Historical developments and paradigm shifts in public health nutrition science, guidance and policy actions: a narrative review

Ridgway, Ella, Baker, Phillip, Woods, Julie and Lawrence, Mark 2019, Historical developments and paradigm shifts in public health nutrition science, guidance and policy actions: a narrative review, Nutrients, vol. 11, no. 3, pp. 1-22, doi: 10.3390/nu11030531.

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Title Historical developments and paradigm shifts in public health nutrition science, guidance and policy actions: a narrative review
Author(s) Ridgway, Ella
Baker, PhillipORCID iD for Baker, Phillip orcid.org/0000-0002-0802-2349
Woods, JulieORCID iD for Woods, Julie orcid.org/0000-0002-2717-310X
Lawrence, MarkORCID iD for Lawrence, Mark orcid.org/0000-0001-6899-3983
Journal name Nutrients
Volume number 11
Issue number 3
Article ID 531
Start page 1
End page 22
Total pages 22
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2019-02
ISSN 2072-6643
Keyword(s) dietary guidelines
environmental sustainability
nutrition science
paradigm shifts
public health nutrition
Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
CLIMATE-CHANGE
FOOD
RECOMMENDATIONS
REDUCTIONISM
EVOLUTION
POLITICS
WAVE
Summary Public health nutrition (PHN) seeks to protect and promote the nutrition-related health and wellbeing of populations. PHN science is dynamic and has evolved over time, helping to inform our understanding of the changing nature, scope, causes and solutions to PHN problems. This scientific basis has informed nutrition guidance and policy. Using a narrative synthesis method and guided by Kuhn's theory on the structure of scientific revolutions, this paper reviews the historical development of PHN, aiming to understand the emergence of major scientific paradigms, paradigm shifts and evidence-informed guidance and policy. We propose that the development of PHN is characterized by the successive layering of paradigms resulting from interactions between science, social change and policy-making. Four eras of PHN are evident: the foundation, nutrient deficiency, dietary excess and imbalances, and environmental sustainability (ES). Dominant paradigms have been communicated through nutrient reference standards, dietary goals and dietary guidelines. Transitions from one era to the next indicated new ways of thinking about PHN, amounting to a paradigm shift. The bidirectional relationship between nutrition and ES is the latest challenge confronting PHN. Investigating PHN paradigm transitions reveals how we have arrived at current guidance and policies, and how PHN might progress into the future.
Language eng
DOI 10.3390/nu11030531
Field of Research 1111 Nutrition and Dietetics
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30119681

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