ObjectivesConsumers routinely seek health and nutrition-related information from online
sources, including social media platforms. This study identified popular
online nutrition content to examine the advice and assess alignment with the
Australian Guideline to Healthy Eating (AGHE).MethodsWe used Facebook page “likes” as an indicator of popularity to
identify online nutrition and diet content. Websites and blogs associated
with pages that had more than 100,000 Australian likes on 7th September 2017
were included. The dietary advice promoted was collected and compared with
the AGHE across nine categories (Vegetables, Fruits, Legumes, Grains, Lean
Meat, Dairy/Alternative, Fat, Sugar, Salt)ResultsNine Facebook pages met the inclusion criteria. The four most-liked pages
were hosted by celebrities. Only two pages and their associated websites had
advice consistent with AGHE recommendations across all nine categories
reviewed. The concept of “real food” was a popular theme
online. While most sources advocated increasing vegetable consumption and
reducing processed food, other advice was not evidence-based and frequently
deviated from the AGHE.DiscussionHealth information seekers are exposed to a variety of online dietary
information and lifestyle advice. While few public health goals are
promoted, there are many contradictions, as well as deviations from the
AGHE, which can create confusion among health information seekers. Public
health organisations promoting AGHE on Facebook are few and not as
popular.ConclusionPublic health organisations need to be more engaged on popular internet
platforms such as Facebook. The prevailing popular nutrition advice online
may increase consumer confusion, scepticism and even avoidance of dietary
advice. Proactive efforts are needed by public health organisations, in
partnership social marketing experts, to create and share engaging and
accurate nutrition content. Partnership with celebrities should be explored
to improve reach and impact of evidence-based diet recommendations
Weight stigma is an important issue colliding with obesity-related policies; both have population health and social impacts. Our aim was to conduct a systematic review of the peer-reviewed literature that combined the concepts of stigma, obesity, and policy. We searched PsycINFO, Medline, Scopus, and Google Scholar for peer-reviewed articles amalgamating terms relevant to stigma, obesity, and policy. Of 3219 records identified, 47 were included in the narrative synthesis. Two key types of studies emerged: studies investigating factors associated with support for obesity-related policies and those exploring policy implementation and evaluation. We found that support for nonstigmatizing obesity-related policies was higher when obesity was attributed as an environmental rather than individual problem. An undercurrent theme suggested that views that blame individuals for their obesity were associated with support for punitive policies for people living in larger bodies. Real-world policies often implicitly condoned stigma through poor language choice and conflicting discourse. Our findings inform recommendations for policy makers that broader socioecological stigma-reduction approaches are needed to fully address the issue of weight stigma in obesity-related policies. Efforts are needed in the research and policy sectors to understand how to improve the design and support of nonstigmatizing obesity-related policies.
Only 5% of Australian children and adults eat enough fruit and vegetables. Two common barriers are high cost and limited access. Food co-operatives (‘co-ops’) may have the potential to reduce these barriers. We conducted a scoping analysis of food co-ops in the Sydney region to describe their characteristics and objectives. We also conducted a survey of members and non-members of co-ops to assess their fruit and vegetable intake using validated questions. Fifteen food co-ops were identified in the Sydney region and the most common objective was to provide cheap affordable produce. Most co-ops (61%) were in areas of high socio-economic status (SES). Members of food co-ops had a higher vegetable intake than non-members [mean difference (MD) = 0.54 serves/daily; 95% confidence interval (CI) of 0.15 to 0.93] and were also more likely to meet the recommendations for fruit and vegetable intake [odds ratio (OR) = 4.77 (95% CI = 1.15, 19.86)]. Implications of this study are that if food co-ops can be implemented on a wider scale, they hold potential for improving fruit and vegetable intakes.
We aimed to develop an expert consensus on standardizing data collections in specialist obesity management clinics in Australia. A panel of 16 experts participated in a structured consensus‐driven Delphi process to reach agreement on a minimum set of baseline patient data collections for consideration in specialist obesity services. The panel included surgeons, clinicians, allied health professionals (dietician, exercise physiologist, psychologist), a bariatric nurse and obesity researchers. We produced a recommended list of core and useful data items that should comprise the baseline patient data set. Consensus was achieved for recommended measures of demographic, anthropometric, biochemical, weight‐loss history, medication, medical history and comorbidity data items using a 70% agreement threshold. In this iterative process, there was also consideration of specific data items for patients referred for bariatric surgery. We present the first expert panel consensus on recommendations for a minimum and standard set of baseline patient data collections in obesity management services in Australia. These may be relevant to other countries with similar obesity management service models. Implementation of these recommendations should facilitate data pooling for clinical audits and research collaborations across clinics seeking to improve the quality of specialist obesity care.
India is the world's largest democracy and second most populous country with nearly 1.4 billion people. With reduced birth rates and increasing lifespans, it had nearly 104 million ‘senior citizens' in 2011, expected to grow to 300 million by 2050. Providing care for the elderly in India is a growing public and private concern. Filial piety is embedded in culture and long-term care for parents and the elderly is expected from children. However, over the last five decades there have been rapid changes in socioeconomic patterns with increasing mobility for work and rise of nuclear households. Despite this, elder care is still largely underdeveloped, with lack of formal training in geriatric care and geriatric care curriculum in medical education. Australia has a highly evolved elderly care system with care services that includes retirement villages, home care, residential care, and flexible care. These are provided by subsidization from the government and private user pay system. Australia is well poised to provide aged care expertise and services and shape elderly care in India.
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