Implementation of food-based dietary guidelines: conceptual framework and analysis of the Brazilian case

Author(s)

Gabe, Kamila Tiemann ^{[1, 2]} ; Tramontt, Claudia Raulino ^[1] ; Jaime, Patricia Constante ^{[3, 1]}

Affiliation

^[1] Univ Sao Paulo, Fac Saude Publ, Nucleo Pesquisas Epidemiol Nutr & Saude, Sao Paulo - Brazil

^[2] Univ Sao Paulo, Fac Saude Publ, Programa Posgrad Nutr Saude Publ, Sao Paulo - Brazil

^[3] Univ Sao Paulo, Fac Saude Publ, Dept Nutr, Sao Paulo - Brazil

• Document type: Journal article
• Source: PUBLIC HEALTH NUTRITION; v. 24, n. 18, p. 6521-6533, DEC 2021.
• Web of Science Citations: 1

Abstract

Objective: This study aimed to develop a conceptual framework of the process of food-based dietary guidelines (FBDG) implementation and analyse Brazil's employed measures to implement dietary guidelines for the Brazilian population (2014). Design: Qualitative research. Setting: Aiming to develop the conceptual framework, a literature review on FBDG implementation was carried out. Both documents scoped within the macropolitical sphere and scientific articles were reviewed. In the case study, measures took in Brazil were identified through a search on institutional websites and technical management reports of government sectors were responsible for FBDG implementation in the country. Participants: This study does not involve humans. Results: The new conceptual framework frames FBDG implementation as a part of a larger set of intersectoral public policies to promote healthy eating and highlights two main implementation ways: educational materials and public policies. Brazil has a range of policies to promote healthy eating guided by the perspective of food as a right. Most of the implemented measures focussed on the concept of `FBDG as educational materials,' although the recommendations have also been implemented in public policies. Conclusion: The FBDG implementation should be carried out in an integrated manner with multi-sector involvement. The Brazilian's case analysis can be helpful to decision makers in food policy across the globe be inspired by the Brazilian efforts, considering that the Brazilian FBDG was one of the firsts to have adopted a multidimensional paradigm of healthy eating, including diet sustainability. (AU)

• FAPESP's process: 19/01206-8 - Study of the adherence to the recommendations of the Dietary Guidelines for the Brazilian population
• Grantee: Kamila Tiemann Gabe
• Support Opportunities: Scholarships in Brazil - Doctorate