Healthy Food Environment Scoping Review

This work was conducted at the request of the Centre for Population Health at the NSW Ministry of Health, to inform implementation of the relevant strategic direction of the NSW Healthy Eating Active Living (HEAL) Strategy 2013–2018. It is not intended to be an exhaustive review but rather to provide an indication of the rationale for intervening and the potential effectiveness of a broad range of policy options. It is also intended to inform ongoing stakeholder consultation regarding action with respect to the food environment. This consultation will necessarily take account of other evidence of effectiveness including likely reach and population impact, as well as implementation issues such as sustainability of effects, feasibility, acceptability, equity, and other factors affectingplanning and investment decisions. It is noted that no single action contained within this evidence synthesis will in itself be sufficient to affect weight status substantially at the population level. A portfolio of interventions within the food environment, alongside action to increase physical activity and reduce sedentary behaviours, is required to halt the progress of obesity and prevent chronic disease. This sentiment has been expressed many times previously but also recently in the McKinsey paper by Dobbs et al (November 2014) relating to an economic analysis for obesity prevention: “Existing evidence indicates that no single intervention is likely to have a significant overall impact. A systemic, sustained portfolio of initiatives, delivered at scale, is needed to reverse the health burden.” Similarly, no individual sector in society can address obesity acting on its own — neither governments, retailers, consumer-goods companies, restaurants, employers, media organisations, educators, healthcare providers, or individuals.Achieving the full potential impact requires engagement from as many sectors as possible. Ideally such actions would be contained within an overarching National Nutrition Policy in Australia. Finally, we would like to echo another sentiment of the McKinsey Global Institute discussion paper, that “… our analysis is by no means complete. Rather we see our work [on a potential program to address obesity] as the equivalent of the maps used by 16th-century navigators. Some islands were missing and some islands were misshapen in these maps, but they were helpful to the sailors of the era. We are sure that we have missed some interventions and over- or underestimated the impact of others. But we hope our work to be a useful guide….”The Physical Activity Nutrition and Obesity Research Group (PANORG) is funded by the Centre for Population Health, NSW Ministry of Health. It is part of the Prevention Research Collaboration in the School of Public Health at the University of Sydney

Measuring Rural Food Environments Within Murrumbidgee Health Network, NSW.

This report presents the results of a study which mapped food availability in three small rural towns in New South Wales on the topic of Food Fairness in disadvantaged towns. This small study designed and tested simple, specifically-designed tools for assessing food availability, and has generated tools and protocols that can be disseminated and used in other locations, as well as information for the three study towns

Measuring Rural Food Environments Within Murrumbidgee Health Network, NSW: Methodology.

This document supplements the report on Measuring rural food environments within Murrumbidgee Local Health Network. This study has generated tools and protocols that can be disseminated and used in other locations, as well as information for the three study towns

How the EAT-Lancet commission report 'Food in the Anthropocene' influenced discourse and research on food systems: a systematic review covering the first two years post-publication

In 2019, the EAT–Lancet Commission's report on food in the Anthropocene presented a planetary heath diet to improve health while reducing the environmental effect of food systems globally. We assessed EAT–Lancet's immediate influence on academic research and debate by conducting a systematic review of articles citing the Commission and others published from January, 2019, to April, 2021. The Commission influenced methods, results, or discourse for 192 (7·5%) of 2560 citing articles, stimulating cross-disciplinary research and debate across life sciences (47%), health and medical sciences (42%), and social sciences (11%). Sentiment analysis of 76 critiquing articles indicated that opinions were, on average, more positive than negative. Positive sentiments centred on benefits for informing policy, public health, and raising public awareness. Negative sentiments included insufficient attention to socioeconomic dimensions, feasibility, and environmental effects other than emissions. Empirical articles predominantly evaluated the effects of changed diets or food production on the environment and wellbeing (29%), compared current diets with EAT–Lancet recommendations (12%), or informed future policy and research agendas (20%). Despite limitations in EAT–Lancet's method, scope, and implementation feasibility, the academic community supported these recommendations. A broad suite of research needs was identified focusing on the effects of food processing, socioeconomic and political drivers of diet and health, and optimising consumption or production for environment and health

Cross-cutting principles for planetary health education

Since the 2015 launch of the Rockefeller Foundation Lancet Commission on planetary health,1 an enormous groundswell of interest in planetary health education has emerged across many disciplines, institutions, and geographical regions. Advancing these global efforts in planetary health education will equip the next generation of scholars to address crucial questions in this emerging field and support the development of a community of practice. To provide a foundation for the growing interest and efforts in this field, the Planetary Health Alliance has facilitated the first attempt to create a set of principles for planetary health education that intersect education at all levels, across all scales, and in all regions of the world—ie, a set of cross-cutting principles

Research Priorities for NCD Prevention and Climate Change: An International Delphi Survey

Climate change and non-communicable diseases (NCDs) are arguably the greatest global challenges of the 21st Century. However, the confluence between them remains under-examined and there is little evidence of a comprehensive, systematic approach to identifying research priorities to mitigate their joint impact. Consequently, we: (i) convened a workshop of academics (n = 25) from the Worldwide Universities Network to identify priority areas at the interface between NCDs and climate change; (ii) conducted a Delphi survey of international opinion leaders in public health and relevant other disciplines; and (iii) convened an expert panel to review and advise on final priorities. Three research areas (water security; transport; conceptualising NCD harms to support policy formation) were listed among the top 10 priorities by >90% of Delphi respondents, and ranked among the top 12 priorities by >60% of respondents who ranked the order of priority. A fourth area (reducing the carbon footprint of cities) was ranked highest by the same >60% of respondents. Our results are consistent with existing frameworks on health and climate change, and extends them by focusing specifically on NCDs. Researching these priorities could progress understanding of climate change and NCDs, and inform global and national policy decisions for mitigating associated harms

Creating healthy food environments in NSW: A knowledge and evidence synthesis to inform advocacy and action: Food composition

Reviews and synthesizes evidence to produce evidence-based recommendations on policy actions to improve food composition for NSW Healt

Creating healthy food environments in N.S.W.: A knowledge and evidence synthesis to inform advocacy and action: Food provision

Reviews and synthesizes evidence to produce evidence-based recommendations on policy actions to improve food provision for NSW Healt

Creating healthy food environments in NSW: A knowledge and evidence synthesis to inform advocacy and action. Seven separate documents across the domains: Food retail

Reviews and synthesizes nutrition policy actions to improve food retail for NSW Healt