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Policy interventions to promote healthy eating: a review of what works, what does not, and what is promising

Jose Brambila-Macias, Bhavani Shankar, Sara Capacci, Mario Mazzocchi, Armando Perez Cueto Eulert UGent, Wim Verbeke UGent and W Bruce Traill (2011) FOOD AND NUTRITION BULLETIN. 32(4). p.365-375
abstract
Unhealthy diets can lead to various diseases, which in turn can translate into a bigger burden for the state in the form of health services and lost production. Obesity alone has enormous costs and claims thousands of lives every year. Although diet quality in the European Union has improved across countries, it still falls well short of conformity with the World Health Organization dietary guidelines. In this review, we classify types of policy interventions addressing healthy eating and identify through a literature review what specific policy interventions are better suited to improve diets. Policy interventions are classified into two broad categories: information measures and measures targeting the market environment. Using this classification, we summarize a number of previous systematic reviews, academic papers, and institutional reports and draw some conclusions about their effectiveness. Of the information measures, policy interventions aimed at reducing or banning unhealthy food advertisements generally have had a weak positive effect on improving diets, while public information campaigns have been successful in raising awareness of unhealthy eating but have failed to translate the message into action. Nutritional labeling allows for informed choice. However, informed choice is not necessarily healthier; knowing or being able to read and interpret nutritional labeling on food purchased does not necessarily result in consumption of healthier foods. Interventions targeting the market environment, such as fiscal measures and nutrient, food, and diet standards, are rarer and generally more effective, though more intrusive. Overall, we conclude that measures to support informed choice have a mixed and limited record of success. On the other hand, measures to target the market environment are more intrusive but may be more effective.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
keyword
healthy eating, Europe, policy interventions, Diet and nutrition, PUBLIC-HEALTH, ENERGY-INTAKE, PORTION-SIZE, WEIGHT-GAIN, FOOD, NUTRITION, OBESITY, PERCEPTIONS, KNOWLEDGE, CHILDREN
journal title
FOOD AND NUTRITION BULLETIN
Food Nutr. Bull.
volume
32
issue
4
pages
365 - 375
Web of Science type
Review
Web of Science id
000299133300008
JCR category
FOOD SCIENCE & TECHNOLOGY
JCR impact factor
1.922 (2011)
JCR rank
36/128 (2011)
JCR quartile
2 (2011)
ISSN
0379-5721
project
European Union FP7/2007-2013 226713
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1995735
handle
http://hdl.handle.net/1854/LU-1995735
date created
2012-01-19 09:11:43
date last changed
2016-12-19 15:42:54
@article{1995735,
  abstract     = {Unhealthy diets can lead to various diseases, which in turn can translate into a bigger burden for the state in the form of health services and lost production. Obesity alone has enormous costs and claims thousands of lives every year. Although diet quality in the European Union has improved across countries, it still falls well short of conformity with the World Health Organization dietary guidelines. In this review, we classify types of policy interventions addressing healthy eating and identify through a literature review what specific policy interventions are better suited to improve diets. Policy interventions are classified into two broad categories: information measures and measures targeting the market environment. Using this classification, we summarize a number of previous systematic reviews, academic papers, and institutional reports and draw some conclusions about their effectiveness. Of the information measures, policy interventions aimed at reducing or banning unhealthy food advertisements generally have had a weak positive effect on improving diets, while public information campaigns have been successful in raising awareness of unhealthy eating but have failed to translate the message into action. Nutritional labeling allows for informed choice. However, informed choice is not necessarily healthier; knowing or being able to read and interpret nutritional labeling on food purchased does not necessarily result in consumption of healthier foods. Interventions targeting the market environment, such as fiscal measures and nutrient, food, and diet standards, are rarer and generally more effective, though more intrusive. Overall, we conclude that measures to support informed choice have a mixed and limited record of success. On the other hand, measures to target the market environment are more intrusive but may be more effective.},
  author       = {Brambila-Macias, Jose and Shankar, Bhavani and Capacci, Sara and Mazzocchi, Mario and Perez Cueto Eulert, Armando and Verbeke, Wim and Traill, W Bruce },
  issn         = {0379-5721},
  journal      = {FOOD AND NUTRITION BULLETIN},
  keyword      = {healthy eating,Europe,policy interventions,Diet and nutrition,PUBLIC-HEALTH,ENERGY-INTAKE,PORTION-SIZE,WEIGHT-GAIN,FOOD,NUTRITION,OBESITY,PERCEPTIONS,KNOWLEDGE,CHILDREN},
  language     = {eng},
  number       = {4},
  pages        = {365--375},
  title        = {Policy interventions to promote healthy eating: a review of what works, what does not, and what is promising},
  volume       = {32},
  year         = {2011},
}

Chicago
Brambila-Macias, Jose, Bhavani Shankar, Sara Capacci, Mario Mazzocchi, Armando Perez Cueto Eulert, Wim Verbeke, and W Bruce Traill. 2011. “Policy Interventions to Promote Healthy Eating: a Review of What Works, What Does Not, and What Is Promising.” Food and Nutrition Bulletin 32 (4): 365–375.
APA
Brambila-Macias, J., Shankar, B., Capacci, S., Mazzocchi, M., Perez Cueto Eulert, A., Verbeke, W., & Traill, W. B. (2011). Policy interventions to promote healthy eating: a review of what works, what does not, and what is promising. FOOD AND NUTRITION BULLETIN, 32(4), 365–375.
Vancouver
1.
Brambila-Macias J, Shankar B, Capacci S, Mazzocchi M, Perez Cueto Eulert A, Verbeke W, et al. Policy interventions to promote healthy eating: a review of what works, what does not, and what is promising. FOOD AND NUTRITION BULLETIN. 2011;32(4):365–75.
MLA
Brambila-Macias, Jose, Bhavani Shankar, Sara Capacci, et al. “Policy Interventions to Promote Healthy Eating: a Review of What Works, What Does Not, and What Is Promising.” FOOD AND NUTRITION BULLETIN 32.4 (2011): 365–375. Print.