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  • ©2014 National Heart Foundation of Australia

    Mandatory kilojoule

    labelling in fast food

    outlets in Australia

    What implementation and evaluation has taught us.

    27 May 2015

    Julie Anne Mitchell

    Cardiovascular Health Director

    Heart Foundation

  • ©2014 National Heart Foundation of Australia

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    J.A. Mitchell Slide 2

    Timeframe February 2009 First meeting of Heart Foundation and academics

    from the George Institute Sydney University with

    Government

    November 2010 NSW State Parliament introduced laws for

    kilojoule labelling of fast and snack food chains

    February 2012 Major NSW fast food chains required to display

    kilojoule (kJ) information on their menu boards

    February 2013 Supermarkets required to comply (Ready To Eat

    food only)

    Kj Labelling Review report tabled in Parliament

  • ©2014 National Heart Foundation of Australia

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    J.A. Mitchell Slide 3

    Outline- 5 questions

    1.Why was mandatory Kj labelling in NSW introduced?

    2.What was the process?

    3.What was the response of industry?

    4.What have been the measures of our success?

    5.Where to next?

  • ©2014 National Heart Foundation of Australia

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    J.A. Mitchell Slide 4

    NSW, Australia

    Aboriginal people have

    inhabited Australia for

    over 30,000 years

    Discovered by Captain

    Cook in 1788

    Population of NSW 7.5

    million

    Population of Sydney 5

    million

    http://www.google.com.au/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.homeaway.com.au/info/holiday-ideas/holiday-destinations/nsw/sydney-on-a-budget&ei=QYdYVeeuPOWomgX5xYHoDg&bvm=bv.93564037,d.dGY&psig=AFQjCNEA7taiAH8HX0TkYOPwmrIHRhFcAA&ust=1431951195024989http://www.google.com.au/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&ved=0CAcQjRw&url=http://itsoneworldtravel.com/staydu-social-travel/&ei=wIdYVa39Bef6mQXxrYC4Bg&bvm=bv.93564037,d.dGY&psig=AFQjCNGexCWCS_etf_c_eUTmFn9E1U3IgQ&ust=1431951658000935&cad=rja

  • ©2014 National Heart Foundation of Australia

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    J.A. Mitchell Slide 5

    Challenges

    Rapid changes in lifestyles

    Overweight and obesity

    Sedentary behaviors

    Health burden

    - in 2011 52.6% of NSW adults

    were overweight or obese

    -22.8% of NSW children were

    overweight or obese

    - increasing the likelihood of a range of

    chronic diseases like heart disease,

    cancer, diabetes, kidney disease and

    musculo-skeletal conditions

    -

    -

  • ©2014 National Heart Foundation of Australia

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    J.A. Mitchell Slide 6

    1.Why was mandatory Kj labelling

    in NSW introduced?

    Heart Foundation review

    2010

    kJ labelling in fast

    food outlets

    BIS Foodservice 2011

    www.healthstats.nsw.gov.au

    accessed 29 April 2013

    Overweight & Obesity, NSW

    >16yrs, 2002-2011

    Obese

    Overweight & Obese

    %

    0

    1000

    2000

    3000

    4000

    5000

    6000

    7000

    8000

    20052007

    20092010

    Nu

    nb

    er

    of

    ou

    tlets

    QSR chains

    Snack food chains

    Growth in Food chains in Australia

    NSW Premier- Kristina

    Kennelly

    http://www.healthstats.nsw.gov.au/http://www.abc.net.au/sundayprofile/stories/2769235.htm

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    Failure of a voluntary approach 2003-11 Tick in fast Food outlets

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    2. What was the process?

    Intent was to:

    Provide clear, consistent nutrition (energy) information across fast food

    chains

    Ensure consumers were better informed and encouraged to make

    healthier choices

    Ensure fast food outlets were compliant with the regulations

    Make a positive contribution to strategies designed to reduce

    overweight, obesity and chronic disease

  • ©2014 National Heart Foundation of Australia

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    J.A. Mitchell Slide 9

    NSW Legislation

    Applies to fast and snack food outlets (Feb

    2012)

    Supermarkets (Feb 2013)

    Covers those (Fast food/supermarkets)

    or

    Requires

    Display of kJ content on 'standard food

    items'

    Display of the reference statement

    average adult daily energy intake is

  • ©2014 National Heart Foundation of Australia

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    J.A. Mitchell Slide 10

    Sample signage - Compulsory Kilojoule (kJ) labelling

    KJ displayed alongside price in same size

    Reference statement must be displayed on each menu board

  • ©2014 National Heart Foundation of Australia

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    8700 kJ Education campaign

    Strategy focussed on an integrated approach to help consumers:

    1. Notice information on menu boards

    2. Understand kilojoules as a measure of energy

    3. Put kJ information into context eg % of daily intake

    4. Reduce kJ intake

  • ©2014 National Heart Foundation of Australia

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    $1.18M

    Target group: 18-24 year olds

    Modest advertising spend

    Campaign features

  • ©2014 National Heart Foundation of Australia

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    & Digital

    Campaign Delivery

  • ©2014 National Heart Foundation of Australia

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    8700 Consumer Campaign

    Advertising Digital

  • ©2014 National Heart Foundation of Australia

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    J.A. Mitchell Slide 15

    3. What was the response of industry?

    Cautious but not obstructive

    McDonalds played a strong leadership role

    Requested that laws be uniform across all

    states and territories

    Prompted reformulation of some food

    options

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    Factors that contributed to

    Strong stakeholder engagement from

    One-on-one and industry wide assistance

    10 early adopters

    Representation on the Fast choices kJ

    Advisory Committee

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    J.A. Mitchell Slide 17

    4. What have been the measures

    of success?

    Education campaign outcomes

    Compliance

    Uptake in other jurisdictions

  • ©2014 National Heart Foundation of Australia

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    8700 kJ Campaign Evaluation

    Methods

    Online survey (500 general pop +200 18-24 years )

    Intercept survey (800 across 14 locations)

    3 time intervals

    Aim

    Assess changes in consumers

    Knowledge and awareness of

    kilojoules

    Beliefs , attitudes and intentions about

    foods with displayed kilojoules

    Recall/ use of campaign materials

  • ©2014 National Heart Foundation of Australia

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    improved awareness of average daily kJ intake (increase from 5% to 19% in

    intercept survey)

    Increased levels of noticing kilojoule information in outlets (increase from 54%

    to 75% in online survey)

    Decreased kJ purchase (down 519kJ) calculated from intercept responses on

    items purchased at visit

    A positive level of spontaneous awareness and higher prompted recall of the

    campaign amongst 18-24 year olds than the general population

    General perception that the campaign was informative, believable, and relevant

    49% believed the campaign was necessary

    Evaluation results

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    More than 1 million reached

    Evaluation Digital strategy

    8700kJ Dec 2012 April 2014

    App downloads 100,000 250,000

    App visits 560,000

    Website visits 213,000 630,000

  • ©2014 National Heart Foundation of Australia

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    Online survey

    15 - 20 minute survey

    ~ 1000 NSW residents

    Wave 1 Nov 2012

    Wave 2 April 2013

    Weighting for representativeness of NSW residents

    Supermarkets

  • ©2014 National Heart Foundation of Australia

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    Supermarkets

    Increase in nominating the

    correct range for the average

    daily intake (10% to 14%)

    ~ 80% notice nutritional

    (5% to 10%)

  • ©2014 National Heart Foundation of Australia

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    Social media & engagement

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    Industry Compliance kJ displays

    12 months following implementation the authority visited 150 outlets

    from the 39 chains

    35 of the 39 compliant

    Issues included:

    - lack of an energy label on some promotional posters

    - lack of reference statements on some boards, cabinets or

    promotional posters

    - Illegibility of wording or incorrect font size

  • ©2014 National Heart Foundation of Australia

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    J.A. Mitchell Slide 25

    Industry Compliance energy

    values

    10% of standard food items from various food chains were analyzed

    for consistency between stated kJ value and energy content

    Where differences of greater than 20% occurred

    -A further sample of the food item from 3 different outlets were tested

    -Where differences persisted the Food Authority took it up with individual

    food chain companies

    - As small number identified who had variances have now been corrected

    Second wave of compliance for display boards and energy values

    about to commence.

  • ©2014 National Heart Foundation of Australia

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    Uptake in other Jurisdictions

    Agreement by state and territory Ministers for Food Regulation to adopt the

    NSW legislation was hugely influential

    Gave chains confidence to rollout nationally

    Current status

    NSW (2012)

    SA and ACT (2013)

    Queensland formally announced (2015)

    Victoria and Tasmania close to

    announcement

  • ©2014 National Heart Foundation of Australia

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    5. Where to next?

    2012 Review key recommendations:

    Continue to implement menu labelling legislation in fast food outlets

    and supermarkets

    Conduct a second wave of Monitoring industry compliance

    Integrate our 8700 campaign into a new broader overarching Make

    Health Normal campaign

  • ©2014 National Heart Foundation of Australia

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    Make healthy normal- a program to

    Launches mid June 2015

    in relation to kJ

    Expands application of kilojoule intake and

    expenditure beyond menu boards into a range

    of every day settings

    8700 integration into a new

    overarching campaign

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    J.A. Mitchell Slide 34

    Creating Healthy Food Environments

    Options to

    improve the

    food

    environment