources. The level of concordance between each pair of guidelines was determined by the proportion of products rated at the same level of healthiness. Setting: Australia Participants: No human participants. Results: Approximately half (56%) of the 967 food and drink products assessed were classified as the same level of healthiness across all 15 ‘traffic light’-based systems. Within each setting type (e.g., schools), pairwise concordance in product classifications between guidelines ranged from 74% to 100%. ‘Vegetables’ (100%) and ‘sweet snacks and desserts’ (78%) had the highest concordance across guidelines while ‘cold ready-to-eat foods’ (0%) and ‘savoury snacks’ (23%) had the lowest concordance. In addition to differences in classification criteria, discrepancies between guidelines arose from different approaches to grouping of products. The largest proportion of discrepancies (58%) were attributed to whether products were classified as ‘Red’ (least healthy) or ‘Amber’ (moderately healthy). Conclusions: Results indicate only moderate concordance between all guidelines. National coordination to create evidence-based consistency between guidelines would help provide clarity for food businesses, which are often national, on how to better support community health through product development and reformulation. https://www.cambridge.org/core/product/identifier/S1368980025000059/type/journal_article
spellingShingle Bettina Backman
Meg Adam
Jasmine Chan
Josephine Marshall
Emalie Rosewarne
Gary Sacks
Adrian J Cameron
Miranda R Blake
Concordance of Australian state and territory government guidelines for classifying the healthiness of foods in public settings
Public Health Nutrition
title Concordance of Australian state and territory government guidelines for classifying the healthiness of foods in public settings
title_full Concordance of Australian state and territory government guidelines for classifying the healthiness of foods in public settings
title_fullStr Concordance of Australian state and territory government guidelines for classifying the healthiness of foods in public settings
title_full_unstemmed Concordance of Australian state and territory government guidelines for classifying the healthiness of foods in public settings
title_short Concordance of Australian state and territory government guidelines for classifying the healthiness of foods in public settings
title_sort concordance of australian state and territory government guidelines for classifying the healthiness of foods in public settings
url https://www.cambridge.org/core/product/identifier/S1368980025000059/type/journal_article
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