Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 435
Filtrar
1.
Am J Clin Nutr ; 111(6): 1278-1285, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-32412583

RESUMO

BACKGROUND: Many lower-income communities in the United States lack a full-line grocery store. There is evidence that the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) increases the availability of healthy foods in stores. One national discount variety store chain (DVS) that is often located in low-income neighborhoods became an authorized WIC vendor in 8 pilot stores. OBJECTIVES: The objective of this study was to evaluate how implementing WIC in DVS pilot stores affected sales of healthy, WIC-eligible foods. METHODS: We used DVS sales data and difference-in-differences regression to evaluate how WIC authorization affected sales of WIC-eligible foods in 8 DVS pilot stores, compared with 8 matched comparison stores. RESULTS: DVS added 18 new WIC-approved foods to become an authorized vendor. Results indicate that becoming a WIC vendor significantly increased sales of healthy, WIC-eligible foods that DVS carried before authorization. WIC implementation in DVS led to a 31-unit increase in sales of the original WIC foods per week on average (P < 0.01). Lower socioeconomic status, assessed using a summary measure, is associated with increased sales of WIC foods. Yet sales of non-WIC eligible foods (e.g., salty snack foods, candy bars, soda, and processed meats) were not affected by WIC authorization. CONCLUSIONS: Encouraging DVS stores to become WIC-authorized vendors has the potential to modestly increase DVS sales and the availability of healthy foods in low-income neighborhoods. If WIC authorization is financially viable for small-format variety stores, encouraging similar small-format variety stores to become WIC-authorized has the potential to improve food access.


Assuntos
Assistência Alimentar/economia , Abastecimento de Alimentos/economia , Alimentos/economia , Setor Privado/economia , Comércio/legislação & jurisprudência , Feminino , Assistência Alimentar/legislação & jurisprudência , Abastecimento de Alimentos/legislação & jurisprudência , Promoção da Saúde/economia , Humanos , Masculino , Pobreza , Autorização Prévia , Setor Privado/legislação & jurisprudência , Estados Unidos
3.
Am J Public Health ; 109(12): 1659-1663, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31622138

RESUMO

The Supplemental Nutrition Assistance Program (SNAP) provides funding to low-income households to purchase food at participating stores. The goals of the program include reducing hunger, improving nutrition, and strengthening the US food system. These are interrelated, as food access and choice depend on availability.SNAP generates data that could be useful for program evaluation and evidence-based policymaking to reach public health goals. However, the US Department of Agriculture (USDA) does not collect or disclose all SNAP-related data. In particular, the USDA does not systematically collect food expenditure data, and although it does collect transaction (sales) and redemption data (the amount retailers are reimbursed through SNAP), it does not release these data at the store level.In 2018, Congress quietly changed the law to prohibit the USDA from disclosing store-level transaction and redemption data, and in 2019, the US Supreme Court blocked disclosure of these data. These federal proceedings can inform the outcome of additional efforts to disclose SNAP-related data, as well as future research and policy evaluation to support improved public health outcomes for SNAP beneficiaries.


Assuntos
Revelação/normas , Assistência Alimentar/organização & administração , Assistência Alimentar/estatística & dados numéricos , Abastecimento de Alimentos/métodos , Abastecimento de Alimentos/estatística & dados numéricos , Revelação/legislação & jurisprudência , Assistência Alimentar/legislação & jurisprudência , Assistência Alimentar/normas , Abastecimento de Alimentos/legislação & jurisprudência , Fraude/economia , Fraude/estatística & dados numéricos , Humanos , Estados Unidos , United States Department of Agriculture/organização & administração
4.
Cien Saude Colet ; 24(10): 3805-3814, 2019.
Artigo em Português | MEDLINE | ID: mdl-31577011

RESUMO

The scope of this study was to determine the food on offer in state public school canteens of Curitiba, Paraná, and to investigate the association between the permitted/prohibited food supplied under the Canteen Law, with school and canteen variables. A cross-sectional study was conducted with interviews with canteen administrators in 27 state schools. The Mann Whitney test was used to investigate associations. There was a higher frequency of administration of the canteens under the self-management regime (n = 25, 92.6%); appropriate location in the school for serving meals (n = 20, 74.1%); length of time in administration of over 10 years (n = 13, 48.2%) and administrators who reported knowing the Canteen Law (n = 22, 81.5%). More than 2/3 of canteens sold prohibited food, such as sweetened beverages (n = 22, 81.5%) and candies, industrialized popcorn and salty snacks (n = 13, 48.2%). Only one school provided fried snacks (n = 1, 3.7%). The offer of technical education alone was associated with greater availability of food allowed by the legislation (p = 0.033). The school canteens evaluated can be described as places of commercialization of food not permitted by the Healthy Canteen Law. It is important to highlight the regulation and inspection of food sales in canteens for the promotion of health in schools.


Assuntos
Serviços de Alimentação/estatística & dados numéricos , Abastecimento de Alimentos/estatística & dados numéricos , Legislação sobre Alimentos , Instituições Acadêmicas/estatística & dados numéricos , Brasil , Estudos Transversais , Serviços de Alimentação/legislação & jurisprudência , Abastecimento de Alimentos/legislação & jurisprudência , Promoção da Saúde , Humanos
5.
Nutrients ; 11(9)2019 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-31527411

RESUMO

During the past decade, the concept of sustainability has been added to the factors involved in food security. This has led to a more comprehensive and holistic approach to sustainable food systems which considers drivers-environment, geopolitics, demographics, policy regulations, socio-cultural-economic factors, science and technology and infrastructure. The outcomes, similarly, involve many dimensions-environment, food security and nutrition, health and socio-cultural-economic aspects. This article discusses the Mediterranean diet in the context of sustainable food systems and shows (as in all parts of the world) that there is food insecurity in every country as monitored by the Global Nutrition Index. Three recent, major reports published in 2019 suggest what measures need to be taken to improve sustainable food systems. All environmental analyses agree on the need to promote more plant-based diets-achieved practically by using "more forks than knives". The Mediterranean Diet pattern is a case study for a sustainable diet. It has the best scientific evidence for being healthy, together with economic and socio-cultural benefits. A major challenge is that it is not consumed by the majority of the population in the Mediterranean region, and any solution must involve equity-the socially just allocation of resources. The task now is implementation with multi-stakeholder involvement, in the knowledge that "a well fed nation is a healthy nation is a sustainable and productive nation".


Assuntos
Conservação dos Recursos Naturais , Dieta Mediterrânea , Comportamento Alimentar , Abastecimento de Alimentos , Desnutrição/prevenção & controle , Política Nutricional , Valor Nutritivo , Conservação dos Recursos Naturais/legislação & jurisprudência , Abastecimento de Alimentos/legislação & jurisprudência , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde , Humanos , Desnutrição/epidemiologia , Desnutrição/fisiopatologia , Política Nutricional/legislação & jurisprudência , Estado Nutricional , Formulação de Políticas
6.
J Food Sci ; 84(10): 2705-2718, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31546281

RESUMO

The food industry is advancing at a rapid pace and consumer sensitivity to food safety scares and food fraud scandals is further amplified by rapid communication such as by social media. Academia, regulators, and industry practitioners alike struggle with an evolving issue regarding new terms and definitions including food fraud, food authenticity, food integrity, food protection, economically motivated adulteration, food crime, food security, contaminant, adulterant, and others. This research addressed some of the global need for clarification and harmonization of commonly used terminology. The 150 survey responses were received from various food-related workgroups or committee members, communication with recognized experts, and announcements to the food industry in general. Overall food fraud was identified as a "food safety" issue (86%). The food quality and manufacturing respondents focused mainly on incoming goods and adulterant-substances (<50%) rather than the other illegal activities such as counterfeiting, theft, gray market/diversion, and smuggling. Of the terms included to represent "intentional deception for economic gain" the respondents generally agreed with food fraud as the preferred term. Overall, the preference was 50% "food fraud," 15% "economically motivated adulteration" EMA, 9% "food protection," 7% "food integrity," 5% "food authenticity," and 2% "food crime." It appears that "food protection" and "food integrity" are terms that cover broader concepts such as all types of intentional acts and even possibly food safety or food quality. "Food authenticity" was defined with the phrase "to ensure" so seemed to be identified as an "attribute" that helped define fraudulent acts. PRACTICAL APPLICATION: Food Fraud-illegal deception for economic gain using food-is a rapidly evolving research topic and is facing confusion due to the use of different terms and definitions. This research survey presented common definitions and publication details to gain insight that could help provide clarity. The insight from this report provides guidance for others who are harmonizing terminology and setting the overall strategic direction.


Assuntos
Contaminação de Alimentos/legislação & jurisprudência , Fraude/legislação & jurisprudência , Terminologia como Assunto , Contaminação de Alimentos/análise , Contaminação de Alimentos/economia , Inocuidade dos Alimentos , Abastecimento de Alimentos/economia , Abastecimento de Alimentos/legislação & jurisprudência , Fraude/economia , Humanos
8.
Circulation ; 139(23): e1025-e1032, 2019 06 04.
Artigo em Inglês | MEDLINE | ID: mdl-31030543

RESUMO

Current dietary intakes of North Americans are inconsistent with the Dietary Guidelines for Americans. This occurs in the context of a food system that precludes healthy foods as the default choices. To develop a food system that is both healthy and sustainable requires innovation. This science advisory from the American Heart Association describes both innovative approaches to developing a healthy and sustainable food system and the current evidence base for the associations between these approaches and positive changes in dietary behaviors, dietary intakes, and when available, health outcomes. Innovation can occur through policy, private sector, public health, medical, community, or individual-level approaches and could ignite and further public-private partnerships. New product innovations, reformulations, taxes, incentives, product placement/choice architecture, innovative marketing practices, menu and product labeling, worksite wellness initiatives, community campaigns, nutrition prescriptions, mobile health technologies, and gaming offer potential benefits. Some innovations have been observed to increase the purchasing of healthy foods or have increased diversity in food choices, but there remains limited evidence linking these innovations with health outcomes. The demonstration of evidence-based improvements in health outcomes is challenging for any preventive interventions, especially those related to diet, because of competing lifestyle and environmental risk factors that are difficult to quantify. A key next step in creating a healthier and more sustainable food system is to build innovative system-level approaches that improve individual behaviors, strengthen industry and community efforts, and align policies with evidence-based recommendations. To enable healthier food choices and favorably impact cardiovascular health, immediate action is needed to promote favorable innovation at all levels of the food system.


Assuntos
Conservação dos Recursos Naturais , Dieta Saudável/normas , Abastecimento de Alimentos/normas , Doenças não Transmissíveis/prevenção & controle , Estado Nutricional , Prevenção Primária/normas , Recomendações Nutricionais , Comportamento de Redução do Risco , American Heart Association , Conservação dos Recursos Naturais/legislação & jurisprudência , Difusão de Inovações , Ingestão de Energia , Comportamento Alimentar , Abastecimento de Alimentos/legislação & jurisprudência , Humanos , Doenças não Transmissíveis/epidemiologia , Valor Nutritivo , Formulação de Políticas , Prevenção Primária/legislação & jurisprudência , Parcerias Público-Privadas , Recomendações Nutricionais/legislação & jurisprudência , Fatores de Risco , Participação dos Interessados , Estados Unidos
9.
Artigo em Inglês | MEDLINE | ID: mdl-30909551

RESUMO

Inventory requirements for authorized Supplemental Nutrition Assistance Program (SNAP) retailers have undergone several revisions to increase the availability of healthful foods. A proposed rule of 84 staple food items was not implemented due to concerns that stores would not withstand this expansion, resulting in a final rule requiring 36 items. This study used the Food Access Research Atlas data to characterize food provisions in 30 small retailers in areas with high and low proportions of SNAP and racial minority residents in Providence, Rhode Island (RI). Stores were assessed with an audit instrument to tally variety, perishability, and depth of stock of four staple food categories. Descriptive, analysis of variance, and chi-square analyses were performed. Across stores, 80% were compliant with the final rule, but 66.7% would need to expand their offerings to meet the proposed rule. Mean dairy variety was lowest among all categories (p < 0.05). Most stores met the perishability (92.3%) and depth-of-stock requirements (96.1%) under both rules. No difference was detected between areas with high and low proportions of SNAP and racial minority residents. Future expansion of requirements may increase healthful food availability without imposing undue burdens on retailers in Providence, RI, excluding increased requirements for dairy variety.


Assuntos
Comércio/legislação & jurisprudência , Assistência Alimentar/normas , Abastecimento de Alimentos/estatística & dados numéricos , Abastecimento de Alimentos/legislação & jurisprudência , Humanos , Rhode Island
10.
PLoS One ; 14(2): e0211410, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30785905

RESUMO

The emergence of wheat-blast in Bangladesh in the 2015-16 wheat (Triticum aestivum L.) crop threatens the food security of South Asia. A potential spread of the disease from Bangladesh to India could have devastating impacts on India's overall food security as wheat is its second most important staple food crop. West Bengal state in eastern India shares a 2,217 km-long border with Bangladesh and has a similar agro-ecology, enhancing the prospects of the disease entering India via West Bengal. The present study explores the possibility of a 'wheat holiday' policy in the nine border districts of West Bengal. Under the policy, farmers in these districts would stop wheat cultivation for at least two years. The present scoping study assesses the potential economic feasibility of alternative crops to wheat. Of the ten crops considered, maize, gram (chickpea), urad (black gram), rapeseed and mustard, and potatoes are found to be potentially feasible alternative crops. Any crop substitution would need support to ease the transition including addressing the challenges related to the management of alternative crops, ensuring adequate crop combinations and value chain development. Still, as wheat is a major staple, there is some urgency to support further research on disease epidemiology and forecasting, as well as the development and dissemination of blast-resistant wheat varieties across South Asia.


Assuntos
Produtos Agrícolas , Doenças das Plantas/prevenção & controle , Triticum/microbiologia , Agricultura/economia , Agricultura/legislação & jurisprudência , Agricultura/métodos , Produtos Agrícolas/economia , Produtos Agrícolas/crescimento & desenvolvimento , Fazendas/economia , Fazendas/legislação & jurisprudência , Abastecimento de Alimentos/economia , Abastecimento de Alimentos/legislação & jurisprudência , Índia , Magnaporthe/patogenicidade , Doenças das Plantas/economia , Doenças das Plantas/microbiologia , Política Pública , Triticum/crescimento & desenvolvimento
12.
Sci Total Environ ; 653: 908-919, 2019 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-30759616

RESUMO

Today, the European food system is characterized by unhealthy dietary trends, environmentally unsustainable production, and a dependency on an ageing farming population. The ongoing reform of the Common Agricultural Policy (CAP) represents an opportunity to redress these issues. This literature review highlights trends in how academic and grey literature have received CAP attempts in addressing the (i) environmental issues, (ii) nutritional outcomes, and (iii) rural livelihoods. Additionally, future policy and research directions relating to the CAP have been identified from the selected literature. The reviewed literature varies in approach and perspective. In particular, since the environment and rural development are already part of the CAP, the reviewed studies analyze and propose improvements to existing mechanisms. While for nutrition, the reviewed studies assessed possible policy strategies for integrating this sphere within the CAP, highlighting both the complexity of this task as well as its potential benefits. Despite these differences, a clear commonality emerged from the policy recommendations: the CAP should promote the European Union (EU) policy integration and multi-disciplinary and participatory research as key strategies to meet food system sustainability targets.


Assuntos
Agricultura/tendências , Conservação dos Recursos Naturais/tendências , Abastecimento de Alimentos/normas , Programas Governamentais , Política Nutricional , Agricultura/legislação & jurisprudência , Conservação dos Recursos Naturais/legislação & jurisprudência , União Europeia , Abastecimento de Alimentos/legislação & jurisprudência , Política Nutricional/legislação & jurisprudência , Política Nutricional/tendências , Estado Nutricional , População Rural
14.
Qual Health Res ; 29(8): 1161-1173, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30741093

RESUMO

We examine public trust and distrust in governmental food and nutrition authorities, through analyzing 727 letters sent electronically to the Swedish National Food Agency by lay people. Using thematic analysis, four themes were developed, defining public expressions of trust and distrust in official dietary advice. Trust was expressed as (a) seeking to confirm and clarify dietary advice or (b) seeking official arbitration between competing dietary advice. Distrust was expressed as (c) questioning and scrutinizing dietary advice or (d) protesting and resisting dietary advice. Notably, expressions of distrust employed discursive practices that both mirrored authoritative discourses and subverted official advice, by appealing to scientific language and "alternative" evidence. All letters positioned the agency as the ultimate authority on healthy eating; notwithstanding whether the agency's advice was to be followed or resisted. Thus, the letters revealed how the same authoritative discourses can simultaneously be a site of public trust and distrust.


Assuntos
Abastecimento de Alimentos/legislação & jurisprudência , Política Nutricional , Opinião Pública , Confiança , Comportamento Alimentar/psicologia , Educação em Saúde , Humanos , Suécia
17.
Cien Saude Colet ; 23(12): 4143-4152, 2018 Dec.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30539998

RESUMO

The study analyzed the initiatives of prevention and control of childhood obesity, especially those of Adequate and Healthy Food Promotion (PAAS) which have been part of the policies of the Brazilian federal government for the last 15 years. All documents that feature PAAS initiatives in the food and nutrition security, as well as public health policy fields, were evaluated according to the following criteria: (1) the approach to PAAS initiatives; (2) the aspects of obesitythat they intend to affect and (3) potential interest disputes. The main PAAS initiatives identified are intended to encourage: food and nutrition education; agroecological production systems; family agriculture; food accessibility; healthy environments and regulatory measures. These initiatives alter different aspects of childhood obesityand highlight different conceptions about the problem and affect different interests. We highlight the disputes between the interests of the processed foods and agribusiness corporations, and the governmental and corporate sectors guided by PAAS objectives. Measures aimed at regulating purchases and publicizing unhealthy products for children, are those that best express the interests involved.


Assuntos
Abastecimento de Alimentos/legislação & jurisprudência , Política de Saúde , Promoção da Saúde/legislação & jurisprudência , Obesidade Pediátrica/prevenção & controle , Brasil , Criança , Educação em Saúde/legislação & jurisprudência , Educação em Saúde/métodos , Promoção da Saúde/métodos , Humanos
18.
Cien Saude Colet ; 23(12): 4153-4164, 2018 Dec.
Artigo em Português | MEDLINE | ID: mdl-30539999

RESUMO

The integration of family farming with school meals has the potential to improve the variety of school menus thereby bringing the production and consumption of food into closer alignment. This study researched the Brazilian municipalities with respect to the purchase of food from family farms for the National School Food Program. It involved a cross-sectional study conducted via an electronic questionnaire sent to 5,565 municipalities in the country. The research included 93.2% of the municipalities (n = 5,184), 78.5% of which acquired food from family farms, with the highest frequency (95.5%) of the municipalities making the purchase in the southern region, and the lowest (67.9%) in the Central West region. The large-scale municipalities, with mixed, decentralized or outsourced school food management, and without a nutritionist as technical manager, purchased food less frequently from family farms. The conclusion reached is that, despite the widespread acquisition of food from family farms in the program throughout the country, 50% of municipalities did not invest the minimum required by law, requiring actions aimed at compliance with legislation and greater investment, especially in states and regions which revealed the greatest difficulties.


Assuntos
Comércio/estatística & dados numéricos , Fazendas/economia , Serviços de Alimentação/estatística & dados numéricos , Abastecimento de Alimentos/economia , Brasil , Comércio/legislação & jurisprudência , Estudos Transversais , Fazendas/estatística & dados numéricos , Serviços de Alimentação/economia , Serviços de Alimentação/legislação & jurisprudência , Abastecimento de Alimentos/legislação & jurisprudência , Abastecimento de Alimentos/estatística & dados numéricos , Política de Saúde , Humanos , Instituições Acadêmicas , Inquéritos e Questionários
20.
PLoS One ; 13(6): e0198585, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29944659

RESUMO

Obesity is a serious problem among children in Mexico. In 2010, the government implemented a national food and physical activity policy in elementary schools, to prevent obesity. The goal of this study is to assess the implementation of this policy, using the logic model from a descriptive survey with national representativeness at the elementary school level and based on a stratified cluster design. We used a systematic random sampling of schools (n = 122), stratified into public and private. We administered questionnaires to 116 principals, 165 members of the Food and Physical Activity Committees, 132 food school food vendors, 119 teachers, 348 parents. This study evidences a significant deviation in implementation from what had been planned. Our lessons learned are the importance to: base the design/implementation of the policy on a theoretical framework, make programs appealing to stakeholders, select concrete and measurable objective or goals, and support stakeholders during the implementation process.


Assuntos
Obesidade/prevenção & controle , Criança , Exercício Físico , Feminino , Alimentos , Abastecimento de Alimentos/legislação & jurisprudência , Estilo de Vida Saudável , Humanos , Legislação sobre Alimentos , Masculino , México/epidemiologia , Obesidade/epidemiologia , Instituições Acadêmicas
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA