Mark Lawrence

Mark Lawrence
Deakin University · Institute for Physical Activity and Nutrition

PhD

About

206
Publications
92,314
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
3,927
Citations
Introduction
Mark is Professor of Public Health Nutrition at Deakin University. He has 36 yrs experience as a practitioner and academic in food and nutrition policy at local, state, national and international levels. Mark’s research focuses on Dietary Guidelines (advises WHO and FAO), Food regulation (Board member, FSANZ), Ultra-processed foods and the science and politics of food and nutrition policy to promote healthy and sustainable food systems (member, NHMRC evidence synthesis/translation committee).
Additional affiliations
January 2014 - present
Deakin University
Position
  • Professor (Public health nutrition)
January 2013 - April 2019
Deakin University
Position
  • Professor
January 2012 - present
Deakin University
Position
  • Modelling policy interventions to protect Australia’s food security in the face of environmental sustainability challenges
Description
  • ARC-Linkage project
Education
March 1997 - October 2002
Deakin University
Field of study
  • Public health nutrition
March 1997 - November 1997
University of Melbourne
Field of study
  • Epidemiology and Biostatistics
October 1991 - September 1992

Publications

Publications (206)
Article
Full-text available
Background Sustainable diets, as a concept, was the status quo of human existence from time immemorial. Modern agriculture and industrial food systems of the 20th century had displaced the notion, until the alarming consequences of unsustainable food production and consumption started manifesting as harm to both human and ecosystem health. Scope a...
Article
Multiple reports from international organisations and expert groups call for reductions in production and consumption of red and processed meat (RPM) to attenuate associated health and environmental harms. Policymakers have given limited attention to the issue and public discourse on the topic is contentious. The framing of RPM as a policy issue by...
Article
Full-text available
Background While moderate amounts of meat have nutritional benefits, diets high in meat are contributing to adverse health and environmental outcomes, including environmental degradation, high greenhouse gas emissions, and the increasing the global burden of chronic disease. Authoritative organisations have repeatedly called for significant reducti...
Article
Objective The health implications of excessive added sugar intakes have led to national policy actions to limit their consumption. Subsequently, non-nutritive sweeteners (NNS) may be used to maintain product sweetness. We aimed to assess trends in quantities of added sugars and NNS sold in packaged food and beverages worldwide, and the association...
Article
Full-text available
Background Policy makers are increasingly using nutrition classification schemes (NCSs) to assess a food's health potential for informing nutrition policy actions. However, there is wide variability among the NCSs implemented and no standard benchmark against which their contrasting assessments can be validated. Objective This study aimed to compa...
Article
Full-text available
Minimising environmental impacts and prioritising the production of nutritious foods are essential qualities of a sustainable food system. Ultra-processed foods (UFPs) are potentially counterproductive to these objectives. This review aims to summarise the magnitude and types of environmental impacts resulting from each stage of the UPF supply chai...
Article
Full-text available
Purpose To investigate intake levels of nutrients linked to non-communicable diseases in Australia using the novel combination of food processing and nutrient profiling metrics of the PAHO Nutrient Profile Model. Methods Dietary intakes of 12,153 participants from the Australian Health Survey (2011–12) aged 2 + years were evaluated. Food items rep...
Article
Full-text available
The use of dietary pattern assessment methods has increased over time. However, data from individual studies can be difficult to compare and synthesize when the dietary pattern assessment methods, and the dietary patterns that are identified are not described sufficiently. The aims of this systematic review were to analyze the application and repor...
Article
Addressing overconsumption of protein-rich foods from high ecological footprint sources can have positive impacts on health such as reduction of non-communicable disease risk and protecting the natural environment. With the increased attention towards development of ecologically sustainable diets, this systematic review aimed to critically review l...
Article
Full-text available
Today's food systems are driving several intersecting public health and ecological crises of global concern. Acknowledging this, numerous major reports have made wide-ranging recommendations for achieving ‘transformative’ food systems change. However, no studies have yet analysed the transformative potential of these recommendations. Here we undert...
Article
Full-text available
Background Scaling up population health interventions is a context-orientated, dynamic and multi-stakeholder process; understanding its influences is essential to enhance future scaling efforts. Using physical activity and nutrition interventions in Australia as case examples, the aim of this paper is to identify core influences involved in scaling...
Preprint
Full-text available
Nutrient Profiling Systems provide algorithms which are designed to assess the healthfulness of foods based on nutrient composition, and intended as a strategy to improve diets. Many Nutrient Profiling Systems are founded on a reductionist assumption that the healthfulness of foods is determined by the sum of their nutrients, with little considerat...
Article
Full-text available
It is the position of Dietitians Australia that to promote human and planetary health, a food system transformation is needed that enables the population to adopt healthy and sustainable diet‐related practices. A healthy and sustainable diet must (i) be nutritionally adequate, healthy and safe, (ii) have low environmental impact and be protective o...
Article
Full-text available
Objective This study aimed to critically analyse Australia’s current and proposed policy actions to reduce added sugar consumption. Over-consumption of added sugar is a significant public health nutrition issue. The competing interests, values and beliefs among stakeholders means they have disparate views regarding which policy actions are preferab...
Article
Full-text available
Background: Breastfeeding is important for the health and development of the child, and for maternal health, in all country contexts. However, global sales of breast-milk substitutes (BMS), including infant, follow-up and toddler formulas, have ‘boomed’ in recent decades. This raises the importance of international food standards established by the...
Article
Full-text available
Background The aggressive marketing of breastmilk substitutes (BMS) reduces breastfeeding, and harms child and maternal health globally. Yet forty years after the World Health Assembly adopted the International Code of Marketing of Breast-milk Substitutes (The Code), many countries are still to fully implement its provisions into national law. Furt...
Article
Full-text available
Dietary guidelines are important nutrition policy reference standards that should be informed by the best available evidence. The types of evidence that are reviewed and the evidence review methods that are used have implications for evidence translation. The aim of this study was to explore perceived advantages, disadvantages, and practicalities a...
Article
Balancing the adoption of environmentally sustainable food systems in Australian healthcare and aged care settings whilst meeting nutritional requirements has never been more critical. This scoping review aimed to identify: the major authoritative reports/guidelines related to healthy and environmentally sustainable food procurement and foodservice...
Article
Full-text available
Objective Diets high in red and processed meat (RPM) contribute substantially to environmental degradation, greenhouse gas emissions, and the global burden of chronic disease. High-profile reports have called for significant global RPM reduction, especially in high-income settings. Despite this, policy attention and political priority for the issue...
Article
Full-text available
Background Dietary guidelines should be informed by evidence from dietary patterns research. However, variation in the methods used to assess and report dietary patterns can make this type of evidence difficult to synthesise. The aim of this systematic review was to analyse the methods used to assess and report dietary patterns. Methods Literature...
Article
Full-text available
Despite a significant commitment to tackling childhood overweight and obesity, questions remain about the progress the Thai Government has made in implementing childhood obesity prevention policies and actions. This study aimed to review and assess the implementation of the gov-ernment's policies and actions for childhood obesity prevention in Thai...
Article
Full-text available
Background The global milk formula market has ‘boomed’ in recent decades, raising serious concerns for breastfeeding, and child and maternal health. Despite these developments, few studies have investigated the global expansion of the baby food industry, nor the market and political practices corporations have used to grow and sustain their markets...
Article
Full-text available
Background Sustainable shifts in population behaviours require system-level implementation and embeddedness of large-scale health interventions. This paper aims to understand how different contexts of scaling up interventions affect mechanisms to produce intended and unintended scale up outcomes. Methods A mixed method study combining a realist pe...
Article
Full-text available
Dietary risk factors, including excess added sugar intake, are leading contributors to Australia’s burden of disease. An objective of the Australian Health Star Rating (HSR) system is to encourage the reformulation of packaged foods. Manufacturers may improve a product’s HSR by replacing added sugar with non-nutritive sweeteners (NNS). Concerns hav...
Article
Full-text available
Consumption of healthy and sustainable diets (HSD) provides opportunities to co-benefit human health and adapt to and mitigate climate change. Despite robust evidence and policy recommendations from authoritative groups to reorientate the food system to favour consumption of HSD there has been limited policy action. This study investigated potentia...
Article
This research aimed to understand how the policy was represented as a ‘problem’ in food regulatory decision-making in Australia, and the implications for public health nutrition engagement with policy development processes. Bacchi’s ‘what’s the problem represented to be?’ discourse analysis method was applied to a case study of voluntary food forti...
Article
Full-text available
Background: Diets high in red and processed meat (RPM) contribute substantially to environmental degradation, greenhouse gas (GHG) emissions, and the global burden of chronic disease. Recent high-profile reports from international expert bodies have called for a significant reduction in global dietary meat intake, particularly RPM, especially in h...
Article
Background Healthy diets promote optimal growth and development and prevent malnutrition in all its forms, including undernutrition, obesity, and diet-related noncommunicable diseases (NCDs). Objective This background paper for the International Expert Consultation on Sustainable Healthy Diets characterizes healthy diets and their implications for...
Technical Report
Full-text available
This letter appeared in the Public Health Nutrition journal in response to Carlos Monteiro's first publication of the ultra-processed food concept, also in that journal.
Article
Poor diets, including excess added sugar consumption, contribute to the global burden of disease. Subsequently, many nutrition policies have been implemented to reduce added sugar intake and improve population health, including taxes, education, labelling and environmental interventions. A potential consequence of these policy actions is the substi...
Article
Full-text available
Objective: A comprehensive nutrition policy containing a broad package of cross-sector and synergistic policy actions is required to attenuate the systemic drivers of poor nutrition. The current study aims to critically analyse trends in the scope of federal nutrition policy actions in Australia between 2007 and 2018 by: (1) describing the changes...
Article
Dietary guidelines should be underpinned by the best available evidence on relationships between diet and health, including evidence from nutrient-based, food-based, and dietary patterns research. The primary aim of this study was to analyse the systematic reviews conducted to inform the 2013 Australian Dietary Guidelines according to dietary expos...
Article
Full-text available
Understanding the drivers and dynamics of global ultra‐processed food (UPF) consumption is essential, given the evidence linking these foods with adverse health outcomes. In this synthesis review, we take two steps. First, we quantify per capita volumes and trends in UPF sales, and ingredients (sweeteners, fats, sodium and cosmetic additives) suppl...
Article
Full-text available
The nutrition literature and authoritative reports increasingly recognise the concept of ultra-processed foods (UPF), as a descriptor of unhealthy diets. UPFs are now prevalent in diets worldwide. This review aims to identify and appraise the studies on healthy participants that investigated associations between levels of UPF consumption and health...
Article
Full-text available
Objective With significant shifts in the dietary recommendations between the 2007 and 2019 Canadian dietary guidelines, such as promoting plant-based food intake, reducing highly processed food intake and advocating the practice of food skills, we compared their differences in guideline development methods. Design Two reviewers used twenty-five gu...
Article
Full-text available
Nutrient-based indices are commonly used to assess the health potential of individual foods for nutrition policy actions. This study aimed to evaluate the nutrient profile-informed Australian Health Star Rating (HSR), against NOVA and an index informed by the Australian Dietary Guidelines (ADGs), to determine the extent of alignment. All products d...
Article
Full-text available
Objective Junk-food marketing contributes significantly to childhood obesity, which in turn imposes major health and economic burdens. Despite this, political priority for addressing junk-food marketing has been weak in many countries. Competing interests, worldviews and beliefs of stakeholders involved with the issue contribute to this political i...
Article
Full-text available
Dietary change has been suggested as a key strategy to maintain food security, improve health and reduce environmental impacts in the face of rising populations, resource scarcity and climate change impacts, particularly in developed countries. This paper presents findings from a quantitative modelling analysis of food availability and environmenta...
Article
Full-text available
Sustainable, resilient food systems for healthy diets: the transformation agenda - Volume 22 Issue 16 - Mark Andrew Lawrence, Phillip Ian Baker, Claire Elizabeth Pulker, Christina Mary Pollard
Article
Full-text available
This is a report published by the Food and Agriculture Organization of the United Nations. Jose Graziano da Silva, outgoing FAO director-general, says: ‘Glad to see FAO report on NOVA classification and ultra-processed food, by Carlos Monteiro and the NUPENS/USP team [ showing] consistent evidence on how the consumption of ultra-processed food ca...
Article
Full-text available
Although health, development, and environment challenges are interconnected, evidence remains fractured across sectors due to methodological and conceptual differences in research and practice. Aligned methods are needed to support Sustainable Development Goal advances and similar agendas. The Bridge Collaborative, an emergent research-practice col...
Article
Full-text available
Background: The role of processed foods in nutrition transition in the Pacific is receiving some attention in the context of a significant obesity and diet-related noncommunicable disease health burden. However, trends, patterns and underlying drivers of processed food markets in the Pacific are not well understood. The aim of this study was to in...
Article
The Australian Government’s voluntary Health Star Rating (HSR) system has potential to provide a user-friendly approach to help shoppers choose healthier packaged food options. However, despite evidence that it is dietary imbalances and excesses that are the predominant causes of diet-related noncommunicable diseases and obesity, the star-rating sy...
Article
Full-text available
Objective To assess current performance and identify opportunities and reforms necessary for positioning a food standards programme to help protect public health against dietary risk factors. Design A case study design in which a food standards programme’s public health protection performance was analysed against an adapted Donabedian model for as...
Article
Full-text available
Public health nutrition (PHN) seeks to protect and promote the nutrition-related health and wellbeing of populations. PHN science is dynamic and has evolved over time, helping to inform our understanding of the changing nature, scope, causes and solutions to PHN problems. This scientific basis has informed nutrition guidance and policy. Using a nar...
Chapter
This book takes a transdisciplinary approach and considers multisectoral actions, integrating health, agriculture, environment, economy, and socio-cultural issues, to comprehensively explore the topic of sustainable diets. Consideration is given to the multi-dimensional nature of diets and food systems, and the book explores the challenging issues...
Article
Full-text available
Background: The consumption of ultra-processed foods is associated with diminished dietary quality and adverse health outcomes. The Australian Health Star Rating (HSR) is a nutrient-based front-of-pack (FOP) labelling system that assesses the 'healthiness' of foods on a scale of 0.5 to 5 stars based on their content of 'risk' and 'positive' nutrie...
Article
Full-text available
We read with interest the paper by Jones et al. [1] [...].
Article
Full-text available
Front-of-package nutrition labels need to be assessed on their nutrition science rigour - Mark Lawrence, Julie Woods
Article
Full-text available
There is increasing attention to the importance of healthy and environmentally sustainable food supply and demand but little empirical research exists on how this might be achieved. This study examines the potential for inter-sectoral policy and action to support consumer adoption of healthy and sustainable food behaviours, focusing on three key th...
Article
Full-text available
Food-based Dietary Guidelines (FBDGs) promote healthy dietary patterns. Nutrient-based Front-of-Pack Labelling (NBFOPL) schemes rate the 'healthiness' of individual foods. This study aimed to investigate whether the Australian Health Star Rating (HSR) system aligns with the Australian Dietary Guidelines (ADGs). The Mintel Global New Products Databa...
Article
Full-text available
Thailand is experiencing an increasing burden of obesity and diet-related non-communicable diseases. The Thai government has responded by developing a number of policies to protect and promote healthy eating. In particular, in 2008, the Thai Government passed a regulation to restrict unhealthy radio and television food advertising to children (RTA)...
Article
(For full text of 'author-accepted manuscript manuscript' go to http://www.seonacandy.com/publications-1/ and scroll down to 'Peer-reviewed papers'.) While historically Australia has been a major exporter of food commodities and is generally considered to be “food secure”, our inter-disciplinary modelling of Australia’s food system and contempora...