Table 2.

Selected components for the 2022 U.S. national strategy to end hunger and build healthy communities.

Pillar	Strategy overview for reducing hunger, increasing healthy eating and physical activity by 2030 for decreased diet-related diseases and disparities
1. Improving food access and affordability	Advancing economic stability and security to increase access to free nourishing school meals, providing electronic food benefits to children, expanding SNAP eligibility for underserved populations. Making it easier for everyone in low-income urban, suburban, rural and Tribal communities and Territories to access nutritious food in their geographical cultural and social determinants (SDOH) contexts.
2. Integrating nutrition and health	Ensuring nutrition and food security is prominently featured in disease prevention, management across the human lifespan. Piloting coverage of medically tailored meals in Medicare/Medicaid via “food as medicine” for diet-related diseases, testing Medicaid coverage of multi-modal nutrition education, health promotion supports and demonstration projects, including nutrition and obesity counseling.
3. Empowering all consumers to make and have access to healthy choices	Foster environments that enable all people to easily make informed, healthy choices, increase access to healthy foods at home, in the workplace, and at schools. Investing in public awareness, education campaigns that are appropriate and culturally tailored for underserved communities. Front of package food labels and e-labels, precision nutrition criteria for ‘healthy’ food claim use, expanding SNAP incentives for fruits, vegetables, reduction of added sodium and sugar via voluntary industry commitments, ensuring safe, resilient food supply and adequate resources for infectious disease pathogen detection and surveillance.
4. Supporting physical activity for all	Making it easier for Americans to be more physically active by ensuring safe physical activity spaces by connecting to more parks and trails, increasing awareness of the benefits of exercise, and conducting additional research on its accurate measurement and health effects across a variety of health promotion and disease management contexts, particularly digital tools. Scaling up of DHHS Centers for Disease Control and Prevention (CDC) to all states and territories, connecting Americans to parks and outdoor spaces, fully funding and promoting the Physical Activity Guidelines for Americans.
5. Enhancing nutrition and food security research	Strengthening nutrition and food security research to improve nutrition metrics and measurement methods including digital and e-tools, provide foundational knowledge for evidence-based policymaking to advance nutritional equity, improve healthy food access, resilient food systems, and reduce disparities for underserved populations. Nutritional science, climate-smart, climate resilient agriculture, sustainable food systems, health promotion research and education, workforce development, diversity for innovative advancements spanning bench to bedside including: precision medicine, precision health, artificial intelligence, machine learning, genomic and -omic sequencing, gene and environmental interactions for a variety of SDOHs, agricultural, climate, vendor/retailer and technical contexts.