Public Health Nutrition最新文献

{"title":"Seasonal variation in dietary diversity score and food variety score among an indigenous Karen population in western Thailand: a cross-sectional study.","authors":"Pattamaporn Joompa, Sueppong Gowachirapant, Sinee Chotiboriboon, Rungnapha Sarasak, Nattapach Thongkam, Prapa Kongpunya, Wantanee Kriengsinyos","doi":"10.1017/S1368980025101225","DOIUrl":"https://doi.org/10.1017/S1368980025101225","url":null,"abstract":"<p><strong>Objective: </strong>This study compared dietary diversity and nutrient adequacy across age groups and seasons within an indigenous Karen community.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Setting: </strong>Dietary intake was assessed using a single-day 24-hour dietary recall among Karen community members living in two villages of Laiwo subdistrict, Sangkhlaburi district, Kanchanaburi province, Thailand.</p><p><strong>Participants: </strong>In total, 312 Karen people participated during the rainy season and 344 during the dry season, including school-age children (6-12 years), working-age people (19-59 years), and older people (≥60 years).</p><p><strong>Results: </strong>Dietary diversity scores (DDS) and food variety scores (FVS) significantly differed across age groups for both seasons. However, seasonal DDS differences were not observed within any group, except for the FVS of school-age children. Over 70% of participants in all age groups had inadequate intake of key micronutrients-calcium, iron, vitamin A, vitamin C, zinc, vitamin B6, and vitamin B12-as indicated by nutrient adequacy ratios (NARs) < 0.75. Moderate to strong positive correlations between DDS and NARs for energy, vitamin B2, vitamin C, niacin, and mean adequacy ratio (MAR) (r = 0.418-0.691, <i>p</i> < 0.001) were observed exclusively in the dry season and across all age groups.</p><p><strong>Conclusion: </strong>Among the Karen people, who are also facing triple burden malnutrition, dietary diversity is limited, micronutrient inadequacy is prevalent, and overall dietary quality is insufficient despite frequent vegetable consumption. Findings highlight the need to address systemic challenges related to food variety and to promote education on appropriate food quantities, preparation methods, and sustainable traditional food systems to improve nutrition.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-24"},"PeriodicalIF":3.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping how responsibility for poor diets is framed in the United Kingdom: a scoping review.","authors":"Nestor Serrano-Fuentes, Lyn Ellett, Christina Vogel, Janis Baird, Nuno Tavares, Mari Carmen Portillo","doi":"10.1017/S1368980025101079","DOIUrl":"10.1017/S1368980025101079","url":null,"abstract":"<p><strong>Objective: </strong>To identify and present (i) how responsibility for poor diets in the UK is framed across the public, mass media and the government and (ii) how groups experiencing socio-economic disadvantage are presented within this framing.</p><p><strong>Design: </strong>A scoping review of peer-reviewed literature was conducted using six databases. A systematic narrative synthesis guided by qualitative content analysis was applied to summarise the findings.</p><p><strong>Results: </strong>Thirty-six articles were included. Studies exploring public perceptions of poor diets acknowledged personal and broader systems drivers, with individual responsibility predominating across studies. Research analysing media portrayals showed similar patterns of individual responsibility among right-leaning newspapers, which focused on individual lifestyle changes. However, left-wing newspapers highlighted the role of the food industry and the government. Studies analysing government policies identified citizens as the primary agents of change through rational decision-making. Framing from socio-economically disadvantaged groups showed a preference for prioritising their own choice, but were limited by household income, food prices and family food preferences. Policies and media portrayals provided limited emphasis on these populations, with individual responsibility narratives prevailing.</p><p><strong>Conclusions: </strong>The framing of responsibility for poor diets in the UK centred on the individual, obscuring the powerful influence of food manufacturers and retailers and the role of government in providing safe, healthy environments for all. This review highlights the urgent need to challenge this narrative, with the public health nutrition community working collectively to force a radical shift in public, media and policy framing and incite strong regulatory action by governments.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e167"},"PeriodicalIF":3.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of non-sugar sweeteners (NSS) and front-of-package NSS labels among parents of preschool and school-aged children in Brazil.","authors":"Mariana Fagundes Grilo, Beatriz Silva Nunes, Maria Fernanda Pereira Eberle, Natalie Vallone, Claudia Nieto, Uriyoan Cólon-Ramos, Lindsey Smith Taillie, Ana Clara Duran, Allison C Sylvetsky","doi":"10.1017/S1368980025101146","DOIUrl":"https://doi.org/10.1017/S1368980025101146","url":null,"abstract":"<p><strong>Objective: </strong>To describe Brazilian parents' perceptions of non-sugar sweeteners (NSS) in beverages consumed by children and their preferences for NSS front-of-package labels (FOPLs).</p><p><strong>Design: </strong>A qualitative-driven mixed-methods embedded design was used. Seven focus groups with parents of children explored perceptions of NSS. Thematic analysis was conducted on transcripts. Participants also completed a closed-ended survey assessing familiarity with NSS-containing beverages, ability to identify NSS on labels, and perceptions of NSS FOPLs. Survey responses were summarized using descriptive statistics.</p><p><strong>Setting: </strong>Public and private schools and early childhood education centers in urban areas of two municipalities in the State of São Paulo, Brazil.</p><p><strong>Participants: </strong>Forty parents of children aged 2-5 and 6-11, across seven focus groups.</p><p><strong>Results: </strong>About 35% of participants reported their children consumed at least one NSS-containing beverage weekly in the past month; 17% reported daily consumption. Parents expressed a preference for natural products and confusion over the term \"<i>edulcorantes</i>\" (Portuguese for NSS). They shared concerns about health effects of both sugar and NSS, particularly for children. NSS were seen as acceptable in specific cases, such as diabetes. Most parents supported FOPL like Mexico's, stating \"not recommended for children.\" In the survey, 85% correctly identified beverages with NSS, but 82% misclassified non-NSS ingredients (e.g., sugar syrup, caramel) as NSS. The Mexico-style FOPL was preferred by 95%, who found it helpful and easy to understand.</p><p><strong>Conclusions: </strong>An FOPL clearly indicating NSS presence, especially one recommending against consumption by children, may help parents make informed choices and reduce children's intake of NSS-containing beverages.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-33"},"PeriodicalIF":3.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health outcomes following childhood or adolescent exposure to household food insecurity: a rapid systematic review.","authors":"Emily C Clark, Erin Reyce, Sarah E Neil-Sztramko, Valerie Tarasuk","doi":"10.1017/S1368980025101109","DOIUrl":"10.1017/S1368980025101109","url":null,"abstract":"<p><strong>Objectives: </strong>Household food insecurity (HFI) is a social determinant of health globally. Rates of HFI have risen in many high-income countries in recent years, particularly in households with children. The health outcomes associated with HFI for children and adolescents have not been systematically synthesised. This review was conducted to support advocacy efforts for meaningful policy action to reduce HFI in households with children.</p><p><strong>Design: </strong>A systematic search was conducted in Medline, Embase and PsycInfo databases. Primary studies measuring the association between physical or mental health outcomes and HFI were included. Studies were appraised and population, setting, measures and outcomes were extracted. Findings were grouped by related outcomes. Due to heterogeneity, findings were synthesised narratively. Rapid review methodology was used to accommodate resource constraints.</p><p><strong>Setting: </strong>High-income countries.</p><p><strong>Participants: </strong>Youth aged less than 18 years.</p><p><strong>Results: </strong>Thirty-six studies were included. Most were cross-sectional studies conducted in the USA. Outcomes included general health, early childhood, cardiometabolic, asthma, dental caries, mental health, sleep, diet and anaemia. Despite substantial heterogeneity in HFI measures and analysis, findings support associations between HFI and negative outcomes for general health status, asthma, dental caries and mental health. Findings for other outcomes were mixed.</p><p><strong>Conclusions: </strong>This review clarifies the effects of HFI on children and adolescents. Findings highlight trends for negative physical and mental health outcomes associated with HFI during youth, particularly related to mental health, oral health, asthma and general health status. Policy-level action should address rising rates of HFI and long-term effects on these vulnerable populations.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e165"},"PeriodicalIF":3.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional and Environmental Assessment of School Meals Served, Consumed and Wasted in Primary schools in Spain: A Comparison of Public and Charter Schools.","authors":"Naiara Martinez-Perez, Rocío Barrena-Barbadillo, Iñaki Irastorza-Terradillos","doi":"10.1017/S1368980025101158","DOIUrl":"https://doi.org/10.1017/S1368980025101158","url":null,"abstract":"<p><strong>Objective: </strong>To assess the nutritional composition, adequacy, and environmental impact of menus served, consumed and wasted by 11-12-year-old students in public and charter schools in northern Spain.</p><p><strong>Design: </strong>A cross-sectional observational study (2017-2018) involving photographing menus before and after consumption, visual portion size estimation using a validated photographic catalogue, and food waste assessment via the quarter-waste visual method. Nutritional composition was analysed using food composition databases, and greenhouse gas emissions using life cycle assessment data.</p><p><strong>Setting: </strong>Ten primary schools (five public and five charter) in northern Spain.</p><p><strong>Participants: </strong>1,000 school menus for students aged 11-12 years.</p><p><strong>Results: </strong>Menus served exceeded energy recommendations (791.5±176.7kcal), were high in fat (39.7±13.4g), protein (29.7±10.0g) and sodium (980.4±302.2mg) but low in carbohydrates (74.7±18.1g), fibre (8.8±3.7g) and several micronutrients. Food waste averaged 140.5g per menu, mainly vegetables and fruit, leading to nutrient losses, particularly in fibre, vitamins A and C, and iron. The carbon footprint of menus averaged 1.489 kg CO₂-eq, primarily from meat and fish, with waste contributing 0.298kg CO₂-eq. Public schools served more nutrient-dense food but had higher waste (public 151.5±112.3g vs. charter 129.5±86.3g, p<0.001); charter schools served more energy-dense food, with higher sodium and fat (p<0.001).</p><p><strong>Conclusions: </strong>Menus showed nutritional imbalances, with excessive energy and sodium and insufficient fibre and several micronutrients. Food waste worsened dietary adequacy while increasing environmental impact. Public schools offered more nutrient-rich food but faced greater waste compared to charter schools. Institutional differences suggest the need for tailored strategies to enhance both nutritional quality and sustainability.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-33"},"PeriodicalIF":3.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Household food insecurity and its impact on child and adolescent health outcomes in Western High-Income Countries: a rapid review of mechanisms and associations.","authors":"Sarah Abraham, Penny Breeze, Hannah Lambie-Mumford, Anthea Sutton","doi":"10.1017/S1368980025101092","DOIUrl":"https://doi.org/10.1017/S1368980025101092","url":null,"abstract":"<p><strong>Objective: </strong>The primary aim of this rapid review was to provide a summary of the mechanisms by which HFI is associated with child and adolescent health outcomes. The secondary aim was to identify key HFI determinants, provide an updated account of HFI-associated child/ adolescent health outcomes and build a conceptual map to illustrate and consolidate the findings.</p><p><strong>Design: </strong>A rapid review was performed using EMBASE, Medline, Web of Science and The Cochrane library. Inclusion criteria were observational High- income English-language studies, studies evaluating the mechanisms and associations between HFI and child health outcomes using statistical methods.</p><p><strong>Setting: </strong>High income English-speaking countries.</p><p><strong>Participants: </strong>Child (3-10 years) and adolescent populations (11-24 years) and their parents, if appropriate.</p><p><strong>Results: </strong>Eight studies reported on the mechanisms by which HFI is related to child health outcomes, suggesting that maternal mental health and parenting stress play mediating roles between HFI and child/adolescent mental health, behaviour and child weight status. Sixty studies reported on associations between HFI and various child health outcomes. HFI had significant impact on diet and mental health, which appeared to be interrelated. Sociodemographic factors were identified as determinants of HFI and moderated the relationship between HFI and child/adolescent health outcomes.</p><p><strong>Conclusions: </strong>There is a gap in the evidence explaining the mechanistic role of diet quality between HFI and child weight status, as well as the interplay between diet, eating behaviours and mental health on physical child health outcomes. The conceptual map highlights opportunities for intervention and policy evaluations using complex systems approaches.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-74"},"PeriodicalIF":3.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of social media nutrition information related to multiple sclerosis: a cross-sectional social network analysis.","authors":"Yasmine Probst, Emiliana Saffioti, Sarah Manche, Melissa Eaton","doi":"10.1017/S1368980025100943","DOIUrl":"10.1017/S1368980025100943","url":null,"abstract":"<p><strong>Objective: </strong>Multiple sclerosis (MS) is a chronic, auto-immune, neurodegenerative condition with increasing global prevalence. People living with MS (plwMS) have reported limited guidance relating to nutrition information. Paired with varied health literacy levels, this makes plwMS susceptible to nutrition misinformation.</p><p><strong>Design: </strong>A cross-sectional online social network analysis (SNA) examining nutrition information for MS.</p><p><strong>Setting: </strong>A systematic SNA using Twitter/X and YouTube platforms using NodeXL to summarise metrics. Quality was assessed using the QUEST tool. Content analysis of YouTube videos was synthesised into themes for misinformation.</p><p><strong>Participants: </strong>Online publicly available social media user posts and video content.</p><p><strong>Results: </strong>Twitter/X SNA revealed keywords used most by an account representing 72·8 % of the user network with common diet mentions including Wahls (57 times), paleo (15 times) and ketogenic (11 times). 'Favourite count' metrics were strongly correlated with 'repost count' (r = 0·83, <i>P</i> = 0·000). Videos which endorsed a diet were more likely to have a lower QUEST score. User engagement metrics were higher for lower quality videos. The quality of online nutrition information relating to MS was moderate (61 %). Physicians were the most likely source of nutrition information endorsing a diet for MS. The content analysis identified a knowledge gap for both medical professionals and plwMS.</p><p><strong>Conclusions: </strong>Nutrition misinformation for MS occurs on social media and information quality is variable. Audiences need to be cautioned about users with large followings and evaluate the credibility of all information. This study reiterates the importance of evidence-based information for the MS community.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e166"},"PeriodicalIF":3.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structures and systems that promote nutrition security and climate adaptation in Puerto Rico: results from community-based system dynamics.","authors":"Uriyoán Colón-Ramos, Natalia Guerra Uccelli, Oscar Meléndez-Colón, Ana María García Blanco, César Ostolaza Santiago, Carla Rosas Pérez, Nicolás Gomez Andújar, Hector Tavárez, Lisa Poirier, Joel Gittelsohn, Michael W Long","doi":"10.1017/S1368980025101080","DOIUrl":"10.1017/S1368980025101080","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to develop a shared understanding about the drivers of nutrition security in Puerto Rico (PR) from the collective perspective of multi-sector stakeholders in the agri-food, environmental and the health/disease systems.</p><p><strong>Design: </strong>A participatory community-based system dynamics approach (group model building) engaged stakeholders during one 4-h workshop March 2023 (followed by two 2.5-h member checking sessions).</p><p><strong>Setting: </strong>San Juan, PR.</p><p><strong>Participants: </strong>Stakeholders (<i>n</i> 22) in PR representing the agri-food, environmental and health/disease systems from multiple sectors (commercial food retail and technology, food production, public servants, academia and civil society) participated in the workshop.</p><p><strong>Results: </strong>Stakeholders collectively framed nutrition security as an outcome of six interconnected subsystems exacerbated by climate change: (1) governance and public policy; (2) demographic change and rural disinvestment; (3) climate change and adaptive capacity; (4) local food production economy; (5) food culture; and (6) nutrition security and health. Stakeholders identified leverage points mostly focused on strengthening information flow within and across subsystems and expanding cross-sectoral collaboration (systems structures and elements). We identified three paradigms that have the potential to transform the system structure and function: ecological conscience, traditional and healthy food culture, and social cohesion.</p><p><strong>Conclusions: </strong>These findings deepened the collective understanding of systemic interdependencies that drive nutrition security as stakeholders identified locally feasible leverage points.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e162"},"PeriodicalIF":3.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying the environmental and food biodiversity impacts of ultra-processed foods: evidence from the European Prospective Investigation into Cancer and Nutrition (EPIC) study.","authors":"Jeroen Berden, Giles T Hanley-Cook, Bernadette Chimera, Dagfinn Aune, Maria Gabriela M Pinho, Geneviève Nicolas, Bernard Srour, Christopher J Millett, Emine Koc Cakmak, Emmanuelle Kesse-Guyot, Esther M González-Gil, Eszter P Vamos, Jessica Blanco Lopez, Julia Baudry, Justine Berlivet, Kiara Chang, Mathilde Touvier, Charlotte Le Cornet, Chloé Marques, Christina C Dahm, Daniel B Ibsen, Franziska Jannasch, Guri Skeie, Maria-José Sanchez, Matthias B Schulze, Sara Grioni, Yvonne T van der Schouw, Ana M Jimenez Zabala, Anna Winkvist, Anne Tjønneland, Carlotta Sacerdote, Cecilie Kyrø, Elisabette Weiderpass, Marcela Guevara, Pauline Frenoy, Rosario Tumino, Salvatore Panico, Verena Katzke, Xuan Ren, Paolo Vineis, Pietro Ferrari, Carl Lachat, Inge Huybrechts","doi":"10.1017/S1368980025101067","DOIUrl":"10.1017/S1368980025101067","url":null,"abstract":"<p><strong>Objective: </strong>While associations of ultra-processed food (UPF) consumption with adverse health outcomes are accruing, its environmental and food biodiversity impacts remain underexplored. This study examines associations between UPF consumption and dietary greenhouse gas emissions (GHGe), land use and food biodiversity.</p><p><strong>Design: </strong>Prospective cohort study. Linear mixed models estimated associations between UPF intake (g/d and kcal/d) and GHGe (kg CO₂-equivalents/day), land use (m²/d) and dietary species richness (DSR). Substitution analyses assessed the impact of replacing UPF with unprocessed or minimally processed foods.</p><p><strong>Participants: </strong>368 733 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC) study.</p><p><strong>Setting: </strong>Europe.</p><p><strong>Results: </strong>Stronger associations were found for UPF consumption in relation with GHGe and land use compared with unprocessed or minimally processed food consumption. Substituting UPF with unprocessed or minimally processed foods was associated with lower GHGe (8·9 %; 95 % CI: -9·0, -8·9) and land use (9·3 %; -9·5; -9·2) when considering consumption by gram per day and higher GHGe (2·6 %; 95 % CI: 2·5, 2·6) and land use (1·2 %; 1·0; 1·3) when considering consumption in kilocalories per day. Substituting UPF by unprocessed or minimally processed foods led to negligible differences in DSR, both for consumption in grams (-0·1 %; -0·2; -0·1) and kilocalories (1·0 %; 1·0; 1·1).</p><p><strong>Conclusion: </strong>UPF consumption was strongly associated with GHGe and land use as compared with unprocessed or minimally processed food consumption, while associations with food biodiversity were marginal. Substituting UPF with unprocessed or minimally processed foods resulted in differing directions of associations with environmental impacts, depending on whether substitutions were weight or energy based.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e164"},"PeriodicalIF":3.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"University commitments to a sustainable food system: a content analysis of UK higher education institutions food sustainability policies.","authors":"Claire Blennerhassett, Bethan Turton, Emma Reeder, Stuart Baker","doi":"10.1017/S1368980025101055","DOIUrl":"10.1017/S1368980025101055","url":null,"abstract":"<p><strong>Objective: </strong>The food system is a major contributor to the global burden of disease, ecosystem destruction and climate change, posing considerable threats to human and planetary health and economic stability. Evidence-based food policy is fundamental to food system transformation at global, national and local or institutional levels. This study aimed to critically review the content of universities' food sustainability policy documents.</p><p><strong>Design: </strong>A systematic search of higher education institutions' policies, using targeted websites and internet searches to identify food sustainability policy documents, was conducted between May and August 2023. A quantitative content analysis of the identified documents was conducted independently by multiple researchers using a coding template. Inconsistencies in coding were subsequently checked and amended through researcher consensus.</p><p><strong>Setting: </strong>163 UK higher education institutions.</p><p><strong>Participants: </strong>N/A.</p><p><strong>Results: </strong>Approximately 50 % of universities had a publicly available food sustainability policy. The most common food sustainability commitments therein were communication and engagement (95·2 %), food waste (94·0 %) and quality standards and certification (91·7 %). The scope of policy commitments varied between institutions; however, comprehensive documents included multifaceted commitments tackling more than one dimension of sustainability, for example, waste mitigation strategies that tackled food insecurity through food redistribution. Few (17·9 %) policies included a commitment towards research and innovation, suggesting university operations are considered in isolation from academic and educational activities.</p><p><strong>Conclusions: </strong>Multifaceted policy commitments are capable of uniting numerous food-related actions and institutional activities. As such, they are likely to support food system transformation, with broader positive outcomes for the university, students and the wider community.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e163"},"PeriodicalIF":3.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}