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Title: An 11-country study to benchmark the implementation of recommended nutrition policies by national governments using the Healthy Food Environment Policy Index, 2015-2018
Authors: Stefanie Vandevijvere
Simon Barquera
Gabriela Caceres
Camila Corvalan
Tilakavati Karupaiah
Maria Fernanda Kroker-Lobos
Mary L'Abbé
See Hoe Ng
Sirinya Phulkerd
Manuel Ramirez-Zea
Salome A. Rebello
Marcela Reyes
Gary Sacks
Carmen María Sánchez Nóchez
Karina Sanchez
David Sanders
Mark Spires
Rina Swart
Viroj Tangcharoensathien
Zoey Tay
Anna Taylor
Lizbeth Tolentino-Mayo
Rob Van Dam
Lana Vanderlee
Fiona Watson
Clare Whitton
Boyd Swinburn
Taylor's University Malaysia
School of Population Health, University of Auckland
Institute of Nutrition of Central America and Panama Guatemala
University of the Western Cape
University of Toronto Faculty of Medicine
Deakin University
National University of Singapore
Thailand Ministry of Public Health
Mahidol University
Universidad de Chile
University of Wollongong
Universiti Kebangsaan Malaysia
Food Foundation
Instituto Nacional de Salud Pública
Keywords: Medicine
Issue Date: 1-Nov-2019
Citation: Obesity Reviews. Vol.20, No.S2 (2019), 57-66
Abstract: © 2019 World Obesity Federation 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.
ISSN: 1467789X
Appears in Collections:Scopus 2019

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