Australia’s Progress in Improving Diets and Preventing Obesity: Clear Opportunities for Action
Purpose of Review
Australia, like other developed countries, has a high prevalence of overweight and obesity, in both adults and children. This review examines progress in food policy in Australia, particularly at a national level, around key policy domains as well as in relation to public education.
Australia lacks a national nutrition strategy or an obesity prevention strategy, incorporating best practice recommendations to improve diets. Examination of current progress shows patchy implementation of key food policy initiatives and significant gaps, particularly at the federal level.
In the absence of a long-term strategic approach, the response of the federal government has been ad hoc around the adoption of key policies and funding for programs to improve what Australians eat. Consensus around a platform for obesity prevention for national action, including food policy, is building from public health, academic and consumer groups.
KeywordsFood policy Obesity Prevention
Compliance with Ethical Standards
Conflict of Interest
Jane Martin declares that she has no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
The views within this article are solely those of the author and not those of the Australian New Zealand Obesity Society.
Papers of particular interest, published recently, have been highlighted as: • Of importance
- 1.OECD. Health at a glance 2017 – OECD health indicators. 2017. https://doi.org/10.1787/health_glance-2017-en.
- 2.Australian Bureau of Statistics, National Health Survey: first results, 8 December 2015, http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/4364.0.55.001~2014-15~Main%20Features~Key%20findings~1 , http://www.abs.gov.au/ausstats/abs@.nsf/mf/4364.0.55.001.
- 3.Harris B, Fetherston H, Calder R. Australia’s health tracker by socio-economic status 2017. Australian Health Policy Collaboration: Melbourne, Victoria University, November 2017. https://www.vu.edu.au/sites/default/files/australias-health-tracker-by-socioeconomic-status.pdf. Accessed 15 April 2018
- 4.Australian Bureau of Statistics. Australian Aboriginal and Torres Straight Island Health Survey: biomedical results, 2012–2013. http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/4727.0.55.003~2012-13~Main%20Features~Key%20Findings~1. Accessed 12 April 2018
- 5.Australian Bureau of Statistics. Australian Health Survey: first results, 2014–15: Australian Bureau of Statistics; 2014 [updated 22.03.2016. Available from: http://www.abs.gov.au/ausstats/abs@.nsf/mf/4364.0.55.001.
- 6.Haby M, Marwick A, Peeters A, Shaw J. Vos T. Future predictions of body mass index and overweight prevalence in Australia, 2005–2025. (2012) 27(2) Health Promotion International, 250–260.Google Scholar
- 7.Gray V, Holman C. Deaths and premature loss of life caused by overweight and obesity in Australia in 2011–50: benefits from different intervention scenarios. 2009. Report for the National Preventative Health Taskforce. Perth, Western Australia: School of Population Health, University of Western Australia; 2009.Google Scholar
- 8.Obesity Australia (2015). Obesity: its impact on Australia and a case for action. No time to weight 2. PwC, Sydney.Google Scholar
- 9.The Herald/Age (2011). Lateral Economics Index of Australia’s wellbeing: final report. Available at: https://lateraleconomics.com.au/wp-content/uploads/2014/02/Fairfax-Lateral-Economics-Index-of-Australias-Wellbeing-Final-Report.pdf
- 10.Australian Government Department of Health and Ageing. New health taskforce on prevention – tobacco, alcohol and obesity priorities, 9 April 2008, available at http://www.health.gov.au/internet/ministers/publishing.nsf/Content/mr-yr08-nr-nr046.htm
- 11.National Preventative Health Taskforce. Australia: the healthiest country by 2020 – National Preventative Health Strategy – the roadmap for action. Commonwealth of Australia 2009. Accessed 15th January, 2018: http://www.health.gov.au/internet/preventativehealth/publishing.nsf/content/nphs-roadmap-toc
- 12.Commonwealth of Australia. Taking preventative action – a response to Australia: the Healthiest country by 2020 – the report of the National Preventative Health Taskforce. Commonwealth of Australia, 2010. Accessed 17th January, 2018: http://www.health.gov.au/internet/preventativehealth/publishing.nsf/Content/6B7B17659424FBE5CA25772000095458/$File/tpa.pdf
- 13.Australian Food and Grocery Council. Submission to the National Committee of Audit. November, 2013, p 19. Available at: http://www.ncoa.gov.au/docs/submission-australian-food-and-grocery-council.pdf ; Hansen J. Sour taste the secret backroom tactics of big sugar. Daily Telegraph 14/6/2014 https://www.dailytelegraph.com.au/news/nsw/sour-taste-the-secret-backroom-tactics-of-big-sugar/news-story/72337b3991ac58e10e8d8fa0bcadb4e0
- 14.Australian Food and Grocery Council. Media release: budget drives practical health reforms. May 2014 Available at: https://www.afgc.org.au/2014/05/budget-drives-practical-health-reforms/
- 15.• Sacks G for the Food-EPI Australia project team. Policies for tackling obesity and creating healthier food environments: scorecard and priority recommendations for the Australian Federal government. Melbourne: Deakin University, 2017. Available at: www.foodpolicyindex.org.au. A recent summary of state and territory actions compared with global best practice food policy, as well as a summary of actions at a national level, assessed by a range of experts and commentators.
- 16.Australian Government. Healthy Food Partnership, Department of Health. http://www.health.gov.au/healthyfoodpartnership Accessed 29 January, 2018.
- 17.Jones A, Magnusson R, Swinburn B, Webster J, Wood A, Sacks G, et al. Designing a healthy food partnership: lessons from the Australian Food and Health Dialogue. BMC Public Health. 2016;16:651. https://doi.org/10.1186/s12889-016-3302-8.
- 18.Sacks G for the Food-EPI Australia project team. Policies for tackling obesity and creating healthier food environments: scorecard and priority recommendations for the Australian Federal government. Melbourne: Deakin University, 2017. Available at: www.foodpolicyindex.org.au
- 19.New South Wales Government, Tackling childhood obesity, https://www.nsw.gov.au/improving-nsw/premiers-priorities/tackling-childhood-obesity/
- 20.Australian Capital Territory Government – towards zero growth – healthy weight action plan 2013. http://health.act.gov.au/sites/default/files/Towards%20Zero%20Growth%20Healthy%20Weight%20Action%20Plan.pdf. Accessed 15 April 2018
- 21.Martin J, Peeters A, Honisett S, Mavoa H, Swinburn B, de Silva-Sanigorski A. Benchmarking government action for obesity prevention—an innovative advocacy strategy. Obes Res Clin Pract. 2013; https://doi.org/10.1016/j.orcp.2013.07.001.
- 22.Sacks G for the Food-EPI Australia project team. Policies for tackling obesity and creating healthier food environments: scorecard and priority recommendations for Australian governments. Melbourne: Deakin University; 2017.Google Scholar
- 23.Review Panel. Labelling logic: review of food labelling law and policy. Canberra: Commonwealth of Australia; 2011.Google Scholar
- 24.Health Star Rating Advisory Committee. Two year progress review report on the implementation of the Health Star Rating System, June 2014–June 2016. Commonwealth of Australia, 2017. http://healthstarrating.gov.au/internet/healthstarrating/publishing.nsf/Content/673FC1FC9C6446C3CA2581BD00777FE8/$File/Two%20year%20progress%20review%20of%20HSR%20system%20-%20update%20report%20V2.pdf. Accessed 14 April, 2018.
- 25.Heart Foundation, Report on the monitoring of the implementation of the Health Star Rating system in the first two years of implementation: June 2014 to June 2016, p169. http://healthstarrating.gov.au/internet/healthstarrating/publishing.nsf/Content/673FC1FC9C6446C3CA2581BD00777FE8/$File/Two%20year%20progress%20review%20of%20HSR%20system%20-%20update%20report%20V2.pdf. Accessed 14 April, 2018
- 27.Parker G and Frith R, Health Star Rating System: campaign evaluation report, June 2016, p3. http://www.healthstarrating.gov.au/internet/healthstarrating/publishing.nsf/Content/formative-research/$file/Health%20Star%20Rating%20System%20-%20Campaign%20Evaluation%20Report%20-%202016.pdf. Accessed 14 April 2018
- 28.Health Star Rating Advisory Committee, Two year progress review on the implementation of the Health Star Rating system- June 2014–June 2016, April 2017, p13. http://www.healthstarrating.gov.au/internet/healthstarrating/publishing.nsf/Content/formative-research/$file/Health%20Star%20Rating%20System%20-%20Campaign%20Evaluation%20Report%20-%202016.pdf Accessed 14 April 2018.
- 29.Han E. Uncle Tobys cuts fat, salt and sugar from muesli bars to boost health star rating. Sydney Morning Herald, Australia, 14 October 2015. Available at: http://www.smh.com.au/business/retail/uncle-tobys-cutsfat-salt-and-sugar-from-muselibars- to-boost-health-star-rating-20151013-gk7n4j.html.
- 30.• Pettigrew S, Talati Z, Miller C, Dixon H, Kelly B, Ball K. The types and aspects of front of pack labelling schemes preferred by adults and children. Appetite. 2017;109:115–23. Examines the preferences of children and adults for a range of labelling on food packaging finding that the interpretive schemes—traffic lights and Health Star Rating—are preferred, with the Health Star Rating most popular. The industry scheme—daily intake guide, with no interpretive elements—was least preferred. CrossRefPubMedGoogle Scholar
- 31.Australian Competition and Consumer Commission. Court finds Heinz made a misleading health claim. Accessed 7th April, 2018. https://www.accc.gov.au/media-release/court-finds-heinz-made-a-misleading-health-claim
- 32.Australian Competition and Consumer Commission. ACCC takes action against Heinz over nutritional claims on food for 1–3 year olds. Accessed 9th January, 2016: https://www.accc.gov.au/media-release/accc-takes-action-against-heinz-over-nutritional-claims-on-food-for-1-3-year-olds
- 33.The AANA Advertiser Code of Ethics 2012, The AANA Code for Advertising & Marketing Communications to Children 2014 and the Food & Beverages Advertising & Marketing Communications Code 2009.Google Scholar
- 34.Australian Communications and Media Authority. Industry self-regulation of food and beverage advertising to children: ACMA monitoring report. ACMA, Commonwealth of Australia, 2011. Available at: https://www.acma.gov.au/-/media/Diversity-Localism-and-Accessibility/Report/pdf/Industry-selfregulation-of-food-and-beverage-advertising-to-childrenACMA-monitoring-report.PDF?la=en. Accessed 12 April 2018
- 35.Watson W, Lau V, Wellard L, Hughes C, Chapman K. Advertising to children initiatives have not reduced unhealthy food advertising on Australian television. J Public Health. 2017:1–6.Google Scholar
- 36.NSW Health. Healthy food and drink in NSW health facilities for staff and visitors framework, NSW Ministry of Health, 2017.Google Scholar
- 37.YMCA Victoria. 12 September, 2014. YMCA Victoria bans sugary drinks. Available at: http://victoria.ymca.org.au/news-events/news/ymca-victoria-bans-sugary-drinks.html. Accessed 11 April 2018
- 39.Obesity Policy Coalition, Policy brief – the case for an Australian tax on Sugar-sweetened beverages (2015), Melbourne, p. 1.Google Scholar
- 40.Veerman J, Sacks G, Antonopoulos N, Martin J. The impact of a tax on sugar-sweetened beverages on health and health care costs: a modelling study. PLoS One. 2016;11(4):4.e0151460. https://doi.org/10.1371/journal.pone.0151460.
- 42.Impact of the swap it, don’t stop it Australian National Mass Media Campaign on promoting small changes to lifestyle behaviors. J Health Commun 2016 Dec;21(12):1276–1285.Google Scholar
- 43.Morley B, Niven P, Dixon H, Swanson M, Szybiak M, Shilton T, et al. Population-based evaluation of the ‘LiveLighter’ healthy weight and lifestyle mass media campaign. Health Educ Res. 2016;31:121–35. https://doi.org/10.1016/j.orcp.2014.10.128.
- 44.Ibid.Google Scholar
- 45.Morley, B, Niven P, Dixon H, Wakefield M, Swanson M, Szybiak M, et al. Evaluation of the LiveLighter “Sugary Drinks” mass media campaign. Obesity Research & Clinical Practice 8 (2014): 70.Google Scholar
- 47.Obesity Policy Coalition, GLOBE Global Obesity Centre. Tipping the scales: Australian Obesity Prevention Consensus. Victoria, 2017. www.opc.org.au/tippingthescales