Perspective: Food and Nutrition Insecurity in Europe: Challenges and Opportunities for Dietitians.

Elena Carrillo-Álvarez
Author Information
  1. Elena Carrillo-Álvarez: Public Health Specialist Network (ESDN PH), European Federation of Association of Dietetics (EFAD), Europe; Global Research on Wellbeing (GRoW) research group, Blanquerna School of Health Sciences, Universitat Ramon Lull, Barcelona, Spain. Electronic address: elenaca@blanquerna.url.edu.

Abstract

In recent years, the interest in food and nutrition insecurity in high-income countries has skyrocketed. However, its recognition in Europe is still developing. This perspective summarizes the evidence on food and nutrition insecurity across Europe in terms of prevalence, consequences, and current mitigation strategies, with the aim of outlining the challenges and opportunities for dietitians. Prevalence in the general population ranges between 5% and 20%, with higher rates identified in women, children, older adults, single-parent households, those with low educational attainment, and on low or unstable income and/or employment. In users of food aid, the prevalence of food insecurity is above 70%. Responses to food and nutrition insecurity include welfare policies and food assistance programs at regional and national levels. However, most current strategies are not successful in tackling the structural drivers of food and nutrition insecurity, nor do they guarantee diet quality. Despite limited involvement to-date, dietitians can play an important role in addressing food and nutrition insecurity across Europe. This narrative identifies 4 areas: 1) create awareness of the existence and severity of food and nutrition insecurity, 2) advocate for comprehensive, robust data on the determinants and prevalence, 3) partner with diverse stakeholders, social assistance providers, local authorities, and nongovernmental organizations in a comprehensive, intersectoral, and integrated manner, 4) participate in the development of political instruments and interventions that ensure equitable access to high-quality safe food.

Keywords

References

  1. Soc Psychiatry Psychiatr Epidemiol. 2016 Aug;51(8):1073-81 [PMID: 27294729]
  2. Appetite. 2016 Aug 1;103:137-147 [PMID: 27067740]
  3. Public Health Nutr. 2002 Oct;5(5):637-44 [PMID: 12372157]
  4. World Rev Nutr Diet. 2016;115:16-23 [PMID: 27197666]
  5. Int J Environ Res Public Health. 2019 May 21;16(10): [PMID: 31117216]
  6. Int J Environ Res Public Health. 2020 Aug 27;17(17): [PMID: 32867149]
  7. Prev Med Rep. 2018 Jan 28;9:96-101 [PMID: 29527460]
  8. J Popul Res (Canberra). 2022;39(3):417-439 [PMID: 35966415]
  9. Soc Sci Med. 2015 May;132:38-44 [PMID: 25792338]
  10. J Acad Nutr Diet. 2017 Dec;117(12):1991-2002 [PMID: 29173349]
  11. Public Health Nutr. 2017 Jun;20(8):1414-1422 [PMID: 28318474]
  12. Prev Med. 2016 Aug;89:44-50 [PMID: 27212071]
  13. Nutrients. 2020 Jul 15;12(7): [PMID: 32679788]
  14. Nutr Diet. 2017 Apr;74(2):167-174 [PMID: 28731637]
  15. Public Health Nutr. 2015 Nov;18(16):2952-61 [PMID: 25563304]
  16. Soc Indic Res. 2022;161(2-3):649-667 [PMID: 32836670]
  17. JAMA. 2021 Apr 27;325(16):1605-1606 [PMID: 33792612]
  18. J Am Diet Assoc. 2005 Feb;105(2):278-83 [PMID: 15668689]
  19. J Hum Nutr Diet. 2021 Oct;34(5):849-857 [PMID: 33730420]
  20. J Child Health Care. 2011 Dec;15(4):401-16 [PMID: 22199175]
  21. BMJ Open. 2014 May 16;4(5):e004657 [PMID: 24838723]
  22. J Nutr. 2001 May;131(5):1503-9 [PMID: 11340107]
  23. PLoS One. 2020 Jan 23;15(1):e0228099 [PMID: 31971981]
  24. Eur J Public Health. 2018 Apr 1;28(2):283-288 [PMID: 29020375]
  25. J Nutr Sci. 2022 Jun 29;11:e52 [PMID: 35836698]
  26. Nutr Metab Cardiovasc Dis. 2018 May;28(5):477-485 [PMID: 29655531]
  27. Adv Nutr. 2012 Sep 01;3(5):744-5 [PMID: 22983862]
  28. Public Health Nutr. 2014 Jan;17(1):49-57 [PMID: 22958521]
  29. BMC Public Health. 2021 Dec 16;21(1):2291 [PMID: 34915892]
  30. Int J Environ Res Public Health. 2021 Aug 26;18(17): [PMID: 34501578]
  31. Public Health Nutr. 2016 Nov;19(16):2887-2896 [PMID: 27217202]
  32. Food Nutr Bull. 2015 Jun;36(2):167-95 [PMID: 26121701]
  33. World Rev Nutr Diet. 2016;115:54-60 [PMID: 27198157]
  34. J Pediatr. 2018 Jul;198:329-330.e1 [PMID: 29936968]
  35. Int J Environ Res Public Health. 2018 Dec 24;16(1): [PMID: 30586848]
  36. Int J Environ Res Public Health. 2019 Feb 15;16(4): [PMID: 30769953]
  37. Food Secur. 2022;14(3):781-789 [PMID: 35132341]
  38. Food Secur. 2022;14(6):1503-1510 [PMID: 35891962]
  39. J Psychosom Res. 2022 Mar;154:110727 [PMID: 35086053]
  40. Int J Environ Res Public Health. 2021 Sep 17;18(18): [PMID: 34574753]
  41. Proc Nutr Soc. 2018 Aug;77(3):270-281 [PMID: 29580316]
  42. Ann Ist Super Sanita. 2020 Jan-Mar;56(1):90-98 [PMID: 32242540]
  43. Appetite. 2022 Apr 1;171:105906 [PMID: 34983000]
  44. Bull World Health Organ. 1996;74(6):605-12 [PMID: 9060221]
  45. Food Nutr Bull. 2014 Dec;35(4):395-402 [PMID: 25639124]
  46. Science. 2010 Feb 12;327(5967):825-8 [PMID: 20150491]
  47. Maturitas. 2019 Jan;119:8-13 [PMID: 30502753]
  48. Disaster Med Public Health Prep. 2021 Jun 07;:1-6 [PMID: 34096489]
  49. Health Aff (Millwood). 2015 Nov;34(11):1830-9 [PMID: 26526240]
  50. Curr Obes Rep. 2022 Sep;11(3):70-79 [PMID: 35138590]
  51. Int J Environ Res Public Health. 2018 Jul 13;15(7): [PMID: 30011832]
  52. Paediatr Child Health. 2015 Mar;20(2):89-91 [PMID: 25838782]
  53. Am J Clin Nutr. 2014 Aug;100(2):684-92 [PMID: 24944059]
  54. Nutr Res Rev. 2018 Jun;31(1):98-113 [PMID: 29318982]
  55. Am J Phys Anthropol. 2012;149 Suppl 55:72-94 [PMID: 23109261]
  56. Adv Nutr. 2013 Sep 01;4(5):481-505 [PMID: 24038241]
  57. Am J Prev Med. 2017 Aug;53(2):264-273 [PMID: 28457747]
  58. Disasters. 2000 Jun;24(2):117-32 [PMID: 10887665]
  59. Public Health Nutr. 2002 Jun;5(3):397-404 [PMID: 12003650]
  60. CMAJ. 2015 Oct 6;187(14):E429-E436 [PMID: 26261199]
  61. TSG. 2021;99(3):83-94 [PMID: 34335079]
  62. Front Med (Lausanne). 2018 Jul 12;5:203 [PMID: 30050904]
  63. J Nutr. 2019 Sep 1;149(9):1642-1650 [PMID: 31174211]
  64. Soc Sci Med. 2021 Jan;268:113556 [PMID: 33293171]
  65. Public Health Nutr. 2018 Oct;21(15):2753-2761 [PMID: 29996952]
  66. Lancet. 2022 Aug 6;400(10350):413-416 [PMID: 35870474]
  67. Health Serv Res. 2020 Oct;55 Suppl 2:883-893 [PMID: 32187388]
  68. Public Health Nutr. 2020 Oct;23(14):2602-2614 [PMID: 32336313]
  69. Appl Econ Perspect Policy. 2021 Mar;43(1):153-161 [PMID: 33042509]
  70. Public Health Nutr. 2015 Apr;18(5):877-92 [PMID: 24963759]
  71. Eur J Public Health. 2016 Apr;26(2):290-6 [PMID: 26873860]
  72. Nutrients. 2019 Dec 02;11(12): [PMID: 31810254]
  73. BMC Public Health. 2013 May 20;13:486 [PMID: 23688296]
  74. Food Secur. 2022;14(6):1377-1385 [PMID: 35634258]
  75. Health Soc Care Community. 2018 Mar;26(2):e261-e269 [PMID: 29024211]
  76. Nutr Rev. 2022 Mar 10;80(4):631-644 [PMID: 34338784]
  77. Int J Environ Res Public Health. 2018 Feb 28;15(3): [PMID: 29495563]
  78. BMJ Open. 2022 Feb 09;12(2):e052827 [PMID: 35140151]
  79. BMC Public Health. 2019 Dec 5;19(1):1643 [PMID: 31805900]
  80. Public Health Nutr. 2022 Apr;25(4):829-840 [PMID: 35067259]
  81. Public Health Nutr. 2021 Apr;24(5):950-956 [PMID: 33292888]
  82. J Am Diet Assoc. 2007 Nov;107(11):1952-61 [PMID: 17964316]
  83. Nutrients. 2020 Dec 31;13(1): [PMID: 33396310]
  84. Soc Sci Med. 2022 Aug 28;311:115313 [PMID: 36087388]
  85. Int J Public Health. 2019 Jul;64(6):887-895 [PMID: 30993351]

MeSH Term

Child
Humans
Female
Aged
Nutritionists
Food Supply
Nutritional Status
Income
Food Assistance
Europe

Word Cloud

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