Cancer Prevention and Advocacy Division, Cancer Council NSW, Woolloomooloo, New South Wales, Australia.
School of Medicine, The University of Wollongong, Wollongong, New South Wales, Australia.
Nutr Diet. 2021 Sep;78(4):406-414. doi: 10.1111/1747-0080.12658. Epub 2021 Jan 7.
To compare six nutrient profiling models for suitability in food marketing to children regulation.
Products (n = 220) advertised at transport hubs were classified as eligible/ineligible to be advertised to children using an Australian government developed guide (Council of Australian Governments), the Health Star Rating system before and after the modifications made in 2020, World Health Organization Western Pacific Region and Europe nutrient profile criterion and the NOVA food classification system. Agreement between models was determined using Cohen's Kappa.
The Council of Australian Governments' guide was able to classify more products than the other models (n = 210) and was easy to use as it did not require nutrition information. It agreed most closely with NOVA (moderate agreement). The proportion of foods classified as eligible to be marketed (most strict) was lowest for NOVA (10%), similar for Council of Australian Governments and the World Health Organisation models (16%-17%) and highest for Health Star Rating models (26%-28%).
The Council of Australian Governments' guide provides simple, easy to use profiling criteria aligned with Australian dietary advice. Political will is now required to incorporate a profiling model within government-endorsed food marketing regulation.
比较六种营养素分析模型在儿童食品营销监管方面的适用性。
使用澳大利亚政府制定的指南（澳大利亚政府理事会）、2020 年修改前后的健康星级评分系统、世界卫生组织西太平洋地区和欧洲营养素标准以及 NOVA 食品分类系统，对在交通枢纽处做广告的产品（n=220）进行分类，判断其是否适合向儿童做广告。采用 Cohen's Kappa 检验评估模型间的一致性。
澳大利亚政府理事会的指南比其他模型（n=210）能够对更多的产品进行分类，而且由于它不需要营养信息，因此使用起来更加方便。它与 NOVA 模型最为一致（中度一致）。NOVA 模型（10%）分类为适合营销（最严格）的食品比例最低，澳大利亚政府理事会和世界卫生组织模型（16%-17%）相似，而健康星级评分模型（26%-28%）最高。
澳大利亚政府理事会的指南提供了简单易用的分析标准，与澳大利亚饮食建议一致。现在需要政治意愿将分析模型纳入政府认可的食品营销监管中。
