000121125 001__ 121125 000121125 005__ 20230914083520.0 000121125 0247_ $$2doi$$a10.1016/j.lanepe.2022.100522 000121125 0248_ $$2sideral$$a131700 000121125 037__ $$aART-2022-131700 000121125 041__ $$aeng 000121125 100__ $$aPineda, Elisa 000121125 245__ $$aPolicy implementation and priorities to create healthy food environments using the Healthy Food Environment Policy Index (Food-EPI): A pooled level analysis across eleven European countries 000121125 260__ $$c2022 000121125 5060_ $$aAccess copy available to the general public$$fUnrestricted 000121125 5203_ $$aBackground Food environments have been recognised as highly influential on population diets. Government policies have great potential to create healthy food environments to promote healthy diets. This study aimed to evaluate food environment policy implementation in European countries and identify priority actions for governments to create healthy food environments. Methods The Healthy Food Environment Policy Index (Food-EPI) was used to evaluate the level of food environment policy and infrastructure support implementation in Estonia, Finland, Germany, Ireland, Italy, the Netherlands, Norway, Poland, Portugal, Slovenia, and Spain in 2019–2021. Evidence of implementation of food environment policies was compiled in each country and validated by government officials. National experts evaluated the implementation of policies and identified priority recommendations. Findings Finland had the highest proportion (32%, n = 7/22) of policies shaping food environments with a “high” level of implementation. Slovenia and Poland had the highest proportion of policies rated at very low implementation (42%, n = 10/24 and 36%, n = 9/25 respectively). Policies regarding food provision, promotion, retail, funding, monitoring, and health in all policies were identified as the most important gaps across the European countries. Experts recommended immediate action on setting standards for nutrients of concern in processed foods, improvement of school food environments, fruit and vegetable subsidies, unhealthy food and beverage taxation, and restrictions on unhealthy food marketing to children. Interpretation Immediate implementation of policies and infrastructure support that prioritize action towards healthy food environments is urgently required to tackle the burden of obesity and diet-related non-communicable diseases in Europe. 000121125 536__ $$9info:eu-repo/grantAgreement/EC/H2020/774548/EU/Science and Technology in childhood Obesity Policy/STOP$$9This project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No H2020 774548-STOP 000121125 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/ 000121125 592__ $$a7.133$$b2022 000121125 593__ $$aHealth Policy$$c2022$$dQ1 000121125 593__ $$aOncology$$c2022$$dQ1 000121125 593__ $$aInternal Medicine$$c2022$$dQ1 000121125 594__ $$a14.6$$b2022 000121125 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000121125 700__ $$aPoelman, Maartje P. 000121125 700__ $$aAaspõllu, Anu 000121125 700__ $$aBica, Margarida 000121125 700__ $$aBouzas, Cristina 000121125 700__ $$aCarrano, Elena 000121125 700__ $$0(orcid)0000-0001-6173-5850$$aDe Miguel-Etayo, Pilar$$uUniversidad de Zaragoza 000121125 700__ $$aDjojosoeparto, Sanne 000121125 700__ $$aBlenkuš, Mojca Gabrijelcic 000121125 700__ $$aGraca, Pedro 000121125 700__ $$aGeffert, Karin 000121125 700__ $$aHebestreit, Antje 000121125 700__ $$aHelldan, Anni 000121125 700__ $$aHenjum, Sigrun 000121125 700__ $$aHuseby, Camilla Sanne 000121125 700__ $$aGregório, Maria João 000121125 700__ $$aKamphuis, Carlijn 000121125 700__ $$aLaatikainen, Tiina 000121125 700__ $$aLøvhaug, Anne Lene 000121125 700__ $$aLeydon, Clarissa 000121125 700__ $$aLuszczynska, Aleksandra 000121125 700__ $$aMäki, Päivi 000121125 700__ $$aMartínez, J. Alfredo 000121125 700__ $$aRaulio, Susanna 000121125 700__ $$aRomaniuk, Piotr 000121125 700__ $$aRoos, Gun 000121125 700__ $$aSalvador, Clara 000121125 700__ $$aSassi, Franco 000121125 700__ $$aSilano, Marco 000121125 700__ $$aSotlar, Ingrid 000121125 700__ $$aSpecchia, Maria Lucia 000121125 700__ $$ade Arriaga, Miguel Telo 000121125 700__ $$aTerragni, Laura 000121125 700__ $$aTorheim, Liv Elin 000121125 700__ $$aTur, Josep A. 000121125 700__ $$avon Philipsborn, Peter 000121125 700__ $$aHarrington, Janas M. 000121125 700__ $$aVandevijvere, Stefanie 000121125 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería 000121125 773__ $$g23 (2022), 100522 [24 pp.]$$tThe Lancet Regional Health - Europe$$x2666-7762 000121125 8564_ $$s818511$$uhttps://zaguan.unizar.es/record/121125/files/texto_completo.pdf$$yVersión publicada 000121125 8564_ $$s2455199$$uhttps://zaguan.unizar.es/record/121125/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000121125 909CO $$ooai:zaguan.unizar.es:121125$$particulos$$pdriver 000121125 951__ $$a2023-09-13-13:01:26 000121125 980__ $$aARTICLE