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How reliable is the health star rating?

5 min read

In Australia and New Zealand, the Health Star Rating system is only displayed on about one-third of eligible packaged food products, well below government targets. This voluntary label, featuring a rating from half a star to five stars, is designed to simplify food choices, but its reliability is often questioned by health experts and consumers alike.

Quick Summary

The Health Star Rating is a voluntary front-of-pack label that rates the nutritional profile of packaged foods. It assists with comparing similar products but has documented flaws, including its failure to account for processing levels and its voluntary nature, which allows manufacturers to display ratings selectively. This has led to anomalies where highly processed foods receive surprisingly high ratings, leading to consumer confusion.

Key Points

  • Voluntary System: The Health Star Rating is optional for manufacturers, leading to selective use and lower-than-targeted adoption rates.

  • Nutrient vs. Food Quality: The algorithm focuses on nutrients rather than a food's overall quality or level of processing, creating anomalies where ultra-processed foods can get high ratings.

  • In-Category Comparison: Stars are only reliable for comparing similar packaged items, not for evaluating different food types against each other.

  • Influenced by Industry: The rating's governance includes industry involvement, leading to potential compromises and consumer distrust.

  • Not a Full Picture: The HSR does not replace a careful reading of the ingredients list, which provides more complete information about a product's composition and additives.

  • Recent Improvements: Updates to the algorithm have strengthened penalties for sugars and sodium and provided automatic five-star ratings for some fruits and vegetables.

In This Article

Understanding the Health Star Rating Calculation

Launched in 2014, the Health Star Rating (HSR) system was developed as a joint initiative by the Australian and New Zealand governments, in collaboration with public health, industry, and consumer groups. The rating is determined by an algorithm that balances a product's nutritional components. Foods gain points for positive attributes, such as fibre, protein, and fruit, vegetable, nut, and legume content. Conversely, points are deducted for negative nutrients, including energy, saturated fat, sodium, and total sugars. The final score is presented on the front of the packaging, intending to offer a quick nutritional comparison between similar products.

The Controversial Nature of the Rating System

Despite its noble intentions, the HSR system has faced significant criticism regarding its reliability. A major flaw lies in its focus on individual nutrients rather than the food's overall quality or processing level. This can result in processed foods with added fibre or protein receiving an artificially high rating, even if they contain other undesirable ingredients. Critics also highlight that the system penalizes whole foods with naturally higher fat or sodium content, while seemingly rewarding ultra-processed alternatives.

For instance, some packaged snacks with added fibre might score higher than a nutrient-dense whole food like plain Greek yoghurt. This issue is compounded by the fact that the system is voluntary, allowing food manufacturers to selectively apply ratings to their healthier products while omitting them from less healthy items, which diminishes its effectiveness as a comprehensive public health tool.

Limitations and Anomaly Examples

The most significant limitation of the Health Star Rating system is its voluntary and self-regulated nature, which undermines consumer trust and utility. Manufacturers have a clear incentive to display ratings only on products that score well, creating a 'health halo' effect that can mislead consumers. This selective application makes it impossible to conduct genuine side-by-side comparisons across all products within a category, let alone different food types, as the system was never designed for that purpose.

Another significant issue is the system's failure to distinguish between naturally occurring sugars and added sugars. This can cause products with natural sugars, like yoghurt, to receive a lower rating than a product with artificial sweeteners, despite the former being a more wholesome choice. Critics, including pediatric nutritionists, have also raised alarm bells over high-rated snacks containing harmful additives and chemicals that are not penalized by the HSR algorithm, linking these ultra-processed products to various health concerns.

The Health Star Rating in Context: Strengths vs. Weaknesses

Feature Strengths Weaknesses
Comparison Method Simplifies comparison for similar packaged foods. Not designed for comparing different food categories (e.g., yoghurt vs. cereal).
Algorithmic Basis Rewards positive nutrients (fibre, protein) and penalizes negative ones (sugar, salt, fat). Fails to account for food quality, level of processing, or food additives.
Consumer Understanding Easy-to-understand visual aid for time-poor shoppers. Can be misleading due to calculation anomalies and lack of full product context.
Industry Participation Encourages some manufacturers to reformulate products to be healthier. Voluntary nature leads to low uptake and selective display, undermining system credibility.
System Governance Developed with input from public health and consumer groups. Industry involvement in governance raises potential conflict-of-interest concerns.

How to Interpret and Use Health Star Ratings

To use the HSR system effectively, consumers must understand its limitations. A high star rating doesn't necessarily mean a food is a healthy choice overall, but rather a healthier option within its category. For example, a five-star muesli bar is still a processed snack and should not be considered nutritionally superior to fresh, unrated fruits or vegetables.

To make truly informed choices, shoppers should take a multi-pronged approach: look for the HSR as a quick comparison guide for similar items, but also critically examine the ingredients list and Nutrition Information Panel (NIP). This provides a fuller picture of the food's quality, revealing details about additives, total sugar content, and the actual level of processing. Ultimately, a balanced diet is built on a variety of fresh, whole foods, regardless of a packaged product's star rating.

Conclusion: A Useful but Flawed Guide

In conclusion, the reliability of the health star rating is a nuanced issue. While the system provides a simple, quick reference for comparing similar packaged foods and has driven some positive product reformulation, its voluntary nature, algorithmic blind spots regarding processing and additives, and potential to be gamed by manufacturers significantly undermine its overall dependability. A high star rating should not be viewed as a definitive stamp of health but rather as one piece of information in a larger decision-making process. For consumers aiming to improve their nutrition, combining the HSR with a thorough reading of the ingredients list is the most reliable strategy. As public health advocates continue to push for a mandatory system with a more robust algorithm, consumers are wise to remain critical of the ratings they see in the supermarket aisle.

A note on the official Health Star Rating website:

For the most current information and guidelines on the system, including recent updates to the calculation algorithm, you can visit the official Health Star Rating System website.

This markdown link was generated based on the user's request for one authoritative outbound link within the article content.

What are the key takeaways from this article?

  • Voluntary and selective: The Health Star Rating is a voluntary system, meaning manufacturers can choose to display it, often highlighting only products with higher scores.
  • In-category comparison only: The system is only reliable for comparing similar packaged products (e.g., one breakfast cereal to another), not across different food categories (e.g., cereal to yoghurt).
  • Algorithm has limitations: The calculation penalizes negative nutrients but may not adequately account for the overall quality or level of processing, which can lead to misleading ratings.
  • 'Health halo' effect: High ratings can create a misleading perception of healthiness, with some ultra-processed foods receiving surprisingly high scores.
  • Best used with caution: Consumers should use the HSR as a quick guide but always cross-reference it with the ingredients list and Nutrition Information Panel for a complete picture of a product's nutritional value.

Frequently Asked Questions

Some processed snacks may achieve a high health star rating by being fortified with protein or fibre, which the algorithm rewards. This can happen even if the product contains high levels of sugar, salt, or additives that are less beneficial for health.

No, you should not compare a yoghurt and a breakfast cereal using the health star rating. The system is designed to compare similar packaged products, not different types of food. This is because the calculation method varies between different food categories.

No, the health star rating system is currently voluntary. This allows manufacturers to choose whether or not to display the rating on their products. Low uptake and selective use have been cited as major issues undermining its effectiveness.

The Health Star Rating algorithm does not explicitly account for the level of food processing. Critics argue this is a major flaw, as it allows ultra-processed foods containing additives, emulsifiers, and artificial sweeteners to achieve high ratings.

The 'health halo' effect occurs when a high rating on one product casts a positive glow on other, less healthy products from the same manufacturer, or when a high rating leads consumers to believe a processed item is healthier than it is.

To make a more informed choice, use the Health Star Rating as a starting point for comparing similar products, but also read the ingredients list and the Nutrition Information Panel on the back of the packaging to check for things like additives, sugar, and saturated fat content.

Yes, following a review in 2019, the HSR algorithm was updated. Key changes included stronger penalties for sugar and sodium, and an automatic five-star rating for fresh and minimally processed fruits and vegetables.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.