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Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
Workshop2 e martos
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Workshop2 e martos

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  • 1. INTERVENTIONS AGAINST CHILDHOOD OBESITY Éva Martos MD PhD, National Institute for Food and Nutrition Science Budapest , HUNGARY Action for Prevention Conference , WORKSHOP 2, 30 May 2011
  • 2.
    • PRESENTATION OUTLINE
    • Backgrund- Problem of childhood obesity
    • Planning Phase
    • Evidence
    • Evaluation
    • Identify needs and action areas
    • Intervention-Pilot Phase, Results
    • National Disseminatin
    • Conclusions
  • 3. THE PROBLEM - Tendency of childhood obesity 1996-2006
  • 4. THE PROBLEM - Prevalence of overweight and obesity in 7 year old schoolchildren Source: WHO C hildhood O besity S urveillance I nitiative, 2010 In 2010 – 20% of 7-year-old boys and 25% of 7-year-old girls OW / OB Overweight Obese Overweight + Obese Boy (n=562) 12.1% 7.8% 19.9% Girl (n=707) 16.8% 7.9% 24.7%
  • 5. PLANNING – EVIDENCE Nutritional factors associated with overweight in children Source: American Dietetic Association Evidence Library, 2009 Food / Nutrition / Food behavior Effect Evidence Sugar-sweetened beverages ↑ I High fat intake ↑ II High energy intake ↑ II Adequate fruit and vegetable consumption ↓ II 100% fruit juice -> II Low calcium intake ↑ III Low dairy product consumption ↑ III Portion size ↑ III Number of meals ↓ III Eating out (specially fast food) ↑ III Snacking ↑ III Breakfast skipping ↑ III
  • 6. PLANNING – EVIDENCE Most important factors in prevention of childhood obesity Source : Eurobarometer, 2006 School has a central role as a setting for prevention
  • 7. PLANNING - EVALUATION Nutritional surveys by NIFNS
    • DIETARY HABITS
    • R epresentative survey in metropolitan primary and secondary schools , 2005-2006
    • Cross-sectional survey in all primary schools from Óbuda, Budapest , 2008
    • WHO Childhood Obesity Surveillance Initiative, 2010
    • NUTRITIONAL ENVIRONMENT
    • National survey in school canteens, 2006
    • National representative survey in schools, 2008
    • National representative survey in pre-schools, 2009
  • 8. PLANNING – IDENTIFY NEEDS AND ACTION AREAS Amount of daily soft drink intake (dl / day) Supply of school canteens 64% of schools offer free drinking water ONLY in restrooms
  • 9. AIM To ensure free availability of water in schools, which will significantly decrease soft drinks consumption and increase water intake . S UBJECTS 397 children (7-10 yrs); 6 primary schools of Budapest I NTERVENTION – 2 months long Education AND f ree availability of mineral water in school – full control and support 2 QUESTIONNAIRES AND 1-YEAR FOLLOW-UP – knowledge and behaviors H ungarian A qua P romoting P rogram in Y oung 2007 – PILOT PHASE THE INTERVENTION
  • 10. MOST IMPORTANT RESULTS OF PILOT PHASE
  • 11. NATIONAL DISSEMINATION - HAPPY Week 2010
    • Support from the Ministry of Health
    • To ensure sustainability
    • Less support and control from NIFNS
    • To make water consumption cool and trendy
      • - Water Bar
      • - Drawing competition
      • - Water Police Service
      • - Sports competition
      • - Flash mob
      • - Restriction of soft drinks in vending machines and buffets
    NEW TOOLS
  • 12. HAPPY Week
  • 13.
    • PARTICIPANTS
    • 1 7 counties + capital ( Budapest )
    • 77 schools and 1 school dentist
    • 24 300 students / 20 080 received water
    • 6 MONTHS FOLLOW-UP
    • Education seems to be sustainable, but schools n eed financial support for free water
    • HAPPY Week i nduced long-term changes in
      • - choice of healthy fluids
      • - restriction of soft drinks in vending machines
      • - c ontinue s use of educational materials
    RESULTS OF HAPPY Week 2010
  • 14. NATIONAL DISSEMINATION - HAPPY Week 2011
    • NO Support from the Ministry of Health
    • To ensure free water in schools – collaboration with industry
    • Key points for partnership
      • Clear rules – signed agreements
      • Branding / advertisement – ONLY confirmed materials
      • Publications / media – ONLY approved versions
      • Local school – local company
  • 15. LESSONS LEARNT
    • Pilot projects are important to prove the concept
    • Education AND Environmental changes
    • Involvement of relevant stakeholders
    • Provide relevant data to decision-makers -> they might provide funding
    • PPP carries risks – set clear rules
    • Need more access to parents – could ensure sustainable provision of water without company involvement
    • To find appropriate marketing techniques for making healthy choice ‘ cool’ and trendy
  • 16. Thank you for your attention! Eva MARTOS, MD PhD [email_address]

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