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NCD’s the global epidemic and how to
control it by diet
Prof. Jaap Seidell
Vrije Universiteit, Amsterdam
New York, 14 November 2013 – UN
Secretary-General's message on World
Diabetes Day
• While many people are genetically at g...
Food: nutrition, and health:
Global Issues
Leefstijlinterventies effectief bij
preventie t2 diabetes bij hoog risico.
Systematic review
Adjusted Hazard Ratios for Major Cardiovascular Events
According to the Level of Fresh Fruit Consumption.
Du H et al. N En...
Diabetes prevention study
Prevention of Type 2 diabetes (Predimed study).
Fig 3 Hazard ratios for incidence in diabetes type 2 for highest versus lowest intake of fruit.
Patrice Carter et al. BMJ ...
Prevalence of any remission by intervention and year.
Katherine Esposito et al. Dia Care 2014;37:1824-1830
©2014 by Americ...
From: Association of an Intensive Lifestyle Intervention With Remission of Type 2 Diabetes
JAMA. 2012;308(23):2489-2496. d...
From: Association of an Intensive Lifestyle Intervention With Remission of Type 2 Diabetes
JAMA. 2012;308(23):2489-2496. d...
Mediterranean Diet
The Diabetes Food Pyramid
Dahlgren and Whitehead 1991
Evolution of daily energy intakes, dietary energy density, and daily intakes of selected vitamins per
quartile of energy c...
Fruit requirements children
More fruit less fruit juice
Schoolfruit (EU)
Urban gardens and farms: linking children to food
Childhood obesity in Amsterdam
Source: http://www.thelancet.com/series/obesity-2015
Increase in fruit and vegetables for NCD
prevention
• Increase availability and affordability of fresh fruit
and vegetable...
Conclusions
• NCD’s are a global threat.
• Much of NCD’s can be prevented or postponed
by healthier lifestyles.
• Increase...
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
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Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell

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Prof Jaap Seidell, Full Professor at the VU University Amsterdam, The Netherlands. Presented at the 1st International Symposium on Kiwifruit and Health: http://www.kiwifruitsymposium.org/presentations/fruits-and-vegetables-in-a-healthy-diet/

An epidemic of chronic non-communicable diseases is sweeping the globe. It is afflicting especially vulnerable
groups in urban settings. Upstream factors include societal problems such as loss of social cohesion, chronic stress, poverty and unhealthy food environments.

Published in: Healthcare
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Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell

  1. 1. NCD’s the global epidemic and how to control it by diet Prof. Jaap Seidell Vrije Universiteit, Amsterdam
  2. 2. New York, 14 November 2013 – UN Secretary-General's message on World Diabetes Day • While many people are genetically at greater risk of diabetes, the condition is largely driven by unhealthy lifestyles (obesity, poor diet and lack of exercise) which are due to: • the globalization of marketing and trade of unhealthy food, • rapid urbanization with reduced opportunity to be physically active, • population ageing.
  3. 3. Food: nutrition, and health: Global Issues
  4. 4. Leefstijlinterventies effectief bij preventie t2 diabetes bij hoog risico.
  5. 5. Systematic review
  6. 6. Adjusted Hazard Ratios for Major Cardiovascular Events According to the Level of Fresh Fruit Consumption. Du H et al. N Engl J Med 2016;374:1332-1343.
  7. 7. Diabetes prevention study
  8. 8. Prevention of Type 2 diabetes (Predimed study).
  9. 9. Fig 3 Hazard ratios for incidence in diabetes type 2 for highest versus lowest intake of fruit. Patrice Carter et al. BMJ 2010;341:bmj.c4229 ©2010 by British Medical Journal Publishing Group
  10. 10. Prevalence of any remission by intervention and year. Katherine Esposito et al. Dia Care 2014;37:1824-1830 ©2014 by American Diabetes Association
  11. 11. From: Association of an Intensive Lifestyle Intervention With Remission of Type 2 Diabetes JAMA. 2012;308(23):2489-2496. doi:10.1001/jama.2012.67929 Figure Legend: Data are prevalence and 95% CIs for any remission (partial or complete). Estimates are based on sample with multiple imputation (n = 4503). In complete case analysis (year 1: n = 4327; year 2: n = 4191; year 3: n = 4168; year 4: n = 4098), prevalence estimates with raw cases/denominators were as follows: for intensive lifestyle intervention, year 1: 11.5% (95% CI, 10.1%-12.8%) (247/2157); year 2: 10.4% (95% CI, 9.1%-11.7%) (218/2090); year 3: 8.7% (95% CI, 7.5%-9.9%) (181/2083); and year 4: 7.3% (95% CI, 6.2%- 9.4%) (150/2056); for diabetes support and education, year 1: 2.0% (95% CI, 1.4%-2.6%) (43/2170); year 2: 2.3% (95% CI, 1.6%- 2.9%) (48/2101); year 3: 2.2% (95% CI, 1.6%-2.8%) (46/2085); and year 4: 2.0% (95% CI, 1.5%-2.7%) (41/2042).
  12. 12. From: Association of an Intensive Lifestyle Intervention With Remission of Type 2 Diabetes JAMA. 2012;308(23):2489-2496. doi:10.1001/jama.2012.67929 Figure Legend: Data are estimates and 95% CIs based on sample with multiple imputation (n = 4503). Estimates from complete case analysis of persons with no missing data element at any single year (n = 3713) were as follows: for intensive lifestyle intervention, year 1: 14.6% (95% CI, 13.0%-16.2%) (271/1852); year 2: 8.2% (95% CI, 6.8%-9.2%) (148/1852); year 3: 5.8% (95% CI, 4.7%-6.8%) (107/1852); and year 4: 3.4% (95% CI, 2.6%-4.2%) (63/1852); for diabetes support and education, year 1: 4.3% (95% CI, 3.4%- 5.2%) (80/1861); year 2: 1.6% (95% CI, 1.0%-2.1%) (29/1861); year 3: 1.2% (95% CI, 0.7%-1.7%) (22/1861); and year 4: 0.4% (95% CI, 0.1%-0.7%) (8/1861).
  13. 13. Mediterranean Diet
  14. 14. The Diabetes Food Pyramid
  15. 15. Dahlgren and Whitehead 1991
  16. 16. Evolution of daily energy intakes, dietary energy density, and daily intakes of selected vitamins per quartile of energy cost (EC) of diets of adults living in France. Nicole Darmon, and Adam Drewnowski Am J Clin Nutr 2008;87:1107-1117 ©2008 by American Society for Nutrition
  17. 17. Fruit requirements children
  18. 18. More fruit less fruit juice
  19. 19. Schoolfruit (EU)
  20. 20. Urban gardens and farms: linking children to food
  21. 21. Childhood obesity in Amsterdam
  22. 22. Source: http://www.thelancet.com/series/obesity-2015
  23. 23. Increase in fruit and vegetables for NCD prevention • Increase availability and affordability of fresh fruit and vegetables • Start in early life (first 1000 days after conception) • Involve producers, retail, parents and schools. • Culturally appropriate interventions. • Discourage unhealthy choices (including fruit juice).
  24. 24. Conclusions • NCD’s are a global threat. • Much of NCD’s can be prevented or postponed by healthier lifestyles. • Increased intake of fruit and vegetables are a crucial part of healthier lifestyles. • Address upstream barriers to fruit and vegetable intake.

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