Articlehybrid2021

An assessment of implementation gaps and priority recommendations on food environment policies: the Healthy Food Environment Policy Index in Japan

Miwa Yamaguchi · Marika Nomura · Yusuke Arai · Stefanie Vandevijvere · Boyd Anthony Swinburn · Nobuo Nishi

15 citations0/0 files storedPublic Health Nutrition

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Global Public Health Policies and Epidemiology Consumer Attitudes and Food Labeling Nutrition, Health, and Society Studies

Abstract

OBJECTIVE: The current study aimed to evaluate policies and actions for food environments by the Japanese Government using the Healthy Food Environment Policy Index (Food-EPI). DESIGN: Public health experts rated the extent of implementation of food environment-related Policy and the Infrastructure-support components, compared with international best practices. Subsequently, the experts proposed and prioritised future actions to address implementation gaps in an online workshop. SETTING: Japan. PARTICIPANTS: A total of sixty-six experts rated policy implementation by the Japanese Government and twenty-three participated in the workshop on future actions. RESULTS: The implementations of regulations on unhealthy foods and non-alcoholic beverages were rated low in the domains of Food composition, Food labelling and Food promotion, Food prices and Food retail in the Policy component. The implementations of several domains in the Infrastructure-support component were, overall, rated at a higher level, specifically for monitoring and intelligence systems. Based on the rating, reducing health inequalities by supporting people, both economically and physically, was the highest priority for future actions in both components. CONCLUSIONS: The current study found that Japan has a robust system for long-term monitoring of population health but lacks regulations on unhealthy foods and non-alcoholic beverages compared with international best practices. The current study confirmed the importance of continuous accumulation of evidence through national monitoring systems. Developing comprehensive regulations to restrict food marketing, sales and accessibility of unhealthy foods and non-alcoholic beverages is needed to improve the health of food environments in Japan.

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References

2013INFORMAS ( I nternational N etwork for F ood and O besity/non‐communicable diseases R esearch, M onitoring and A ction S upport): overview and key principles 2013A food policy package for healthy diets and the prevention of obesity and diet‐related non‐communicable diseases: the NOURISHING framework 2013Monitoring and benchmarking government policies and actions to improve the healthiness of food environments: a proposed G overnment H ealthy F ood E nvironment P olicy I ndex 2019An 11‐country study to benchmark the implementation of recommended nutrition policies by national governments using the Healthy Food Environment Policy Index, 2015‐2018 2011Neighborhood food environment and body mass index among Japanese older adults: results from the Aichi Gerontological Evaluation Study (AGES)2018Neighborhood food environment and mortality among older Japanese adults: results from the JAGES cohort study 2015Pilot test of the Healthy Food Environment Policy Index (Food-EPI) to increase government actions for creating healthy food environments 2018Measuring and stimulating progress on implementing widely recommended food environment policies: the New Zealand case study

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