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  1. 場域防治策略社區 王英偉、李佳綺

  2. 前言 • 肥胖與飲食行為習習相關。 • 臺灣存在普遍性外食的現象。 • 民眾飲食行為受到社區飲食環境之影響,尤其是超市與餐廳。 • WHO(2009)建議針對飲食的致病環境進行環境介入。 • 本節重點在於將引用國際上和國內實證研究結果來建議台灣發展健康超市與健康餐廳之具體策略,以便能支持民眾可以更容易地行使健康飲食行為,達到肥胖預防之目的。

  3. 關鍵問題 • 臺灣存在普遍性外食的現象,然而外食存在攝取過多熱量的隱憂。 • 健康超市營造 • 關環境層次介入行動與實證研究仍付之闕如 • 營養標示與檢驗值不符規範 • 民眾不信任產品營養宣稱 • 健康導向餐廳/飲料業 • 除了台北市,手搖杯飲料熱量標示不普遍 • 少數餐廳透過政府輔導發展低熱量餐點 • 餐廳點餐時,營養/熱量標示不易取得

  4. 文獻回顧:餐廳健康化

  5. 文獻回顧:食品零售業轉型為健康導向

  6. 健康的食物定義 • 以澳洲為例,持有「澳大利亞心臟基金會所認可健康的食物」標章意旨食品符合營養和標示標準,例如飽和脂肪、反式脂肪、鹽、千焦耳、纖維或植物;並且隨機測試後,確認食品一致符合心臟基金標準[31]。

  7. 健康的食物定義

  8. 目標一:鼓勵超市/雜貨店轉型健康導向 • 短期策略:建立超市/雜貨店之健康導向規範,並制定鼓勵轉型之配套措施 • 策略方法: • 於販賣場所提供食品之營養資訊 • 健康食品擺設在適當地點 • 監測指標: • 營養資訊標示設計簡單明瞭文字說明–具有標示的比率 • 同時呈現「低卡路里」和「無反式脂肪」標示–具有標示的比率 • 健康食品置放於明顯易增加採購的位置 – 放置易採購區的比率

  9. 目標一:鼓勵超市/雜貨店轉型健康導向 • 中、長期策略:超市/雜貨店之健康導向轉型之輔導措施及政策規劃 • 策略方法: • 訂定於販賣場所提供食品之營養資訊之立法規範 • 訂定健康食品擺設在適當地點的指導要點 • 監測指標: • 衛生單位發展相關健康食品標示的標準與指引進度 • 相關部門進行跨部門合作的進度 • 相關法令於行政機構之規劃進度 • 相關法令於立法機關之規劃進度

  10. 目標二:鼓勵餐廳轉型健康導向 • 短期策略:建立餐廳/飲料業者轉型健康導向之內部規畫 • 策略方法 • 加強健康菜單的設計 • 有效營養標示設計 • 有健康選擇標示 • 依照食物熱量排序 • 彩色辨識熱量 • 健康餐點放在菜單前面 • 健康餐點和一般性餐點分開陳列 • 對健康餐點降價促銷 • 增加健康餐點的選擇 • 監測指標: • 衛生單位發展相關餐廳健康導向的指引進度 • 各餐廳/飲食場所依建議提供健康菜單的比率 • 各餐廳/飲食場所提供健康食物之促銷活動比率

  11. 目標二:鼓勵餐廳轉型健康導向 • 中、長期策略:發展健康餐廳的政策規劃 • 策略方法 • 訂定健康餐廳的作業指引 • 訂定健康餐廳的鼓勵辦法 • 訂定健康食品的促銷規範 – 禁止以玩具對兒童促銷不健康的餐飲 • 監測指標: • 行政部門相關作業指引發展的進度 • 相關部門進行跨部門合作的進度 • 相關法令於行政機構之規劃進度 • 相關法令於立法機關之規劃進度

  12. 參考文獻 • 1.張新儀, 邱淑媞, 康照洲. 2009年國民健康訪問暨藥物濫用調查結果報告:No1 國民健康訪問調查: 國家衛生研究院; 2011. • 2. WHO. Interventions on diet and physical activity: what works summary report. Geneva: WHO; 2009. • 3. Kant AK, Graubard BI. Eating out in America, 1987–2000: trends and nutritional correlates. Preventive Medicine. 2004;38(2):243-249. • 4.Bezerra IN, Sichieri R. Eating out of home and obesity: a Brazilian nationwide survey. Public health nutrition. 2009;12(11):2037-2043. • 5.Naska A, Orfanos P, Trichopoulou A, et al. Eating out, weight and weight gain. A cross-sectional and prospective analysis in the context of the EPIC-PANACEA study. International journal of obesity. 2010;35(3):416-426. • 6.葉麗芳, 陳政友, 郭李堂. 台北市某完全中學學生飲用含糖飲料與肥胖之研究. 學校衛生. 2009(55):87-105. • 7.陳秀瑩, 葉伶宜, 傅偉光. 新竹地區現調茶飲料之熱量、脂肪及糖質分析調查. 臺灣農業化學與食品科學. 2009;47(6):285-291. • 8.彭紹珆. 健康餐飲介入對大學生營養認知之探討: 臺北醫學大學保健營養學研究所學位論文, 臺北醫學大學; 2005. • 9.魏米秀, 陳建宏. 營養訊息及價格介入對大學校園商店低熱量食品銷售之影響效果. 臺灣公共衛生雜誌. 2011;30(2):110-120. • 10.陳啟民, 賴宣陽, 林晃群, et al. 市售包裝烘焙食品營養標示及反式脂肪含量標示符合性調查. 食品藥物研究年報. 2011(2):208-215. • 11.曾明淑, 黃莉汶, 郭雅菱, 張世龍. 大台北地區民眾營養標示認知與喜好調查. 臺灣營養學會雜誌. 1999;24(3):274-287. • 12.臺北市政府衛生局. 手搖杯飲料熱量知多少?臺北市衛生局召集業者分享熱量及營養標示成果. Available at: http://www.health.gov.tw/Default.aspx?tabid=36&mid=442&itemid=30221. Accessed 10月24日, 2012. • 13. Seymour JD, Lazarus Yaroch A, Serdula M, Blanck HM, Khan LK. Impact of nutrition environmental interventions on point-of-purchase behavior in adults: a review. Preventive Medicine. 2004;39, Supplement 2(0):108-136. • 14.Feunekes GIJ, Gortemaker IA, Willems AA, Lion R, Van Den Kommer M. Front-of-pack nutrition labelling: testing effectiveness of different nutrition labelling formats front-of-pack in four European countries. Appetite. 2008;50(1):57-70. • 15.Balcombe K, Fraser I, Falco SD. Traffic lights and food choice: A choice experiment examining the relationship between nutritional food labels and price. Food Policy. 2010;35(3):211-220. • 16. Sutherland LA, Kaley LA, Fischer L. Guiding Stars: the effect of a nutrition navigation program on consumer purchases at the supermarket. The American Journal of Clinical Nutrition. April 1, 2010 2010;91(4):1090S-1094S. • 17. Freedman MR, Connors R. Point-of-purchase nutrition information influences food-purchasing behaviors of college students: a pilot study. Journal of the American Dietetic Association. 2011;111(5):S42-S46. • 18. Barreiro-Hurlé J, Gracia A, de-Magistris T. Does nutrition information on food products lead to healthier food choices? Food Policy. 2010;35(3):221-229. • 19.Glanz K, Yaroch AL. Strategies for increasing fruit and vegetable intake in grocery stores and communities: policy, pricing, and environmental change. Preventive Medicine. 2004;39:75-80. • 20.Mhurchu CN, Eyles H, Dixon R, Matoe L, Teevale T, Meagher-Lundberg P. Economic incentives to promote healthier food purchases: exploring acceptability and key factors for success. Health Promotion International. 2011.

  13. 參考文獻 • 21.Mhurchu CN, Blakely T, Jiang Y, Eyles HC, Rodgers A. Effects of price discounts and tailored nutrition education on supermarket purchases: a randomized controlled trial. The American Journal of Clinical Nutrition. 2010;91(3):736-747. • 22.Waterlander WE, Steenhuis IHM, de Boer MR, Schuit AJ, Seidell JC. Introducing taxes, subsidies or both: The effects of various food pricing strategies in a web-based supermarket randomized trial. Preventive Medicine. 2012;54(5):323-330. • 23.Curhan RC. The effects of merchandising and temporary promotional activities on the sales of fresh fruits and vegetables in supermarkets. Journal of Marketing Research. 1974:286-294. • 24. Kristal AR, Goldenhar L, Muldoon J, Morton RF. Evaluation of a supermarket intervention to increase consumption of fruits and vegetables. American journal of health promotion. 1997;11(6):422-425. • 25.Waterlander WE, Steenhuis IHM, de Vet E, Schuit AJ, Seidell JC. Expert views on most suitable monetary incentives on food to stimulate healthy eating. The European Journal of Public Health. June 1, 2010 2010;20(3):325-331. • 26. Kelly B, Hughes C, Chapman K, et al. Consumer testing of the acceptability and effectiveness of front-of-pack food labelling systems for the Australian grocery market. Health Promotion International. June 1, 2009 2009;24(2):120-129. • 27.Kiesel K, Villas-Boas SB. Can information costs affect consumer choice? Nutritional labels in a supermarket experiment. International Journal of Industrial Organization. 2010(0). • 28. Sacks G, Tikellis K, Millar L, Swinburn B. Impact of ‘traffic‐light’nutrition information on online food purchases in Australia. Australian and New Zealand journal of public health. 2011;35(2):122-126. • 29.Cowburn G, Stockley L. Consumer understanding and use of nutrition labelling: a systematic review. Public health nutrition. 2005;8(01):21-28. • 30.Vyth EL, Steenhuis IHM, Mallant SF, et al. A front-of-pack nutrition logo: a quantitative and qualitative process evaluation in the Netherlands. Journal of health communication. 2009;14(7):631-645. • 31. Heart Foundation. Australians and front of pack labellingCanberra: Heart Foundation of Australia; n.d. • 32. Byrd-Bredbenner C, Wong A, Cottee P. Consumer understanding of US and EU nutrition labels. British Food Journal. 2000;102(8):615-629. • 33. SCOTT V, WORSLEY AF. Ticks, claims, tables and food groups: a comparison for nutrition labelling. Health Promotion International. January 1, 1994 1994;9(1):27-37. • 34.Mhurchu CN, Gorton D. Nutrition labels and claims in New Zealand and Australia: a review of use and understanding. Australian and New Zealand journal of public health. 2007;31(2):105-112. • 35. Fischer LM, Sutherland LA, Kaley LA, et al. Development and Implementation of the Guiding Stars Nutrition Guidance Program. American journal of health promotion. 2011;26(2):55-63. • 36.Glanz K, Hoelscher D. Increasing fruit and vegetable intake by changing environments, policy and pricing: restaurant-based research, strategies, and recommendations. Preventive Medicine. 2004;39, Supplement 2(0):88-93. • 37. Holmes A, Serrano E, Machin J, Duetsch T, Davis G. Effect of different children's menu labeling designs on family purchases. Appetite. 2012. • 38. Roberto CA, Larsen PD, Agnew H, Baik J, Brownell KD. Evaluating the Impact of Menu Labeling on Food Choices and Intake. American Journal of Public Health. 2010/02/01 2010;100(2):312-318. • 39.Pulos E, Leng K. Evaluation of a Voluntary Menu-Labeling Program in Full-Service Restaurants. American Journal of Public Health. 2010/06/01 2010;100(6):1035-1039. • 40.Elbel B, Kersh R, Brescoll VL, Dixon LB. Calorie labeling and food choices: a first look at the effects on low-income people in New York City. Health Affairs. 2009;28(6):w1110-w1121.

  14. 參考文獻 • 41. Yamamoto JA, Yamamoto JB, Yamamoto BE, Yamamoto LG. Adolescent fast food and restaurant ordering behavior with and without calorie and fat content menu information. Journal of Adolescent Health. 2005;37(5):397-402. • 42. Swartz JJ, Braxton D, Viera AJ. Calorie menu labeling on quick-service restaurant menus: an updated systematic review of the literature. International Journal of Behavioral Nutrition and Physical Activity. 2011;8(1):135. • 43.Elbel B, Gyamfi J, Kersh R. Child and adolescent fast-food choice and the influence of calorie labeling: a natural experiment. International journal of obesity. 2011;35(4):493-500. • 44. Downs JS, Loewenstein G, Wisdom J. Strategies for promoting healthier food choices. The American Economic Review. 2009;99(2):159-164. • 45.Chand A, Eyles H, Ni Mhurchu C. Availability and accessibility of healthier options and nutrition information at New Zealand fast food restaurants. Appetite. 2012;58(1):227-233. • 46. Fitch RC, Harnack LJ, Neumark-Sztainer DR, et al. Providing calorie information on fast-food restaurant menu boards: consumer views. American journal of health promotion. 2009;24(2):129-132. • 47. Bassett MT, Dumanovsky T, Huang C, et al. Purchasing behavior and calorie information at fast-food chains in New York City, 2007. American journal of health promotion. 2008;98(8):1457-1459. • 48. Chu YH, Frongillo EA, Jones SJ, Kaye GL. Improving patrons' meal selections through the use of point-of-selection nutrition labels. American Journal of Public Health. 2009;99(11):2001-2005. • 49.Vadiveloo MK, Dixon LB, Elbel B. Consumer purchasing patterns in response to calorie labeling legislation in New York City. International Journal of Behavioral Nutrition and Physical Activity. 2011;8(1):51. • 50.Dunford E, Webster J, Barzi F, Neal B. Nutrient content of products served by leading Australian fast food chains. Appetite. 2010;55(3):484-489. • 51. Thorndike AN, Sonnenberg L, Riis J, Barraclough S, Levy DE. A 2-Phase Labeling and Choice Architecture Intervention to Improve Healthy Food and Beverage Choices. American Journal of Public Health. 2012(0):1-7. • 52. Vermeer WM, Steenhuis IHM, Seidell JC. From the point-of-purchase perspective: a qualitative study of the feasibility of interventions aimed at portion-size. Health policy. 2009;90(1):73-80. • 53.Gallicano R, Blomme RJ, van Rheede A. Consumer Response to Nutrition Information Menu Labeling in Full-Service Restaurants: Making the Healthy Choice. Advances in Hospitality and Leisure. 2012;8. • 54. Liu PJ, Roberto CA, Liu LJ, Brownell KD. A test of different menu labeling presentations. Appetite. 2012;59(3):770-777. • 55.Lando AM, Labiner-Wolfe J. Helping Consumers Make More Healthful Food Choices: Consumer Views on Modifying Food Labels and Providing Point-of-Purchase Nutrition Information at Quick-service Restaurants. Journal of Nutrition Education and Behavior. 2007;39(3):157-163. • 56. Jeffery RW, French SA, Raether C, Baxter JE. An environmental intervention to increase fruit and salad purchases in a cafeteria. Preventive Medicine: An International Journal Devoted to Practice and Theory; Preventive Medicine: An International Journal Devoted to Practice and Theory. 1994. • 57.Steenhuis I, van Assema P, van Breukelen G, Glanz K, Kok G, de Vries H. The impact of educational and environmental interventions in Dutch worksite cafeterias. Health Promotion International. September 1, 2004 2004;19(3):335-343. • 58. Fitzgerald CM, Kannan S, Sheldon S, Eagle KA. Effect of a promotional campaign on heart-healthy menu choices in community restaurants. Journal of the American Dietetic Association. 2004;104(3):429-432. • 59.Vyth EL, Steenhuis IHM, Heymans MW, Roodenburg AJC, Brug J, Seidell JC. Influence of placement of a nutrition logo on cafeteria menu items on lunchtime food choices at Dutch work sites. Journal of the American Dietetic Association. 2011;111(1):131-136. • 60. Chapman K, Nicholas P, Banovic D, Supramaniam R. The extent and nature of food promotion directed to children in Australian supermarkets. Health Promotion International. December 1, 2006 2006;21(4):331-339.