Healthy Options WA - Commonly Supplied Foods and Drinks Guide

Healthy Options WA - Commonly Supplied Foods and Drinks Guide

Healthy Options WA - Commonly Supplied Foods and Drinks Guide

Healthy Options WA Commonly Supplied Foods and Drinks Guide

Acknowledgments The Healthy Options Commonly Supplied Foods and Drinks Guide adapts elements from Queensland Health’s A Better Choice – Healthy Food and Drink Supply Strategy for Queensland Health Facilities (2007) and the Queensland Departments of Health and Education, Training and the Arts, Smart Choices – Healthy Food and Drink Supply Strategy for Queensland Schools (2005). Both strategies build on the NSW Department of Health and NSW Department of Education and Training Fresh Tastes @ School NSW Healthy School Canteen Strategy: Canteen Menu Planning Guide (2004, revised 2006).

The Healthy Options Commonly Supplied Foods and Drinks Guide has been modified to comply with the requirements of the Western Australia Department of Health’s Healthy Options WA: Food and Nutrition Policy for WA Health Services and Facilities.

The Department of Health wishes to thank and acknowledge the invaluable advice and contribution of members of Healthy Options WA Nutrition Advisory Group and Healthy Options WA Implementation Working Group. The Department of Health also wishes to thank the Western Australian School Canteen Association Incorporated for assistance in the development of these guidelines.

1 Contents Section Page Overview . . 2 Using Nutrition Information Panels . . 4 Fruit, vegetables and legumes . . 6 Dairy products and alternatives . . 9 Breakfast cereals . . 11 Breads and sandwiches .

. 12 Rice and noodles . 15 Meat, fish, poultry, eggs and alternatives . 16 Mixed hot meals . 19 Hot savoury items . 21 Oils, sauces, dressings and condiments . 24 Savoury snack foods . 26 Sweet snack foods, cakes and biscuits . 27 Ice-creams, ice confections and dairy desserts . 30 Confectionery . 32 Drinks . 33 Index A–Z . 36 APPENDIX 1 Healthy Options WA – Green, Amber and Red categories . 39 APPENDIX 2 Healthy Options WA – Nutrient criteria . 43 APPENDIX 3 Terminology used in tables . 45

2 Overview The Commonly Supplied Foods and Drinks Guide is a guide for catering services within WA Health to assist with interpreting and applying the Healthy Options WA: Food and Nutrition Policy for WA Health Services and Facilities. The guide complements the information provided in the Healthy Options WA policy. It provides detailed categorisation using ‘traffic light’ categories for the foods and drinks commonly supplied by food outlets or catering services. It also provides ‘tips’ about how to make some foods healthier. This guide does not imply the Department of Health endorsement of any specific products.

The food categorisation scheme is designed to assist food outlets to comply with supply guidelines rather than endorsing specific products. In addition, the guide does not address food safety issues. WA Health services are still required to fulfil their regulatory responsibilities for food supply under the Health Act 1911 and the Health (Food Hygiene) Regulations 1993.

During the production of the guide, some small refinements were made to the classifications of some foods and drinks. The Department of Health will continue to review and revise the food categorisation system over time to reflect government dietary and nutrition-related guidelines, emerging evidence and changes to the food supply. The tables are based on the definitions of Green, Amber and Red foods provided on pages 10–15 of the Healthy Options WA: Food and Nutrition Policy for WA Health Services and Facilities (see Appendix 1 for key tables).

Foods and drinks have been classified in the category they are most likely to fit: Green, Amber or Red.

Varieties of foods and drinks may differ due to ingredients used or cooking techniques, so certain products may fit into more than one category as shown. For items that may fit either the Amber or Red category, check the label against the Amber-Red nutrient criteria. These are provided in Appendix 2 (or on page 21–23 of the Healthy Options WA: Food and Nutrition Policy for WA Health Services and Facilities). Visit the Healthy Options WA website for additional details on recipe guidelines.

An explanation of the terminology used in the tables is provided in Appendix 3. Comparing the Healthy Options WA criteria to Nutrition Information Panels The Healthy Options WA nutrient criteria are based on the amount of energy (kilojoules), saturated fat, sodium and/or fibre contained in the item per serve or per 100 grams. The term ‘serve’ in the Healthy Options WA policy means the saleable item (to the consumer), such as a serving on a plate or in a sandwich, packet or drink container. In cases where both per serve and per 100 grams are listed in the nutrient criteria table, both criteria need to be complied (e.g.

the amount per 100 grams and the total amount for the item as sold).

Note that the serve size quoted on some food and drink Nutrition Information Panels may not be the same as the serve size actually sold or commonly consumed.

3 To ensure that the Healthy Options WA criteria are applied correctly for processed foods and drinks, it is necessary to consider: The number of servings per package/container as indicated on the Nutrition Information Panel. In cases where the packet or container has more than one serve or it is intended to be divided into more than one saleable item (such as a large quiche or cake), the total amount of energy (kilojoules), saturated fat, sodium and/or fibre must be divided by the number of saleable servings to determine the nutrient content (e.g.

an 800 gram pizza cut into four individual serves for sale will give a serve size of approximately 200 grams).

Whether the Healthy Options WA nutritional criteria indicate it is necessary to assess the item according to the nutrients per serve, per 100g or both. For example, some nutrients in a ready-to-eat meal are assessed per 100g and some are assessed per serve. In these cases, both criteria need to be complied (e.g. amount per 100 grams and the total amount for the item as sold). Remember that: Any foods and drinks that exceed any one of the Amber-Red nutrient criteria relating to the amount of energy, saturated fat and salt (sodium), or fails to meet the minimum levels of fibre, are classified as Red.

Those that are within all of the specified levels of relevant nutrient criteria are classified as Amber. For more information about reading labels and categorising processed products, see refer to Nutrition Information Panels at http://www.healthyoptions.health.wa.gov.au/caterers/info_panels.cfm

4 Using Nutrition Information Panels An example: Sultana and Oat Slice (in an individual package) Step 1: Identify the correct assessment table. This food belongs in the group Snack food items – snack food bars (refer to Appendix 2 in the Healthy Options WA policy document for the nutritional criteria) and should be assessed against the Amber-Red criteria. Step 2: Snack food items – snack food bars are assessed per item or serve. Look at the average serving size as sold. Step 3: Look at the ‘quantity per serving’ column Nutrition Information Panel for Sultana and Oat Slice Servings per package: 2 Average serving size: 60g QUANTITY PER SERVING QUANTITY PER 100G ENERGY 1068kJ 1780kJ PROTEIN 8.0g 13.3g FAT - Total 11.3g 18.8g - Saturated 8.0g 13.3g CARBOHYDRATE 31.9g 53.1g - Sugars 15.7g 26.2g SODIUM 102mg 170mg FIBRE 4.45g 7.4g This slice is pre-packaged with a total weight of 120 grams.

This is two times the average serving size on the label (i.e. 60g x 2 = 120g) serving size sold is 120g Nutrition Information Panel for Sultana and Oat Slice Servings per package: 2 Average serving size: 60g QUANTITY PER SERVING QUANTITY PER 100G ENERGY 1068kJ 1780kJ PROTEIN 8.0g 13.3g FAT - Total 11.3g 18.8g - Saturated 8.0g 13.3g CARBOHYDRATE 31.9g 53.1g - Sugars 15.7g 26.2g SODIUM 102mg 170mg FIBRE 4.45g 7.4g Energy (kilojoules) Saturated fat Fibre

5 Step 4: The amount in the package (serving size) sold is 120g. This is two times the average serving size listed in the Nutrition Information Panel. Values in the quantity per serving column will need to be doubled to determine the total amount of these nutrients provided by the size sold (i.e. 120g slice). Energy: 1068 kilojoules x 2 = 2136 kilojoules per serve sold Saturated fat: 8.0g x 2 = 16.0g per serve sold Fibre: 4.45g x 2 = 8.9g per serve sold Compare the adjusted per serve values against the nutritional criteria to distinguish Amber-Red foods and drinks.

The Sultana and Oat Slice is in the Red food category as it exceeds the Amber-Red criteria for the amount of energy and saturated fat it contains per serve.

This food item can only be sold as part of the 20% Red foods and drinks. This example was adapted from Queensland Health, A Better Choice – Healthy Food and Drink Supply Strategy for Queensland Health Facilities, 2007. At 2136kJ per package sold, the Sultana and Oat Slice ts into the Red category (as it exceeds 600kJ per serve). At 16g saturated fat per serve sold, the Sultana and Oat Slice ts into the Red category (as it exceeds 3g saturated fat per serve). At 8.9g of bre per serve sold, the Sultana and Oat Slice ts into the Amber category (as it contains greater than 1.9g bre per serve).

Snack food items (assess per item or per serve) Item Nutrient criteria Energy (kJ) per serve Saturated fat (g) per 100g Sodium (mg) per serve Fibre (g) per serve Snack food bars, muesli bars, fruit bars and sweet biscuits >600kJ >3g -

6 Fruit, vegetables and legumes Fruit1 Item Likely category Guidelines, comments and serving suggestions Fresh and frozen (with no added sugar) Green Any fresh fruit in season – whole, sliced, cubed, wedges or quarters. Fruit salad with a mixture of interesting fruit served cold is a refreshing, healthy dessert alternative. Serve with a dollop of reduced-fat yoghurt, fromage frais or reduced-fat custard to add interest and variety. Dried fruits Green Plain dried fruit is Green. Snack packs of dried fruit should not exceed 600kJ energy limit.

If fruit is mixed with products each ingredient must meet the criteria if independently assessed.

Note if fruit is mixed with nuts a 600kJ energy limit applies – see section 6.2 for mixed fruit and nut packs. Amber Snack packs of dried fruit >600kJ energy limit. Canned Green Canned fruit in natural juice with no added sugar. Artificial sweeteners are permitted. Amber Canned fruit in syrup containing added sugar. 100% fruit juice2 Green 96–100% fruit juice, no added sugar and small serve size up to 250ml.

100% fruit juice2 Amber 96–100% fruit juice, no added sugar and large serve size greater than 250ml. Vegetables Item Likely category Guidelines, comments and serving suggestions All plain vegetables Includes fresh, frozen, canned, cooked, baked potatoes or corn-on- the-cob Green Any vegetables in season. Use salt-reduced, canned vegetables where possible. Salads Such as garden, mixed, pasta, potato, rice or noodle, tabouleh, coleslaw or egg Green Use no dressing or low- or no-oil dressings (see ‘Oils, sauces, dressings and condiments section’). Salads can be served as a salad plate, box or tub.

It is preferable to leave salads undressed and serve dressings separately where possible.

Amber Salads containing croutons, bacon or coated meats that have been shallow-fried are Amber and should be chosen carefully. 1 See the ‘Confectionery’ section for fruit leather. 2 See the ‘Drinks’ section for all other varieties of fruit juice and vegetable juice.

7 Item Likely category Guidelines, comments and serving suggestions Roasted vegetables Not including potatoes Green Vegetables roasted on trays lined with baking paper. Use a mixture of vegetables such as pumpkin, parsnips, red onion or corn. Amber Vegetables roasted using poly- or mono-unsaturated oil spray (see ‘Oils, sauces, dressings and condiments section’).

Deep-fried vegetables Red Deep-fried foods are high in saturated fat. Serve in small serve sizes. Whole baked potato Green Baked potatoes can be cooked in their skins (no fat), split and filled with Green choices of sandwich fillings; they can also be filled with creamed corn, tabouleh, savoury lean mince or baked beans topped with reduced-fat cheese. Potato chips – oven baked Amber Potato chips may be Amber if they are roasted on trays lined with baking paper or lightly coat with a poly- or mono- unsaturated oil spray.

Check the Amber-Red nutrient criteria for oven baked potato products: Amber: 400mg sodium per 100g. Serve in small amounts – no maximum serve size is stipulated but it is recommended that serves are no more than 200 grams. Potato chips – deep-fried Red Deep-fried foods are high in saturated fat. Serve in small serve sizes. 100% vegetable juice Green 100% vegetable juice, no added sugar or sodium. See the ‘Drinks’ section for all other varieties of vegetable juice.

Legumes Item Likely category Guidelines, comments and serving suggestions Baked beans Green Baked beans can be used in sandwiches and jaffles as a meat alternative.

Use salt-reduced varieties where possible. Lentil patties Green Lentil patties can be grilled and used in rolls and sandwiches or served with salads. If shallow-frying use very small amounts of poly- or mono-unsaturated oil (e.g.a light spray). Falafels Green Falafels can be grilled and used in rolls and sandwiches or served with salads. If shallow-frying use very small amounts of poly- or mono-unsaturated oil (e.g. a light spray). Deep-fried products Red Deep-fried foods are high in saturated fat. Serve in small serve sizes.

8

Dairy products and alternatives Milk and milk alternatives3 Item Likely category Guidelines, comments and serving suggestions Reduced-fat and unflavoured4

10 Yoghurt Item Likely category Guidelines, comments and serving suggestions Reduced-fat (plain or flavoured) Green Reduced fat yoghurt with

11 Breakfast cereals Item Likely category Guidelines, comments and serving suggestions Wholegrain cereal (no added fruit) Green Wholegrain cereal (no added fruit) with 7g of fibre per 100g cereal is Green.

Offer wholegrain cereals, whole-wheat flake and puffed cereals, porridge and whole-wheat breakfast biscuits. Serve with reduced-fat milk. Amber Wholegrain cereal (no added fruit) with >10g sugar per 100g and/or >7g fibre per 100g cereal is Amber. Wholegrain cereal (added fruit) Green Wholegrain cereal with added fruit and >7g of fibre per 100g cereal is green.

Amber Wholegrain cereal with added fruit and added sugar is Amber. Refined cereal Amber Refined cereal with 10g sugar per 100g cereal and/or added saturated fats and/or confectionery is Red. Any cereal with added confectionery Red Any cereal, including wholegrain, with added confectionery is Red.

12 Breads and sandwiches Breads Item Likely category Guidelines, comments and serving suggestions Breads Including multigrain, wholemeal, high-bre white, rye, lavash/ other at breads, bagels, plain foccacias, baguettes and plain English mufns Green Breads can be used in a variety of different ways for snacks and/or main meal choices.

Provide a variety of breads to add interest to the menu. Toasted breads or jaffles served with fillings are a tasty alternative to sandwiches. They are often popular winter foods. Bread cases can be filled with similar fillings to baked potatoes.

Offer Green sandwich fillings where possible (see ‘Sandwich fillings’). Fruit, vegetable and/or nut breads Green Plain, un-iced breads are Green choices. Offer small to medium serves (40–60g) per person. Offer wholegrain varieties (if possible), reduced-fat options and/or those containing nuts for more fibre. Amber Small to medium serves of these breads with reduced- fat and or reduced-sugar and added fibre may fit into the Amber category. The Amber-Red nutrient criteria for cakes is applied to fruit and/or vegetable breads. If the bread per serve is 3g saturated fat, >300mg sodium or

13 Item Likely category Guidelines, comments and serving suggestions Crispbreads, lavish, water crackers, plain rice and corn cakes Green Offer wholegrain options if possible.

Rice cakes, crispbreads and crackers can be served with interesting fruit, vegetable or cheese toppings such as: reduced fat ricotta or cottage cheese with sliced strawberries or peaches tomato, basil and reduced-fat cheese cherry tomato, onion and avocado low-fat or reduced-fat dips such as salsas, tzatziki, hommus, vegetable-based varieties including beetroot or eggplant.

Flavoured rice and corn cakes Amber Flavoured varieties may be high in salt. Sandwich fillings Item Likely category Guidelines, comments and serving suggestions Sandwich fillings Green Sandwiches will be Green when filled with Green ingredients. It is recommended that raw salad and vegetables are provided as fillings where possible. Provide a variety of fillings including both meat and vegetarian options. Where roast vegetables are used ensure they are drained of oil and served with lots of salad greens. Use lean cuts of meat (roast beef, roast chicken with no skin, lean turkey or chicken breast), eggs, tinned fish (in spring water or brine) or reduced-fat cheeses in combination with a variety of raw salads and vegetables – these are Green choices.

For further details check the filling ingredients against relevant food listed in this guide Amber Sandwiches will be Amber when filled with a combination of Green and Amber ingredients, e.g. sandwiches with full-fat cheese are Amber.

Avoid high-fat luncheon meats such as salami, Strasbourg or Mortadella – check against Amber-Red nutrient criteria. Red Sandwiches will be Red when filled with any Red ingredients. Avoid high-fat luncheon meats such as salami, Strasbourg or Mortadella – check against Amber-Red nutrient criteria.

14 Spreads Item Likely category Guidelines, comments and serving suggestions Peanut butter and other nut spreads, fish, chicken and meat paste, yeast and vegetable extract spreads Amber Offer reduced-salt varieties where available and use sparingly – make sure you can see the bread through the spread! Peanut butter and other nut spreads are not recommended for children and infants less than 12 months.

Some people can be allergic to products containing nuts. Hommus Green 10g fat per 100g of hommus is Amber. Chocolate spreads and honey Red These spreads have limited nutritional value. Honey is not suitable for infants under 12 months.

Jam Amber All diet jams that are sweetened with artificial sweeteners. Red All other jams.

15 Rice and noodles Item Likely category Guidelines, comments and serving suggestions Plain Green Plain, unflavoured rice and noodles that contain no added fat or oil are in the Green category. Fried rice Amber Flavoured rice based dishes can be high in salt and saturated fat. Choose reduced-fat and reduced-salt versions for a better choice. Hot noodle cups Amber Flavoured noodle based dishes can be high in salt and saturated fat. Choose reduced-fat and reduced-salt versions for a better choice.

Hot noodle cups with fried noodles and/or creamy sauces Red Avoid products with fried noodles and those that are based on cream or coconut milk sauces (i.e. laksa, curry). Sushi Green Use lean, uncoated and uncrumbed meats or seafoods and a variety of vegetable fillings for Green options. Rice paper rolls Green Use lean, uncoated and uncrumbed meats or seafoods and a variety of vegetable fillings for Green options.

16 Meat, fish, poultry, eggs and alternatives Plain meat, poultry, fish, eggs and alternatives Item Likely category Guidelines, comments and serving suggestions Lean meats Including. roast beef, lean chicken (no skin), pork, lamb and turkey (no skin) Green These foods are a good source of protein and can be used for hot rolls, sandwiches, salad plates, pizza topping etc. Offer leaner options (i.e. fat trimmed or skinless) that use reduced-fat cooking techniques (oven-baked, grilled, steamed, use non-stick cookware).

Chicken with skin Amber Chicken with the skin included is Amber. Fresh and plain frozen fish Green Fresh, plain or frozen fish is Green.

Plain or flavoured canned fish Including. salmon, tuna or sardines Green Plain or flavoured canned fish in spring water with no added salt is Green. Amber Plain or flavoured canned fish in brine or oil is Amber. Eggs Green Eggs that are boiled, scrambled or poached are Green. Shallow-fried eggs (spray-on oil or minimal oil) are also Green. Whole eggs are not recommended for children and infants less than 12 months.

Frittatas Green Frittatas cooked with no oils (oven baked) may be Green if only Green ingredients are used. Amber Frittatas cooked with poly- or mono-unsaturated oils and Amber ingredients. Red Frittatas cooked with saturated fat or oils and other Red ingredients (e.g. salami or cream). Deep-fried meat, poultry and alternatives Red Deep-fried foods are high in saturated fat. Serve in small serve sizes. Nuts6 Item Likely category Guidelines, comments and serving suggestions Plain nuts (unsalted) Green All plain and dry roasted nuts and seed/nut or seed pastes with no added sugar, salt and fat are Green.

Plain nuts (salted) Amber Salted nuts are Amber. Mixed fruit and nut packs Green When sold in snack packs, mixed fruit and nuts should not exceed 600kJ energy per pack.

6 Nuts products, e.g. peanut butter, are not recommended for children and infants less than 12 months. Whole nuts are not recommended for children less than 5 years of age.

17 Meat, poultry, fish and alternatives Item Likely category Guidelines, comments and serving suggestions Meat patties, burger patties, savoury mince Including those made from either beef, pork, chicken, or sh Green These products can be Green depending on the recipe ingredients and the cooking method. For example, if reduced-fat lean meat is used and they are not crumbed, are oven-baked or grilled and cooked with either no fat or only a very small amount of a poly- or mono-unsaturated oil they might be a Green option (e.g.

a light spray). Maximum serve size allowed is 150 grams. Amber Check the Amber-Red nutrient criteria for patties (assess per 100g or total serve): Amber: 700mg sodium (maximum 1050g per serve). Maximum serve size allowed is 150 grams. Serve on a wholemeal bun to boost the nutritional value and serve with lots of a salad or vegetables.

Vegetable patties (not crumbed) Green Vegetable patties can be grilled and used in rolls and sandwiches or served with salads. Amber If using a small amount of poly- or mono-unsaturated oil (e.g. a light spray), vegetable patties are Amber. Frankfurters Amber Most frankfurters are high in sodium placing them in the Red category. However, reduced-fat and reduced-sodium varieties may be an Amber choice. Serve on a wholemeal bun to boost the nutritional value. Check the Amber-Red nutrient criteria for frankfurters (assess per 100g or total serve): Amber: 700mg sodium (maximum 1050g per serve).

Maximum serve size allowed is 150 grams.

18 Item Likely category Guidelines, comments and serving suggestions Sausages (beef, pork, lamb and chicken) Note: includes crumbed or not crumbed sausages Amber Many sausages are high in saturated fat and energy (kJs) placing them in the Red category. However, reduced-fat and reduced-sodium varieties may be an Amber choice. Check the Amber-Red nutrient criteria for sausages (assess per 100g or total serve): Amber: 700mg sodium (maximum 1050g per serve). Maximum serve size allowed is 150 grams. Crumbed meat, chicken, fish or vegetable products Including chicken or sh llet pieces, patties (meat or vegetable), sh ngers.

Amber Check the Amber-Red nutrient criteria for crumbed foods (assess per 100g or total serve): Amber: 700mg sodium (maximum 1050g per serve). Maximum serve size allowed is 150 grams. Deep-fried battered products Including saveloys and sausages (beef, pork, lamb or chicken). Red All deep-fried products are high in saturated fat. Serve with small serve sizes. Processed meats Including ham, corned beef, pastrami, bacon, diced processed chicken meat Amber These foods are usually high in saturated fat and/or salt putting them in the Amber or Red category. They are not as nutritious as lean cuts of meat such as roast beef.

Use lean, reduced-fat versions in small amounts and serve with a bread-based product and plenty of salad. Check the Amber-Red nutrient criteria for processed meats (assess per 100g): Amber: 700mg sodium. Maximum serve size allowed is 50g. Approximately 2 slices. High-fat processed meats Including salami, devon or polony Red Check the Amber-Red nutrient criteria for processed meats (assess per 100g): Red: >900kJ, >3g saturated fat or >700mg sodium. Maximum serve size allowed is 50g. Approximately 2 slices.

19 Mixed hot meals Prepared on site Item Likely category Guidelines, comments and serving suggestions Mixed meals prepared on site Including casseroles, curries, stews, risotto, fried or savoury rice, stir-frys or noodle based asian meals, pasta, spaghetti bolognaise, lasagne, and pasta bakes These products may be Green, Amber or Red depending upon the ingredients used and the cooking method. Guidelines for preparing meals on site: Add vegetables to meals. Serve with a side salad, rice, pasta, noodles or steamed vegetables.

If using packet sauces, gravies or condiments choose reduced fat, reduced salt versions where possible.

Green Meals will be Green if made with only Green ingredients. It is recommended to: Supply low- or reduced-fat options that contain high amounts of vegetables, avoid large portions and plenty of salad or vegetables. Use lean meats trimmed of outer fat with minimal marbling. Marinate meat and poultry to keep tender, add flavour and minimise the amount of oil used in cooking. Amber Meals will be Amber if made with a combination of Green and Amber ingredients.

For example, meals that include full-fat cheese, poly- or mono-unsaturated fats or oils etc. Red Meals will be Red if they include any Red ingredients. For example, cream, butter, ghee, coconut cream or coconut milk – these can be high in saturated-fat and fit the Red category. For dishes containing these Red ingredients consider replacing with healthier alternatives, such as skim evaporated milk; natural low-fat yoghurt in place of cream; or try reduced-fat, coconut-flavoured evaporated milk.

20 Commercial and packaged meals Item Likely category Guidelines, comments and serving suggestions Commercial fresh or frozen meals and packaged meals for vending machines Including pre-made pasta products Green These products can be Green depending on the recipe ingredients and the cooking method.

For example, if the majority of the recipe contains Green ingredients, reduced-fat lean meat is used and if only a very small amount of a poly- or mono-unsaturated oil (e.g. a light spray) is used during cooking they will be Green. Amber Check the Amber-Red nutrient criteria for commercial meals: Amber:

21 Hot savoury items Oven baked potato products Item Likely category Guidelines, comments and serving suggestions Wedges, chips, hash browns, scallops, gems Amber Check the Amber-Red nutrient criteria for oven baked potato products: Amber: 400mg sodium per 100g. Serve in small amounts – no maximum serve size is stipulated but recommended that serves are no more than 200 grams. All deep-fried products are high in saturated fat. Serve in small serve sizes. Pizza Item Likely category Guidelines, comments and serving suggestions Reduced fat pizza Green Pizzas are usually Amber or Red, however they can be Green if the topping consists of lean meats, lots of vegetables or fruit and/or reduced-fat cheese.

Use muffin, pita bread or Turkish bread as a base.

Maximum serve size allowed is 200g (2000kJ). Commercial, frozen or prepared on site Amber Check the Amber-Red nutrient criteria for pre-made pizza: Amber: 400mg sodium per 100g (maximum 800mg per serve). Maximum serve size allowed is 200g (2000kJ).

22 Quiche Item Likely category Guidelines, comments and serving suggestions Commercial, frozen or prepared on site Amber Check the Amber-Red nutrient criteria for pre-made quiche: Amber: 400mg sodium per 100g (maximum 800mg per serve). Savoury pastries and pies Item Likely category Guidelines, comments and serving suggestions Meat and chicken pies, sausage rolls, party pies, vegetable and meat pasties, chicken and potato pies, cheese and spinach triangles, samosas and other gourmet versions Amber For Amber versions choose reduced-fat pastry (e.g.

filo) and avoid high-fat ingredients such as bacon and full-fat cheese. A number of companies make reduced-fat versions. Check the Amber-Red nutrient criteria for savoury pastries: Amber: 400mg sodium per 100g (maximum 800mg per serve). Maximum serve size allowed is 200g (2000kJ). Any deep-fried products Red All deep-fried foods are high in saturated fat. Serve in small serve sizes.

23 Spring rolls, chiko rolls and dim sims Item Likely category Guidelines, comments and serving suggestions Oven baked or steamed spring rolls, chiko rolls, dim sims Amber Check the Amber-Red nutrient criteria for dim sims and spring rolls: Amber: 400mg sodium per 100g. Maximum serve size allowed is 200g (2000kJ). Deep fried spring rolls, chicko rolls, dim sims Red All deep-fried foods are high in saturated fat. Serve in small serve sizes.

24 Oils, sauces, dressings and condiments Fats and oils Item Likely category Guidelines, comments and serving suggestions Poly- or mono- unsaturated spread (margarine) Amber Use poly- or mono-unsaturated varieties as Amber choices and use sparingly.

If used as a spread, make sure you can still see the bread. Saturated spread (lard, tallow, copha, butter, ghee and dairy blend spreads) Red Avoid saturated fats, these are Red. Poly- or mono- unsaturated oils (canola, sunower, olive, soybean or peanut) Amber Use small amounts of poly- or mono-unsaturated varieties. Saturated oils (palm and coconut) Red Avoid saturated oils these contain high amounts of saturated fat and are Red.

Cream and coconut milk Red Avoid using cream and cream-based sauces these contain high amounts of saturated fat and are Red.

25 Sauces and condiments Item Likely category Guidelines, comments and serving suggestions Tomato, sweet chilli, BBQ, soy, chutney Amber Use sparingly. Use reduced-salt and/or reduced-fat varieties where available; try relishes, pickles, mustard, chutney or reduced-fat mayonnaise or hommus for a better choice. Satay or peanut Amber Use sparingly. Use reduced-salt and/or reduced-fat varieties where available. Nut and peanut containing sauces are not recommended for children and infants less than 12 months.

Note some people can be allergic to products containing nuts. Red Use sparingly. Examples of Red options include those with added saturated fats and/or oils, cream and/or sodium. Dips, mayonnaise, mustard or mustard-based mayonnaise Green Vegetable-based dips, salsas or relishes such as beetroot, eggplant, avocado, hommus, tatziki, tomato, bean or capsicum with no added fat, salt or sugar are Green. Reduced-fat yoghurt dips can also be Green. Amber Dips will be Amber if they contain a combination of Green and Amber ingredients. For example dips made with full fat yoghurt.

Red Examples of Red options include cheese-based dips such as aioli, sour cream, tapenades or pesto. Or those that have added cream and/or oil. Gravy Amber Use sparingly. If using meat juices ensure that all fat is drained from the pan and thicken with cornflour or dextrinised flour (flour burned slowly in an oven) over roux. If using packet gravy use reduced-salt, reduced-fat versions. Red Examples of Red options include those with added saturated fats and/or oils. If using packet gravy Red options are those that are not reduced-salt, reduced-fat.

Salad dressings Green Green choices include lemon juice, balsamic vinegar, reduced-fat yoghurt or commercially prepared 100% fat-free dressings.

Amber Use poly- or mono-unsaturated oils such as canola, sunflower, olive and peanut oils or a low-oil, no-oil or reduced-fat commercial dressing. Red Examples of Red options include those with added saturated fats and/or oils and sodium or dressings that are cream-based.

26 Savoury snack foods Item Likely category Guidelines, comments and serving suggestions Plain popcorn Green Popcorn that is air-popped, no added fat, flavourings or seasonings (such as salt) is a high fibre, low-fat Green choice. Flavoured popcorn Amber Flavoured popcorn may be either Amber or Red. Check the Amber-Red nutrient criteria for savoury snack foods and biscuits: Amber: 200mg sodium per serve. Savoury biscuits Amber Savoury biscuits may be either Amber or Red. Check against the Amber-Red nutrient criteria for savoury snack foods and biscuits, as some products are too high in saturated fat and sodium.

Amber: 200mg sodium per serve. Chips (potato chips and other crisps, corn chips and similar salty products) Including other extruded products Red Crisps and chips are generally high in energy (kJs) and/or saturated fat and/or sodium with limited nutritional value. Serve in small serve sizes.

27 Sweet snack foods, cakes and biscuits Snack food bars and muesli bars7 Item Likely category Guidelines, comments and serving suggestions Cereal-based bars, fruit bars and breakfast bars Amber Choose carefully as some products are high in added sugar and saturated fat.

Watch the serve size. These foods are also sticky and can contribute to tooth decay if eaten regularly. Check against the Amber-Red nutrient criteria for snack food bars, muesli bars and fruit bars: Amber: 600kJ per serve, >3g saturated fat per serve or

28 Cakes, muffins, sweet tarts, slices and pastries Item Likely category Guidelines, comments and serving suggestions Muffins8 (all sizes and types) Including low-fat or reduced-fat options and mini-mufns Amber Provide fruit- or vegetable-based muffins, include wholegrain and fat-reduced options if possible. Choose serve size carefully. For example, 2 mini-muffins or one 50–60g muffin per person. Check the Amber-Red nutrient criteria for muffins: Amber: 3g saturated fat per serve, >300mg sodium per serve or 300mg sodium per serve or 300mg sodium per serve or

29 Scones or pikelets Item Likely category Guidelines, comments and serving suggestions Scones or pikelets – plain or fruit Green Provide plain scones and/or pikelets that contain fruit and/or vegetables – include wholegrain options if possible.

Provide a small to medium serve (40–60g) per person. Offer fruit purees as a sauce or whipped ricotta cheese mixed a small amount of honey and/or vanilla or reduced- fat vanilla yoghurt. Scones or pikelets with spread Amber Offer spreads separately where possible and use sparingly. Use poly- or mono-unsaturated margarine and/or artificially sweetened jam.

Scones or pikelets with jam and cream and/or butter Red Avoid these spreads as they have limited nutritional value and increase the amount of energy (kilojoules) provided. Scones or pikelets with added confectionery Red Scones or pikelets with added confectionery are Red.

30 Ice-creams, ice confections and dairy desserts9 Item Likely category Guidelines, comments and serving suggestions Standard uncoated reduced- and low-fat ice-creams and milk- or soy-based ice confections Amber Plain milk-based ice-creams, particularly small serves, may fall into the Amber category.

Choose serve size carefully. Check ice-creams and ice confections against the Amber-Red nutrient criteria for ice-creams, milk- or soy-based ice confections: Amber: 3g saturated fat per serve. Chocolate coated Red Ice-creams containing confectionary are Red. Premium ice-creams Amber Check premium ice-creams against the Amber-Red nutrient criteria for ice-creams, milk- or soy-based ice confections and high fat dairy desserts. Amber: 3g saturated fat per serve.

Frozen yoghurt Amber Check frozen yoghurt against the Amber-Red nutrient criteria for milk- or soy-based ice confections. Amber: 3g saturated fat per serve. Mousse Amber Check mousse against the Amber-Red nutrient criteria for high-fat dairy desserts. Amber: 3g saturated fat per serve. 9 For cheesecake, see the ‘Sweet snack foods, cakes and biscuits’ section.

31 Item Likely category Guidelines, comments and serving suggestions Ice confections, ice blocks, sorbet, gelato, slushies, fruit- or water-based ice confections Amber Choose the serve size carefully and check against the Amber-Red nutrient criteria for milk- or soy-based ice confections.

Amber: 3g saturated fat per serve.

32 Confectionery These foods have limited nutritional value and usually high in energy (kJs), sugar and/or saturated fat. For this reason small serves are recommended. Serve size is the saleable item – e.g. packets of sweets or peppermints, individual bars of chocolates, individually wrapped chocolate frogs and rolls of toffees. Item Likely category Guidelines, comments and serving suggestions Packets of lollies (boiled, jellies, juice jellies, liquorice, jelly beans and gum) Red Confectionery in packets or individual serves are high in sugar.

Loose sweets Red Loose sweets are high in sugar.

Chocolate or carob bars Red Chocolate or carob bars are high in sugar and energy. Boxed chocolates Red Boxes of chocolates are high in sugar and energy. Fruit leather Red Fruit leather can be high in sugar. Cough lollies Red Cough lollies that do not contain ingredients that have a therapeutic benefit are considered to be confectionery. Medicated cough lollies/lozenges Not applicable Products for therapeutic benefit are not included in the scope of the healthy options traffic light criteria. These products should not be categorised as either Green, Amber or Red.

Sugar free chewing gum, mints or sweets Red Chewing gum, mints or sweets may contain added sugar.

33 Drinks Water Item Likely category Guidelines, comments and serving suggestions Water (plain) Fresh or bottled Green Fresh water should be easily accessible in all health service settings. Water is the best thirst quencher. Offer chilled water. Carbonated waters (plain) Mineral water or soda water Green Plain, unsweetened waters are Green. Fruit juice and fruit drinks Item Likely category Guidelines, comments and serving suggestions Juices (>97% juice) Fresh, frozen or canned Green Frequent consumption of fruit juice in large sizes (greater than 250ml) should be avoided as this may contribute to excess energy (kJs) and sugar intake.

97–100% fruit juices with no added sugar with a maximum serve size of 250ml are Green. Serves up to 250ml are Green. Amber 97–100% fruit juices with no added sugar in a serve size above 250ml are Amber. Juices (35–96% juice) Fresh, frozen or canned Amber Frequent consumption of fruit juices (other than 100% juice with no added sugar) is not recommended. While these are allowed as Amber or Red choices, small sizes are recommended – no greater than 250ml. 35–96% juice with a maximum serve size of 250ml are Amber.

Red 35–96% juice in serves greater than 250ml are Red. Fruit drinks (< 35% juice) Red All sugar-sweetened fruit drinks that contain less than 35% fruit juice are Red.

The maximum serve size is 375ml. Carbonated fruit juices Green, Amber, or Red Carbonated fruit juices may be either Green, Amber or Red. See the criteria above for juices >96%, juices 35–96% and fruit drinks containing < 35% juice. Cordials Red Cordials have limited nutritional value and are Red.

34 Sugar sweetened carbonated drinks Item Likely category Guidelines, comments and serving suggestions Soft drinks/ carbonated sweetened drinks Red Soft drinks and carbonated sweetened drinks are Red. The maximum serve size is 375ml. Flavoured mineral waters (with added sugar) Red Flavoured mineral waters with added sugar are Red. The maximum size is 375ml. Flavoured mineral waters (no added sugar) Green Flavoured mineral water with no added sugar are Green. Other sugar sweetened drinks Item Likely category Guidelines, comments and serving suggestions Sports drinks Red Sports drinks contain electrolytes such as potassium, magnesium, calcium and sodium in addition to sugar – nutrients that only serious and endurance athletes need to consider.

Excessive consumption of sports drinks can increase the risk of excess weight gain. The Australian Institute of Sport does not promote the use of sports drinks by school children. It is recommended that the supply of sports drinks to children is restricted in paediatric settings. The maximum serve size is 375ml.

‘Energy’ drinks Red Energy drinks have limited nutritional value and can also be high in caffeine and added sugar. Energy drinks are not recommended for children, pregnant or lactating women and individuals sensitive to caffeine. The maximum serve size is 375ml. Artificially sweetened drinks Item Likely category Guidelines, comments and serving suggestions All artificially sweetened ‘diet’, ‘low-joule’, ‘no sugar’ or ‘low sugar’ drinks Amber Artificial sweeteners can be useful in providing flavour and reduce the amount of added sugar consumed. However, like sugar sweetened carbonated drinks, artificially sweetened carbonated drinks can cause dental erosion if used frequently.

These drinks can also be high in caffeine. It is recommended that in adult settings information is provided that these drinks, like sweetened carbonated drinks, are very acidic and can cause dental erosion in children if used frequently.

Given the current lack of data in the overall adult population, artificially sweetened carbonated drinks fit under the Amber category in adult settings. In adult settings it is recommended that outlets provide a warning to inform the public that they are not suitable for children.

35 Tea Item Likely category Guidelines, comments and serving suggestions Freshly made Including tea that is plain, has no added sugar, caffeinated or decaffeinated or herbal Green Plain and herbal teas are good sources of anti-oxidants. Use decaffeinated varieties and use reduced-fat milk or milk alternatives for a better choice.

If offering freshly made iced tea, provide varieties made from tea leaves. Amber Tea prepared with full-fat milks and milk alternatives, or with greater than 300ml reduced-fat milk (

36 Page A Aioli 25 Articially sweetened drinks 34 Asian meals – stir frys and noodle-based 19 B Bacon 18 Bagel – plain 12 Baguettes – plain 12 Baked beans 8 Baked potatoes 6 Balsamic vinegar 25 BBQ sauce 25 Beef – corned 18 Beef – crumbed 18 Beef - mince 17 Beef sausage 18 Biscuits – savoury 26 Biscuits – sweet and premium 27 Boxed chocolate 32 Bread 12 Bread – fruit and nut 12 Breakfast bars 27 Breakfast cereal 11 Burger patties 17 Butter 24 C Cakes 28 Canned fruit 6 Carbonated water, fruit juice 33,34 Carob bars 32 Casserole 19 Cereal bars 27 Cheesecake 28 Cheese and spinach triangles 22 Cheese – reduced-fat, full-fat 10 Chicken – crumbed 18 Chicken – diced processed meat 18 Chicken – lean, deep-fried, mince 17,18 Chicken nuggets 18 Chicken pie 22 Chicken sausage 18 Chicken spread/paste 14 Chiko rolls 23 Chips 7,21,26 Chocolate bars/boxed chocolate 32 Chocolate coated ice-creams 30 Chocolate milk/hot chocolate drink 9 Page Chocolate spread 14 Chutney 25 Coconut milk 24 Coconut oil 24 Coffee 35 Coffee – iced 9,35 Commercial meals 20 Condiments 24,25 Confectionery 32 Copha 24 Cordial 33 Corn chips 26 Corned beef 18 Cough lollies/lozenges 32 Crackers – plain 13 Cream 24 Creamed rice 10 Crisps – potato 26 Crisp bread 13 Croissants 22,28 Crumbed meat 18 Curry 19 Custard 10 D Dairy blend 24 Dairy desserts 30,31 Dairy snacks 10 Danish – sweet 28 Deep-fried battered meat products 18 Deep-fried cakes 28 Deep fried legumes 8 Deep fried meat 16 Deep fried vegetables 7 Devon 18 Dim sims 23 Dip 25 Donuts 28 Dried fruit 6 E Eggs 16 Energy drinks 34 English mufn – plain 12 F Falafels 8 Fats – poly or monounsaturated spread 24 Fats – spreads, oils 24 Index

37 Page Fish – canned, frozen, plain 16 Fish – crumbed 18 Fish llets and sh ngers (crumbed) 18 Fish spread 14 Flat bread 12 Foccacia bread – plain 12 Frankfurters 17 Fresh meals – commercially produced 20 Fried rice 15 Frittata 16 Fromage Frais 10 Frozen meals 20 Frozen yoghurt 30 Fruit and nut packs 16 Fruit bars 27 Fruit bread 12 Fruit – dried, canned, fresh, frozen, fruit salad, 100% fruit juice 6 Fruit drinks 33 Fruit leather 32 G Garlic bread 12 Gelato 31 Gems – potato 21 Ghee 24 Gravy 25 H Ham 18 Hash browns 21 Hommus 25 Honey 14 Hot chocolate drink 9 Hot meals 19 I Iced coffee 9,35 Ice-confections 30,31 Ice-cream 30 Iced tea 35 J Jam 14 Juice 33 L Lamb sausage 18 Lard 24 Lasagne 19 Lavish 13 Page Lentil patties 8 Lollies 32 M Margarine 24 Mayonnaise 25 Meat – lean, deep fried 16 Meat paste 14 Meat patties 17 Meat pie 22 Milk-based puddings 10 Milk – coconut 24 Milk – avoured (reduced-fat and full-fat) 9 Milk – reduced-fat, full-fat 9 Milkshakes 9 Mince – savoury 17 Mixed hot meals 19 Mocha drink 9 Mono-unsaturated spread 24 Mousse 30 Mufn – plain English mufn 12 Mufns – sweet 28 Multigrain bread 12 Mustard and mustard-based mayonnaise 25 N Noodle cups 15 Noodle meals 19 Nut bread 12 Nuts – plain, unsalted, mixed fruit, nut packs 16 Nut spreads 14 O Oils 24 P Packaged meals 20 Palm oil 24 Pasta dishes 19,20 Pasta meals –pre-made products 20 Pastrami 18 Pastries – savoury 22 Patties – chicken, beef, sh 17 Patties – lentil 8 Patties – vegetable 17 Peanut butter 14 Peanut sauce 25 Pesto 25 Pie – savoury, party, meat, vegetable 22 Pikelet 29

38 Page Pizza – reduced-fat, commercial, frozen 21 Polony 18 Popcorn 26 Potato chips 7,26 Potato – gems, hash browns, scallops, wedges 21 Potato pie 22 Pork mince 17 Pork sausage 18 Processed meats 18 Q Quiche 22 R Rened cereal 11 Rice – plain, fried, sushi, rice-paper rolls 15 Rice cakes – plain and avoured 13 Rice paper rolls 15 Rice pudding 10 Risotto 19 Roast beef 16 Roasted vegetables 7 S Salad 6 Salad dressings 25 Salami 18 Salmon – canned 16 Salsa 25 Samosas 22 Sandwich llings 13,14 Sardines 16 Satay sauce 25 Saturated fats and oils 24 Sauce 24,25 Sausages – beef, chicken, lamb, pork 18 Sausage roll 22 Saveloys 18 Savoury bread, twists, pull-aparts 12 Savoury mince 17 Savoury rice 19 Scallops – potato 21 Scone 29 Scrolls 28 Slice – sweet 28 Slushies 31 Smoothies 9 Soft drinks 34 Sorbet 31 Soup 20 Page Sour cream 25 Soy-based ice confections 30 Soy sauce 25 Spaghetti bolognaise 19 Sports drinks 34 Spreads 14 Spring rolls 23 Stews 19 Stir-fry 19 Sugar free chewing gum, mints or sweets 32 Sushi 15 Sweet chilli sauce 25 Sweets (confectionery) 32 T Tallow 24 Tapenade 25 Tart – sweet 28 Tea – freshly made and commercial iced tea 35 Tomato sauce 25 Tuna 16 Tzatziki 13 V Vegetables – canned, cooked, baked fresh, deep-fried, frozen, plain, roasted 6 Vegetables – crumbed products 18 Vegetable extract/spread/paste 14 Vegetable juice 100% 7 Vegetable pastry 22 Vending machine meals 20 W Water – bottled, carbonated, avoured, mineral 33 Water crackers 13 Wedges 21 White bread 12 Wholemeal bread 12 Wholegrain cereal 11 Y Yeast extract 14 Yoghurt 10 Yoghurt drinks 10 Yoghurt – frozen 30

39 APPENDIX 1 Healthy Options WA – Green, Amber and Red categories Green foods and drinks11 GREEN foods and drinks (fill the menu) Examples Breads Multigrain, wholemeal, rye, hi-fibre white breads or rolls, burritos, English muffins, focaccia, lavash, Lebanese, pita, raisin/fruit, tortillas and Turkish breads. Plain corn and rice cakes, crispbreads. Cereal foods All plain rice (particularly low GI rice), pasta, noodles, polenta, couscous and buckwheat. Breakfast cereals Wholegrain breakfast cereal that is high in fibre and low in salt and added sugar (e.g. wheat biscuits, cereal flakes with a variety of grains, bran, untoasted muesli, porridge).

Vegetables All fresh, dried and frozen plain vegetables. Salads (no or low-reduced-fat dressings only). Salt reduced canned vegetables. Fruit All fresh and frozen fruits. Plain dried fruits (e.g. sultanas). Fruit canned in natural juice or water with no added sugar. Dairy12 Low- or reduced-fat plain and flavoured milks – maximum size 300ml. Low- or reduced-fat plain and flavoured yoghurts/reduced-fat diet/low-joule flavoured yoghurts. Reduced fat-cheese and custard. Low-fat smoothies (no added sugar). Dairy alternatives13 Low- or reduced-fat, calcium-fortified soy milk. Low- or reduced-fat plain and flavoured soy yoghurts.

Reduced-fat soy cheese and custard.

Meat, fish, poultry and eggs Lean chicken, turkey, beef, pork, lamb and veal with fat and skin removed. All fresh and plain frozen fish. Plain tuna, salmon, sardines canned in spring water with no added salt. Eggs. Legumes All forms of dried and prepared beans and peas (e.g. baked beans, red kidney beans, soy beans, mung beans, lentils, chick-peas, split peas, bean curd, tofu). Nuts and seeds* All plain or dry roasted, unsalted nuts and seeds. All nut and seed pastes with no added sugar, salt, or fat. Drinks Plain water, including mineral or soda water. 100% fruit juice with no added sugar (small serve up to 250ml).

Soda water and plain mineral water.

Plain= unflavoured, unseasoned and/or unsalted. * Note that some people can be allergic to certain nuts/products containing nuts. 11 Adapted from NSW Department of Health and NSW Department of Education and Training, Fresh Tastes @ School NSW Healthy School Canteen Strategy: Canteen Menu Planning Guide, 2006. 12 Where possible milk and soy drinks should contain at least 80mg calcium per 100g. 13 Where possible milk and soy drinks should contain at least 80mg calcium per 100g.

40 Amber foods and drinks14 AMBER foods and drinks (select carefully) Examples * All labels need to be checked against the nutrition criteria in Appendix 2 to confirm Amber or Red status Breakfast cereals* Refined and processed breakfast cereals with added sugars and/or saturated fat.

Examples include some toasted mueslis, flavoured and/or sugar sweetened corn, rice or wheat based cereals. Dairy foods and drinks, and dairy alternatives Full-fat/full-cream plain and flavoured milk/soy milk. Low- or reduced-fat plain and flavoured milk/soy milk – serve sizes greater than 300ml.

Full-fat yoghurt, frozen yoghurt, custard and cheese and equivalent soy products. Where possible offer the ‘Green’ low-fat alternative. Processed meats* Use in small amounts only, as larger serve sizes can provide too much saturated fat and/or salt. Examples include lean ham, lean bacon, sliced chicken or turkey, corned beef and pastrami. Savoury commercial products* Check label against the nutrient criteria. Examples may include some reduced-fat or reduced-salt versions of products such as oven-baked savoury pastries, steamed dim sims, pasta products, pizza, oven-baked potato products, grilled meat patties (not crumbed), grilled or oven baked meatballs and chicken drumsticks.

Margarine, mayonnaise/ salad dressing, spreads and oils Use sparingly. Choose poly- or mono-unsaturated varieties. Examples of spreads include peanut butter and other nut spreads, fish, chicken and meat paste, yeast and vegetable extract spreads. Some spreads contain nut products that are a common allergen. Choose reduced salt varieties where available. Sauces and gravy Use sparingly. Choose reduced-salt varieties where available. Examples include tomato sauce, sweet chilli sauce and gravy. Some sauces (e.g. satay) also contain nut products that are a common allergen. Snack food bars and sweet biscuits* Some breakfast bars, cereal bars, dried fruit bars and sweet biscuits that are a small to medium serve size or have been modified (e.g.

reduced levels of fat and/or sugar and include fibre) may fit into the Amber category. Savoury snack foods and biscuits* Examples most likely to fit here include oven-baked snack biscuits, plain popcorn and some dry biscuits.

Some cakes, muffins, sweet pastries and slices* Some un-iced unfilled cakes, sweet and savoury muffins, fruit breads, sweet pastries and slices that are a small to medium serve size or have been modified (e.g. reduced levels of fat and/or sugar and include fibre) may fit into the Amber category. Examples include small reduced-fat fruitcake, reduced-fat fruit or vegetable based muffins and plain wholemeal biscuits with fruit or nuts. Ice-creams, milk- or soy- based ice confections and dairy desserts* Ice-creams that are not coated in chocolate, premium or of a large serve size may fall into the Amber category (e.g.

plain milk-based ice-creams and frozen yoghurts).

Ice blocks, fruit-based ice confection/slushies* Check the serve size and choose according to the nutritional criteria. 14 Adapted from NSW Department of Health and NSW Department of Education and Training, Fresh Tastes @ School NSW Healthy School Canteen Strategy: Canteen Menu Planning Guide, 2006.

41 AMBER foods and drinks (select carefully) Examples * All labels need to be checked against the nutrition criteria in Appendix 2 to confirm Amber or Red status Drinks* 100% fruit juice (no added sugar) in serve sizes larger than 250ml. Other fruit juice drinks containing between 35–96% fruit juice with a maximum serve size of 250ml.

These drinks contribute to excess kilojoules and tooth decay because of their high sugar and acidity level and should not be consumed in large amounts or frequently. Artificially sweetened soft drinks in adult settings. These are not suitable for children (see ‘Other considerations’ section). Plain= unflavoured, unseasoned and or unsalted.

42 Red foods and drinks14 RED foods and drinks (only occasionally) Examples (Check labels against nutrient criteria). Ready to eat meals Commercial, frozen or freshly prepared ready to eat meals or pre made pasta products for vending machines that do not meet the nutrient criteria. Processed meats High fat processed meats such as salami, mortadella, luncheon meats, reconstituted meats, devon, polony and fatty bacon or ham that exceed the nutrient criteria. Fried foods Shallow-fried foods using small amounts of poly- or mono-unsaturated oils. (Foods cooked with brushed or sprayed oil only may be classified as Amber).

All deep fried foods. Savoury commercial products Includes pies, pastries and sausage rolls, pastas, pizzas, oven baked potato products, dim sims, spring rolls, burger patties and meatballs, hot dogs, frankfurters and sausages and quiche that do not meet nutrient criteria. Snack food bars and sweet biscuits Cream filled biscuits, chocolate biscuits and any sweet biscuit that exceed the nutrient criteria in a single serve (2 biscuits). High fat high sugar muesli, breakfast or snack bars. Savoury snack foods and biscuits Includes some flavoured popcorns and biscuits. All crisps, corn chips and other similar salty products.

Cakes, muffins, sweet pastries and slices Plain and flavoured cakes, cream-filled cakes, sweet pastries, sweet pies and slices. Medium to large serves of sweet and savoury muffins. Choose lower or reduced-fat varieties where possible. Crisps, corn chips and similar salty snack products Greater than 600kJ per serve or per packet. Confectionery/lollies All types including chocolates. Ice-creams, milk and soy-based ice confections and dairy desserts Chocolate coated and premium ice-creams. Sugar sweetened drinks and ices Slushies, ice blocks and ice confections with added sugar. Sugar sweetened drinks* such as carbonated soft drinks, energy drinks, sports drinks and flavoured mineral waters where the serve size or container provides greater than 300kJ.

* Products where a sweetener such as sucrose, fructose, glucose or fruit juice has been used to sweeten drinks and ices.

43 APPENDIX 2 Healthy Options WA – Nutrient criteria These criteria apply to all fresh and processed foods, drinks and snacks. Amber-Red criteria The labels of all processed foods should be checked to determine whether they are a Red or Amber product: Any foods and drinks that exceed any one of the Amber-Red criteria relating to the amount of energy, saturated fat and salt (sodium) or do not meet the minimum levels of fibre are classified as Red foods.

Foods and drinks that are within all of the specified levels of relevant nutrient criteria are classified as Amber foods.

As a guide to reading the tables containing the nutrient criteria for each food or drink type: ‘’ means more than the amount specified (so if the amount of energy, sodium or saturated fat per 100g or serve is more than the amount listed the product will be Red; if the same as or less than this amount the product will be Amber.) Ready to eat meals (assess per serve or 100g) Items Nutrient criteria Energy (kJ) per serve Saturated fat (g) per 100g Sodium (mg) per serve Fibre (g) per serve § Commercial, frozen or freshly prepared ready to eat meals for vending machines § Pre made pasta products >2500kJ >2g >900mg 1000kJ (maximum 2000kJ per serve) >5g (maximum 10g per serve) >400mg (maximum 800mg per serve) * Oven baked potato products (e.g.

chips, hash browns, gems, wedges) * Dim sims, spring rolls, etc. >1000kJ >5g >400mg Crumbed and coated foods, hot dogs, frankfurters and sausages, chicken drumsticks and nuggets ‡ Burger patties, rissoles and meatballs Maximum serve size 150g >1000kJ (maximum 1500kJ per serve) >5g (maximum 7.5g per serve) >700mg (maximum 1050mg per serve)

44 Sweetened ices (assess per serve – packet, container – or per 100g) Items Nutrient criteria Energy (kJ)per serve Saturated fat (g) per 100g Sodium (mg) per serve ∞ Sugar-sweetened ices including slushies, ice blocks and ice confections >300kJ – >100mg Snack food items (assess per item or serve) Items Nutrient criteria Energy (kJ) per serve Saturated fat (g) per serve Sodium (mg) per serve Fibre (g) per serve *Snack food bars, muesli bars, fruit bars and sweet biscuits >600kJ >3g – 600kJ >3g >200mg – **Cakes, muffins, sweet pastries and slices >900kJ >3g >300mg‡ 600kJ >3g – – Processed meats (assess per 100g) Items Nutrient criteria Energy (kJ) per 100g Saturated fat (g) per 100g Sodium (mg) per 100g § Processed meats (cold, cured) Includes ham, bacon, meat loaf, salami Maximum serve = 50g >900kJ >3g >700mg‡ Table legend < means less than the specified amount.

> means greater than the specified amount. g = grams.

mg = micrograms. kJ = kilojoules of energy. Sources Acknowledgements for the source of these tables are provided in the full Healthy Options WA: Food and Nutrition Policy for WA Health Services and Facilities, available at www.healthyoptions@health.wa.gov.au

45 APPENDIX 3 Terminology used in tables kJ/kJs Unit of measurement of energy content of foods/drinks (ie kilojoules). < Less than the stipulated amount. < Less than or equal to the stipulated amount. > More than the stipulated amount. > More than or equal to the stipulated amount. Green category These foods and drinks are the healthiest choices as they are important sources of nutrients and are low in saturated fat, added sugar and salt.

A minimum of 60% of foods and drinks should be Green. Amber category Foods and drinks in the Amber category have some nutritional value but contain moderate levels of saturated fat, added sugar and/or salt. Red category These energy dense foods and drinks have little nutritional value and are high in saturated fat, added sugar and/or salt. They can contribute to excess energy intake if consumed in large amounts or on a frequent basis. Amber-Red criteria The nutritional criteria used to discriminate between Amber and Red items – to be classified as Amber items must fall below the specified levels of energy (kilojoules/kJs), saturated fat or salt (sodium) or exceed the specified levels of fibre.

These are provided on page 22 of the Healthy Options WA: Food and Nutrition Policy for WAHealth Services and Facilities. Serve The term ‘serve’ in the Healthy Options WA policy means saleable (to the consumer) item, serving on a plate or sandwich, packet or drink container. Note this does not equate to the serve size quoted on some food and drink Nutrition Information Panels – these may not be the same as the serve size actually sold or commonly consumed.

For further information visit www.healthyoptions.health.wa.gov.au HP11371 AUG, 2011 Produced by Chronic Disease Prevention Directorate Public Health Division © Department of Health, 2011 This document can be made available in alternative formats such as audio tape, computer disc or Braille, on request.