Policy 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

Pineda, Elisa ; Poelman, Maartje P. ; Aaspõllu, Anu ; Bica, Margarida ; Bouzas, Cristina ; Carrano, Elena ; De Miguel-Etayo, Pilar (Universidad de Zaragoza) ; Djojosoeparto, Sanne ; Blenkuš, Mojca Gabrijelcic ; Graca, Pedro ; Geffert, Karin ; Hebestreit, Antje ; Helldan, Anni ; Henjum, Sigrun ; Huseby, Camilla Sanne ; Gregório, Maria João ; Kamphuis, Carlijn ; Laatikainen, Tiina ; Løvhaug, Anne Lene ; Leydon, Clarissa ; Luszczynska, Aleksandra ; Mäki, Päivi ; Martínez, J. Alfredo ; Raulio, Susanna ; Romaniuk, Piotr ; Roos, Gun ; Salvador, Clara ; Sassi, Franco ; Silano, Marco ; Sotlar, Ingrid ; Specchia, Maria Lucia ; de Arriaga, Miguel Telo ; Terragni, Laura ; Torheim, Liv Elin ; Tur, Josep A. ; von Philipsborn, Peter ; Harrington, Janas M. ; Vandevijvere, Stefanie

Resumen: Background
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.

Idioma: Inglés

DOI: 10.1016/j.lanepe.2022.100522

Año: 2022

Publicado en: The Lancet Regional Health - Europe 23 (2022), 100522 [24 pp.]
ISSN: 2666-7762

Factor impacto CITESCORE: 14.6 - Medicine (Q1)

Factor impacto SCIMAGO: 7.133 - Health Policy (Q1) - Oncology (Q1) - Internal Medicine (Q1)

Financiación: info:eu-repo/grantAgreement/EC/H2020/774548/EU/Science and Technology in childhood Obesity Policy/STOP

Tipo y forma: Article (Published version)

Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería)