Evidence map›Paper›PMID 32816952›Full record

SynthesisBMJ global health2020

Effects of food policy actions on Indigenous Peoples' nutrition-related outcomes: a systematic review.

Jennifer Browne, Mark Lock, Troy Walker, Mikaela Egan, Kathryn Backholer

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 6 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 6 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Advancing equity and value in United States healthcare: an umbrella review.International journal for equity in health · 2026
    Pooled it
  3. Pooled it
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  5. A Socio-Cognitive Review of Healthy Eating Programs in Australian Indigenous Communities.International journal of environmental research and public health · 2022
    Pooled it
  6. Pooled it
  7. Food Processing Knowledge in Relation to Healthiness and Self-Reported Understanding of the Health Star Rating in Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
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  17. Food intake in an Australian Aboriginal rural community facing food and water security challenges: A cross-sectional survey.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025
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  18. Cree Food Knowledge and Being Well.International journal of environmental research and public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Jennifer BrowneDeakin University, Global Obesity Centre, Institute for Health Transformation, Geelong, Victoria, Australia jennifer.browne@deakin.edu.au.
Mark LockDeakin University, Global Obesity Centre, Institute for Health Transformation, Geelong, Victoria, Australia.
Troy WalkerDeakin University, Global Obesity Centre, Institute for Health Transformation, Geelong, Victoria, Australia.
Mikaela EganVictorian Aboriginal Community Controlled Health Organisation, Melbourne, Victoria, Australia.
Kathryn BackholerDeakin University, Global Obesity Centre, Institute for Health Transformation, Geelong, Victoria, Australia.
Deakin University · AUVictorian Aboriginal Health Service · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIndigenous Peoples worldwide endure unacceptable health disparities with undernutrition and food insecurity often coexisting with obesity and chronic diseases. Policy-level actions are required to eliminate malnutrition in all its forms. However, there has been no systematic synthesis of the evidence of effectiveness of food and nutrition policies for Indigenous Peoples around the world. This review fills that gap.

methodsEight databases were searched for peer-reviewed literature, published between 2000 and 2019. Relevant websites were searched for grey literature. Articles were included if they were original studies, published in English and included data from Indigenous Peoples from Western colonised countries, evaluated a food or nutrition policy (or intervention), and provided quantitative impact/outcome data. Study screening, data extraction and quality assessment were undertaken independently by two authors, at least one of whom was Indigenous. A narrative synthesis was undertaken with studies grouped according to the NOURISHING food policy framework.

resultsWe identified 78 studies from Canada, Australia, Aotearoa/New Zealand and the USA. Most studies evaluated targeted interventions, focused on rural or remote Indigenous communities. The most effective interventions combined educational strategies with policies targeting food price, composition and/or availability, particularly in retail and school environments. Interventions to reduce exposure to unhealthy food advertising was the only area of the NOURISHING framework not represented in the literature. Few studies examined the impact of universal food policies on Indigenous Peoples' diets, health or well-being.

conclusionBoth targeted and universal policy action can be effective for Indigenous Peoples. Actions that modify the structures and systems governing food supply through improved availability, access and affordability of healthy foods should be prioritised. More high-quality evidence on the impact of universal food and nutrition policy actions for Indigenous Peoples is required, particularly in urban areas and in the area of food marketing.

Indexed as

Nutrition PolicyPopulation GroupsAustraliaCanadaHumansIndigenous Peopleshealth policynutritionprevention strategiespublic healthsystematic review

Identifiers

PMID32816952
PMCPMC7437701
OpenAlexW3056633398

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.