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Prevention of Childhood Obesity Joining forces…. Caroline Bollars Technical Officer, Nutrition Policy Nutrition, Physical Activity and Obesity World Health Organization - Regional Office for Europe. World Health Organization, Regional Office for Europe. - PowerPoint PPT Presentation
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Prevention of Childhood ObesityJoining forces…
Caroline Bollars
Technical Officer, Nutrition PolicyNutrition, Physical Activity and Obesity
World Health Organization - Regional Office for Europe
World Health Organization, Regional Office for Europe
3
Burden of disease by broad cause group and region, 2004
WHO/EUROPE: mandate for action
Policy framework• Individuals alone are not responsible -
changing the social, economic and physical environment
• Responsibility of government across sectors
• Involvement of all stakeholders
• Portfolio of interventions designed to change the social, economic and physical environment
• Portfolio of policy tools (from legislation to public/private partnerships)
• International coordination
• Special focus on children and on disadvantaged socioeconomic population groups
Action Plan for the Implementation of the European Strategy for the
Prevention and Control of Noncommunicable Diseases
2012-2016WHO/Europe
RC; Baku 2011
What are we going to do?
Health Promotion
HQ and EURO policy frameworks/strategies endorsed by Member States (Nutrition)
• Global– 2004: WHO Global
Strategy on Diet, Physical Activity and Health
– 2003: Global Strategy for Infant and Young Child Feeding
• Regional– 2007: WHO European
Action Plan for Food and Nutrition Policy 2007-2012
– 2006: European Charter on Counteracting Obesity
– 2005: European Strategy for Child and Adolescent Health and DevelopmentEuropean framework to promote physical activity for health (this framework has not been officially endorsed by MS at a RC)
Creating Platform for Action together…
• Overweight still a big public health challenge, particularly in low socioeconomic groups.
• 47 Member States (90%) developed a national policy in the area of food, nutrition and/or obesity.
• Six action networks were established to facilitate implementation of the European Action Plan: Childhood Obesity Surveillance Initiative (COSI) salt intake reduction in the population marketing of foods and beverages to children Nutrition-Friendly Schools Initiative (NFSI) hospital nutrition obesity and inequalities
.
European database on nutrition, obesity and physical activity (NOPA)
Food Based Dietary Guidelines
Guidelines Physical Activity
Subsidized School Fruit Scheme
School Vending Machines
Promote Active Travel
Initiatives to reduce Salt
Increase healthier processed foods
Measures to affect food prices
Legislation labelling energy
Signposting Food Products
Regulation Marketing
Baby Friendly Hospital
Promotion Breastfeeding
Overview Policy Actions Implementation 27 EU MS
No Action
Partly Implemented
Fully Implemented
EU Member States
Po
licy
Act
ion
s
Action Networks
• European Childhood Obesity Surveillance Initiative;
• NFSI – Nutrition Friendly Schools Initiative;
• ESAN – European Salt Action Network;
• Marketing Food to Children Action Network;
• Hospital Nutrition;
• Obesity & Inequalities.
WHO European Childhood Obesity Surveillance Initiative
Overweight among European school children
Prevalence of overweight and obesity among 6–9-year-old children
in twelve European countries
Prevalence of overweight, incl. obesityBased on the 2007 WHO growth reference for children and adolescents 5-19 years
Source: WHO, 2010
50
40
30
20
10
0
Pre
vale
nc
e (
%)
Countries
9-year-olds
8-year-olds
7-year-olds
6-year-olds
Belgium Bulgaria Ireland Italy Latvia Lithuania Norway Portugal Slovenia Sweden
What are the critical factor for success?
• Intersectoral;
• Community development and involvement;
• win-win situations with the other sectors like agriculture and health – F&V;
• Ownership;
• High level endorsement and commitment;
• Resources allocated;
• Evaluation and reporting;
• Better use of the networks;
• Monitoring and evaluation;
• Health sector capacity development;
• Links with other policies (rural dev; poverty reduction, etc.)
• Leadership.
How best to respond?
• “We need a whole of government and a whole of society response”
• Margaret Chan, director general, WHO
www.who.int or www.euro.who.int