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Assessment of evaluations made to healthy eating policies in Europe: a review within the EATWELL Project

(2012) PUBLIC HEALTH NUTRITION. 15(8). p.1489-1496
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Abstract
Objective: To identify and assess healthy eating policies at national level which have been evaluated in terms of their impact on awareness of healthy eating, food consumption, health outcome or cost/benefit. Design: Review of policy documents and their evaluations when available. Setting: European Member States. Subjects: One hundred and twenty-one policy documents revised, 107 retained. Results: Of the 107 selected interventions, twenty-two had been evaluated for their impact on awareness or knowledge and twenty-seven for their impact on consumption. Furthermore sixteen interventions provided an evaluation of health impact, while three actions specifically measured any cost/benefit ratio. The indicators used in these evaluations were in most cases not comparable. Evaluation was more often found for public information campaigns, regulation of meals at schools/canteens and nutrition education programmes. Conclusions: The study highlights the need not only to develop harmonized and verifiable procedures but also indicators for measuring effectiveness and success and for comparing between interventions and countries. EU policies are recommended to provide a set of indicators that may be measured consistently and regularly in all countries. Furthermore, public information campaigns should be accompanied by other interventions, as evaluations may show an impact on awareness and intention, but rarely on consumption patterns and health outcome.
Keywords
Food and Nutrition policy, Europe, Healthy eating, EATWELL Project, SCHOOL-BASED INTERVENTIONS, PHYSICAL-ACTIVITY, CHILDHOOD OBESITY, DIETARY HABITS, POPULATION, CHILDREN, PREVENTION, PROGRAMS, WEIGHT, FRUIT

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Chicago
Perez Cueto Eulert, Armando, Jessica Ascheman-Witzel, Bhavani Shankar, José Brambila-Macias, Tino Bech-Larsen, Mario Mazzocchi, Sara Capacci, et al. 2012. “Assessment of Evaluations Made to Healthy Eating Policies in Europe: a Review Within the EATWELL Project.” Public Health Nutrition 15 (8): 1489–1496.
APA
Perez Cueto Eulert, A., Ascheman-Witzel, J., Shankar, B., Brambila-Macias, J., Bech-Larsen, T., Mazzocchi, M., Capacci, S., et al. (2012). Assessment of evaluations made to healthy eating policies in Europe: a review within the EATWELL Project. PUBLIC HEALTH NUTRITION, 15(8), 1489–1496.
Vancouver
1.
Perez Cueto Eulert A, Ascheman-Witzel J, Shankar B, Brambila-Macias J, Bech-Larsen T, Mazzocchi M, et al. Assessment of evaluations made to healthy eating policies in Europe: a review within the EATWELL Project. PUBLIC HEALTH NUTRITION. 2012;15(8):1489–96.
MLA
Perez Cueto Eulert, Armando, Jessica Ascheman-Witzel, Bhavani Shankar, et al. “Assessment of Evaluations Made to Healthy Eating Policies in Europe: a Review Within the EATWELL Project.” PUBLIC HEALTH NUTRITION 15.8 (2012): 1489–1496. Print.
@article{1967211,
  abstract     = {Objective: To identify and assess healthy eating policies at national level which have been evaluated in terms of their impact on awareness of healthy eating, food consumption, health outcome or cost/benefit. 
Design: Review of policy documents and their evaluations when available. 
Setting: European Member States. 
Subjects: One hundred and twenty-one policy documents revised, 107 retained. 
Results: Of the 107 selected interventions, twenty-two had been evaluated for their impact on awareness or knowledge and twenty-seven for their impact on consumption. Furthermore sixteen interventions provided an evaluation of health impact, while three actions specifically measured any cost/benefit ratio. The indicators used in these evaluations were in most cases not comparable. Evaluation was more often found for public information campaigns, regulation of meals at schools/canteens and nutrition education programmes. 
Conclusions: The study highlights the need not only to develop harmonized and verifiable procedures but also indicators for measuring effectiveness and success and for comparing between interventions and countries. EU policies are recommended to provide a set of indicators that may be measured consistently and regularly in all countries. Furthermore, public information campaigns should be accompanied by other interventions, as evaluations may show an impact on awareness and intention, but rarely on consumption patterns and health outcome.},
  author       = {Perez Cueto Eulert, Armando and Ascheman-Witzel, Jessica and Shankar, Bhavani and Brambila-Macias, Jos{\'e} and Bech-Larsen, Tino and Mazzocchi, Mario and Capacci, Sara and Saba, Anna and Turrini, Aida and Niedzwiedzka, Barbara and Piorecka, Beata and Kozio-Kozakowska, Agniezska and Wills, Josephine and Traill, W Bruce and Verbeke, Wim},
  issn         = {1368-9800},
  journal      = {PUBLIC HEALTH NUTRITION},
  keyword      = {Food and Nutrition policy,Europe,Healthy eating,EATWELL Project,SCHOOL-BASED INTERVENTIONS,PHYSICAL-ACTIVITY,CHILDHOOD OBESITY,DIETARY HABITS,POPULATION,CHILDREN,PREVENTION,PROGRAMS,WEIGHT,FRUIT},
  language     = {eng},
  number       = {8},
  pages        = {1489--1496},
  title        = {Assessment of evaluations made to healthy eating policies in Europe: a review within the EATWELL Project},
  url          = {http://dx.doi.org/10.1017/S1368980011003107},
  volume       = {15},
  year         = {2012},
}

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