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  1. AU="Mhurchu, Cliona Ni"
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  3. AU="Zhang, Zhiru"
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  5. AU="Gaskin, Thomas R"
  6. AU="Guo, Chong"
  7. AU="Guocan Wang"
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  9. AU="Alistar, Cristina F"
  10. AU="Makhani, Sarah S"
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  1. Artikel: Understanding Enablers and Barriers to the Implementation of Nutrition Standards in Publicly Funded Institutions in Victoria

    Rosewarne, Emalie / Chislett, Wai-Kwan / McKenzie, Briar / Mhurchu, Cliona Ni / Boelsen-Robinson, Tara / Blake, Miranda / Webster, Jacqui

    Nutrients. 2022 June 24, v. 14, no. 13

    2022  

    Abstract: Effective implementation of nutrition standards in publicly funded institutions can facilitate healthy food and beverage consumption by communities and populations, which can enable improvements in dietary intake and reduce disease burden. This study ... ...

    Abstract Effective implementation of nutrition standards in publicly funded institutions can facilitate healthy food and beverage consumption by communities and populations, which can enable improvements in dietary intake and reduce disease burden. This study aimed to understand stakeholder perspectives on the implementation of government nutrition standards in publicly funded institutions in the Australian state of Victoria, as well as to determine enablers and barriers to successful implementation. Pre-interview questionnaires and semi-structured interviews were administered to stakeholders involved in the implementation of nutrition standards in publicly funded institutions in Victoria. The Interactive Systems Framework, which allows understanding of the infrastructure and systems needed to implement policies, was used to design the survey instruments and guide the data analysis. Forty-four stakeholders were interviewed, including program implementers, support personnel and food providers, across public sector hospitals and health services, workplaces, sport and recreation centres and schools. Though translated materials and resources have been developed for end-users to facilitate uptake and implementation, current nutrition standards were perceived to be long and complex, which hindered implementation. The existence of a government-funded implementation support service enabled action by providing technical support, troubleshooting and capacity-building. A specific pathway for successful guideline implementation was determined through the analysis. Opportunities to close the policy-implementation gap were identified. This will be crucial to maximising the impact of nutrition standards on population diets and reducing diet-related disease. Strengthening the guidelines and their governance, streamlining the support system and overcoming barriers within and outside of implementing organisations, are urgently required to propel statewide progress.
    Schlagwörter beverages ; burden of disease ; food intake ; governance ; guidelines ; healthy diet ; human resources ; public sector ; recreation ; sports ; stakeholders ; surveys ; Victoria (Australia)
    Sprache Englisch
    Erscheinungsverlauf 2022-0624
    Erscheinungsort Multidisciplinary Digital Publishing Institute
    Dokumenttyp Artikel
    ZDB-ID 2518386-2
    ISSN 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu14132628
    Datenquelle NAL Katalog (AGRICOLA)

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  2. Artikel ; Online: Stars versus warnings: Comparison of the Australasian Health Star Rating nutrition labelling system with Chilean Warning Labels.

    Söderlund, Fredrik / Eyles, Helen / Mhurchu, Cliona Ni

    Australian and New Zealand journal of public health

    2019  Band 44, Heft 1, Seite(n) 28–33

    Abstract: Objective: The Health Star Rating (HSR) is a voluntary front-of-pack nutrition labelling system that rates products from ½ to 5 stars (five being healthiest). The Chilean Warning Label system displays warnings on foods high in sugar, saturated fat, ... ...

    Abstract Objective: The Health Star Rating (HSR) is a voluntary front-of-pack nutrition labelling system that rates products from ½ to 5 stars (five being healthiest). The Chilean Warning Label system displays warnings on foods high in sugar, saturated fat, sodium, or energy. We aimed to evaluate alignment between the systems.
    Methods: New Zealand packaged products (n=13,868) were classified according to the two systems. Alignment was assessed by cross-checking the number of products meeting the criteria for warnings against star ratings. Products with no warnings but an HSR <2, or with >1 warning but an HSR of ≥3.5 were considered outliers.
    Results: Two-thirds of products met the criteria for at least one warning. There was a significant positive relationship between the number of warnings and mean HSR: 0 warnings = HSR 3.77±.0166 (p<0.001), 1 warning = HSR 2.70±.0206 (p<0.001) and >1 warning = HSR 2.00±.0160 (p<0.001). The systems were non-aligned for 1,117 products (8%).
    Conclusion: HSR and the Chilean Warning Label systems are broadly aligned. Non-alignment is due to the Chilean system restricting warnings to foods containing added ingredients and HSR awarding points for positive components. Implications for public health: These results could be helpful in informing improvements to the HSR system.
    Mesh-Begriff(e) Chile ; Food Labeling ; Food Packaging ; Humans ; New Zealand ; Nutrition Policy ; Nutritive Value ; Sugars
    Chemische Substanzen Sugars
    Sprache Englisch
    Erscheinungsdatum 2019-12-11
    Erscheinungsland Australia
    Dokumenttyp Comparative Study ; Journal Article
    ZDB-ID 1323548-5
    ISSN 1753-6405 ; 1326-0200
    ISSN (online) 1753-6405
    ISSN 1326-0200
    DOI 10.1111/1753-6405.12959
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  3. Artikel ; Online: A review of the uses and reliability of food balance sheets in health research.

    Thar, Chan-Myae / Jackson, Rod / Swinburn, Boyd / Mhurchu, Cliona Ni

    Nutrition reviews

    2020  Band 78, Heft 12, Seite(n) 989–1000

    Abstract: Context: Food Balance Sheets (FBSs) are constructed by the Food and Agricultural Organization (FAO) and portray the food supply and utilization pattern of a country over time.: Objective: To examine and analyse the uses of FAO-FBS data in ... ...

    Abstract Context: Food Balance Sheets (FBSs) are constructed by the Food and Agricultural Organization (FAO) and portray the food supply and utilization pattern of a country over time.
    Objective: To examine and analyse the uses of FAO-FBS data in international studies of health and nutrition, and to identify the reported strengths, limitations and reliability of FBS.
    Data sources: PubMed, SCOPUS, EMBASE, Food Science and Technology Abstracts (FSTA) and Google Scholar.
    Data extraction: Data extracted were author, year of publication, country/countries of the study, aim, study design, analysis, data collected, data sources and outcomes. Additional relevant information (e.g. strengths and limitations of the FBS), were also included. The bibliographies of all included studies were further searched, and any potentially relevant studies retrieved and assessed.
    Data analysis: 119 eligible studies (all study designs) published from the earliest available to the end of April, 2016 were collated into five categories of use: within-country analysis of food availability, nutrient availability and/or dietary trends (n = 17); inter-country, regional or global comparison of food groups, nutrient availability and/or dietary trends (n = 45); comparison of FBS with other national sources of dietary data (n = 7); association between FBS dietary factors and mortality or health outcomes (n = 45); and modelling studies (n = 5).
    Conclusion: Studies indicate that FBS are useful for international comparison and analysis of trends over time, as they are standardized and updated regularly. FBS data are more reliable when averaged over several years; when results are reported as nutrient densities, trends, and percentage of energy or ratios, rather than absolute values. Also, users should be aware that the quality of FBS data depends on the reliability of national input data. The FBS is a vital source of global food composition data and is valuable for epidemiological studies when reported and analysed appropriately.
    Mesh-Begriff(e) Databases, Factual ; Diet/trends ; Financial Statements ; Food/statistics & numerical data ; Food Supply/statistics & numerical data ; Global Health ; Humans ; Nutrients ; Nutritional Status ; Population Health ; Reproducibility of Results ; Research
    Sprache Englisch
    Erscheinungsdatum 2020-06-15
    Erscheinungsland United States
    Dokumenttyp Evaluation Study ; Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 82067-2
    ISSN 1753-4887 ; 0029-6643
    ISSN (online) 1753-4887
    ISSN 0029-6643
    DOI 10.1093/nutrit/nuaa023
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  4. Artikel ; Online: Food costs and healthful diets: the need for solution-oriented research and policies.

    Mhurchu, Cliona Ni

    The American journal of clinical nutrition

    2010  Band 92, Heft 5, Seite(n) 1007–1008

    Mesh-Begriff(e) Costs and Cost Analysis ; Diet/economics ; Diet/standards ; Food/economics ; Health Behavior ; Humans
    Sprache Englisch
    Erscheinungsdatum 2010-09-29
    Erscheinungsland United States
    Dokumenttyp Comment ; Editorial
    ZDB-ID 280048-2
    ISSN 1938-3207 ; 0002-9165
    ISSN (online) 1938-3207
    ISSN 0002-9165
    DOI 10.3945/ajcn.110.002717
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  5. Artikel ; Online: Understanding Enablers and Barriers to the Implementation of Nutrition Standards in Publicly Funded Institutions in Victoria.

    Rosewarne, Emalie / Chislett, Wai-Kwan / McKenzie, Briar / Mhurchu, Cliona Ni / Boelsen-Robinson, Tara / Blake, Miranda / Webster, Jacqui

    Nutrients

    2022  Band 14, Heft 13

    Abstract: Effective implementation of nutrition standards in publicly funded institutions can facilitate healthy food and beverage consumption by communities and populations, which can enable improvements in dietary intake and reduce disease burden. This study ... ...

    Abstract Effective implementation of nutrition standards in publicly funded institutions can facilitate healthy food and beverage consumption by communities and populations, which can enable improvements in dietary intake and reduce disease burden. This study aimed to understand stakeholder perspectives on the implementation of government nutrition standards in publicly funded institutions in the Australian state of Victoria, as well as to determine enablers and barriers to successful implementation. Pre-interview questionnaires and semi-structured interviews were administered to stakeholders involved in the implementation of nutrition standards in publicly funded institutions in Victoria. The Interactive Systems Framework, which allows understanding of the infrastructure and systems needed to implement policies, was used to design the survey instruments and guide the data analysis. Forty-four stakeholders were interviewed, including program implementers, support personnel and food providers, across public sector hospitals and health services, workplaces, sport and recreation centres and schools. Though translated materials and resources have been developed for end-users to facilitate uptake and implementation, current nutrition standards were perceived to be long and complex, which hindered implementation. The existence of a government-funded implementation support service enabled action by providing technical support, troubleshooting and capacity-building. A specific pathway for successful guideline implementation was determined through the analysis. Opportunities to close the policy-implementation gap were identified. This will be crucial to maximising the impact of nutrition standards on population diets and reducing diet-related disease. Strengthening the guidelines and their governance, streamlining the support system and overcoming barriers within and outside of implementing organisations, are urgently required to propel statewide progress.
    Mesh-Begriff(e) Australia ; Food ; Government ; Nutrition Policy ; Nutritional Status ; Schools
    Sprache Englisch
    Erscheinungsdatum 2022-06-24
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu14132628
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Chewing the saturated fat: we still shouldn't.

    Jackson, Rod / Mhurchu, Cliona Ni

    The New Zealand medical journal

    2015  Band 128, Heft 1413, Seite(n) 71–73

    Sprache Englisch
    Erscheinungsdatum 2015-05-01
    Erscheinungsland New Zealand
    Dokumenttyp Letter
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
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  7. Artikel ; Online: 2021 Assessment of New Zealand district health boards' institutional healthy food and drink policies: the HealthY Policy Evaluation (HYPE) study.

    Gerritsen, Sarah / Kidd, Bruce / Rosin, Magda / Shen, Stephanie / Mackay, Sally / Te Morenga, Lisa / Mhurchu, Cliona Ni

    The New Zealand medical journal

    2022  Band 135, Heft 1560, Seite(n) 67–76

    Abstract: Aim: To assess adoption of the voluntary National Healthy Food and Drink Policy (NHFDP) and the alignment of individual institutional healthy food and drink policies with the NHFDP.: Method: All 20 district health boards (DHBs) and two national ... ...

    Abstract Aim: To assess adoption of the voluntary National Healthy Food and Drink Policy (NHFDP) and the alignment of individual institutional healthy food and drink policies with the NHFDP.
    Method: All 20 district health boards (DHBs) and two national government agencies participated. Policies of those organisations that had not fully adopted the NHFDP were assessed across three domains: nutrition standards; promotion of a healthy food and beverages environment; and policy communication, implementation and evaluation. Three weighted domain scores out of 10, and a total score out of 30 were calculated.
    Results: Nine of the 22 organisations reported adopting the NHFDP in full. Of the remaining 13, six referred to the NHFDP when developing their institutional policy and three were working toward full adoption of the NHFDP. Mean scores (SD) were 8.7 (1.0), 6.1 (2.6) and 3.8 (2.2) for the three domains, and 18.6 (4.8) in total. Most individual institutional policies were not as comprehensive as the NHFDP. However, some contained stricter/additional clauses that would be useful to incorporate into the NHFDP.
    Conclusion: Since a similar policy analysis in 2018, most DHBs have adopted the NHFDP and/or strengthened their own nutrition policies. Regional inconsistency remains and a uniform mandatory NHFDP should be implemented that incorporates improvements identified in individual institutional policies.
    Mesh-Begriff(e) Beverages ; Government Agencies ; Health Policy ; Health Promotion ; Humans ; New Zealand ; Nutrition Policy
    Sprache Englisch
    Erscheinungsdatum 2022-08-19
    Erscheinungsland New Zealand
    Dokumenttyp Journal Article
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel ; Online: Reducing children's sugar intake through food reformulation: methods for estimating sugar reduction program targets, using New Zealand as a case study.

    Eyles, Helen / Trieu, Kathy / Jiang, Yannan / Mhurchu, Cliona Ni

    The American journal of clinical nutrition

    2019  Band 111, Heft 3, Seite(n) 622–634

    Abstract: Background: Reducing sugar in packaged foods and beverages could help protect children's future health. Clear methods for the development of feasible yet impactful sugar reduction program targets are needed.: Objectives: To outline methods for the ... ...

    Abstract Background: Reducing sugar in packaged foods and beverages could help protect children's future health. Clear methods for the development of feasible yet impactful sugar reduction program targets are needed.
    Objectives: To outline methods for the development of program targets that would reduce, by 20%, the total sugar content of packaged foods and beverages commonly consumed by children. New Zealand (NZ) is used as a case study.
    Methods: Sugar content and pack size targets were developed using a 6-step process informed by the UK sugar and salt reduction programs. Food groups contributing ≥2% to children's total sugar intake were identified using national dietary survey data. Consumption volume, sugar content, and pack size were obtained from household panel data linked with a packaged food composition database. Category-specific targets were set as 20% reductions in sales-weighted means adjusted for feasibility, i.e., ∼1/3 of products already meeting the target, and alignment with existing, relevant targets.
    Results: Twenty-two food groups were identified as major contributors to NZ children's total sugar intake. Mean reductions required in sugar content and pack size to meet the targets were 5.2 g  per 100 g/mL (26%) and 61.2 g/mL/pack (23%), respectively. The percentage of products already meeting the sugar targets ranged from 14% for electrolyte drinks and flavored dairy milk to 50% for cereal bars, and for pack size targets compliance ranged from 32% for chocolate confectionary to 62% for fruit juices and drinks. Estimated reductions in annual household sugar purchases if the sugar and pack size targets were met were 1459 g (23%) and 286 g (6%), respectively.
    Conclusions: Methods for the development of sugar and pack size reduction targets are presented, providing a robust, step-by-step process for countries to follow. The results of the case study provide a suggested benchmark for a potential national sugar reduction program in NZ.
    Mesh-Begriff(e) Dietary Carbohydrates/analysis ; Dietary Carbohydrates/metabolism ; Dietary Carbohydrates/standards ; Food Packaging ; Food Quality ; Food Supply/standards ; Humans ; New Zealand ; Nutritive Value ; Serving Size ; Sugars/analysis ; Sugars/metabolism ; Sugars/standards
    Chemische Substanzen Dietary Carbohydrates ; Sugars
    Sprache Englisch
    Erscheinungsdatum 2019-11-26
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 280048-2
    ISSN 1938-3207 ; 0002-9165
    ISSN (online) 1938-3207
    ISSN 0002-9165
    DOI 10.1093/ajcn/nqz313
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  9. Artikel: Effects of a Voluntary Front-of-Pack Nutrition Labelling System on Packaged Food Reformulation: The Health Star Rating System in New Zealand

    Mhurchu, Cliona Ni / Eyles, Helen / Choi, Yeun-Hyang

    Nutrients. 2017 Aug. 22, v. 9, no. 8

    2017  

    Abstract: Interpretive, front-of-pack (FOP) nutrition labels may encourage reformulation of packaged foods. We aimed to evaluate the effects of the Health Star Rating (HSR), a new voluntary interpretive FOP labelling system, on food reformulation in New Zealand. ... ...

    Abstract Interpretive, front-of-pack (FOP) nutrition labels may encourage reformulation of packaged foods. We aimed to evaluate the effects of the Health Star Rating (HSR), a new voluntary interpretive FOP labelling system, on food reformulation in New Zealand. Annual surveys of packaged food and beverage labelling and composition were undertaken in supermarkets before and after adoption of HSR i.e., 2014 to 2016. Outcomes assessed were HSR uptake by food group star ratings of products displaying a HSR label; nutritional composition of products displaying HSR compared with non-HSR products; and the composition of products displaying HSR labels in 2016 compared with their composition prior to introduction of HSR. In 2016, two years after adoption of the voluntary system, 5.3% of packaged food and beverage products surveyed (n = 807/15,357) displayed HSR labels. The highest rates of uptake were for cereals, convenience foods, packaged fruit and vegetables, sauces and spreads, and ‘Other’ products (predominantly breakfast beverages). Products displaying HSR labels had higher energy density but had significantly lower mean saturated fat, total sugar and sodium, and higher fibre, contents than non-HSR products (all p-values < 0.001). Small but statistically significant changes were observed in mean energy density (−29 KJ/100 g, p = 0.002), sodium (−49 mg/100 g, p = 0.03) and fibre (+0.5 g/100 g, p = 0.001) contents of HSR-labelled products compared with their composition prior to adoption of HSR. Reformulation of HSR-labelled products was greater than that of non-HSR-labelled products over the same period, e.g., energy reduction in HSR products was greater than in non-HSR products (−1.5% versus −0.4%), and sodium content of HSR products decreased by 4.6% while that of non-HSR products increased by 3.1%. We conclude that roll-out of the voluntary HSR labelling system is driving healthier reformulation of some products. Greater uptake across the full food supply should improve population diets.
    Schlagwörter beverages ; breakfast ; diet ; energy ; energy density ; food availability ; food groups ; fruits ; grains ; nutrient content ; nutrition labeling ; prepared foods ; saturated fats ; sauces ; sodium ; sugars ; supermarkets ; surveys ; vegetables ; New Zealand
    Sprache Englisch
    Erscheinungsverlauf 2017-0822
    Erscheinungsort Multidisciplinary Digital Publishing Institute
    Dokumenttyp Artikel
    ZDB-ID 2518386-2
    ISSN 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu9080918
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  10. Artikel ; Online: Effects of a Voluntary Front-of-Pack Nutrition Labelling System on Packaged Food Reformulation: The Health Star Rating System in New Zealand.

    Mhurchu, Cliona Ni / Eyles, Helen / Choi, Yeun-Hyang

    Nutrients

    2017  Band 9, Heft 8

    Abstract: Interpretive, front-of-pack (FOP) nutrition labels may encourage reformulation of packaged foods. We aimed to evaluate the effects of the Health Star Rating (HSR), a new voluntary interpretive FOP labelling system, on food reformulation in New Zealand. ... ...

    Abstract Interpretive, front-of-pack (FOP) nutrition labels may encourage reformulation of packaged foods. We aimed to evaluate the effects of the Health Star Rating (HSR), a new voluntary interpretive FOP labelling system, on food reformulation in New Zealand. Annual surveys of packaged food and beverage labelling and composition were undertaken in supermarkets before and after adoption of HSR i.e., 2014 to 2016. Outcomes assessed were HSR uptake by food group star ratings of products displaying a HSR label; nutritional composition of products displaying HSR compared with non-HSR products; and the composition of products displaying HSR labels in 2016 compared with their composition prior to introduction of HSR. In 2016, two years after adoption of the voluntary system, 5.3% of packaged food and beverage products surveyed (
    Sprache Englisch
    Erscheinungsdatum 2017-08-22
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu9080918
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