Nutrition policies in Germany: a systematic assessment with the Food Environment Policy Index.
Nutrition policies in Germany: a systematic assessment with the Food Environment Policy Index.
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DOI：
10.1017/s1368980021004742
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发表时间：
2022-06
影响因子：
3.2
通讯作者：
Rehfuess, Eva Annette
中科院分区：
文献类型：
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作者：
von Philipsborn, Peter;Geffert, Karin;Klinger, Carmen;Hebestreit, Antje;Stratil, Jan;Rehfuess, Eva Annette
系统评估德国的营养政策，以国际最佳做法为基准，确定改善德国人口营养水平的优先政策行动。我们应用了食品环境政策指数(Food-EPI)，这是由国际粮食与肥胖/非传染性疾病研究、监测和行动支持网络(INFORMAS)开发的一个方法框架。对法律、指令和其他文件的定性内容分析构成了多阶段、有组织的协商过程的基础。德国。专家咨询过程包括来自学术界、公共行政部门和民间社会的55名专家。德国在几个关键政策领域落后于国际最佳做法。在18项政策指标中，与国际最佳做法相比，执行程度被评为非常低，21项为低，8项为中等，没有一项为高。特别是，关于食品税、食品销售监管以及零售和食品服务部门政策的指标被评为非常低到很低。确定的优先行动包括有约束力地执行学校和幼儿园的营养标准、改革食品和饮料的增值税、征收含糖饮料税以及对针对儿童的食品营销进行更严格的监管。结果表明，德国没有充分利用循证健康促进营养政策的潜力。在关键政策领域采用国际最佳做法有助于减轻德国与营养有关的慢性病以及相关的营养和健康不平等的负担。执行相关政策需要政治领导、广泛的社会对话和包括科学界在内的民间社会的循证宣传。
To systematically assess Germany’s nutrition policies, to benchmark them against international best practices and to identify priority policy actions to improve population-level nutrition in Germany. We applied the Food Environment Policy Index (Food-EPI), a methodological framework developed by the International Network for Food and Obesity/non-communicable Diseases Research, Monitoring and Action Support (INFORMAS) network. Qualitative content analysis of laws, directives and other documents formed the basis of a multistaged, structured consultation process. Germany. The expert consultation process included fifty-five experts from academia, public administration and civil society. Germany lags behind international best practices in several key policy areas. For eighteen policy indicators, the degree of implementation compared with international best practices was rated as very low, for twenty-one as low, for eight as intermediate and for none as high. In particular, indicators on food taxation, regulation of food marketing as well as retail and food service sector policies were rated as very low to low. Identified priority actions included the binding implementation of nutrition standards for schools and kindergartens, a reform of the value added tax on foods and beverages, a sugar-sweetened beverage tax and stricter regulation of food marketing directed at children. The results show that Germany makes insufficient use of the potential of evidence-informed health-promoting nutrition policies. Adopting international best practices in key policy areas could help to reduce the burden of nutrition-related chronic disease and related inequalities in nutrition and health in Germany. Implementation of relevant policies requires political leadership, a broad societal dialogue and evidence-informed advocacy by civil society, including the scientific community.