Sugar Reduction Initiatives in the Eastern Mediterranean Region: A Systematic Review

This systematic review aims to identify and characterize existing national sugar reduction initiatives and strategies in the Eastern Mediterranean Region. For this purpose, a systematic review of published and grey literature was performed. A comprehensive list of search terms in the title/abstract/...

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Autores principales: Al-Jawaldeh, Ayoub, Taktouk, Mandy, Naalbandian, Sally, Aguenaou, Hassan, Al Hamad, Nawal, Almamary, Salima, Al-Tamimi, Hend Ali, Alyafei, Salah Abdulla, Barham, Rawhieh, Hoteit, Maha, Hussain, Munawar, Massad, Hanan, Nasreddine, Lara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9823488/
https://www.ncbi.nlm.nih.gov/pubmed/36615712
http://dx.doi.org/10.3390/nu15010055
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author Al-Jawaldeh, Ayoub
Taktouk, Mandy
Naalbandian, Sally
Aguenaou, Hassan
Al Hamad, Nawal
Almamary, Salima
Al-Tamimi, Hend Ali
Alyafei, Salah Abdulla
Barham, Rawhieh
Hoteit, Maha
Hussain, Munawar
Massad, Hanan
Nasreddine, Lara
author_facet Al-Jawaldeh, Ayoub
Taktouk, Mandy
Naalbandian, Sally
Aguenaou, Hassan
Al Hamad, Nawal
Almamary, Salima
Al-Tamimi, Hend Ali
Alyafei, Salah Abdulla
Barham, Rawhieh
Hoteit, Maha
Hussain, Munawar
Massad, Hanan
Nasreddine, Lara
author_sort Al-Jawaldeh, Ayoub
collection PubMed
description This systematic review aims to identify and characterize existing national sugar reduction initiatives and strategies in the Eastern Mediterranean Region. For this purpose, a systematic review of published and grey literature was performed. A comprehensive list of search terms in the title/abstract/keyword fields was used to cover the four following concepts (1) sugar, (2) reduction OR intake, (3) policy and (4) EMR countries. A total of 162 peer-reviewed documents were identified, until the 2nd of August 2022. The key characteristics of the identified national strategies/initiatives included the average sugar intake of each country’s population; sugar levels in food products/beverages; implementation strategies (taxation; elimination of subsidies; marketing regulation; reformulation; consumer education; labeling; interventions in public institution settings), as well as monitoring and evaluation of program impact. Twenty-one countries (95%) implemented at least one type of sugar reduction initiatives, the most common of which was consumer education (71%). The implemented fiscal policies included sugar subsidies’ elimination (fourteen countries; 67%) and taxation (thirteen countries 62%). Thirteen countries (62%) have implemented interventions in public institution settings, compared to twelve and ten countries that implemented food product reformulation and marketing regulation initiatives, respectively. Food labeling was the least implemented sugar reduction initiative (nine countries). Monitoring activities were conducted by four countries only and impact evaluations were identified in only Iran and Kingdom of Saudi Arabia (KSA). Further action is needed to ensure that countries of the region strengthen their regulatory capacities and compliance monitoring of sugar reduction policy actions.
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spelling pubmed-98234882023-01-08 Sugar Reduction Initiatives in the Eastern Mediterranean Region: A Systematic Review Al-Jawaldeh, Ayoub Taktouk, Mandy Naalbandian, Sally Aguenaou, Hassan Al Hamad, Nawal Almamary, Salima Al-Tamimi, Hend Ali Alyafei, Salah Abdulla Barham, Rawhieh Hoteit, Maha Hussain, Munawar Massad, Hanan Nasreddine, Lara Nutrients Review This systematic review aims to identify and characterize existing national sugar reduction initiatives and strategies in the Eastern Mediterranean Region. For this purpose, a systematic review of published and grey literature was performed. A comprehensive list of search terms in the title/abstract/keyword fields was used to cover the four following concepts (1) sugar, (2) reduction OR intake, (3) policy and (4) EMR countries. A total of 162 peer-reviewed documents were identified, until the 2nd of August 2022. The key characteristics of the identified national strategies/initiatives included the average sugar intake of each country’s population; sugar levels in food products/beverages; implementation strategies (taxation; elimination of subsidies; marketing regulation; reformulation; consumer education; labeling; interventions in public institution settings), as well as monitoring and evaluation of program impact. Twenty-one countries (95%) implemented at least one type of sugar reduction initiatives, the most common of which was consumer education (71%). The implemented fiscal policies included sugar subsidies’ elimination (fourteen countries; 67%) and taxation (thirteen countries 62%). Thirteen countries (62%) have implemented interventions in public institution settings, compared to twelve and ten countries that implemented food product reformulation and marketing regulation initiatives, respectively. Food labeling was the least implemented sugar reduction initiative (nine countries). Monitoring activities were conducted by four countries only and impact evaluations were identified in only Iran and Kingdom of Saudi Arabia (KSA). Further action is needed to ensure that countries of the region strengthen their regulatory capacities and compliance monitoring of sugar reduction policy actions. MDPI 2022-12-22 /pmc/articles/PMC9823488/ /pubmed/36615712 http://dx.doi.org/10.3390/nu15010055 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Al-Jawaldeh, Ayoub
Taktouk, Mandy
Naalbandian, Sally
Aguenaou, Hassan
Al Hamad, Nawal
Almamary, Salima
Al-Tamimi, Hend Ali
Alyafei, Salah Abdulla
Barham, Rawhieh
Hoteit, Maha
Hussain, Munawar
Massad, Hanan
Nasreddine, Lara
Sugar Reduction Initiatives in the Eastern Mediterranean Region: A Systematic Review
title Sugar Reduction Initiatives in the Eastern Mediterranean Region: A Systematic Review
title_full Sugar Reduction Initiatives in the Eastern Mediterranean Region: A Systematic Review
title_fullStr Sugar Reduction Initiatives in the Eastern Mediterranean Region: A Systematic Review
title_full_unstemmed Sugar Reduction Initiatives in the Eastern Mediterranean Region: A Systematic Review
title_short Sugar Reduction Initiatives in the Eastern Mediterranean Region: A Systematic Review
title_sort sugar reduction initiatives in the eastern mediterranean region: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9823488/
https://www.ncbi.nlm.nih.gov/pubmed/36615712
http://dx.doi.org/10.3390/nu15010055
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