Review of policies to increase fruit and vegetable consumption and physical activity in 49 low- and middle-income countries.

WHO recommendations behavioral health policies fruits low- and middle-income countries non-communicable diseases nutrition policies physical activity policies school-based policies vegetables policies

Journal

Journal of public health (Oxford, England)
ISSN: 1741-3850
Titre abrégé: J Public Health (Oxf)
Pays: England
ID NLM: 101188638

Informations de publication

Date de publication:
01 03 2019
Historique:
received: 17 04 2017
revised: 29 11 2017
accepted: 12 02 2018
pubmed: 8 3 2018
medline: 24 6 2020
entrez: 8 3 2018
Statut: ppublish

Résumé

Inadequate physical activity (PA) and consumption of fruits and vegetables (FV) are known risk factors for non-communicable diseases (NCDs). Consequently, the World Health Organization (WHO) encourages the development of policies to increase PA and FV consumption. We reviewed available policies between 2004 and 2013 to increase FV consumption and PA from a convenience sample of 49 LMICs. Information on national policies were obtained from government ministries involved with the formulation of nutrition and PA policies, WHO databases and from PubMed and Scopus. Of the 49 countries, 57% had policies to increase FV consumption, and 76% had policies to promote PA. Policy reviews indicated strategies that focus on schools, communities, the general public, the environment, the economy, mass media and WHO recommendations. Of the 28 countries with FV policies, 18% had formulated policies that met the WHO recommendations for daily intake of FV. Likewise, of the 37 countries with PA policies, 24% had policies that promoted the WHO recommendations for daily PA. Greater progress has been made in developing policies to increase PA compared to policies to increase FV consumption in low- and middle-income countries. However, most countries are still lagging behind in developing policies to meet the WHO recommendations.

Sections du résumé

BACKGROUND
Inadequate physical activity (PA) and consumption of fruits and vegetables (FV) are known risk factors for non-communicable diseases (NCDs). Consequently, the World Health Organization (WHO) encourages the development of policies to increase PA and FV consumption. We reviewed available policies between 2004 and 2013 to increase FV consumption and PA from a convenience sample of 49 LMICs.
METHOD
Information on national policies were obtained from government ministries involved with the formulation of nutrition and PA policies, WHO databases and from PubMed and Scopus.
RESULTS
Of the 49 countries, 57% had policies to increase FV consumption, and 76% had policies to promote PA. Policy reviews indicated strategies that focus on schools, communities, the general public, the environment, the economy, mass media and WHO recommendations. Of the 28 countries with FV policies, 18% had formulated policies that met the WHO recommendations for daily intake of FV. Likewise, of the 37 countries with PA policies, 24% had policies that promoted the WHO recommendations for daily PA.
CONCLUSION
Greater progress has been made in developing policies to increase PA compared to policies to increase FV consumption in low- and middle-income countries. However, most countries are still lagging behind in developing policies to meet the WHO recommendations.

Identifiants

pubmed: 29514251
pii: 4919545
doi: 10.1093/pubmed/fdy039
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

119-129

Informations de copyright

© The Author(s) 2018. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Auteurs

S A Darfour-Oduro (SA)

Department of Kinesiology and Community Health, University of Illinois at Urbana, Champaign, IL, USA.

J E Andrade (JE)

Division of Nutritional Sciences, University of Illinois at Urbana, Champaign, IL, USA.
Department of Food Science and Human Nutrition, University of Illinois at Urbana, Champaign, IL, USA.

D S Grigsby-Toussaint (DS)

Department of Kinesiology and Community Health, University of Illinois at Urbana, Champaign, IL, USA.
Division of Nutritional Sciences, University of Illinois at Urbana, Champaign, IL, USA.

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