title: Tick front-of-pack label has a positive nutritional impact on foods sold in New Zealand.
abstract: Nutritional impact of the Tick front-of-pack labelling programme was evaluated by investigating nutrient changes to the purchased food supply and the nutritional quality of Tick v. non-Tick products. Factors influencing manufacturers' decisions to develop and license Tick products were also explored.
  
  
  
  Observational, cross-sectional and change over time data.
  
  
  
  New Zealand food supply, 2011-2013.
  
  
  
  Forty-five newly licensed Tick products from five food categories were analysed: Edible Oil Spreads, Yoghurt & Dairy Desserts, Frozen Desserts, Ready Meals and Processed Poultry. Four manufacturers of these products were interviewed.
  
  
  
  Eligible products (31 % of all Tick products in these categories) removed 4·1 million megajoules of energy, 156·0 tonnes of saturated fat, 15·4 tonnes of trans-fat and 4·0 tonnes of sodium from food products sold in New Zealand over three years. In each food category, these Tick products were, on average, 14-76 % lower in energy, saturated fat, trans-fat and sodium than non-Tick products, indicating healthier options. Participating manufacturers reported that international market trends and consumer demand for tasty, healthy foods primarily influenced Tick product development and sales. Tick was used as part of their marketing strategy as it was perceived as a credible, well-recognised logo for New Zealand consumers. Tick was cited as the primary initiative encouraging saturated fat reduction.
  
  
  
  The Tick Programme is continuing to encourage manufacturers to make meaningful improvements to the nutritional quality of the New Zealand food supply. Over time, these changes are likely to influence population nutrient intakes and reduce CVD risk factors.
authors.affiliation: 1Department of Human Nutrition,University of Otago,PO Box 56,Dunedin 9054,New Zealand.
authors.forename: Rachel K
authors.initials: RK
authors.lastname: Thomson
authors.affiliation: 1Department of Human Nutrition,University of Otago,PO Box 56,Dunedin 9054,New Zealand.
authors.forename: Rachael M
authors.initials: RM
authors.lastname: McLean
authors.affiliation: 1Department of Human Nutrition,University of Otago,PO Box 56,Dunedin 9054,New Zealand.
authors.forename: Sherry X
authors.initials: SX
authors.lastname: Ning
authors.affiliation: 1Department of Human Nutrition,University of Otago,PO Box 56,Dunedin 9054,New Zealand.
authors.forename: Louise A
authors.initials: LA
authors.lastname: Mainvil
mesh_terms: D003430:Cross-Sectional Studies; D005502:Food / Q000592:standards*; D005515:Food Labeling; D009520:New Zealand; D009753:Nutritive Value
keywords: Energy; Food industry; Food labelling; Food marketing; Food reformulation; Food supply; Front of pack; Health promotion; Nutrients; Saturated fat; Sodium; Tick Programme; Trans fat