Food and Agriculture Organization of the United Nations (FAO), Rome, Italy,
World Rev Nutr Diet. 2020;121:116-126. doi: 10.1159/000507495. Epub 2020 Oct 6.
This paper provides an overview of the role of food systems in improving diets and addressing all forms of malnutrition, drawing on the experience of the Food and Agriculture Organization of the United Nations (FAO) and its partners. Firstly, it highlights the growing momentum for food systems' contribution to nutrition outcomes, against a recent resurgence in the number of people suffering from hunger, slow progress in stunting among children, and the emergence of an obesity crisis and related health implications. Secondly, it reviews the Global Panel and CFS-HLPE conceptual frameworks linking food systems to diet and nutrition, as these have significant implications for identifying nutrition-oriented food systems policies and actions. Thirdly, the paper illustrates recent initiatives that support global food systems governance and policy coherence. This includes the CFS multi-stakeholder process for the development of Voluntary Guidelines on Food Systems for Nutrition and five FAO regional symposia on "Sustainable Food Systems for Healthy Diets and Improved Nutrition." Fourthly, the paper provides examples of how the development of food systems policy options is being supported at country level, and in particular how various policy options are being framed (IFPRI, Nuffield Council, World Bank). Lastly, the need to build the evidence base at global and country levels to inform food systems policy options is put into sharp focus, using examples from IFPRI's development of a research agenda for healthier diets in Ethiopia, the annual State of Food Security and Nutrition in the World, and the FAO/WHO Global Individual Food Consumption Data Tool platform.
本文概述了食品系统在改善饮食和解决所有形式营养不良方面的作用,借鉴了联合国粮食及农业组织(粮农组织)及其合作伙伴的经验。首先,它强调了食品系统对营养成果的贡献日益增强,而饥饿人口数量近期有所回升,儿童发育迟缓问题进展缓慢,肥胖危机及相关健康问题也开始浮现。其次,本文回顾了将食品系统与饮食和营养联系起来的全球小组和粮食体系委员会高级别专家组概念框架,因为这些框架对于确定以营养为导向的食品系统政策和行动具有重要意义。第三,本文介绍了支持全球食品系统治理和政策一致性的最新举措。其中包括粮食体系委员会制定《食物系统促进营养和健康饮食自愿准则》的多方利益攸关方进程,以及粮农组织五个关于“可持续食物系统促进健康饮食和改善营养”的区域专题讨论会。第四,本文举例说明了如何在国家一级支持制定食品系统政策方案,特别是如何构建各种政策方案(国际粮食政策研究所、纳菲尔德理事会、世界银行)。最后,本文突出强调了在全球和国家层面建立证据基础以告知食品系统政策方案的必要性,引用了国际粮食政策研究所为埃塞俄比亚制定更健康饮食研究议程、《世界粮食安全和营养状况年度报告》以及粮农组织/世卫组织全球个人食物消费数据工具平台的例子。