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
Ministère de la Santé et de la Prévention
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20152011
FrenchNationalNutrition
andHealth
Program
Table of contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
FOCUS AREA 1 Reduce nutrition-related health inequalities between social classes . . . . . . . . . . . . . . . . . . 13FOCUS AREA 2
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 FOCUS AREA 3 Organise detection and management of nutrition-related health . . . . . . . . . . . . . . . . 29FOCUS AREA 4 . 35
Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 5Introduction
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 L230-1 of the Rural Code)
research componentThe PNNS and the PO are presented together.
4Article L
. 230-1 of the French Rural Code to suitable foods in adequate quantities; and limit waste; INTRO DUCTION
FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015MINISTRY O
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6 is encouraged; - that institutional and corporate caterers use local agricultural products; o o 7INTRDUCT
I ONIssues, principles, methodology and objectives
of the PNNS nutritionCouncil for Public Health (HCSP)
de la loi du 9 août 2004. Propositions" 5 dated 9 thPromote breastfeeding
(HCSP) are outlined below within their corresponding focus area 5 (pages 114 to 131) FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015MINISTRY O
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8Steering of the PNNS and PO
agencies and organisations is presented before this committee on a regular basisAt 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 9INTRDUCT
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) 1Association des
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10 thThe 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 11INTRDUCT
I ON FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015MINISTRY O
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FOCUS AREA 1 Reduce nutrition-related health
within general preventive measures 13Focus area 1
STRATEGIC FOCUS OF THE PROGRAM
FOCUS AREA 1 - Reduce nutrition-related health inequalitiesNUTRITIONAL 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 consumptionGeneral 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 - 2015MINISTRY O
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1414General 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 15FOCUS AREA 1 Reduce nutrition-related health
within general preventive measures 15Focus area 1
OBJECTIVES RELATING TO CARDIOVASCULAR AND METABOLIC DISEASES General objective 2 - Reduce hypercholesterolemia and arterial hypert ension stabilisedThere has been no decrease in nutrition-related health inequalities between social classes since 2001 when
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1616health 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 8ACTIONS
1. First: identify the inequalities and mobilise the stakeholders by:
aim of reducing health inequalities between social classes, by: 8 - 17FOCUS AREA 1 Reduce nutrition-related health
within general preventive measures 17Focus area 1
hardship.4. Train local community stakeholders in nutrition by:
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1818campaigns of the European Council on 8 th
ACTIONS
6. Make good quality food accessible to all (Focus Area 1 of the PNA)
I 11 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 19FOCUS AREA 1 Reduce nutrition-related health
within general preventive measures 19Focus 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 establishmentI.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 51 Encourage the
cooks of the various establishments to share their practices with one another to I 52 Use food as a means to support
professional reintegration related professions7. 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 - 2015MINISTRY O
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2020COMPLEMENTARY ACTIONS
rd nutritional population groups8. Develop and promote voluntary charters of commitment to nutritional progress for a
food supply that adheres to the PNNS objectives, by: (82) 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. 21FOCUS AREA 1 Reduce nutrition-related health
within general preventive measures 21Focus area 1
Measure 3
Implement the actions mentioned in the Health
health and complement this programACTION
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 - 2015MINISTRY O
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2222about 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 23FOCUS AREA 1 Reduce nutrition-related health
within general preventive measures 23Focus area 1
Measure 5
Promote breastfeeding
towards breastfeedingACTION
13. Implement some measures from the breastfeeding action plan to:
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242425
FOCUS AREA 2 Develop the practice of physical and sporting activities and limit sedentary behaviour 25
Focus area 1
25Focus 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 - 2015MINISTRY O
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262626
OBJECTIVES RELATING TO CARDIOVASCULAR AND METABOLIC DISEASES General objective 2 - Reduce hypercholesterolemia and arterial hypert ension population stabilised and stabilised 27FOCUS AREA 2 Develop the practice of physical and sporting activities and limit sedentary behaviour 27
Focus area 1
27Focus 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-being15. Promote resources aimed at increasing physical activity by:
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282828
people suffering from chronical diseases16. Improve access to physical and sporting activities for people with disabilities
(physical, mental, psychological, or sensory) by: (161) Using the PNNS portal to better communicate with professionals and the general public regarding the
committees; access for people with disabilities17. 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: 29FOCUS AREA 3 Organise detection and
mangement of nutrition-related health conditions in patients; reduce the prevalence of undernutrition 29Focus area 1
29Focus area 3
FOCUS AREA 3 - Organise detection and management of nutrition-related health conditions in patients; reduce theNUTRITIONAL OBJECTIVES
General objective 4 - Reduce the prevalence of nutrition-related heal th conditions FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015MINISTRY O
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303030
Measure 1
Organise detection of nutritional disorders and
patient managementACTIONS
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; 31FOCUS AREA 3 Organise detection and
mangement of nutrition-related health conditions in patients; reduce the prevalence of undernutrition 31Focus area 1
31Focus area 3
ACTIONS
22. Raise awareness among health care professionals by:
(221) 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 practitioners25. Detect undernutrition in patients suffering from acute and chronic d
iseases by: assessment FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015MINISTRY O
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32FRENCH 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:
(263) Including nutritional support in the personalised care plan of cancer patients;
27. Improve the treatment and care of undernutrition in elderly people b
y: 33FOCUS AREA 3 Organise detection and
mangement of nutrition-related health conditions in patients; reduce the prevalence of undernutrition 33Focus area 1
33Focus area 3
disabled peopleACTION
28. Develop actions for the diagnosis, prevention and monitoring of the nutritional
status of disabled people FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015MINISTRY O
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34FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015
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343434
3535Focus area 1
35Focus 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 authoritiesThese mechanisms must be promoted
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36FRENCH NATIONAL NUTRITION AND HEALTH PROGRAM 2011 - 2015
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363636
Measure 1
Promote the PNNS as the leading reference for
nutrition and health"
ACTION
29. Set up a communication strategy for the PNNS by:
(292) Promoting the
www.mangerbouger.fr website as a leading online reference tool for information aboutnutrition and health";
regarding PNNS accomplishments; the PNNS. 3737Focus area 1
37Focus area 4
FOCUS AREA 4 Promote the PNNS as the reference
for nutrition-related actions and stakeholder involvementACTIONS
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 - 2015MINISTRY O
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