We developed the NOURISHING framework to highlight where governments need to take action to promote healthy diets and reduce overweight and obesity.
The framework is accompanied by a regularly updated database (last updated 24 October 2018), providing an extensive overview of implemented government policy actions from around the world.
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We know from the evidence that making fruit and vegetables available in schools increases consumption. There is also evidence that food standards to restrict availability have the effect of reducing consumption of the restricted food.
For these actions to be effective for all children, they need to be sustained over time and accompanied by complementary behaviour change communication techniques, such as "modelling", school gardens, and communication to all stakeholders involved in the provision and consumption of school food. Worksites and healthcare also present strong potential for improved eating among adults.
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On 17 November 2011, the Guam government enacted Policy in Favor of Healthy Food and Beverage Products in all Vending Machines Located within Government Facilities (22420.1) by amending various sections of the Guam Code. The Act stipulated that by January 2012 at least 50% of all foods and beverages offered in government-contracted vending machines within government institutions need to adhere to the new guidelines. The guidelines were then amended on 27 November 2013. The guidelines outline that at a minimum all vending machine food must display calorie, fat, sugar and sodium content labelling. At least 50% of beverages offered must contain one, or a combination of, water, coffee or tea, non-fat or reduced-fat milk, 100% fruit/vegetable juice, fruit-based drinks containing 100% fruit juice, other non-calorific beverages and sports drinks with less than, or equal to, 100 calories. 50% of the food offered must not contain more than 250 calories; 35% of the calories from fat; not more of 10% of the calories from saturated fat; any trans fat (hydrogenated oils or partially hydrogenated oils); more than 35% of the total weight from sugar or sweeteners; and more than 360mg of sodium. At least one item must have less than 140mg of sodium and a food option that contains at least 2 grams of fibre must be present. The Act also states that the government will inspect vending machines for compliance with the guidelines.