Policy relevant food research for improving urban populations diets Manuel Franco MD, PhD Associate Professor School of Medicine, University of Alcala, Spain Adjunct Associate Professor Department of Epidemiology Johns Hopkins Bloomberg School of Public Health, Baltimore Food 2030 October 16th. 2017
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Policy relevant food research for
improving urban populations diets
Manuel Franco MD, PhD Associate Professor
School of Medicine, University of Alcala, Spain
Adjunct Associate Professor
Department of Epidemiology
Johns Hopkins Bloomberg School of Public Health, Baltimore
Food 2030 October 16th. 2017
http://hhhproject.eu
• Diet is a chronic disease risk factor
highly influenced by the local food
environment.
• Urban health relevance:
• 2050 2/3 of world population
• Chronic diseases and aging
• Health inequalities
• Urban food environment is an
example of a mass influence on
population diets and health. Franco M. et al. (2016). Food Environment.
Encyclopedia of Food and Health.
Academic Press, Oxford
Urban Food Environment
Social and Physical Urban
Environment and Cardiovascular Health:
The Much Needed Population Approach
Manuel Franco MD, PhD
Starting Grant 2013
Presenter’s Name
Date
Physical
Environment
Social
Environment
Cardiovascular
Health
HEART
HEALTHY
HOODS Obesity
Physical
Activity
Diet
Alcohol
Physical Activity
Food CVD
Smoking
Tobacco
Social and Physical
Environment
Individual
Cardiovascular Health
Alcohol
Heart Healthy Hoods Study
Main Goal
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To provide scientific evidence to researchers, general
population and policy makers to intervene at the
population level preventing 1ST cause of death in Europe
R&I impact: Methods, articles, conferences.
Social impact: Participation, communication, policy making
HHH overarching objective
Policy and research implications
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Kick off meeting Sept 2014
Interdisciplinary team
PI: Social Epidemiology
Geography
Sociology
Primary Health Care
Epidemiology
Health Policy
Photography
Communication
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21 Districts
129 Neighborhoods
2.412 Census Sections
3,2 Mill. Residents
HHH analyzes the Electronic
Health Records 1,4 mill.
residents 40-75 ys.
One clear policy maker
WHOLE CITY OF MADRID
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Urban food environments
Mediterranean urban food environments
share unique characteristics:
1. Diversity
(Types of food stores)
2. Compactness
(Shorter distance)
Diez J, Bilal U and Franco M,
EJCN, 2017, accepted.
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1. Analyse data context
2. Collect
on-field data
3. Collect municipal
data
4. Validate municipal
data
5. Rate healthy food
access
6. Translate results for
government & stakeholders
AIM
• To examine whether municipal data are a valid source to characterize
the retail food environment in the whole city of Madrid.
• To test whether indicators of validity differed by area-level deprivation.
Diez J, Bilal U and Franco M, AJPM 2017, Under review.
Measuring MED food environments
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Table. Validity of municipal data sources as compared with ground-truthed
data (n=117) for the location of food stores in the city of Madrid, Spain.