An 11-country study to benchmark the implementation of recommended nutrition policies by national governments using the Healthy Food Environment Policy Index, 2015-2018.

Autor: Vandevijvere S; School of Population Health, The University of Auckland, Auckland, New Zealand., Barquera S; Instituto Nacional de Salud Publica (INSP), Cuernavaca, Mexico., Caceres G; Instituto de Nutrición y Tecnología de los Alimentos (INTA), Santiago, Chile., Corvalan C; Instituto de Nutrición y Tecnología de los Alimentos (INTA), Santiago, Chile., Karupaiah T; School of Biosciences, Faculty of Health and Medical Sciences, Taylor's University, Kuala Lumpur, Malaysia.; Faculty of Health Sciences, National University of Malaysia, Kuala Lumpur, Malaysia., Kroker-Lobos MF; Instituto de Nutrición de Centroamérica y Panamá (INCAP), Guatemala City, Guatemala., L'Abbé M; Faculty of Medicine, Department of Nutritional Sciences, The University of Toronto, Toronto, Canada., Ng SH; School of Health and Society, The University of Wollongong, NSW, Australia., Phulkerd S; Institute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand., Ramirez-Zea M; Instituto de Nutrición de Centroamérica y Panamá (INCAP), Guatemala City, Guatemala., Rebello SA; Saw Swee Hock School of Public Health, National University of Singapore, Singapore., Reyes M; Instituto de Nutrición y Tecnología de los Alimentos (INTA), Santiago, Chile., Sacks G; Global Obesity Centre (GLOBE), Deakin University, Melbourne, Australia., Sánchez Nóchez CM; Instituto de Nutrición de Centroamérica y Panamá (INCAP), Guatemala City, Guatemala., Sanchez K; Instituto Nacional de Salud Publica (INSP), Cuernavaca, Mexico., Sanders D; Faculty of Community and Health, The University of the Western Cape, Bellville, South Africa., Spires M; Faculty of Community and Health, The University of the Western Cape, Bellville, South Africa., Swart R; Faculty of Community and Health, The University of the Western Cape, Bellville, South Africa., Tangcharoensathien V; International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand., Tay Z; Saw Swee Hock School of Public Health, National University of Singapore, Singapore., Taylor A; The Food Foundation, London, UK., Tolentino-Mayo L; Instituto Nacional de Salud Publica (INSP), Cuernavaca, Mexico., Van Dam R; Saw Swee Hock School of Public Health, National University of Singapore, Singapore., Vanderlee L; Faculty of Medicine, Department of Nutritional Sciences, The University of Toronto, Toronto, Canada., Watson F; The Food Foundation, London, UK., Whitton C; Saw Swee Hock School of Public Health, National University of Singapore, Singapore., Swinburn B; School of Population Health, The University of Auckland, Auckland, New Zealand.
Jazyk: angličtina
Zdroj: Obesity reviews : an official journal of the International Association for the Study of Obesity [Obes Rev] 2019 Nov; Vol. 20 Suppl 2, pp. 57-66. Date of Electronic Publication: 2019 Jan 04.
DOI: 10.1111/obr.12819
Abstrakt: The Healthy Food Environment Policy Index (Food-EPI) aims to assess the extent of implementation of recommended food environment policies by governments compared with international best practices and prioritize actions to fill implementation gaps. The Food-EPI was applied in 11 countries across six regions (2015-2018). National public health nutrition panels (n = 11-101 experts) rated the extent of implementation of 47 policy and infrastructure support good practice indicators by their government(s) against best practices, using an evidence document verified by government officials. Experts identified and prioritized actions to address implementation gaps. The proportion of indicators at "very low if any," "low," "medium," and "high" implementation, overall Food-EPI scores, and priority action areas were compared across countries. Inter-rater reliability was good (GwetAC2 = 0.6-0.8). Chile had the highest proportion of policies (13%) rated at "high" implementation, while Guatemala had the highest proportion of policies (83%) rated at "very low if any" implementation. The overall Food-EPI score was "medium" for Australia, England, Chile, and Singapore, while "very low if any" for Guatemala. Policy areas most frequently prioritized included taxes on unhealthy foods, restricting unhealthy food promotion and front-of-pack labelling. The Food-EPI was found to be a robust tool and process to benchmark governments' progress to create healthy food environments.
(© 2019 World Obesity Federation.)
Databáze: MEDLINE
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