Food Policy Approaches to Obesity Prevention: An International Perspective

Zhang, Qi; Liu, Shiyong; Liu, Ruicui; Xue, Hong

doi:10.1007/s13679-014-0099-6

Cited by 36 publications

(35 citation statements)

References 52 publications

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“…SSBs and its relationship with obesity and T2DM is a complex problem, which requires comprehensive solutions that address different levels of the environment [35]. Besides initiatives discussed above, other prominent strategies in reducing SSB intake and obesity and T2DM include family-based ones, such as parents/children education [35]; community- based ones, such as zoning to restrict fast food outlets that provide a large volume of SSBs [78]; food industry-based ones, such as calorie labeling and value sizing [79]; and broad, societal ones, such as regulating SSB advertising and marketing [80].…”

Section: Discussionmentioning

confidence: 99%

“…Besides initiatives discussed above, other prominent strategies in reducing SSB intake and obesity and T2DM include family-based ones, such as parents/children education [35]; community- based ones, such as zoning to restrict fast food outlets that provide a large volume of SSBs [78]; food industry-based ones, such as calorie labeling and value sizing [79]; and broad, societal ones, such as regulating SSB advertising and marketing [80]. A collective effort and timely action is necessary to combat the obesity epidemic.…”

Section: Discussionmentioning

confidence: 99%

“…School is an ideal setting for programs targeting health dietary behaviors since children spend a major part of their day in school [31]. Systematic reviews on the effectiveness of school-based nutrition and fitness programs showed that school-based interventions are effective in increasing healthy behaviors [32–34], discouraging purchases and consumption of unhealthy foods [33, 34, 35] and reducing caloric intakes and BMI [33, 34]. Coordinated Approach to Child Health (CATCH) is a successful example of school health promotion program that focused on supporting positive environmental influences to increase physical activity and improve healthy eating [36].…”

Section: Introductionmentioning

confidence: 99%

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Sugar-Sweetened Beverage, Obesity, and Type 2 Diabetes in Children and Adolescents: Policies, Taxation, and Programs

2018

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Purpose of Review Obesity has grown at an alarming rate in children and adolescents. Concurrently, consumption on sugar- sweetened beverages (SSBs) also rose significantly. This review provides an overview of obesity and type 2 diabetes mellitus (T2DM) related to SSBs and current policies restricting SSBs in schools, school-based interventions, and taxation on reducing SSB intake and obesity. We also discuss challenges of and future steps for these initiatives. Recent Findings Clinical and epidemiological studies suggest a strong association between SSB intake and obesity and T2DM. School food policies have been initiated at federal, state, and local levels. School-based interventions have shown positive effects on SSB intake and obesity reduction. Taxation on SSBs is promising in combating obesity and in generating revenue. Challenges towards compliance and implementation of the policies and programs exist. Summary The relationship between SSB and obesity and T2DM is a complex problem which requires comprehensive solutions. Continued efforts in restricting SSBs in schools are needed. Intervention programs should be tailored to age, gender, language, and culture and involve participation from families and local communities. Taxation can reduce SSB consumption by direct economic incentive, earmarking revenues to support healthy foods, and sending negative message. However, a higher tax rate may be necessary to have a measurable effect on weight.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sugar-Sweetened Beverage, Obesity, and Type 2 Diabetes in Children and Adolescents: Policies, Taxation, and Programs

2018

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“…While recognizing that individual-level education and skills-based programmes need to be complemented with structural-level initiatives (2,10,46) , programmes such as FOODcents have a role to play in reducing inequalities by providing the disadvantaged with specific food selection and preparation skills, thereby enabling them to make meaningful changes to their diets.…”

Section: Discussionmentioning

confidence: 99%

Evaluation outcomes of a long-running adult nutrition education programme

Pettigrew

Moore

Pratt

et al. 2015

Public Health Nutr.

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Objective: For more than 20 years, the FOODcents adult nutrition education programme has been delivered to Western Australians. The aim of the programme is to provide disadvantaged individuals with the knowledge, skills and motivation to buy healthy foods on a limited budget. The present study evaluated whether the FOODcents curriculum and the way it is delivered are effective in improving participants' nutrition-related knowledge and behaviours. Design: Evaluation data were collected via in-session pre-post questionnaires and a post-course online questionnaire. Setting: Western Australia. Subjects: Data were collected from participants attending just over one-half (54 %) of the FOODcents courses conducted over the two-year evaluation period. In total, 927 course participants provided usable data. Results: After exposure to the course, respondents demonstrated an improved ability to: (i) categorize foods according to the frequency with which they should be consumed and the proportion of the food budget that should be allocated to them; (ii) correctly interpret nutrition labels on food products; and (iii) appreciate the link between diet/obesity and a range of diseases. Improvements in the latter were especially pronounced among participants of low socio-economic status. In terms of behaviour change, significant improvements in fruit and vegetable consumption were reported, along with reductions in the consumption of fast food. Participants of low socio-economic status reported the greatest changes. Conclusions:The results indicate that the FOODcents nutrition education programme improves participants' nutrition-related knowledge and behaviours.

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“…Increasingly, researchers are recognising the potential for a reduction in obesity through food policy, particularly in relation to the advertising and availability of unhealthy foods in close proximity to schools. The IMD and the education domain in particular may be used to roll‐out regulatory‐based initiatives, in which the most deprived 5%, 10%, or 20% of neighbourhoods could be used to in the initial stages, followed by appropriate evaluations to see the impact such regulations have on childhood obesity.…”

Section: Discussionmentioning

confidence: 99%

Different domains of deprivation and their relationship with obesity in New Zealand 4‐year‐old children

et al. 2019

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Summary Background There is a relationship between childhood obesity and area‐level deprivation. While the New Zealand Index of Deprivation (NZDep) has been used widely in research for the past 20 years, the Index of Multiple Deprivation (IMD) was released in 2017. This study aims to investigate the association between deprivation and childhood obesity in New Zealand and compare measures of deprivation. Methods Data from 316 794 4‐year‐olds in New Zealand undertaking the B4 School Check in 2010 to 2016, a national health and development screen, were analysed. Multilevel logistic regression models assessed the relationship between area‐level deprivation and individual‐level child obesity. Models were adjusted for age, sex, immigration status, ethnicity, and year. Deprivation was measured using the census‐based NZDep2013 (deciles) and the administrative data‐based IMD (deciles). The seven domains of the IMD were also considered. Results The relationship between deprivation and obesity was very similar for the IMD and NZDep2013, point estimates were near identical, and confidence intervals overlapped substantially. Higher levels of deprivation were associated with a higher prevalence of child obesity. The relationship between deprivation and child obesity varied considerably across IMD domains. The education domain had the strongest association with child obesity and had an association with child obesity independent of the other domains of deprivation. Conclusion Overall, there was little difference between the NZDep and IMD. However, the IMD's domains and IMD‐1 approach reveal more nuanced understandings of the deprivation‐obesity gradient, including the importance of area‐level education deprivation for predicting child obesity rates.

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Food Policy Approaches to Obesity Prevention: An International Perspective

Cited by 36 publications

References 52 publications

Sugar-Sweetened Beverage, Obesity, and Type 2 Diabetes in Children and Adolescents: Policies, Taxation, and Programs

Sugar-Sweetened Beverage, Obesity, and Type 2 Diabetes in Children and Adolescents: Policies, Taxation, and Programs

Evaluation outcomes of a long-running adult nutrition education programme

Different domains of deprivation and their relationship with obesity in New Zealand 4‐year‐old children

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