Division of Human Nutrition, Wageningen University and Research Centre, Wageningen, The Netherlands.
Eur J Clin Nutr. 2010 Jun;64 Suppl 2:S2-10. doi: 10.1038/ejcn.2010.55.
In Europe, micronutrient recommendations have been established by (inter)national committees of experts and are used by public health-policy decision makers to monitor and assess the adequacy of the diets of population groups. Current micronutrient recommendations are, however, heterogeneous, whereas the scientific basis for this is not obvious. Alignment of setting micronutrient recommendations is necessary to improve the transparency of the process, the objectivity and reliability of recommendations that are derived by diverse regional and (inter)national bodies.
This call for alignment of micronutrient recommendations is a direct result of the current sociopolitical climate in Europe and uncovers the need for an institutional architecture. There is a need for evidence-based policy making, transparent decision making, stakeholder involvement and alignment of policies across Europe.
In this paper, we propose a General Framework that describes the process leading from assessing nutritional requirements to policy applications, based on evidence from science, stakeholder interests and the sociopolitical context. The framework envisions the derivation of nutrient recommendations as scientific methodology, embedded in a policy-making process that also includes consumer issues, and acknowledges the influences of the wider sociopolitical context by distinguishing the principal components of the framework: (a) defining the nutrient requirements for health, (b) setting nutrient recommendations, (c) policy options and (d) policy applications.
The General Framework can serve as a basis for a systematic and transparent approach to the development and review of micronutrient requirements in Europe, as well as the decision making of scientific advisory bodies, policy makers and stakeholders involved in this process of assessing, developing and translating these recommendations into public health nutrition policy.
在欧洲,(国际)专家委员会已经制定了微量营养素建议,并被公共卫生政策制定者用于监测和评估人群饮食的充足性。然而,目前的微量营养素建议存在差异,而这一差异的科学依据并不明显。需要协调制定微量营养素建议,以提高过程的透明度,提高由不同地区和(国际)机构制定的建议的客观性和可靠性。
这一协调微量营养素建议的呼吁是欧洲当前社会政治气候的直接结果,揭示了建立制度架构的必要性。需要基于循证的决策制定、透明的决策制定、利益相关者的参与以及欧洲政策的协调一致。
在本文中,我们提出了一个通用框架,该框架描述了从评估营养需求到政策应用的过程,其基础是来自科学、利益相关者利益和社会政治背景的证据。该框架将营养素建议的推导视为科学方法,嵌入到包括消费者问题的决策过程中,并通过区分框架的主要组成部分(a)定义健康的营养素需求、(b)制定营养素建议、(c)政策选项和(d)政策应用,承认更广泛的社会政治背景的影响。
通用框架可以作为欧洲微量营养素需求的制定和审查的系统和透明方法的基础,以及科学咨询机构、政策制定者和参与评估、制定和将这些建议转化为公共卫生营养政策的利益相关者的决策的基础。