Diet related non-communicable diseases (NCDs), as well as micronutrient deficiencies, are of widespread and growing importance to public health. Authorities are developing programs to improve nutrient intakes via foods. To estimate the potential health andeconomic impact of these programs there is a wide variety of models. The aim of this review is to evaluate existing models to estimate the health and/or economic impact of nutrition interventions with a focus on reducing salt and sugar intake andincreasing vitamin D, iron, and folate/folic acid intake. The protocol of this systematic review has been registered with the International Prospective Register of Systematic Reviews (PROSPERO: CRD42016050873). The final search was conducted onPubMed and Scopus electronic databases and search strings were developed for salt/sodium, sugar, vitamin D, iron, and folic acid intake. Predefined criteria related to scientific quality, applicability, and funding/interest were used to evaluate the publications. In total 122 publications were included for a critical appraisal: 45 for salt/sodium, 61 for sugar, 4 for vitamin D, 9 for folic acid, and 3 for iron. The complexity of modelling the health and economic impact of nutrition interventions is dependent on the purpose and data availability. Although most of the models have the potential to provide projections of future impact, the methodological challenges are considerable. There is a substantial need for more guidance and standardization for future modelling, to compare results ofdifferent studies and draw conclusions about the health and economic impact of nutrition interventions.
MULTIFILE
Through artistic explorations of salt marshes in Scotland, England and the Netherlands, Linde Ex developed the concepts “Land-shapes” and “Sooth-scapes” as ways of observing and approaching these often considered underwhelming landscapes.“Land-shapes” and “Sooth-scapes” informed a series of artistic methods that engage with the challenges of these important but undervalued landscapes. The methods in their turn enriched the concepts. This process attempts to bring forth valuable and caring relations with actors and processes in these landscapes.
DOCUMENT
In the coming four years, the Hedwige-Prosperpolder in the Schelde estuary will be reopened for nature restoration. This creates opportunities, within a binational Dutch-Belgian consortium, to experiment with the existing dike and to perform targeted dike breach experiments and breach monitoring. We will exploit this opportunity to investigate a newly described, potentially valuable contribution of vegetated foreshores to flood safety: the restriction of dike breach extent, and thus of flooding volume, in the case of failure of the dike. Fostering marsh development in front of realigned dikes could improve safety more than hitherto thought. Not only does it reduce dike failure probabilities, it may also restrict the consequences of failures. Even though this is not the primary goal of the HPP realignment, in this Living Lab we will study how management realignment can be used as a nature-based solution for flood safety. We will model the contribution of vegetated foreshores to breach development, calculate its contribution to reduction of risks, and validate the model using the breach experiment. We will also study the conditions for, and rates of, vegetation and soil strength development in front of realigned dikes. We will explore novel designs and maintenance schemes for realigned dikes connected to a vegetated foreshore. Finally, we will study how people experience physical changes in the landscape in terms of place attachment: will they be reconnected to the changed landscape when properly informed on the new role of this landscape in ecosystem development and safety enhancement? The project consortium is composed of engineers, ecologists and social scientists with a strong track record in multidisciplinary co-operation. It is externally supported by national and regional water authorities, contractors and engineering companies. It is ideally situated to translate new knowledge into operational procedures, and incorporate this into the education of future coastal professionals.