Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Robyn Perlstein and Lily Meloni Team Based Learning Pilot Food Labelling August 2015: Year 2 students

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Learning Objectives: TBL Food Labelling To develop an understanding of the current Australian food labelling system To gain an understanding on how to use the Health Star Rating System in making appropriate food selections within our current food supply To develop an understanding and hence identify the difficulties within this Star Rating System

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Todays outline Answer three pre activity questions on Socrative Form into pairs Each pair will have be given an answer sheet, nutrition information for a variety of food products and 3 handouts to use in this activity Watch clip on the Health Star Rating –b’ground info Each person guess and document the number of stars they think the product in their group would receive Example – soft drink Work in pairs to calculate the no. of stars in your product Discussion Answer three post activity questions on Socrative

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Socrative details Visit: b.socrative Takes you to Socrative student login Enter teachers room code : Nutmeg1

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Background to Health Star Rating rvY rvY Developed June 2014 by “The Checkout” team

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Guess the number of stars of given to your product Least desirable choice /”Sometimes” choice / = 0 stars Most desirable choice /”Everyday” choice = 5 stars Goes up in half star increments O, ½, 1, 1½, …………….5

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Example Health Star Rating Calculation: Soft drink:

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Determine category of food All foods other than dairy foods Cat 1- beverages other than dairy beverages Cat 2 - all foods other than those included in Category 1, 1D, 2D, 3 or 3D Cat 3 - oils and spreads Dairy foods Cat 1D - milk, dairy beverages (calcium content ≥ 80 mg/200 mL serve) Cat 2D - dairy foods other than those included in Category 1D or 3D (includes yoghurts, cheeses with calcium content ≤ 320 mg/100 g) Cat 3D - cheese and processed cheese ( cheeses with calcium content >320mg/100g ) Step 1

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Step 1 Answer Sheet Work out which category the item fits into: Category 1. Beverages other than dairy Category 1D. Dairy beverages Category 3. Oils and spreads Category 3D. Cheese, processed cheese -Ca 320mg/100g Category 2D. Dairy foods other than those in 1D or 3D Category 2. All foods other than those in 1, 1D, 2D, 3, 3D Soft drink category 1

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Step 2 Answer Sheet From the nutrition information panel: document in 100mL or 100g: Energy (kJ)- Saturated fat(g)- Total Sugars (g)- Sodium (mg)- Protein (g)- Dietary Fibre (g)-

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health EXAMPLE Nutrient Profile – sweetened soft drink ComponentPer 100mL Energy, kJ204 Protein, g0.2 Saturated fat, g0 Total Sugars, g11.5 Dietary Fibre, g0 Sodium, mg15

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Step 3 – using handouts Calculate the HSR baseline points for the first four nutrients from table 1 or 2 See Table 1 for category 1, 1D, 2 and 2D foods See Table 2 for category 3 and 3D foods Eg Soft drink category 1 – use table 1

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Table 1: HSR Baseline Points for Category 1, 1D, 2 or 2D Foods PtsEnergy(kJ) Saturated FA(g) Sugars (g) Sodium (mg) per 100g/100mL per 100g/100mL per 100g/ 100mL per 100g or 100mL

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health EXAMPLE Nutrient Profile – sweetened soft drink ComponentPer 100mL Energy, kJ204 Protein, g0.2 Saturated fat, g0 Total Sugars, g11.5 Dietary Fibre, g0 Sodium, mg15

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Eg sweetened soft drink Baseline Points for Category 1, 1D, 2 or 2D Foods PtsEnergy(kJ) Saturated FA(g) Sugars (g) Sodium (mg) per 100g/100mL per 100g/100mL per 100g/ 100mL per 100g or 100mL

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Eg sweetened soft drink Nutrient Corresponding Baseline points Kilojoules0 Saturated fatty acids0 Total sugars 2 Sodium 0

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Step 4 Calculate the modifying points (if present): for fruit, veg, nuts, legumes, coconut, seeds, spices, herbs, fungi, algae in a food (NOT TODAY) for protein in a food for fibre in a food

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Step 4 (cont) These modifying points are called V, P and F points V points – for % of concentrated fruit and vegetables eg dried fruit / tomato paste AND the % of fruit, vegetables, nuts, legumes present P points – for protein present F points – for fibre present

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health V POINTS Points% Conc fruit/veg% fvnl (g)

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health HSR Protein (P) and Fibre (F) Points PointsProtein (g) Dietary Fibre (g) per 100g /100mLper 100g /100mL

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Eg soft drink V = 0 as no FVNL P = 0 as has 0.2g protein F = 0 beverages (cat 1)- cannot score F points

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Step 5: Calculate the final score - this is used to assign the HSR Final score = Baseline points – (V points) – (P points) – (F points). The lower the final score, the more stars received!

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health HSR Baseline Points This drink has: 0 points for energy 0 points for saturated fat 2 points for sugar 0 points for sodium 0 points for protein 0 points for fibre Soft drink baseline points = ( )-(0 + 0) = 2

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Step 6: Calculate the HSR from the baseline points HSR 1.Non-Dairy 1D.Dairy 2.Non-Dairy 2D. Dairy 3.Oils/ 3D.Cheese Beverage Beverage Foods Foods Spreads >320mg Ca The soft drink with 2 baseline points receives 1 star

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Activity- 9 products Oven baked potato chips Popcorn Flavoured milk Vegemite Cheese spread Chocolate dairy dessert Choc chip snack bar Banana bread /cake Jaffas - lollies

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health OVEN CHIPS Per serving Per 100 g Energy kJ Protein 3.4 g Fat, Total 3.7 g - Saturated 0.3 g Carbohydrate 22.4 g - Sugars 0.4 g Sodium 27.0 mg Dietary Fibre 2.3 g

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Popcorn Per 100g Kilojoules 1970 kJ Protein9.1g Total fat -saturated fat 25.9 g 2.9g Carbohydrate -sugars 42.4 g 3.5g Sodium 701 mg Fibre 16.8g

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Per 100mL Total Fat 3.4 g Saturated Fat 2.2 g Cholesterol - Sodium 69 mg Carbohydrate 9.6 g Sugars 9.3 g Dietary Fibre - Protein 3.3 g Calcium Energy 115 mg 293 kj

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Per 100g EnergyKilojoules 798 Total Fat 0.5 g Saturated Fat 0.5 g Cholesterol - Sodium 3450 mg Carbohydrate 19.9 g Sugars 2.2 g Dietary Fibre - Protein 25.4 g

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health InformationPer 100g Per portion (17.5g) Energy value 620kJ– 147kcal 103kJ– 24kcal Fat7g1.2g of which saturates 4.7g0.8g Carbohydrat e 6g1.0g of which sugars 6g1.0g Protein15g2.5g Salt1.5g0.25g Calcium 470 (59%*) mg 78 (10%*) mg

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health YoGo Dairy Dessert SERVING SIZE: 100g QTY PER 100G Energy444kj Protein3.2 g Fat, total3.0 g -saturated2.0 g Carbohydrate, total16.4 g -sugars12.9 g Sodium69 mg Calcium112 mg

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health CRUNCHOLA CHEWY CHOC CHIP BARS Serving per pack: 6 Serving Size: 35g Average Quantity per 100g Energy1660 KJ Protein6.8g Fat, Total11.9g -Saturated4.4g Carbohydrate60.4g -Sugars12.4g Dietary Fibre9.3g Sodium30mg

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Nutrition Factsper 1 serving (100 g) Kilojoules Calories 1285 kj 307 kcal Protein4.4 g Fat8.9 g Saturated Fat1.9 g Trans Fat0.1 g Polyunsaturated Fat3.7 g Monounsaturated Fat3.2 g Carbohydrate50.7 g Sugar32.6 g Fibre2.6 g Sodium253 mg Banana Bread

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Jaffas per 100g Energy KJ1936 Protein g2 Total Fat g16 g Saturated Fat g14 g Total Carbs76 Sugars g75 Dietary Fibre g0 Sodium mg 54 1.Servings:

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health AnswersStars Oven baked potato chips4 Popcorn 4 Flavoured milk31/2 Vegemite31/2 Cheese spread5 Chocolate dairy dessert31/2 Choc chip snack bar 4 Banana bread /cake21/2 Jaffas – lollies1/2

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health OVEN CHIPS Per serving (cat2)Per 100 g Energy kJ Protein 23.4 g Fat, Total 3.7 g - Saturated 00.3 g Carbohydrate 22.4 g - Sugars 00.4 g Sodium mg Dietary Fibre 22.3 g 1-4 =-3 4 stars

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Popcorn Per 100g Kilojoules kJ Protein 59.1g Total fat -saturated fat g 2.9g Carbohydrate -sugars 42.4 g 3.5g Sodium mg Fibre g =-4 4 stars

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Per 100mL Total Fat 3.4 g Saturated Fat 2.2 g Cholesterol - Sodium 69 mg Carbohydrate 9.6 g Sugars 9.3 g Dietary Fibre - Protein 3.3 g Calcium Energy 115 mg 293 kj =3 ½ stars

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Per 100g EnergyKilojoules 798 Total Fat 0.5 g Saturated Fat 0.5 g Cholesterol - Sodium 3450 mg Carbohydrate 19.9 g Sugars 2.2 g Dietary Fibre - Protein 25.4 g =21 31/2 stars

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health InformationPer 100g Per portion (17.5g) Energy value 620kJ– 147kcal 103kJ– 24kcal Fat7g1.2g of which saturates 4.7g0.8g Carbohydrat e 6g1.0g of which sugars 6g1.0g Protein15g2.5g Salt1.5g0.25g Calcium 470 (59%*) mg 78 (10%*) mg 23-8 =15 5 stars

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health YoGo Dairy Dessert SERVING SIZE: 100g QTY PER 100G Energy1444kj Protein3.2 g Fat, total3.0 g -saturated12.0 g Carbohydrate, total16.4 g -sugars212.9 g Sodium069 mg Calcium112 mg 4-2=2 31/2 stars

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health CRUNCHOLA CHEWY CHOC CHIP BARS Serving per pack: 6 Average Quantity per 100g Energy KJ Protein 46.8g Fat, Total11.9g -Saturated 44.4g Carbohydrate60.4g -Sugars 212.4g Dietary Fibre 99.3g Sodium 030mg = -2 4 stars

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Nutrition Factsper 1 serving (100 g) Kilojoules Calories kj 307 kcal Protein 24.4 g Fat8.9 g Saturated Fat 11.9 g Carbohydrate50.7 g Sugar g Fibre g Sodium253 mg =9 21/2 stars Nb = look at label for fresh banana or concentrate Banana Bread

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Jaffas per 100g Category 2 Energy KJ Protein g1 2 Total Fat g16 Saturated g1314 Total Carbs 76 Sugars g16 75 Sodium mg =33 ½ star 1.Servings:

Deakin University CRICOS Provider Code: 00113B DEAKIN MEDICAL SCHOOL Public Health MedicineNutrition and Population Health Issues: HSR Voluntary scheme will a company with 1 star put this on their product? No info re additives, vitamins, locally produced Simplistic criteria? No portion size taken into account consumers prefer traffic light system; not manufacturers traffic light – one set of criteria for all foods The tick (NHF) – different criteria – motivates producers? Payment involved…. % DI – just a set of numbers?