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Kun A Susiloretni
Ref: Worsley T: Nutrition promotion: theories and
methods, systems and settings. CAB International; 2008.
1
As part of public health has three core strategies:
 improve social conditions that threaten health e.g.
the occurrence of poverty;
 prevent social conditions that threaten health e.g.
poverty, gender and ethnic discrimination};
 neutralize existing social conditions that cause ill-
health e.g. high unemployment rates might be
reduced through skills training schemes.
 + ensuring that all people in society are well fed
2
Nutrition education is
 about the provision of knowledge and skills for food
consumers so that they can perform healthier eating and
drinking behaviors.
 include communications which are designed to motivate
them to consume a healthier diet  upstream strategies
Nutrition promotion, while
 including nutrition education and communication with
consumers,
 also tries to influence the composition and availability of
foods and beverages  tries to change food supply 
downstream strategies
3
 governments could raise taxes on high-fat or high-energy
foods to reduce their consumption
 subsidize the production and sale of 'healthy' foods in order
to make them more attractive to consumers and producers
 nutrition promoters may set up community (or school) fruit
and vegetable gardens so that fresh produce becomes more
available
 form food banks and buying cooperatives to make healthier
foods more available to low-income families
4
 Focus on knowledge and skills  make wise
decision
 Basic cognitive framework
 energy and energy balance;
 anti-oxidants and free radicals;
 vitamins and minerals as.essential 'enzymatic' (catalytic)
factors (e.g. folate, homocysteine and inflammatory
processes);
 proteins, and growth and repair concepts;
 nutrient sufficiency and excess;
 saturated fats, serum cholesterol and heart disease.
5
 what sorts of foods (variety) they should eat;
 how often they should consume foods from
particular food groups (e.g. 'Do I need to eat fruit
every day or every week or less often?');
 whether some foods are better choices than others,
and if so what they are; and
 how energy intakes and energy outputs are kept in
balance.
6
 Foods and beverages are essential for health, but
they are produced by the food system, not by the
health system
 Therefore, nutrition promoters have to work in both
systems and often in others, such as the education
system.
 Both systems are complex and demand detailed
knowledge and skills from practitioners
 Much early nutrition 'promotion' consisted of
educational messages exhorting individuals to
change their ways by providing them with science-
based knowledge 7
Little was done to alter the supply of healthy
foods.
In contrast, the health promotion tradition
comes from a mixing of at least two groups of
professionals.
The nutrition education and health
promotion traditions are merging to form a
new discipline known as nutrition promotion
which is the application of health promotion
principles and methods to population food
and health problems.
8
9
 Nutrition promotion is about the promotion of healthy eating
and drinking habits in short, a healthy diet
 Health is a state of complete physical, mental, and social well
being and not merely the absence of disease or infirmity (WHO
1946
 Health is a necessary condition which enables them to enjoy
‘flourishing lives’
 Health is a condition that is necessary for people to pursue 'good'
lives
 The behavioral basis of nutrition promotion should not be
overlooked.
10
 increasing evidence that most traditional cuisines, like the
Mediterranean, Andean, Hangchow and Okinawan cuisines,
are composed of similar animal and plant components
(Trichopoulou et al. 2003)
 traditional diets are 'eco-nutritional’ (Wahlqvist,1995)
 optimal health is associated with the consumption of a fairly
wide variety of foods - dietary diversity
 Trichopoulou's list (Trichopoulou et al. 2003) of nine important
components of the Mediterranean
11
HIGH PLANT FOOD
12
13
 Clearly principles of
 natural justice  have nutritional needs and
 equity demand  different requirements
 that they should have such access.
British nutritionists in World War II
through a sophisticated food rationing
scheme.
 People were allowed to buy only foods identified
by nutritionists as appropriate for their age, sex
and physical workloads.
 As a result, the general health of the UK
population dramatically improved despite the
war I 14
The simple answer is 'a varied food supply
In agricultural societies,
 including poor harvests,
 failure of storage systems
 interruption or absence of transport systems by
weather conditions
The high population densities
 increased needs for physical and organizational
infrastructures
15
 at least 800 million people in the world do not have sufficient
food to meet their daily needs, three keys:
 highly efficient and sustainable production,
 distribution and
 administrative systems.
 Our current systems tend to be highly inefficient in ecological
terms,
 destroying arable land,
 polluting water resources and
 producing greenhouse gases on a vast scale.
 No hunger SDG no 2
16
 2.1 Pada tahun 2030, menghilangkan kelaparan dan
menjamin akses bagi semua orang,
 khususnya orang miskin dan
 mereka yang berada dalam kondisi rentan, termasuk bayi,
terhadap makanan yang aman, bergizi, dan cukup sepanjang
tahun.
 2.2 Pada tahun 2030, menghilangkan segala bentuk
kekurangan gizi, termasuk pada tahun 2025 mencapai target
yang disepakati secara internasional untuk
 anak pendek dan kurus di bawah usia 5 tahun, dan
 memenuhi kebutuhan gizi remaja perempuan, ibu hamil dan
menyusui, serta manula.
17
 On the supply side, the activities of farmers, fishers,
horticulturalists, food manufacturers, distributors, wholesalers
and retailers affect the availability of foods
 On the demand side-which is largely about the activities of
consumers-there are several influential factors, the principal
one being the level and distribution of affluence of the
community.
 A further set of factors affects the demand for food. In the
main, these relate to general education and to special food and
nutrition education.
18
 On the supply side, the activities of farmers, fishers,
horticulturalists, food manufacturers, distributors, wholesalers
and retailers affect the availability of foods
 industry ownership
 activities of food marketers and advertisers on behalf of
manufacturers
 Local planning policies : LARGE supermarkets etc
 Governments, if they are strong, relatively free of corruption and
well organized : tax food products that are not in the public
interest and subsidise the production and marketing of foods that
are health-promoting
 On the demand side-which is largely about the activities of
consumers-there are several influential factors, the principal
one being the level and distribution of affluence of the
community.
19
 On the demand side-which is largely about the
activities of consumers-there are several influential
factors, the principal one being the level and
distribution of affluence of the community.
 community is poverty stricken
 have substantial average incomes but which have poor
distribution of wealth tend to have large pockets of poverty
and associated malnutrition and poor health.
20
NUTRITION PROMOTION
Nutrition educators and promoters must
respond to the needs of several groups of
people,
The learners
The parents
Nutrition scientist
21
22

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Nutrition promotion

  • 1. Kun A Susiloretni Ref: Worsley T: Nutrition promotion: theories and methods, systems and settings. CAB International; 2008. 1
  • 2. As part of public health has three core strategies:  improve social conditions that threaten health e.g. the occurrence of poverty;  prevent social conditions that threaten health e.g. poverty, gender and ethnic discrimination};  neutralize existing social conditions that cause ill- health e.g. high unemployment rates might be reduced through skills training schemes.  + ensuring that all people in society are well fed 2
  • 3. Nutrition education is  about the provision of knowledge and skills for food consumers so that they can perform healthier eating and drinking behaviors.  include communications which are designed to motivate them to consume a healthier diet  upstream strategies Nutrition promotion, while  including nutrition education and communication with consumers,  also tries to influence the composition and availability of foods and beverages  tries to change food supply  downstream strategies 3
  • 4.  governments could raise taxes on high-fat or high-energy foods to reduce their consumption  subsidize the production and sale of 'healthy' foods in order to make them more attractive to consumers and producers  nutrition promoters may set up community (or school) fruit and vegetable gardens so that fresh produce becomes more available  form food banks and buying cooperatives to make healthier foods more available to low-income families 4
  • 5.  Focus on knowledge and skills  make wise decision  Basic cognitive framework  energy and energy balance;  anti-oxidants and free radicals;  vitamins and minerals as.essential 'enzymatic' (catalytic) factors (e.g. folate, homocysteine and inflammatory processes);  proteins, and growth and repair concepts;  nutrient sufficiency and excess;  saturated fats, serum cholesterol and heart disease. 5
  • 6.  what sorts of foods (variety) they should eat;  how often they should consume foods from particular food groups (e.g. 'Do I need to eat fruit every day or every week or less often?');  whether some foods are better choices than others, and if so what they are; and  how energy intakes and energy outputs are kept in balance. 6
  • 7.  Foods and beverages are essential for health, but they are produced by the food system, not by the health system  Therefore, nutrition promoters have to work in both systems and often in others, such as the education system.  Both systems are complex and demand detailed knowledge and skills from practitioners  Much early nutrition 'promotion' consisted of educational messages exhorting individuals to change their ways by providing them with science- based knowledge 7
  • 8. Little was done to alter the supply of healthy foods. In contrast, the health promotion tradition comes from a mixing of at least two groups of professionals. The nutrition education and health promotion traditions are merging to form a new discipline known as nutrition promotion which is the application of health promotion principles and methods to population food and health problems. 8
  • 9. 9
  • 10.  Nutrition promotion is about the promotion of healthy eating and drinking habits in short, a healthy diet  Health is a state of complete physical, mental, and social well being and not merely the absence of disease or infirmity (WHO 1946  Health is a necessary condition which enables them to enjoy ‘flourishing lives’  Health is a condition that is necessary for people to pursue 'good' lives  The behavioral basis of nutrition promotion should not be overlooked. 10
  • 11.  increasing evidence that most traditional cuisines, like the Mediterranean, Andean, Hangchow and Okinawan cuisines, are composed of similar animal and plant components (Trichopoulou et al. 2003)  traditional diets are 'eco-nutritional’ (Wahlqvist,1995)  optimal health is associated with the consumption of a fairly wide variety of foods - dietary diversity  Trichopoulou's list (Trichopoulou et al. 2003) of nine important components of the Mediterranean 11
  • 13. 13
  • 14.  Clearly principles of  natural justice  have nutritional needs and  equity demand  different requirements  that they should have such access. British nutritionists in World War II through a sophisticated food rationing scheme.  People were allowed to buy only foods identified by nutritionists as appropriate for their age, sex and physical workloads.  As a result, the general health of the UK population dramatically improved despite the war I 14
  • 15. The simple answer is 'a varied food supply In agricultural societies,  including poor harvests,  failure of storage systems  interruption or absence of transport systems by weather conditions The high population densities  increased needs for physical and organizational infrastructures 15
  • 16.  at least 800 million people in the world do not have sufficient food to meet their daily needs, three keys:  highly efficient and sustainable production,  distribution and  administrative systems.  Our current systems tend to be highly inefficient in ecological terms,  destroying arable land,  polluting water resources and  producing greenhouse gases on a vast scale.  No hunger SDG no 2 16
  • 17.  2.1 Pada tahun 2030, menghilangkan kelaparan dan menjamin akses bagi semua orang,  khususnya orang miskin dan  mereka yang berada dalam kondisi rentan, termasuk bayi, terhadap makanan yang aman, bergizi, dan cukup sepanjang tahun.  2.2 Pada tahun 2030, menghilangkan segala bentuk kekurangan gizi, termasuk pada tahun 2025 mencapai target yang disepakati secara internasional untuk  anak pendek dan kurus di bawah usia 5 tahun, dan  memenuhi kebutuhan gizi remaja perempuan, ibu hamil dan menyusui, serta manula. 17
  • 18.  On the supply side, the activities of farmers, fishers, horticulturalists, food manufacturers, distributors, wholesalers and retailers affect the availability of foods  On the demand side-which is largely about the activities of consumers-there are several influential factors, the principal one being the level and distribution of affluence of the community.  A further set of factors affects the demand for food. In the main, these relate to general education and to special food and nutrition education. 18
  • 19.  On the supply side, the activities of farmers, fishers, horticulturalists, food manufacturers, distributors, wholesalers and retailers affect the availability of foods  industry ownership  activities of food marketers and advertisers on behalf of manufacturers  Local planning policies : LARGE supermarkets etc  Governments, if they are strong, relatively free of corruption and well organized : tax food products that are not in the public interest and subsidise the production and marketing of foods that are health-promoting  On the demand side-which is largely about the activities of consumers-there are several influential factors, the principal one being the level and distribution of affluence of the community. 19
  • 20.  On the demand side-which is largely about the activities of consumers-there are several influential factors, the principal one being the level and distribution of affluence of the community.  community is poverty stricken  have substantial average incomes but which have poor distribution of wealth tend to have large pockets of poverty and associated malnutrition and poor health. 20
  • 21. NUTRITION PROMOTION Nutrition educators and promoters must respond to the needs of several groups of people, The learners The parents Nutrition scientist 21
  • 22. 22