Fri Oct 21

Australia is dragging its feet on healthy eating. In 5 years we've made woeful progress

Written by: Gary Sacks, Associate Professor, Deakin University

Australia is falling behind other countries in addressing the unhealthy state of our diets.

Several other countries, including the United Kingdom, Canada and Mexico, have recently taken major steps to help improve population nutrition and prevent obesity.

But our latest assessment ^[1], released as part of the International Congress on Obesity ^[2], has found major holes in Australian government policy relative to international best practice, with limited policy progress in the past five years.

What we assessed?

Our assessment of the federal government included a scorecard of how Australia is going in 50 policy areas for addressing unhealthy diets. These policy areas include key influences on what we buy and what we eat, including policies that affect the price and affordability of different foods, the types of food available, how food is labelled, and the way food is promoted.

We worked closely with government officials to document current action in each policy area. We then assessed how existing policies compared to international benchmarks.

Finally, we made recommendations to address the gaps, prioritising them based on their relative importance and feasibility. Eighty-four experts from 37 organisations participated in the assessment and prioritisation process.

How does Australia compare to other countries?

We found implementation of globally recommended policies for improving population diets and addressing obesity in Australia falls far short of international best practice.

There has been only limited policy progress in Australia in the past five years.

Areas where Australia is doing well One of the only areas where Australia fared well was in the area of food labelling, where some of the regulations regarding ingredient lists, nutrition information panels and health claims was rated among the best in the world. The other area that scored Australia top marks is that the GST does not apply to fresh fruit and vegetables, which helps lower their prices relative to other less healthy products. What are other countries doing better? Several other countries have implemented policies to limit the marketing of unhealthy foods and make it easier for people to choose healthier options. Countries in Latin America are leading the way globally. Chile has put in place ^[4] comprehensive restrictions on TV advertising for unhealthy food, conspicuous warning labels on the packaging of unhealthy products, as well as taxes on sugary drinks. Mexico has similar policies ^[5].

The warning labels on this product sold in Chile indicate it is high in energy (calories), sugar, saturated fats and sodium (salt). Shutterstock ^[6] Elsewhere in the world, more than 50 countries ^[7] now have taxes on sugary drinks. There is clear evidence ^[8] these taxes have decreased consumption of the taxed products, while also incentivising soft drink manufacturers to reduce the sugar content of their drinks. Several other governments are taking strong action to protect children from exposure to marketing of unhealthy food. As an example, the United Kingdom is set to ban ads ^[9] for unhealthy food online, and on TV before 9pm from 2024. Canada has similar laws ^[10] before their parliament. The UK also just introduced major changes ^[11] to how supermarkets operate. Laws that came into effect this month mean unhealthy products can no longer be displayed in prominent in-store locations, such as shop entrances and checkout areas. In addition, the UK has proposed a ban ^[12] on price discounts on unhealthy food, although implementation remains uncertain ^[13] with the recent change in government leadership. Several other innovative policies are in place internationally. For example, in some parts of Mexico, retailers cannot sell ^[14] unhealthy food to children. And in Argentina, there are laws ^[15] dictating maximum sodium (salt) content in a range of products. Read more: Sugary drinks tax is working – now it's time to target cakes, biscuits and snacks ^[16] How bad are Australian diets? Unhealthy diets and obesity are the leading contributors ^[17] to poor health in Australia. Less than 7%^[18] of people in Australia consume a healthy diet consistent with the Australian Dietary Guidelines ^[19]. Nearly 65% of Australian adults ^[20], and 25% of Australian children are overweight or obese. While there isn’t good data on how these statistics have changed in the past few years, things have likely got worse ^[21] since the start of the COVID pandemic. Unless ^[22] we see comprehensive government action to improve population diets, there will be enormous health and financial costs ^[23] to individuals, communities and the economy overall. Read more: BMI is underestimating obesity in Australia, waist circumference needs to be measured too ^[24] What actions should Australia take? Federal government policy action is needed ^[25] to improve population diets and address obesity. This includes: protecting children from exposure to the marketing of unhealthy food and beverages through comprehensive and consistent national legislation implementing a health levy on sugar-sweetened beverages (a sugar tax) and other unhealthy food, while addressing the affordability of healthy food improving food labelling by mandating the Health Star Rating scheme ^[26] and requiring warning labels on products high in added sugar, sodium (salt) and/or saturated fat. What’s holding us back? In the past 12 months, the former federal government released key strategies in this area, including the National Preventive Health Strategy (2021-2030)^[27] and the National Obesity Strategy (2022-2032)^[28]. But this has yet to result in any changes on the ground. Critically, there is strong support ^[29] from the Australian community for governments to impose higher standards on marketing to support children’s health and wellbeing. More than 75% of Australians ^[30] also back warning labels on unhealthy foods. It is promising to see momentum building around a legislative ban ^[31] on the marketing of unhealthy food and beverages to children. But it’s now time for the federal government to catch up to the rest of the world and implement meaningful policy change to help Australians improve their diets. References^{^} latest assessment (www.foodpolicyindex.org.au)^{^} International Congress on Obesity (www.icocongress.org)^{^} No, it’s not just a lack of control that makes Australians overweight. Here’s what’s driving our unhealthy food habits (theconversation.com)^{^} put in place (www.nytimes.com)^{^} similar policies (ncdalliance.org)^{^} Shutterstock (www.shutterstock.com)^{^} more than 50 countries (www.obesityevidencehub.org.au)^{^} clear evidence (journals.plos.org)^{^} ban ads (www.gov.uk)^{^} similar laws (www.parl.ca)^{^} major changes (www.gov.uk)^{^} ban (www.gov.uk)^{^} uncertain (www.ft.com)^{^} cannot sell (www.theguardian.com)^{^} laws (www.nycfoodpolicy.org)^{^} Sugary drinks tax is working – now it's time to target cakes, biscuits and snacks (theconversation.com)^{^} leading contributors (www.aihw.gov.au)^{^} 7% (www.abs.gov.au)^{^} Australian Dietary Guidelines (www.eatforhealth.gov.au)^{^} 65% of Australian adults (www.aihw.gov.au)^{^} worse (www1.racgp.org.au)^{^} Unless (www.thelancet.com)^{^} health and financial costs (www.mja.com.au)^{^} BMI is underestimating obesity in Australia, waist circumference needs to be measured too (theconversation.com)^{^} needed (www.opc.org.au)^{^} Health Star Rating scheme (www.healthstarrating.gov.au)^{^} National Preventive Health Strategy (2021-2030) (www.health.gov.au)^{^} National Obesity Strategy (2022-2032) (www.health.gov.au)^{^} support (www.opc.org.au)^{^} 75% of Australians (www.nature.com)^{^} legislative ban (www.smh.com.au)

What we assessed?

How does Australia compare to other countries?

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