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Background <p>Mental and cardiometabolic disorders drive morbidity, mortality and costs in Germany. We outline a&#xa0;cross-sector prevention pathway that links meaningful, locally anchored work (including individual placement and support, IPS), short food supply chains (SFSC) and whole-food nutritional environments, supported by communication via entertainment-education.</p> Methods <p>Narrative review (2010–08/2025) reported in line with the Scale for the Assessment of Narrative Review Articles (SANRA), prioritising umbrella/systematic reviews, guidelines and large prospective studies. Searches covered IPS/meaningful work, ultra-processed foods (UPF)/whole foods, SFSC and entertainment-education. Synthesis distinguished association from causation and discussed bias, heterogeneity and transferability to Germany.</p> Results <p>IPS consistently increases competitive employment and job tenure versus conventional approaches; meaningful, nearby work is linked to self-efficacy, social belonging and recovery. High UPF exposure is consistently associated with adverse mental and cardiometabolic outcomes, while higher whole-grain and minimally processed diets are associated with favourable risk profiles. SFSC can improve access, transparency and social cohesion; ecological and cost effects remain context-dependent. Entertainment-education shows small-to-moderate effects on knowledge and intentions and can support uptake of local offers.</p> Conclusion <p>Combining IPS-oriented work integration, SFSC infrastructure and whole-food environments is a&#xa0;scalable, evaluable prevention pathway with co-benefits for health, participation, regional development and the environment. We outline pragmatic evaluation options for Germany to generate decision-grade evidence.</p>

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Integrative Prävention in Deutschland: Sinnstiftende Arbeit, kurze Lebensmittelketten und vollwertige Ernährungsumwelten – narrative Übersicht mit Implementierungspfad

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年1月8日

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  • Eik Niederlohmann

摘要

Background

Mental and cardiometabolic disorders drive morbidity, mortality and costs in Germany. We outline a cross-sector prevention pathway that links meaningful, locally anchored work (including individual placement and support, IPS), short food supply chains (SFSC) and whole-food nutritional environments, supported by communication via entertainment-education.

Methods

Narrative review (2010–08/2025) reported in line with the Scale for the Assessment of Narrative Review Articles (SANRA), prioritising umbrella/systematic reviews, guidelines and large prospective studies. Searches covered IPS/meaningful work, ultra-processed foods (UPF)/whole foods, SFSC and entertainment-education. Synthesis distinguished association from causation and discussed bias, heterogeneity and transferability to Germany.

Results

IPS consistently increases competitive employment and job tenure versus conventional approaches; meaningful, nearby work is linked to self-efficacy, social belonging and recovery. High UPF exposure is consistently associated with adverse mental and cardiometabolic outcomes, while higher whole-grain and minimally processed diets are associated with favourable risk profiles. SFSC can improve access, transparency and social cohesion; ecological and cost effects remain context-dependent. Entertainment-education shows small-to-moderate effects on knowledge and intentions and can support uptake of local offers.

Conclusion

Combining IPS-oriented work integration, SFSC infrastructure and whole-food environments is a scalable, evaluable prevention pathway with co-benefits for health, participation, regional development and the environment. We outline pragmatic evaluation options for Germany to generate decision-grade evidence.