Assessment of evaluations made to healthy eating policies in Europe: a review within the EATWELL Project

Federico Jose A Perez Cueto Eulert*, Jessica Aschemann-Witzel, Bhavani Shankar, José Brambila-Macias, Tino Bech-Larsen, Mario Mazzocchi, Sara Capacci, Anna Saba, Aida Turrini, Barbara Niedzwiedzka, Beata Piorecka, Agniezska Kozioł-Kozakowska, Josephine Wills, W. Bruce Traill, Wim Verbeke

*Corresponding author for this work
42 Citations (Scopus)

Abstract

Objective To identify and assess healthy eating policies at national level which have been evaluated in terms of their impact on awareness of healthy eating, food consumption, health outcome or cost/benefit. Design Review of policy documents and their evaluations when available. Setting European Member States. Subjects One hundred and twenty-one policy documents revised, 107 retained. Results Of the 107 selected interventions, twenty-two had been evaluated for their impact on awareness or knowledge and twenty-seven for their impact on consumption. Furthermore sixteen interventions provided an evaluation of health impact, while three actions specifically measured any cost/benefit ratio. The indicators used in these evaluations were in most cases not comparable. Evaluation was more often found for public information campaigns, regulation of meals at schools/canteens and nutrition education programmes. Conclusions The study highlights the need not only to develop harmonized and verifiable procedures but also indicators for measuring effectiveness and success and for comparing between interventions and countries. EU policies are recommended to provide a set of indicators that may be measured consistently and regularly in all countries. Furthermore, public information campaigns should be accompanied by other interventions, as evaluations may show an impact on awareness and intention, but rarely on consumption patterns and health outcome.

Original languageEnglish
JournalPublic Health Nutrition
Volume15
Issue number8
Pages (from-to)1489-1496
Number of pages8
ISSN1368-9800
DOIs
Publication statusPublished - 2012
Externally publishedYes

Keywords

  • EATWELL Project
  • Europe
  • Food and nutrition policy
  • Healthy eating

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