Indicator dimension | Indicator |
---|---|
Policy indicatorsa – top ten with highest rating | |
 Prices | Taxes or levies on healthy foods are minimised to encourage healthy food and beverage choices (e.g. low or no sales tax, excise, value-added or import duties on fruit and vegetables, subsidies). |
 Composition | Food composition targets/standards/restrictions/mandatory limits have been established and a monitoring system is in place by the government for the content of the nutrients of concern (trans fats, free sugars, salt, saturated fat, fibre) in industrially processed foods, in particular for those food groups that are major contributors to population intakes of those nutrients of concern. |
 Labelling | The government endorses one evidence informed front-of-pack labelling system containing nutritional information and interpretational aides (e.g. Nutriscore, traffic light system, keyhole) that readily allow consumers to assess a product’s unhealthiness/healthiness, and policy provisions are in place to encourage widespread uptake of endorsed system. |
 Prices | Taxes or levies on unhealthy foods and beverages (e.g. sugar-sweetened beverages, foods high in nutrients of concern) are in place and increase the retail prices of these foods to discourage unhealthy food choices where possible. |
 Provision | The government ensures that there are clear, consistent policies (including nutrition standards) which can be feasibly implemented in schools and early childhood education services for food service activities (canteens, food at events, fundraising, promotions, vending machines etc.) to provide and promote healthy food choices. |
 Monitoring and evaluation | There is regular monitoring of adult and childhood nutrition status, weight status, Body Mass Index and risk of NCDs. |
 Education | Pre-registration education curricula for all Health Care Professionals include a minimum of one nutrition module of five European Credit Transfer System or equivalent. |
 Promotion | Governmental policies are implemented to restrict commercial marketing (including sponsorship, promotion and advertisement) of unhealthy foods and beverages to children, including adolescents, in settings where children gather (e.g. preschools, schools, sports clubs and facilities and cultural events). |
 Promotion | Effective policies are implemented by the government to restrict exposure and power of promotion of unhealthy foods to children including adolescents through all media and marketing channels. |
 Education | School curricula must include knowledge and skills targets for the development of nutrition education for primary and secondary school pupils. |
Environmental determinants – top five with highest rating | |
 Extrinsic product attributes | Relative and absolute price of healthy and unhealthy food |
 Exposure to food promotion | Exposure to food adverts for unhealthy food and beverages through all media and marketing channels. |
 Portion size | Portion size from manufacturers and food outlets in settings |
 Environmental food availability and accessibility | School food environment |
 Food outlet density | Fast food outlet density |
Interpersonal determinants (since there were only three on the prefinal list, no rating took place) | |
 Household literacy level | Food literacy on the household level (composite score) |
 Household socio-economic status | Relative household income (household income / household size) |
 Household socio-economic status | Financial strain |
Individual determinants – top five with highest rating | |
 Anthropometrics | Body Mass Index |
 Personal socio-economic status | Level of education |
 Personal socio-economic status | Food and nutrition insecurity |
 Food beliefs | General and relative enjoyment of healthy and unhealthy food |
 Health | Psychological/mental well-being |
Behaviour outcomes – top five with highest rating | |
 Energy, protein and fibre intake and macronutrient distribution | Number of portions per day of pulses |
 Energy, protein and fibre intake and macronutrient distribution | Number of portions per /day of wholegrains |
 Foods and beverages, groups | Fruit intake, number of portions per day |
 Foods and beverages, groups | Vegetable intake, number of portions per day |
 Foods and beverages, groups | Sugar-sweetened beverages, glasses per day |