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Public health nutrition : current challenges and reflections
2020
Public Health Nutrition is that branch of nutrition that deals with the promotion of health and disease prevention and encompasses nutrition-related topical global and community health issues. Public health nutrition priorities and recommendations are continuously reviewed and updated to remain relevant for the times and populations in context.
Public health and nutrition: where do we go?
In this commentary we state that properly understood, public health nutrition is a crucial and central part of public health, which now must gain a leading role in the public health movement, with all this implies.
Definitions for public health nutrition: a developing consensus
Public Health Nutrition, 2003
Objectives:To assess the level of agreement amongst a panel of public health nutrition leaders regarding the key descriptors used to define the field of public health nutrition.Design:Cross-sectional survey requiring quantitative and qualitative responses representing the first round of a consensus development Delphi technique.Setting:International.Subjects:Expert panel of 24 public health nutrition leaders from nine countries in the European Union, the USA and Australia.Results:All but one of the panel agreed it was important to have a consensus definition for public health nutrition to describe the field consistently. Opinion about the length and complexity of this definition tended to vary depending on the intended use of the definition. The large majority (18/24) supported the inclusion of specific reference to physical activity in a definition of public health nutrition, although there was not consensus (>83% agreement as criterion) on this point. Consensus descriptors regar...
Journal of the American Dietetic Association, 1999
Objective: To examine the workings of the nutrition-related scientific advisory bodies in Europe, paying particular attention to the internal and external contexts within which they operate. Design: Desk research based on two data collection strategies: a questionnaire completed by key informants in the field of micronutrient recommendations and a case study that focused on mandatory folic acid (FA) fortification. Setting: Questionnaire-based data were collected across thirty-five European countries. The FA fortification case study was conducted in the UK, Norway, Denmark, Germany, Spain, Czech Republic and Hungary. Results: Varied bodies are responsible for setting micronutrient recommendations, each with different statutory and legal models of operation. Transparency is highest where there are standing scientific advisory committees (SAC). Where the standing SAC is created, the range of expertise and the terms of reference for the SAC are determined by the government. Where there is no dedicated SAC, the impetus for the development of micronutrient recommendations and the associated policies comes from interested specialists in the area. This is typically linked with an ad hoc selection of a problem area to consider, lack of openness and transparency in the decisions and over-reliance on international recommendations. Conclusions: Even when there is consensus about the science behind micronutrient recommendations, there is a range of other influences that will affect decisions about the policy approaches to nutrition-related public health. This indicates the need to document the evidence that is drawn upon in the decisions about nutrition policy related to micronutrient intake.
Developing an evidence-based approach to Public Health Nutrition: translating evidence into policy
Public Health Nutrition, 2001
The aim of this paper is to highlight the importance of an evidence-based approach to the development, implementation and evaluation of policies aimed at improving nutrition-related health in the population. Public Health Nutrition was established to realise a population-level approach to the prevention of the major nutrition-related health problems world-wide. The scope is broad and integrates activity from local, national, regional and international levels. The aim is to inform and develop coherent and effective policies that address the key rate-limiting steps critical to improving nutrition-related public health. This paper sets out the rationale for an evidence-based approach to Public Health Nutrition developed under the umbrella of the European Network for Public Health Nutrition.