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French National Nutrition and Health Program

Evaluation du programme national nutrition santé PNNS2 2006-2010 mai 2010 [General Inspectorate of Social Affairs 4 - http://www.alimentation.gouv.fr.



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National Public Health Plan 2018-2022 - Ministère de la

sante and its m health app Trained in first aid Trained in first aid in Mental Health Understand nutritional value of food products; Nutri-Score Promote health through sport events Strengthen health services in the overseas territories PREGNANCY FIRST 1000 DAYS EARLY YEARS 2yrs CHILDREN YOUNG PEOPLE 18yrs 25— 65 YEAR OLDS





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2015
2011

FrenchNationalNutrition

and

Health

Program

Table of contents

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

FOCUS AREA 1 Reduce nutrition-related health inequalities between social classes . . . . . . . . . . . . . . . . . . 13

FOCUS AREA 2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 FOCUS AREA 3 Organise detection and management of nutrition-related health . . . . . . . . . . . . . . . . 29

FOCUS AREA 4 . 35

Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 5

Introduction

st The French National Nutrition and Health Program (PNNS) was initiated in 2001 and extended in 2006 It 1 2 renewing the PNNS in its current format “ 3 (article L

230-1 of the Rural Code)

research component

The PNNS and the PO are presented together.

4

Article L

. 230-1 of the French Rural Code to suitable foods in adequate quantities; and limit waste; INTRO D

UCTION

FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015

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6 is encouraged; - that institutional and corporate caterers use local agricultural products; o o 7

INTRDUCT

I ON

Issues, principles, methodology and objectives

of the PNNS nutrition

Council for Public Health (HCSP)

de la loi du 9 août 2004. Propositions" 5 dated 9 th

Promote breastfeeding

(HCSP) are outlined below within their corresponding focus area 5 (pages 114 to 131) FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015

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Steering of the PNNS and PO

agencies and organisations is presented before this committee on a regular basis

At the national level, the PNNS:

At the regional level:

health inequalities between social classes. ensure that the actions conducted within the Regional Committee for Food (CRALIM) are consistent 9

INTRDUCT

I ON cooperation and dialogue 6 the managers of public health plans with a nutrition component; 6 - (*For English translations, please refer to the glossary appended to this document) 1

Association des

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10 th

The general principles of the PNNS

1

. The word “nutrition" must be understood as encompassing all matters relating to food (nutrients;

2 3 4 between social classes 5 6 7 the consumption of other categories 8 9 10 11 PNNS. 12 11

INTRDUCT

I ON FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015

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13

FOCUS AREA 1 Reduce nutrition-related health

within general preventive measures 13

Focus area 1

STRATEGIC FOCUS OF THE PROGRAM

FOCUS AREA 1 - Reduce nutrition-related health inequalities

NUTRITIONAL OBJECTIVES

General objective 3 - Improve eating habits and nutritional intake, especially among high-risk population groups General sub-objective 3-1: increase fruit and vegetable consumption

General sub-objective 3-2: reduce salt intake

General sub-objective 3-3: improve the macronutrient ratios in non-alcoholic energy intake adults and children to 36 5% - 36% for adults; - 37% for children. FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015

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General sub-objective 3-4: increase calcium intake in high-risk groups General sub-objective 3-6: improve the folate status of women of childbe aring age

General sub-objective 3-7: promote breastfeeding

from birth General objective 1 - Reduce obesity and overweight among the populat ion General sub-objective 1-1: stabilise the prevalence of obesity and reduce overweight among adults General sub-objective 1-2: reduce the prevalence of obesity and overweight among children and adolescents among children and adolescents aged 3 to 17 15

FOCUS AREA 1 Reduce nutrition-related health

within general preventive measures 15

Focus area 1

OBJECTIVES RELATING TO CARDIOVASCULAR AND METABOLIC DISEASES General objective 2 - Reduce hypercholesterolemia and arterial hypert ension stabilised

There has been no decrease in nutrition-related health inequalities between social classes since 2001 when

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health inequalities between social classes population groups in the gradient of social inequalities and propose suitable actions

Reducing nutrition-related health inequalities between social classes is part of the general aims of the

7 in April 2010 8

ACTIONS

1. First: identify the inequalities and mobilise the stakeholders by:

aim of reducing health inequalities between social classes, by: 8 - 17

FOCUS AREA 1 Reduce nutrition-related health

within general preventive measures 17

Focus area 1

hardship.

4. Train local community stakeholders in nutrition by:

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campaigns of the European Council on 8 th

ACTIONS

6. Make good quality food accessible to all (Focus Area 1 of the PNA)

I 1

1 Increase quantities and encourage a more balanced diet

I.2 Adopt good eating habits in schools and extracurricular facilities unprocessed food products at social prices special training courses I.3 Ensure better eating in health and medico-social establishments a range of approved foods 19

FOCUS AREA 1 Reduce nutrition-related health

within general preventive measures 19

Focus area 1

practical improvements to their menus and the conditions in which meals are taken baskets of fresh fruit and vegetables in hospitals" programme a child has a disease requiring him or her to be monitored and healthcare establishment

I.4 Improve the diet of elderly people

rules of good nutrition in nursing homes and care facilities meal delivery services to their homes farmers' market baskets" I.5 Improve the food supply in prisons and detention centres and encourage reintegration through food I 5

1 Encourage the

cooks of the various establishments to share their practices with one another to I 5

2 Use food as a means to support

professional reintegration related professions

7. Improve the food supply (Focus Area II of the PNA)

II.1 Encourage the widespread implementation of voluntary initiatives an d public/private partnerships that enable innovations to improve the quality of ingredien ts II.2 Develop fruit and vegetable varieties with high environmental, nutritional and organoleptic value II.3 Bring producers and consumers closer together from those channels II.4 Improve the safety of the foods that are made available to consumer s their business FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015

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2020

COMPLEMENTARY ACTIONS

rd nutritional population groups

8. Develop and promote voluntary charters of commitment to nutritional progress for a

food supply that adheres to the PNNS objectives, by: (8

2) Helping SMEs (small and medium entreprises) to create charters

9. Develop a system of reference to more health-conscious cooking that is in keeping

with the PNA and aimed at healthcare professionals, social workers and y oung people. 21

FOCUS AREA 1 Reduce nutrition-related health

within general preventive measures 21

Focus area 1

Measure 3

Implement the actions mentioned in the Health

health and complement this program

ACTION

10. As part of the Health Education Program 2011-2015, improve nutritional education

in schools by: and 5 school) FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015

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about nutrition

ACTIONS

11. Develop updated communication tools regarding the nutritional recommendations

the relationships between nutrition and disease by: aimed at professionals and the general public;

recommendations to support the treatment of chronic organ disease; raising awareness among professionals

about food allergies;

12. Increase public health messages and lessen the effects of advertisin

g pressure by: and health 23

FOCUS AREA 1 Reduce nutrition-related health

within general preventive measures 23

Focus area 1

Measure 5

Promote breastfeeding

towards breastfeeding

ACTION

13. Implement some measures from the breastfeeding action plan to:

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25
FOCUS AREA 2 Develop the practice of physical and sporting activities and limit sedentary behaviour 25

Focus area 1

25

Focus area 2

NUTRITIONAL OBJECTIVES

General objective 2 - Increase physical activity and decrease sedentary behaviour in all age groups General sub-objective 2-1: increase physical activity among adults General sub-objective 2-2: increase physical activity and combat sedentary behaviour among children and adolescents General objective 1 - Reduce obesity and overweight within the popula tion General sub-objective 1-1: stabilise the prevalence of obesity and reduce overweight among adults General sub-objective 1-2: reduce the prevalence of obesity and overweight among children and adolescents among children and adolescents aged 3 to 17. FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015

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OBJECTIVES RELATING TO CARDIOVASCULAR AND METABOLIC DISEASES General objective 2 - Reduce hypercholesterolemia and arterial hypert ension population stabilised and stabilised 27
FOCUS AREA 2 Develop the practice of physical and sporting activities and limit sedentary behaviour 27

Focus area 1

27

Focus area 2

ACTIONS

14. Promote an environment that is conducive to practising a physical activity and limit

sedentary behaviour by: contribute to health and well-being

15. Promote resources aimed at increasing physical activity by:

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people suffering from chronical diseases

16. Improve access to physical and sporting activities for people with disabilities

(physical, mental, psychological, or sensory) by: (16

1) Using the PNNS portal to better communicate with professionals and the general public regarding the

committees; access for people with disabilities

17. Improve access to physical and sporting activities for disadvantaged population

groups by: a determining factor for health;

18. Promote adapted physical and sporting activity among people over 50 and those

experiencing a loss of independence by: (EHPA D ) and retirement homes;

19. Promote adapted physical and sporting activity in sports clubs among individuals

suffering from chronic diseases by: 29

FOCUS AREA 3 Organise detection and

mangement of nutrition-related health conditions in patients; reduce the prevalence of undernutrition 29

Focus area 1

29

Focus area 3

FOCUS AREA 3 - Organise detection and management of nutrition-related health conditions in patients; reduce the

NUTRITIONAL OBJECTIVES

General objective 4 - Reduce the prevalence of nutrition-related heal th conditions FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015

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Measure 1

Organise detection of nutritional disorders and

patient management

ACTIONS

20. Ensuring nutrition is given better consideration in ambulatory care

by: facilities;

21. Ensuring nutrition is given better consideration in establishments b

y: or UTN in French; 31

FOCUS AREA 3 Organise detection and

mangement of nutrition-related health conditions in patients; reduce the prevalence of undernutrition 31

Focus area 1

31

Focus area 3

ACTIONS

22. Raise awareness among health care professionals by:

(22

1) Updating the online undernutrition training tool and promoting training courses on undernutrition;

23. Improve the nutrition of elderly people by:

professionals;

24. Detect undernutrition in ambulatory care by:

(24.1) Promoting the use of the MNA (Mini Nutritional Assessment) in its abridged form among general practitioners

25. Detect undernutrition in patients suffering from acute and chronic d

iseases by: assessment FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015

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Measure 3

Manage undernutrition

ACTIONS

26. Facilitate the treatment and care of undernutrition in patients by:

(26

3) Including nutritional support in the personalised care plan of cancer patients;

27. Improve the treatment and care of undernutrition in elderly people b

y: 33

FOCUS AREA 3 Organise detection and

mangement of nutrition-related health conditions in patients; reduce the prevalence of undernutrition 33

Focus area 1

33

Focus area 3

disabled people

ACTION

28. Develop actions for the diagnosis, prevention and monitoring of the nutritional

status of disabled people FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015

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3535

Focus area 1

35

Focus area 4

FOCUS AREA 4 Promote the PNNS as the reference

for nutrition-related actions and stakeholder involvement FOCUS AREA 4 - Promote the PNNS as the reference for authorities

These mechanisms must be promoted

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Measure 1

Promote the PNNS as the leading reference for

“nutrition and health"

ACTION

29. Set up a communication strategy for the PNNS by:

(29

2) Promoting the

www.mangerbouger.fr website as a leading online reference tool for information about

“nutrition and health";

regarding PNNS accomplishments; the PNNS. 3737

Focus area 1

37

Focus area 4

FOCUS AREA 4 Promote the PNNS as the reference

for nutrition-related actions and stakeholder involvement

ACTIONS

30. Develop the "Active PNNS Cities" charter by:

" website;

31. Develop the "Active PNNS Departments" charter by:

32. Developing an "Active PNNS Region" charter and synergy between the interventions

of the various local authorities by: councils; FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015

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