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Developing a context-specific nutrient profiling system for food policy in Samoa

Datos Bibliográficos

ID22945803
AutoresErica Reeve (0000-0002-9239-7732, Deakin University, autor de correspondencia), Take Naseri (0000-0002-7633-2269, Office of the Director General, Ministry of Health Samoa, Motootua, Ifiifi Street, Apia, Samoa), Tim Martyn (University of the Sunshine Coast), Caroline Bollars (0000-0002-1010-6031, School of Nutrition and Translational Research in Metabolism/School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Universiteitssingel 40, Maastricht 6229, Netherlands), Anne Marie Thow (0000-0002-6460-5864, The University of Sydney), Anne-Marie Thow (The University of Sydney)
Año2019
Volumen34
Número6
Páginase94-e105
Fecha de publicación2019-12-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Promotion International (JOURNAL)
Identificadores de la revistaISSN: 0957-4824 • E-ISSN: 1460-2245
EditorialOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/day089
PMID30388231
OpenAlexW2899476154
IdiomaEN
Citas recibidas5
Referencias citadas20

The objective of this study was to develop a transparent system for defining ‘less healthy’ foods to underpin effective policy to reduce noncommunicable diseases in Samoa, replacing a fatty-meat ban lifted for accession to the WTO. In the absence of nutrition survey data, we calculated nutrient availability using food acquisition data from Samoa's Household Income and Expenditure Surveys. Together with published literature and local food composition data, we identified foods and nutrients (i) consumed in amounts greater than those recommended for good health and (ii) with a demonstrated causal link to health conditions of concern. Nutrient thresholds were developed based on desired level of decrease per nutrient per person necessary to reduce population intake in line with specific targets. We found average energy and sodium consumption to be higher than recommended, and foods high in sugar and saturated fat being consumed in large amounts. We selected a threshold-based, category-specific model to provide straightforward policy administration and incentivise healthy production and import, and then applied and tested nutrient thresholds across 7 threshold groups. The validation process indicated that the development of a nutrient profiling system to identify less healthy food items in Samoa provided a stronger basis for local policymaking. This study contributes to global understanding of approaches to developing a robust and transparent basis for policies to improve diets in lower income countries, and is relevant to other settings with high rates of noncommunicable diseases and similar resource and data constraints.

Accession · Biology · Business · Context (archaeology) · Environmental health · Geography · Nutrient · Consumer Attitudes and Food Labeling · Ecology · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet

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Obras citantes distintas5
Citas por año0,83
Intervalo de citas2020 - 2023 (4)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 5
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