Evidence map›Paper›PMID 36405402›Full record

ArticleThe Lancet regional health. Europe2022

Policy implementation and priorities to create healthy food environments using the Healthy Food Environment Policy Index (Food-EPI): A pooled level analysis across eleven European countries.

Elisa Pineda, Maartje P Poelman, Anu Aaspõllu, Margarida Bica, Cristina Bouzas, Elena Carrano, Pilar De Miguel-Etayo, Sanne Djojosoeparto, Mojca Gabrijelčič Blenkuš, Pedro Graca and 28 more

Abstract read
In one paragraph

Article in The Lancet regional health. Europe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

44 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. The Future for Personalised Nutrition.Nutrition bulletin · 2026
    Article
  4. Article
  5. Nutrition Literacy, Hydration Awareness and Food Label Use in School Populations: A Cross-Sectional Study of Students and Teachers Across European Contexts.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. A computational framework for agent-based assessment of multiple environmental exposures.Journal of exposure science & environmental epidemiology · 2026
    Article
  12. Article
  13. Advancing personalised and precision nutrition.Journal of nutritional science · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Food Choice, Nutrition, and Public Health.Foods (Basel, Switzerland) · 2025
    Article
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

38 authors.

Elisa PinedaCentre for Health Economics & Policy Innovation (CHEPI), Imperial College Business School, London, UK.
Maartje P PoelmanChair group Consumption and Healthy lifestyles, Wageningen University, Wageningen, the Netherlands.
Anu AaspõlluNational Institute for Health Development, Tallinn, Estonia.
Margarida BicaNational Healthy Eating Promotion Program, Directorate-General of Health, Universidade Nova de Lisboa, Lisbon, Portugal.
Cristina BouzasCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain, Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands-IUNICS & IDISBA, 07122 Palma de Mallorca, Spain.
Elena CarranoSchool of Food Sciences - University of Roma Tor Vergata Roma, Italy, Carrano Elena (esterno).
Pilar De Miguel-EtayoGrowth, Exercise, Nutrition and Development (GENUD), University of Zaragoza Research Group, Spain.
Sanne DjojosoepartoChair group Consumption and Healthy lifestyles, Wageningen University, Wageningen, the Netherlands.
Mojca Gabrijelčič BlenkušNational institute of public health (NIJZ), Ljubljana, Slovenia.
Pedro GracaNational Healthy Eating Promotion Program, Universidade Nova de Lisboa, Directorate-General of Health, Lisbon, Portugal.
Karin GeffertChair of Public Health and Health Services Research, Pettenkofer School of Public Health, Ludwig-Maximilians-Universitat Munchen (LMU Munich), Munich, Germany.
Antje HebestreitLeibniz Institute for Prevention Research and Epidemiology - Leibniz-Institut fur Praventionsforschung und Epidemiologie - BIPS GmbH BIPS, Bremen, Germany.
Anni HelldanFinnish Institute for Health and Welfare, Finnish Institute for Health and Welfare: Terveyden ja hyvinvoinnin laitos Helsinki, Finland.
Sigrun HenjumDepartment of Nursing and Health Promotion, OsloMet - Oslo Metropolitan University, Oslo, Norway.
Camilla Sanne HusebyDepartment of Nursing and Health Promotion, OsloMet - Oslo Metropolitan University, Oslo, Norway.
Maria João GregórioNational Healthy Eating Promotion Program, Universidade Nova de Lisboa, Directorate-General of Health, Lisbon, Portugal.
Carlijn KamphuisDepartment of Interdisciplinary Social Science, Utrecht University, Utrecht, the Netherlands.
Tiina LaatikainenFinnish Institute for Health and Welfare, Finnish Institute for Health and Welfare: Terveyden ja hyvinvoinnin laitos Helsinki, Finland.
Anne Lene LøvhaugDepartment of Nursing and Health Promotion, OsloMet - Oslo Metropolitan University, Oslo, Norway.
Clarissa LeydonCentre for Health and Diet Research, School of Public Health, University College Cork, Ireland.
Aleksandra LuszczynskaDepartment of Psychology in Wroclaw, SWPS University of Social Sciences and Humanities, Poland.
Päivi MäkiFinnish Institute for Health and Welfare, Finnish Institute for Health and Welfare: Terveyden ja hyvinvoinnin laitos Helsinki, Finland.
J Alfredo MartínezCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain, Cardiometabolics Precision Nutrition Program, IMDEA Food, CEI UAM + CSIC, 28049 Madrid, Spain.
Susanna RaulioFinnish Institute for Health and Welfare, Finnish Institute for Health and Welfare: Terveyden ja hyvinvoinnin laitos Helsinki, Finland.
Piotr RomaniukDepartment of Health Policy, School of Health Sciences in Bytom, Medical University of Silesia in Katowice, Poland.
Gun RoosConsumption Research Norway - SIFO, Oslo Metropolitan University, Norway.
Clara SalvadorNational Healthy Eating Promotion Program, Universidade Nova de Lisboa, Directorate-General of Health, Lisbon, Portugal.
Franco SassiCentre for Health Economics & Policy Innovation (CHEPI), Imperial College Business School, London, UK.
Marco SilanoSilano, Marco, PhD, Department of Food Safety, Nutrition and Veterinary Public Health - Istituto Superiore di Sanità - Roma, Italy.
Ingrid SotlarNational institute of public health (NIJZ), Ljubljana, Slovenia.
Maria Lucia SpecchiaSection of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy; Clinical Governance Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
Miguel Telo de ArriagaDivision of Literacy, Health and Well-being, Directorate-General of Health, Universidade da Beira Interior, Lisbon, Portugal.
Laura TerragniFinnish Institute for Health and Welfare, Finnish Institute for Health and Welfare: Terveyden ja hyvinvoinnin laitos Helsinki, Finland.
Liv Elin TorheimFinnish Institute for Health and Welfare, Finnish Institute for Health and Welfare: Terveyden ja hyvinvoinnin laitos Helsinki, Finland.
Josep A TurCIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain, Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands-IUNICS & IDISBA, 07122 Palma de Mallorca, Spain.
Peter von PhilipsbornLudwig-Maximilians-Universität München (LMU Munich), Pettenkofer School of Public Health, Munich, Germany.
Janas M HarringtonHRB Centre for Health and Diet Research, School of Public Health, University College Cork, Ireland.
Stefanie VandevijvereSciensano, Department of epidemiology and public health, Brussel, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Food environments have been recognised as highly influential on population diets. Government policies have great potential to create healthy food environments to promote healthy diets. This study aimed to evaluate food environment policy implementation in European countries and identify priority actions for governments to create healthy food environments. Methods: The Healthy Food Environment Policy Index (Food-EPI) was used to evaluate the level of food environment policy and infrastructure support implementation in Estonia, Finland, Germany, Ireland, Italy, the Netherlands, Norway, Poland, Portugal, Slovenia, and Spain in 2019-2021. Evidence of implementation of food environment policies was compiled in each country and validated by government officials. National experts evaluated the implementation of policies and identified priority recommendations. Findings: Finland had the highest proportion (32%, Interpretation: Immediate implementation of policies and infrastructure support that prioritize action towards healthy food environments is urgently required to tackle the burden of obesity and diet-related non-communicable diseases in Europe. Funding: This project has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 774548 and from the Joint Programming Initiative "A Healthy Diet for a Healthy Life".

Indexed as

EuropeFood environmentsHealthy food environment policy index (Food-EPI)Non-communicable diseases (NCDs)ObesityPublic health policies

Identifiers

PMID36405402
PMCPMC9673115

What OpenQuestion holds

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Registered trials

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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.