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Health Promotion and Disease Prevention Knowledge Gateway

A reference point for public health policy makers with reliable, independent and up-to date information on topics related to promotion of health and well-being.

  • Page | Last updated: 29 Apr 2021

How to use the Health Promotion and Disease Prevention Knowledge Gateway

Structure and contents

The content of this Knowledge Gateway is organised in independent Briefs. Each Brief is a well-structured stand-alone information package; where Briefs have overlapping or related content these are marked and linked. Each Brief defines the issue at hand and describes its health-related implications; in addition, it provides a summary of relevant EU data and presents recommendations to policy makers for actions, interventions, measures or best-practices, as well as examples of implemented policies that address the topic. Due to their structured and concise nature and because of the methodology used, the Knowledge Gateway Briefs do not aim to present exhaustive reviews of the literature in the various topics in question.

To enhance readability and user-friendliness, a significant amount of information is presented as tables. All Briefs follow, to the extent possible and where applicable, a similar structure outlined in Table 1 below.

Table 1: Structure and contents of the Briefs

PARAGRAPH

DESCRIPTION

Definition

This part introduces the topic, provides, if available, official definitions and terminology and sets the context for the rest of the chapter. Any technical information needed to understand the remainder of the brief is provided here as well as in a supporting glossary.

Dietary or exposure sources

This part provides information related to the major dietary sources and or uses of specific nutrients or foods, mainly from an EU perspective. For Briefs not related to dietary factors, other relevant information is presented instead.

Labelling

This part is mostly relevant for the nutrient and food chapters and is not present in all the Briefs. It presents information on food-related labelling, in particular on EU legislation requirements for the topic at hand.

Health-related effects

This part of the Brief lists potential effects on health related with the topic at hand, e.g., alcohol-related harm, under- or over- consumption/intake of specific foods/nutrients. Taking a public health perspective on non-communicable disease prevention, the health effects are categorised by relevant health condition, disease or physiological effect on the body. The categorisation is harmonised across all Briefs, to the extent possible.

Recommendations

This part presents population or individual-level recommendations to counter or promote the health-related effects considered e.g. recommendations for nutrient intakes or food-based dietary guidelines for consumption of a particular food group or beverage.

Current EU situation

This part presents an overview of national and EU data related to the Brief's topic, e.g. nutrient intakes or levels of physical activity per country.

Disease-related Burden

This part presents a brief overview of the burden of disease related to the Brief's topic. In most cases, the data provided is drawn directly from the most recent Global Burden of Disease Study.

Policy recommendations

This part lists recommendations for possible policies, best-practices, measures or actions to be implemented at local, national or EU level as proposed by public health related actors and organisations. The various policies follow, to the extent possible, a harmonised categorisation, based on the 'intrusiveness' of the intervention/action proposed, from stronger to softer, following the Nuffield Council on Bioethics Intervention Ladder.

Implemented policies

This part lists examples of policies in place to address the issue at hand, in the EU and in other countries. It does not aim to be comprehensive but merely to illustrate the diversity of approaches adopted across the EU and the globe. As in the previous section, the various policies follow, to the extent possible, a harmonised categorisation, based on the 'intrusiveness' of the intervention/action proposed, from stronger to softer, following the Nuffield Council on Bioethics Intervention Ladder.

 

Topics covered and timeliness of content

The topics covered in this Knowledge Gateway were identified by Member States and relate to their priority areas of action in what regards prevention of non-communicable disease. The content is updated periodically and new Briefs are added regularly to reflect developments in the field and respond to the needs of EU policy makers.

Sources of information and reporting

This Knowledge Gateway provides short, impactful and concise briefs for each topic, focusing on the aspects most relevant to policy makers. It does not aim to present a systematic and exhaustive review of all available peer-reviewed literature; the selection of the publications used as sources of information adopted the tiered approach illustrated below.  Authoritative publications, as described in 1st and 2nd tier sources in the Fig. 1 and Table 2 below, were prioritised.

Figure 1: Tiered approach for selection of sources of information

First and 2nd tier sources of information such as authoritative report, statements and statistics issued by global organisations, governmental institutions and authorities were prioritised over 3rd or 4th tier sources.

Chart of information flow
(©European Union, 2017)

Fig. 1: Tiered approach for selection of sources of information.

 

Table 2: Examples of sources considered as Tier 1 and Tier 2 in the prioritisation of literature procedure

SOURCES

EXAMPLES

International organisations, (inter) governmental bodies

European Commission (EC)

World Health Organisation (WHO) and Food and Agriculture Organisation (FAO) of the United Nations (UN)

EU Member State (MS) ministries, e.g. health, agriculture

Non-EU state ministries, e.g. United States (US) Department of Agriculture (USDA)

Competent authorities / institutions with legal mandate

EU level authorities and agencies, e.g. European Food Safety Authority (EFSA)

EU MS food and health authorities, e.g. Food Standards England (FSE), French Agency for Food, Environmental and Occupational Health & Safety (ANSES), German Federal Institute of Risk Assessment (BfR)

Major non-EU food and health authorities, e.g. US Food And Drug Administration (FDA), Food Standards Australia New Zealand (FSANZ)

Scientific, Academic, or Public Health associations

International or European, e.g. International Diabetes Federation (IDF), World Obesity Federation (former International Obesity Task Force – IOTF), World Cancer Research Fund (WCRF), European Society of Cardiology (ESCARDIO)

EU member state national societies, e.g. German Nutrition Society (DGE)

Major non-EU national societies, e.g. American Heart Association (AHA)

Given the aim and scope of this Knowledge Gateway, EU sources of information prevail, however, to remain inclusive and maintain a global perspective, non-EU sources have also been considered. Information extracted from 3rd or 4th tier sources was reported when 1st and 2nd tier sources did not provide the needed information e.g. recent developments, lack of relevant data, a niche issue etc. These were considered case-by-case.

While a strict time limit on the date of publication was not imposed, in general sources of information before 2005 have not been considered, unless more recent counterparts were lacking. Web-based search engines were used to locate sources of information as well as expert knowledge from the authors' team and expert reviewers.

The briefs reflect the way that evidence, statements, conclusions, opinions or recommendations are provided in the original publication. They compile and structure the information from the original publications in a meaningful way but the nature and interpretation of the evidence, statement, opinion or conclusion of the original publication is not discussed or re-interpreted.

Where possible, opinions or statements are quoted directly from the original text, indicated by the presence of text in quotes ('…'). This is particularly noticeable when reporting health-related effects, or when presenting or policy recommendations. If quoting directly is not possible (e.g. length or structure not compatible with the Brief’s style), the information is summarised in a way that is, as true as possible, to the original one. The terminology used by the original publications, e.g. when describing the strength of the evidence for example, has been preserved as is and has therefore not been harmonised through the text.

In some instances, within each Brief or across different Briefs, the various sources considered may provide diverging or even conflicting information on a specific topic, e.g. when reporting health-related effects or when issuing recommendations related to the topic at hand. The Knowledge Gateway reports, to the best of our knowledge, all relevant information coming from the different sources that have been considered, even - or especially -  in the cases where consensus may be lacking.

Editorial process

The topics included in the Knowledge Gateway were identified and prioritised based on input from EU Member State representatives in the European Commission-chaired High Level Group on Nutrition and Physical Activity (HLG) and/or the Committee on National Alcohol Policy and Action (CNAPA) and the Steering Group on Promotion and Prevention. Each Brief of this Knowledge Gateway is reviewed internally by the JRC, DG Health and Food Safety and/or other relevant European Commission services, before being subjected to an external peer-review by qualified and internationally recognised experts relevant to each Brief. Member state representatives also had the chance to review and to provide comments and additional information to each Brief. The editorial process is described in Fig. 2 below.

Figure 2: Editorial process followed in the Health Promotion and Disease Prevention Knowledge Gateway

Editorial process
(© European Union, 2017)

The Health Promotion and Disease Prevention Knowledge Gateway strives for clear and understandable writing style for both expert and non-expert readers while ensuring a high level of quality and scientific integrity. The Briefs avoid the use of technical terminology and details; where unavoidable, terms are defined and explained in a glossary.

This Knowledge Gateway adheres, where applicable, to the website guidelines of the EC's information provider's guide, as well as specific to quality criteria related to health websites from the European Commission, the US Dept. of Health and Medline Plus.