Diet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: a systematic policy review.

<h4>Background</h4>Diet-related noncommunicable diseases (NCDs) are increasing rapidly in low- and middle-income countries (LMICs) and constitute a leading cause of mortality. Although a call for global action has been resonating for years, the progress in national policy development in...

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Autores principales:	Carl Lachat, Stephen Otchere, Dominique Roberfroid, Abubakari Abdulai, Florencia Maria Aguirre Seret, Jelena Milesevic, Godfrey Xuereb, Vanessa Candeias, Patrick Kolsteren
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/d50dd39dbaee40c68af490faa7474a2c
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spelling	oai:doaj.org-article:d50dd39dbaee40c68af490faa7474a2c2021-11-18T05:42:34ZDiet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: a systematic policy review.1549-12771549-167610.1371/journal.pmed.1001465https://doaj.org/article/d50dd39dbaee40c68af490faa7474a2c2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23776415/?tool=EBIhttps://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676<h4>Background</h4>Diet-related noncommunicable diseases (NCDs) are increasing rapidly in low- and middle-income countries (LMICs) and constitute a leading cause of mortality. Although a call for global action has been resonating for years, the progress in national policy development in LMICs has not been assessed. This review of strategies to prevent NCDs in LMICs provides a benchmark against which policy response can be tracked over time.<h4>Methods and findings</h4>We reviewed how government policies in LMICs outline actions that address salt consumption, fat consumption, fruit and vegetable intake, or physical activity. A structured content analysis of national nutrition, NCDs, and health policies published between 1 January 2004 and 1 January 2013 by 140 LMIC members of the World Health Organization (WHO) was carried out. We assessed availability of policies in 83% (116/140) of the countries. NCD strategies were found in 47% (54/116) of LMICs reviewed, but only a minority proposed actions to promote healthier diets and physical activity. The coverage of policies that specifically targeted at least one of the risk factors reviewed was lower in Africa, Europe, the Americas, and the Eastern Mediterranean compared to the other two World Health Organization regions, South-East Asia and Western Pacific. Of the countries reviewed, only 12% (14/116) proposed a policy that addressed all four risk factors, and 25% (29/116) addressed only one of the risk factors reviewed. Strategies targeting the private sector were less frequently encountered than strategies targeting the general public or policy makers.<h4>Conclusions</h4>This review indicates the disconnection between the burden of NCDs and national policy responses in LMICs. Policy makers urgently need to develop comprehensive and multi-stakeholder policies to improve dietary quality and physical activity.Carl LachatStephen OtchereDominique RoberfroidAbubakari AbdulaiFlorencia Maria Aguirre SeretJelena MilesevicGodfrey XuerebVanessa CandeiasPatrick KolsterenPublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 10, Iss 6, p e1001465 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Carl Lachat Stephen Otchere Dominique Roberfroid Abubakari Abdulai Florencia Maria Aguirre Seret Jelena Milesevic Godfrey Xuereb Vanessa Candeias Patrick Kolsteren Diet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: a systematic policy review.
description	<h4>Background</h4>Diet-related noncommunicable diseases (NCDs) are increasing rapidly in low- and middle-income countries (LMICs) and constitute a leading cause of mortality. Although a call for global action has been resonating for years, the progress in national policy development in LMICs has not been assessed. This review of strategies to prevent NCDs in LMICs provides a benchmark against which policy response can be tracked over time.<h4>Methods and findings</h4>We reviewed how government policies in LMICs outline actions that address salt consumption, fat consumption, fruit and vegetable intake, or physical activity. A structured content analysis of national nutrition, NCDs, and health policies published between 1 January 2004 and 1 January 2013 by 140 LMIC members of the World Health Organization (WHO) was carried out. We assessed availability of policies in 83% (116/140) of the countries. NCD strategies were found in 47% (54/116) of LMICs reviewed, but only a minority proposed actions to promote healthier diets and physical activity. The coverage of policies that specifically targeted at least one of the risk factors reviewed was lower in Africa, Europe, the Americas, and the Eastern Mediterranean compared to the other two World Health Organization regions, South-East Asia and Western Pacific. Of the countries reviewed, only 12% (14/116) proposed a policy that addressed all four risk factors, and 25% (29/116) addressed only one of the risk factors reviewed. Strategies targeting the private sector were less frequently encountered than strategies targeting the general public or policy makers.<h4>Conclusions</h4>This review indicates the disconnection between the burden of NCDs and national policy responses in LMICs. Policy makers urgently need to develop comprehensive and multi-stakeholder policies to improve dietary quality and physical activity.
format	article
author	Carl Lachat Stephen Otchere Dominique Roberfroid Abubakari Abdulai Florencia Maria Aguirre Seret Jelena Milesevic Godfrey Xuereb Vanessa Candeias Patrick Kolsteren
author_facet	Carl Lachat Stephen Otchere Dominique Roberfroid Abubakari Abdulai Florencia Maria Aguirre Seret Jelena Milesevic Godfrey Xuereb Vanessa Candeias Patrick Kolsteren
author_sort	Carl Lachat
title	Diet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: a systematic policy review.
title_short	Diet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: a systematic policy review.
title_full	Diet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: a systematic policy review.
title_fullStr	Diet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: a systematic policy review.
title_full_unstemmed	Diet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: a systematic policy review.
title_sort	diet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: a systematic policy review.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/d50dd39dbaee40c68af490faa7474a2c
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Diet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: a systematic policy review.

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