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Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
Towards a new milestone in European nutrition and physical activity policies
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Towards a new milestone in European nutrition and physical activity policies

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Presented by João Breda of WHO Regional Office for Europe at the WHO European Ministerial Conference on Nutrition and Noncommunicable Diseases in the Context of Health 2020, 4 July 2013, in Vienna, …

Presented by João Breda of WHO Regional Office for Europe at the WHO European Ministerial Conference on Nutrition and Noncommunicable Diseases in the Context of Health 2020, 4 July 2013, in Vienna, Austria

Published in: Health & Medicine, Travel
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  • Nice overview, work to be done in the Nutrition area.
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  • 1. Towards a new milestone in European nutrition and physical activity policies by João Breda, WHO Regional Office for Europe
  • 2. GBD – attributable for 20 RF 2010 as % DALY 15 out of 20 RF linked with nutrition and PA Lim & al. 2012
  • 3. Prevalence of overweight (%) among adult men (BMI ≥25.0 kg/m2) 25 30 35 40 45 50 55 60 65 70 1994 1997 2000 2003 2006 2009 2012 Prevalence of overweight (%) among adult men (BMI >25.0 kg/m2) Austria, 20+ Belgium, 18+ Denmark, 16+ Estonia, 16–64 Finland, 15–64 France, 15+ Germany, 18+ Ireland, 18+ Italy, 18+ Latvia, 15–64 United Kingdom, Scotland, 16–64 Lithuania, 20–64 Luxembourg, 16+ Netherlands, 20+ Norway, 16+ Portugal, 18–64 Spain, 18+ Sweden, 16–84 Switzerland, 15+ United Kingdom, Wales, 16+ United Kingdom, England, 16+
  • 4. Prevalence of overweight (%) among adult women (BMI ≥25.0 kg/m2) 25 30 35 40 45 50 55 60 65 70 1994 1997 2000 2003 2006 2009 2012 Prevalence of overweight (%) among adult women (BMI >25.0 kg/m2) Armenia, 15–49 Austria, 20+ Belgium, 18+ Denmark, 16+ Estonia, 16–64 Finland, 15–64 France, 15+ Germany, 18+ Ireland, 18+ Italy, 18+ Latvia, 15–64 Lithuania, 20–64 Luxembourg, 16+ Netherlands, 20+ Norway, 16+ Portugal, 18–64 Spain, 18+ Sweden, 16–84 Switzerland, 15+ Turkey, 15–49 United Kingdom, Wales, 16+ United Kingdom, England, 16+ United Kingdom, Scotland, 16–64
  • 5. 0 10 20 30 40 50 Prevalenceofoverweight(including obesity)(%) 6-year-olds 7-year-olds 8-year-olds 9-year-olds Childhood obesity prevalence in 12 countries – COSI 2010
  • 6. Childhood obesity prevalence in 12 countries (trends)– COSI 2008-2010 (boys) 20.0 25.0 30.0 35.0 40.0 45.0 50.0 1 2 Czech Republic, 7-year-olds Latvia, 7-year-olds Malta, 6-year-olds Norway, 8-year-olds Slovenia, 8-year-olds Italy, 9-year-olds Ireland, 7-year-olds Italy, 8-year-olds Lithuania 7-year-olds Portugal, 7-year-olds Slovenia, 6-year-olds Slovenia, 7-year-olds
  • 7. WHO COSI, round (2010): 1 in every 3 children aged 6-9 years was overweight or obese The prevalence of overweight (including obesity) ranged from 24% to 57% among boys and from 21% to 50% among girls. Simultaneously, 9 31% of boys and 6 21% of girls were obese 1/4 in 2008 to 1/3 in 2010
  • 8. THE SOCIOECONOMIC GRADIENT IN CHILDHOOD OVERWEIGHT AND OBESITY: DIVERSITY ACROSS FIVE EUROPEAN COUNTRIES (WHO COSI) – unpublished data
  • 9. 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Percentagedistribution 2010 2030 Projected obesity for 2030 WHO Modelling obesity Project 2013 together with UK Health Forum – NOPA II
  • 10. Prevalence gains per 100,000 of the EU population in 2030 based on 2 scenarios WHO Modelling obesity Project 2013 together with UK Health Forum – NOPA II 0 200 400 600 800 1000 1200 Cancer CHD+stroke Diabetes Hypertension 1% decrease in obesity 5% decrease in obesity Scenario 1 – 3 Million cases avoided Scenario 2 – 9 Million cases avoided
  • 11. 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0 20.0 TUR HUN HRV MKD CZE BGR SVN PRT ROU SWE EST ESP ITA LUX FRA CHE LTU IRL GBR DNK NOR AUT NLD SVK FIN ISL DEU AND LVA BEL ISR POL CYP ALB ARM AZE BLR BIH GEO GRC KAZ KGZ MLT MCO MNE MDA RUS SMR SRB TJK TKM UKR UZB Grams Country Salt intake per person per day for adults in the WHO European Region from individual country-based surveys, various years WHO/FAO RECOMMENDATION - <5 grams No data
  • 12. 0 200 400 600 800 1000 1200 AND M… SMR GEO BGR LVA CZE MDA SVK LTU FIN TJK DEU POL EST KGZ TKM RUS CHE ISL HRV UKR FRA SWE NOR NLD BLR KAZ GBR HUN BEL SVN CYP ROU AUT ESP AZE DNK SRB IRL UZB LUX MKD BIH MLT ITA ISR PRT ALB TUR GRC ARM MNE Grams Country Fruit and vegetable supply per person per day in the WHO European Region, 2009 WHO/FAO RECOMMENDATION - >600 grams
  • 13. 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 FRA BEL DNK FIN AUT SWE NLD GRC LVA HUN DEU SVN IRL LUX GBR ITA PRT ESP POL MLT ROU EST LTU BGR ALB AND ARM AZE BLR BIH HRV CYP CZE GEO ISL ISR KAZ KGZ MCO MNE NOR MDA RUS SMR SRB SVK CHE TJK MKD TUR TKM UKR UZB Energy(%) Country Proportion of energy from saturated fatty acids among adults in the WHO European Region, 2007 FAO RECOMMENDATION - max. 10% energy No data
  • 14. 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 AND EST FRA MCO RUS SMR GBR GRC BGR ITA IRL LUX SVN BEL BLR AUT SWE GEO TKM ISR AZE NOR CYP ROU CHE SRB FIN LVA BIH CZE NLD UKR MNE ISL POL DEU MKD TJK UZB LTU ESP SVK KAZ PRT ARM MLT HUN ALB TUR MDA HRV KGZ DNK Percentage Country Prevalence of exclusive breastfeeding under or at 6 months of age in the WHO European Region from individual country-based surveys, various years No data
  • 15. Inactivity status in European Region • WHO estimates that in adults : – 63% are not reaching the minimum recommended level of physical activity – 20% of those are rated as “inactive” – 38% are sufficiently/highly active • 41% of adults does not engage in any moderate physical activity in a typical week • 22% of 11-year old girls and 30% of boys report at least one hour of daily MVPA • PA recommendations in EU Member States + Norway and Switzerland - 19 Member States
  • 16. Europe: mandate for action
  • 17. Overview Policy Actions Implementation 53 WHO/Europe Member States – 2012/13 Policy Actions 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Measures to affect food prices Labelling - signposting Reformulation - less sugar and salt Promote Active Travel for school-children Marketing HFSS foods to children - restrictions Salt reduction initiatives School Fruit Scheme (SFS) or similar Programs in schools (inc. vending machines) Baby Friendly Hospital Initiative Physical Activity Policy incl. Guidelines Breastfeeding promotion and protection policies Food Based Dietary Guidelines Labelling - nutritional information No Action Partially implemented Fully implemented
  • 18. Nutrition Policy 2007-2013 • 143 nutrition policies • 39 obesity policies • 184 physical activity policies
  • 19. Nutrition Policy in 2007-2013 • For the 143 nutrition policies, 39 obesity policies and 184 physical activity policies: • Only 16 clearly focus on low income groups • 8 address attention to health professionals…
  • 20. No action reported Partially or fully implemented Countries (N) 20 33 No action reported Partially or fully implemented Countries (N) 23 30 Great progress in certain areas Salt reduction policies MKT HFSS foods policies
  • 21. Policy and Social Innovation: Regulation & taxes • 4 countries in the EU with bans on “trans” fat and several others with effective self-regulatory approaches; • Social innovation – use of taxes for PH: several countries but Hungary and Denmark most recent prominent examples: – Estimated revenue was accomplished – No differences in social class – 6% reduction in saturated fat • Marketing food to children • Mainstream food reformulation – i.e. salt
  • 22. Culture, tradition… protective diets Med diet & cognitive impairment Psaltopoulou et al. Ann Neurol 2013 May 30. doi: 10.1002/ana.23944. [Epub ahead of print]
  • 23. Country profiles as a result of EC/WHO collaboration and based on NOPA information system.
  • 24. Nutrition and PA policies in Europe History of success but more is needed….. • Monitoring and surveillance • Evaluation • Exchange/collaboration • More success where accountability and external pressure/evaluation exist • Challenge to comply with Global targets…….
  • 25. Vienna Declaration process • Technical (comments) • NGO interaction • Political level
  • 26. Way forward • Environments/Governance mechanisms • Life-course • Health sector • Monitoring and surveillance • Forging alliances “The current document on Nutrition and NCD’s is masterfully worded and highly consistent with the best available evidence on the critical topic” Walter Willett; 04/07/2013

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