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UK Food Policy &
Nutrition: Tracking
Progress
Strengthening accountability systems for nutrition in the UK
Foodfoundation.org.uk
Today’s speakers
@Food_Foundation
Lawrence Haddad
Senior Research Fellow
IFPRI
@l_haddad
Inge Kauer
Executive Director
Access to Nutrition
@ingekauer
Boyd Swinburn - Keynote
Prof. of Population,
Nutrition and Global Health
University of Auckland
@BoydSwinburn
Fiona Watson
Consultant
The Food Foundation
@Food_Foundation
Today’s panellists
@Food_Foundation
Lord Chris
Haskins
Andrew Opie
Director of Food and Sustainability
British Retail Consortium
@the_brc
Jo Ralling
Campaign Director
Jamie Oliver Food Foundation
@FoodRev
Guy Poppy
Chief Scientific Advisor
Food Standards Agency
@GuyPoppy1
Corinna Hawkes - Chair
Prof. of Food Policy
City University London
@CorinnaHawkes
www.foodfoundation.org.uk
How does the UK compare with other high
income countries on key nutrition
indicators?
Lawrence Haddad
International Food Policy Research Institute
10 February 2016
Outline
 Nutrition Status
 Drivers
 Policy and Legislation
 Missing Data
 Conclusions
10
8 8
7 7 7 7 7 6 6 6
6 5 5 5
5
Low Birth Weight (%)
Source: UNICEF 2015
20
19 19 18 18 18 18 18 18 18 17 17 17
15 15
12
Anaemia in women of reproductive age (%)
Source: WHO 2015
Note: all data estimated for 2011
Off course On course
67 64 64 64 63 61 61 61 60 59 59 57 56 56 55 55
Adult overweight and obesity (%)
BMI ≥ 25
Source: WHO 2015
Note: all data estimated for 2014
High and increasing Low and increasing
34
29 29 28 28
26
24 24 23 23
21 21 20 20 20 19
Adult obesity (%)
BMI ≥ 30
Source: WHO 2015
Note: all data estimated for 2014.
Off course On course
English Data (not in GNR)
Overweight children 54-66 months
All: 22.6% (2013-14)
(Greater than or equal to the 85th BMI centile in reception class)
Source: National Child Measurement Programme. England 2014-2015 school year
http://www.hscic.gov.uk/catalogue/PUB16070/nati-chil-meas-prog-eng-2013-2014-rep.pdf p.17
Obese Adolescents 13-15 years
Boys = 17% Girls = 22% (2013)
(Greater than the 95th UK National BMI centile)
Source: Health Survey for England 2013.
http://www.hscic.gov.uk/catalogue/PUB16076/HSE2013-Ch11-Child-BMI.pdf p.18
41 41 40
38 38 38 37 37 36 36 35 35
33 32
30 30
Raised blood pressure (%)
Source: WHO 2014.
Note: all data estimated for 2008
Off course On course
66 65 63 63 62 62 62 62 61
56 56 55 54 53 52
48
Raised blood cholesterol (%)
Source: WHO 2014.
Note: all data estimated for 2008
Off course On course
11
10 10 10
9 9
8 8 8
7 7 7 7 7
6
5
Raised blood glucose (%)
Source: WHO 2014.
Note: all data estimated for 2008
Off course On course
478 515 521 557 566 576 578 586 588 602 605 621
666 673
782
967
Availability of fruit and vegetables
(grams per day)
Source: FAO 2014
Note: Data are for 2011.
Source: Euromonitor 2014, (US $ fixed exchange rates)
740 722 720
650
618
538 532 526 526 509 503 495
444 424 414
332
Consumer expenditure on fruits & vegetables
(US$/cap/year)
391 381
334
318 306 296
275
254 247 242 236 226 218
200 196
181
Fresh food purchased (kg per Cap)
Source: Euromonitor 2014
Availability and stage of implementation of
guidelines, protocols, and standards for the
management of hypertension
Not
available
Available, not
implemented
Available, partially
implemented
Available, fully
implemented
Source: WHO 2014
Not
available
Available, not
implemented
Available, partially
implemented
Available, fully
implemented
Source: WHO 2014
Availability and stage of implementation of
guidelines, protocols, and standards for the
management of diabetes
No action Few provisions law Many provisions lawVoluntary Law
Source: UNICEF 2014
Implementation of the International Code of Marketing of
Breast milk Substitutes
Breast feeding in England
• % of babies breastfed at birth 81% in 2010
• % of infants 0–5 months old, exclusively breastfed 1% in 2010
Infant Feeding Survey – UK 2010, http://www.hscic.gov.uk/catalogue/PUB08694
8572 8513
4155
1691 1667
1147 1072 1050 939 754 742 707 700 699 691 507
Total Emissions (CO2eq) from Agriculture/cap (kg)
Source: FAO 2011
Summary of UK performance relative to
comparators
 Outcomes
 Poor: Overweight, obesity, raised blood cholesterol
 Middling: LBW, raised blood pressure
 Good: anemia, raised blood sugar
 Determinants
 Poor: exclusive breastfeeding, fresh food purchases
 Middling: availability of fruits and vegetables; purchase of fruits and
vegetables
 Policy and Legislation
 Middling: BMS Code, Hypertension and Diabetes Protocol
Implementation
 Good: CO2 emissions from agriculture
14
19
25 25 26 26 26 27 27 30 30 30 33 34 34 36
% Missing Indicators in GNR Nutrition
Country Profiles
Conclusions
 UK food system nutritionally weak compared to
other high income countries
 e.g. fresh food purchases, obesity and overweight rates
 Even when good or middling compared to other
countries, still poor in terms of absolute levels
 Significant scope to improve implementation of
protocols and code application
 Plenty of missing UK data when reporting on global
goals
 SDG reporting will require every country to provide U5
stunting, wasting and overweight
Thank You
www.foodfoundation.org.uk

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How does the UK compare with other high income countries on key nutrition indicators?

  • 1. UK Food Policy & Nutrition: Tracking Progress Strengthening accountability systems for nutrition in the UK Foodfoundation.org.uk
  • 2. Today’s speakers @Food_Foundation Lawrence Haddad Senior Research Fellow IFPRI @l_haddad Inge Kauer Executive Director Access to Nutrition @ingekauer Boyd Swinburn - Keynote Prof. of Population, Nutrition and Global Health University of Auckland @BoydSwinburn Fiona Watson Consultant The Food Foundation @Food_Foundation
  • 3. Today’s panellists @Food_Foundation Lord Chris Haskins Andrew Opie Director of Food and Sustainability British Retail Consortium @the_brc Jo Ralling Campaign Director Jamie Oliver Food Foundation @FoodRev Guy Poppy Chief Scientific Advisor Food Standards Agency @GuyPoppy1 Corinna Hawkes - Chair Prof. of Food Policy City University London @CorinnaHawkes
  • 5. How does the UK compare with other high income countries on key nutrition indicators? Lawrence Haddad International Food Policy Research Institute 10 February 2016
  • 6. Outline  Nutrition Status  Drivers  Policy and Legislation  Missing Data  Conclusions
  • 7.
  • 8. 10 8 8 7 7 7 7 7 6 6 6 6 5 5 5 5 Low Birth Weight (%) Source: UNICEF 2015
  • 9. 20 19 19 18 18 18 18 18 18 18 17 17 17 15 15 12 Anaemia in women of reproductive age (%) Source: WHO 2015 Note: all data estimated for 2011 Off course On course
  • 10. 67 64 64 64 63 61 61 61 60 59 59 57 56 56 55 55 Adult overweight and obesity (%) BMI ≥ 25 Source: WHO 2015 Note: all data estimated for 2014 High and increasing Low and increasing
  • 11. 34 29 29 28 28 26 24 24 23 23 21 21 20 20 20 19 Adult obesity (%) BMI ≥ 30 Source: WHO 2015 Note: all data estimated for 2014. Off course On course
  • 12. English Data (not in GNR) Overweight children 54-66 months All: 22.6% (2013-14) (Greater than or equal to the 85th BMI centile in reception class) Source: National Child Measurement Programme. England 2014-2015 school year http://www.hscic.gov.uk/catalogue/PUB16070/nati-chil-meas-prog-eng-2013-2014-rep.pdf p.17 Obese Adolescents 13-15 years Boys = 17% Girls = 22% (2013) (Greater than the 95th UK National BMI centile) Source: Health Survey for England 2013. http://www.hscic.gov.uk/catalogue/PUB16076/HSE2013-Ch11-Child-BMI.pdf p.18
  • 13. 41 41 40 38 38 38 37 37 36 36 35 35 33 32 30 30 Raised blood pressure (%) Source: WHO 2014. Note: all data estimated for 2008 Off course On course
  • 14. 66 65 63 63 62 62 62 62 61 56 56 55 54 53 52 48 Raised blood cholesterol (%) Source: WHO 2014. Note: all data estimated for 2008 Off course On course
  • 15. 11 10 10 10 9 9 8 8 8 7 7 7 7 7 6 5 Raised blood glucose (%) Source: WHO 2014. Note: all data estimated for 2008 Off course On course
  • 16. 478 515 521 557 566 576 578 586 588 602 605 621 666 673 782 967 Availability of fruit and vegetables (grams per day) Source: FAO 2014 Note: Data are for 2011.
  • 17. Source: Euromonitor 2014, (US $ fixed exchange rates) 740 722 720 650 618 538 532 526 526 509 503 495 444 424 414 332 Consumer expenditure on fruits & vegetables (US$/cap/year)
  • 18. 391 381 334 318 306 296 275 254 247 242 236 226 218 200 196 181 Fresh food purchased (kg per Cap) Source: Euromonitor 2014
  • 19. Availability and stage of implementation of guidelines, protocols, and standards for the management of hypertension Not available Available, not implemented Available, partially implemented Available, fully implemented Source: WHO 2014
  • 20. Not available Available, not implemented Available, partially implemented Available, fully implemented Source: WHO 2014 Availability and stage of implementation of guidelines, protocols, and standards for the management of diabetes
  • 21. No action Few provisions law Many provisions lawVoluntary Law Source: UNICEF 2014 Implementation of the International Code of Marketing of Breast milk Substitutes Breast feeding in England • % of babies breastfed at birth 81% in 2010 • % of infants 0–5 months old, exclusively breastfed 1% in 2010 Infant Feeding Survey – UK 2010, http://www.hscic.gov.uk/catalogue/PUB08694
  • 22. 8572 8513 4155 1691 1667 1147 1072 1050 939 754 742 707 700 699 691 507 Total Emissions (CO2eq) from Agriculture/cap (kg) Source: FAO 2011
  • 23. Summary of UK performance relative to comparators  Outcomes  Poor: Overweight, obesity, raised blood cholesterol  Middling: LBW, raised blood pressure  Good: anemia, raised blood sugar  Determinants  Poor: exclusive breastfeeding, fresh food purchases  Middling: availability of fruits and vegetables; purchase of fruits and vegetables  Policy and Legislation  Middling: BMS Code, Hypertension and Diabetes Protocol Implementation  Good: CO2 emissions from agriculture
  • 24. 14 19 25 25 26 26 26 27 27 30 30 30 33 34 34 36 % Missing Indicators in GNR Nutrition Country Profiles
  • 25. Conclusions  UK food system nutritionally weak compared to other high income countries  e.g. fresh food purchases, obesity and overweight rates  Even when good or middling compared to other countries, still poor in terms of absolute levels  Significant scope to improve implementation of protocols and code application  Plenty of missing UK data when reporting on global goals  SDG reporting will require every country to provide U5 stunting, wasting and overweight