{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T06:08:33Z","timestamp":1779170913962,"version":"3.51.4"},"reference-count":58,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>China currently faces the Triple Burden of Malnutrition, which includes persistent undernutrition, micronutrient deficiencies, and overweight\/obesity. Although a life-course nutrition policy architecture has been established, implementation remains constrained fragile governance, inadequate funding and resources, and the absence of robust platforms for interaction. A China-adapted Healthy Food Environment Policy Index assessment is urgently needed to systematically benchmark policy comprehensiveness against international best practice and to inform evidence-based governance optimization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>\n                      This study evaluated three domains of China\u2019s food and nutrition policy\u2014governance (4 indicators), funding and resources (3 indicators), and platforms for interaction (4 indicators)\u2014based on the Food-EPI framework. An expert panel (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f13) conducted quantitative scoring for each indicator, calculating average scores and implementation percentages for both indicators and domains. Policy implementation levels were then categorized accordingly. The evaluation primarily comprised seven steps: finalize the research protocol; collect policy documents; draft evidence document; validate supporting documents; convene an expert panel workshop; make recommendations; and disseminate findings to government, the public, and stakeholders.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 15 relevant policies were primarily included. Overall, China\u2019s food and nutrition policies rated as medium across all three domains\u2014governance, funding and resources, and platforms for interaction. Specific scores and implementation levels were as follows: governance 3.12\u202f\u00b1\u202f0.98 (62.4%), funding and resources 3.23\u202f\u00b1\u202f0.96 (64.6%), and platforms for interaction 3.46\u202f\u00b1\u202f0.90 (69.2%). Among the 11 indicators, 90.9% were rated at a medium level, 9.1% at a high level, with no indicators classified as low or extremely low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>China\u2019s food and nutrition policies have established a foundational basis in infrastructure support, resource allocation, and coordination; however, they remain in a transitional phase from framework development toward high-quality implementation. Future efforts should focus on optimizing resource allocation, strengthening professional support systems, and advancing data integration and sharing to further enhance policy implementation effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2026.1831021","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T05:39:08Z","timestamp":1779169148000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of China\u2019s food and nutrition policies based on healthy food environment policy index (food-EPI): focusing on governance, funding and resources, platforms for interaction"],"prefix":"10.3389","volume":"13","author":[{"given":"Man","family":"Zhang","sequence":"first","affiliation":[{"name":"Institute of Food and Nutrition Development, Ministry of Agriculture and Rural Affairs","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Hygiene, School of Public Health, Peking University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenhui","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Hygiene, School of Public Health, Peking University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suying","family":"Chang","sequence":"additional","affiliation":[{"name":"Child Health Development Section, United Nations International Children\u2019s Emergency Fund (UNICEF) Office for China","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuyi","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Hygiene, School of Public Health, Peking University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xing","family":"Wang","sequence":"additional","affiliation":[{"name":"Ningbo Medical Center Lihuili Hospital","place":["Ningbo, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingzhu","family":"Zhou","sequence":"additional","affiliation":[{"name":"Nanchang Municipal Health Commission","place":["Nanchang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Hygiene, School of Public Health, Peking University","place":["Beijing, China"]},{"name":"Laboratory of Toxicological Research and Risk Assessment for Food Safety, Peking University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guansheng","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Hygiene, School of Public Health, Peking University","place":["Beijing, China"]},{"name":"Laboratory of Toxicological Research and Risk Assessment for Food Safety, Peking University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"E305","DOI":"10.1017\/S0029665124005433","article-title":"Triple burden of malnutrition and its key demographic and socioeconomic determinants among Vietnamese children: insights from the general nutrition survey 2020","volume":"83","author":"Tan","year":"2024","journal-title":"Proc Nutr Soc"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1643869","DOI":"10.3389\/fnut.2025.1643869","article-title":"Burden, trends, and projections of nutritional deficiencies in China from 1990 to 2030","volume":"12","author":"Chen","year":"2025","journal-title":"Front 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