Strength of EU-level food environment policies and priority recommendations to create healthy food environments.

dc.contributor.authorDjojosoeparto, Sanne K.
dc.contributor.authorKamphuis, Carlijn B. M.
dc.contributor.authorVandevijvere, Stefanie
dc.contributor.authorMurrin, Celine
dc.contributor.authorStanley, Isobel
dc.contributor.authorRomaniuk, Piotr
dc.contributor.authorHarrington, Janas M.
dc.contributor.authorPoelman, Maartje P.
dc.contributor.authorPEN Consortium
dc.contributor.funderZonMwen
dc.date.accessioned2022-11-24T11:40:06Z
dc.date.available2022-11-24T11:40:06Z
dc.date.issued2022-06
dc.date.updated2022-11-24T11:17:55Z
dc.description.abstractBackground: Food environments impact on diets, obesity and non-communicable diseases (NCDs). Government policies are essential to create healthy food environments. This study aimed to assess the strength of European Union (EU)-level policies, and identify and prioritize actions for the EU to create healthy food environments. Methods: The Healthy Food Environment Policy Index (Food-EPI) was applied. The Food-EPI included 26 policy and 24 infrastructure support indicators. Independent experts (nā€‰=ā€‰31) rated the strength of EU-level policies and infrastructure support for each of these indicators (on a 5-point scale, from very weak to very strong) and identified and prioritized actions to improve food environments. Results: For 65% of the 26 policy indicators, EU-level policies were rated as weak and for 23% as very weak. For 63% of the 24 infrastructure support indicators, EU-level policies were rated as moderate and for 33% as weak. The experts recommended 18 policy and 19 infrastructure support actions to the EU. The Top 5 prioritized policy actions included three actions in the food composition domain (e.g. setting mandatory food composition targets), one action in the food prices domain and one action in the food promotion domain. The Top 5 prioritized infrastructure support actions included three actions in the leadership domain (e.g. developing a high-level NCDs Prevention Strategy) and two actions in the monitoring domain. Conclusions: There is large potential for the EU to strengthen its policies and infrastructure support in order to improve food environments. This study specifies priority actions for the EU to create healthy food environments.en
dc.description.sponsorshipThe Netherlands Organization for Health Research and Development, ZonMw (Project number 529051020)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationDjojosoeparto, S. K., Kamphuis, C. B. M., Vandevijvere, S., Murrin, C., Stanley, I., Romaniuk, P., Harrington, J. M., Poelman, M. P. and PEN Consortium (2022) 'Strength of EU-level food environment policies and priority recommendations to create healthy food environments', European Journal of Public Health, 32 (3), pp. 504-511. doi: 10.1093/eurpub/ckac010en
dc.identifier.doi10.1093/eurpub/ckac010en
dc.identifier.endpage511en
dc.identifier.issn1464-360X
dc.identifier.issued3en
dc.identifier.journaltitleEuropean Journal of Public Healthen
dc.identifier.startpage504en
dc.identifier.urihttps://hdl.handle.net/10468/13882
dc.identifier.volume32en
dc.language.isoenen
dc.publisherOxford University Pressen
dc.rightsThe Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/),en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectFooden
dc.subjectFood environment policiesen
dc.subjectHealthy food environmenten
dc.subjectGovernment policiesen
dc.subjectNCDsen
dc.subjectNon-communicable diseasesen
dc.subjectObesityen
dc.subjectDietsen
dc.subjectFood-EPIen
dc.titleStrength of EU-level food environment policies and priority recommendations to create healthy food environments.en
dc.typeArticle (peer-reviewed)en
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