For a nutritional health policy in France. PNNS 2017-2021.

Summary The analysis of the processes and results of the three previous National Nutrition and Health Programs (PNNS) has led to an understanding of the limitations of public health strategies based exclusively on individual determinants of dietary and physical activity behaviors. These strategies were mainly based on nutritional communication and purely incentive-based approaches. As the PNNS have only partially achieved their objectives and as social inequalities in health have worsened in the field of nutrition, the HCSP proposes, for 2017-2021, a public health nutrition policy based on measures targeting the general population with an intensity graduated according to the degree of disadvantage. It recommends, while continuing the previous strategies, to intervene on the social, economic and societal environment in order to facilitate healthy individual choices regarding diet and physical activity. It recommends using regulatory measures to reduce commercial marketing pressure, improve the food supply and physical and economic accessibility to foods of better nutritional quality. Finally, it recommends the development of specific and priority actions aimed at children and disadvantaged populations. This policy, which must take into account environmental and sustainable development concerns, requires a reorganization of its governance. The HCSP recommends setting up an interministerial steering committee with a clear public health objective and ensuring consistency between national and regional measures.