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Health andConsumers
Health andConsumers
The EU platform for action on diet, physical activity and health.
What has been achieved, what more can be done?
ELC Symposium21 November, 2012
Philippe RouxEuropean Commission
Health andConsumers
Health andConsumers
Unhealthy diets and physical inactivity "contribute" to Chronic Diseases
Health andConsumers
Health andConsumers
Obesity Update OECD 2012 Obesity rates remain high
Social disparities in obesity unabated
At least 1 in 2 people is overweight or obese in over half of OECD countries
Severely obese people lose 8 -10 life years
An obese person incurs 25% higher health expenditures in any given year
New measurestaxes on unhealthy foods and beverages
increasingly comprehensive strategies by many governments
http://www.oecd.org/dataoecd/1/61/49716427.pdf
Health andConsumers
Health andConsumers
The White Paper• The last three decades have seen the levels of overweight and obesity in the
EU population rise dramatically.
• This is particularly worrying among children, where the estimated prevalence of overweightness was 30% in 2006.
• The EU Strategy on Nutrition, Overweight and Obesity Related Health Issues, also known as the White Paper, is the Commission's response to these concerns – not SANCO response only.
• The White Paper is built upon five main pillars:
• Creating better informed consumers
• Making the healthy option available
• Encouraging physical activity
• Priority groups and settings
• Developing an evidence base to support policy making decisions
4
Health andConsumers
Health andConsumers
Intervention logic of the EU Strategy on Nutrition, overweight and obesity Health related issues
5
European Commission Private actors
EC & WHO Europe
Priority areas
Member States
Better informed consumers
Healthy options available
Physical activity encouraged
Evidence base for policy-making
Priority groups targeted
Effective monitoring systems
Tra
nsn
atio
na
l p
roje
cts
on N
OP
A-
rela
ted
issu
es
Dis
trib
utio
n o
f fru
it &
ve
g.
to c
hild
ren
an
d a
cco
mp
. m
easu
res
Cod
es
of
cond
uct
fo
r ad
vert
isin
g to
ch
ildre
n
Au
dio
visu
al M
edi
a
Se
rvic
es D
irec
tive
Hea
lth P
rog
ram
me
Sch
ool
Fru
it S
che
me
EU
po
licie
s:
Ed
uca
tion
, tra
nsp
ort
, re
gion
al p
olic
y, e
tc.
NO
PA
inte
gra
ted
into
oth
er p
olic
ies
Hig
h-L
eve
l Gro
up
for
NP
A
Pla
tform
fo
r A
ctio
n o
n D
iet,
Ph
ysic
al
Act
ivity
and
He
alth
Co-
ord
ina
tion
/ co
llab
orat
ion
Se
lf-re
gul
atio
n
Oth
er
actio
ns
Nat
iona
l po
licie
s,
law
s, a
ctio
ns
Co-
ord
ina
tion
/ co
llab
orat
ion
Mis
cella
neo
us
app
roac
hes
/act
ion
s
Com
mitm
en
ts
Better health and quality of life
Smart, sustainable, inclusive growth
Reduced obesity and overweight Reduced incidence of related NCDs
More health-enhancing physical activity
Healthier diets
Outputs
Instruments
Outcomes
Impacts
Hea
lth c
laim
s re
gul
atio
n
Fo
od la
bel
ling
re
gul
atio
n
Mo
st D
epr
ived
P
rog
ram
me
Pre
par
ato
ry A
ctio
ns
in th
e fie
ld o
f Sp
ort
7th
Fra
mew
ork
P
rog
ram
me
for
Res
ear
ch (
FP
7)
Mo
nito
ring
of
nat
iona
l po
licie
s N
OP
A d
ata
bas
e
Fa
lse,
mis
lead
ing
or
unf
oun
ded
cla
ims
pro
hib
ited
Ke
y n
utri
tion
in
form
atio
n p
rovi
de
d
on
fro
nt o
f pac
ks
Dis
trib
utio
n o
f a
gric
ultu
ral p
rod
ucts
to
the
mo
st n
eed
y
Tra
nsn
atio
na
l p
roje
cts
on H
EP
A-
rela
ted
issu
es
Col
lab
orat
ive
re
sea
rch
pro
ject
s o
n
NO
PA
-rel
ate
d is
sue
s
Potentially all outcomes
Potentially all outcomes
Health andConsumers
Health andConsumers
An action oriented process
The Platform is part of a broader EU Strategy on Nutrition, Overweight and Obesity-related Health Issues.
The development of effective partnerships is a basic principle for action.
The Platform Charter reads: “a cooperative and action-oriented approach is respected”.
33 Platform membersindustry public health NGOshealth professionalsconsumer groups
Health andConsumers
Health andConsumers
What’s the nature of the Platform?
cooperative voluntarism
multi-stakeholder
forum foractiondiscussion on action
“agree to disagree”each commitment is subject to other members’ criticismall common actions are challenged from multiple perspectives
Health andConsumers
Health andConsumers
How does it work?
Members have full responsibility for financing, implementing, monitoring and reporting the actions
Areas of commitments
consumer information, including labellingeducation, including lifestyle modificationphysical activity promotionmarketing and advertisingcomposition of foods, availability of healthy food options, portion sizesadvocacy and information exchange
Health andConsumers
Health andConsumers
Who benefits from the work of the Platform?
Geographical and population reachjust under 40% of commitments target more than 50% of the EU population*
55% of commitments are multi-national and target more than one Member State*
*Mid-term Evaluation Report
Priority target groupschildren and adolescents
low socio-economic groups
senior citizens
Health andConsumers
Health andConsumers
Who benefits from the work of the Platform? Distribution of assessed commitments per target audience
Annual Report 2011
Health andConsumers
Health andConsumers
Who benefits from the work of the Platform?
Number of commitments per activity type addressing children and adolescents
Annual Report 2012
Health andConsumers
Health andConsumers
Who benefits from the work of the Platform? Percentage of commitments by geographical coverage
Annual Report 2012
Health andConsumers
Health andConsumers
What else happens in the Platform?
Exchange of information on other initiatives and
good practices out of the Platform
Information on developments in the work of
EU institutions and Member States
Updates on recent events and publications in the Platform field of work
Observers from the WHO, EFSA, ECOSOC, certain Member States, EP, relevant scientists
Health andConsumers
Health andConsumers
Is the Platform successful? More than 300 commitments in 6 years
External Mid-term Evaluation – conclusions
Balanced distribution between not-for-profit and for-profit members
Better understanding among members through “dialogue that has become more constructive and less confrontational over the years”
Platform commitments in the areas of advertising/marketing to children and food/drink reformulation are having an impact.*
*based on 2 case studies
Selected case studies suggest commitments in the areas of marketing/advertising to children and food/drink reformulation are being implemented effectively.
Health andConsumers
Health andConsumers
Platform ACTIONS primarily linked to members’ core business activities - examples*
• *Mid-term Evaluation Report
Sector Type of commitment
Food & Drink Implementation of GDA nutrition labelling schemes
Advertising Promotion and adoption of advertising self-regulatory
mechanisms and codes
Sports & Fitness
Creation of links between health clubs and schools
Agriculture Teaching children about food production
Retail & Catering
Implementation of national guidelines and information of products' nutrition content
Health andConsumers
Health andConsumers
Concrete results from Platform commitments - examples More than 15 340 670 children have benefitted
from Platform actions encouraging physical activity
10 dedicated websites featuring healthy nutrition and physical activity topics (one more in the pipeline)
Food reformulation183 tons of salt reduction (2006-2010)
1314 tons of fat reduction (2008-2010)
2229 tons of sugar reduction (2006-2010)
Health andConsumers
Health andConsumers
Concrete results from Platform commitments: examples
The renewed Pledge (approximately 80% of food and beverage advertising spent in the EU)
Voluntary commitment
No advertising of products to children under 12 years*, except for products which fulfil shared specific nutrition thresholds based on accepted scientific evidence and/or applicable national and international dietary guidelines.Media covered : TV, Print, third-party internet and company-owned websites,Audience definition: >35%No communication related to products in primary schools, except where specifically requested by, or agreed with, the school administration for educational purposes.
Health andConsumers
Health andConsumers
Concrete results from Platform commitments: examples
Diet, Physical Activity and CVD Prevention in Europe
Scientific reviews on fats, salt, sugars, dietary fibre, complex carbohydrates, fruit and vegetables, BMI/energy intake, physical activity, folate, polyphenols and CVD
Research findings published in a report
Main target audience: policy makers
More than 1600 hits of the launched website Policy conference with the participation of Director General Paola Testori Coggi to
disseminate the results and to address stakeholders
Health andConsumers
Health andConsumers
Concrete results from Platform commitments : examples
Stakeholders discussing out of home nutrition information
survey indicates consumer interest in information on calories in restaurants
advocacy action aiming to:
look at provision of nutrition information on foods in restaurants and other food establishments
lead informal discussions with representatives of the restaurant sector
exchange views on communicating consumer information at point of sale
Health andConsumers
Health andConsumers
Platform 2012-2013: the way forward Improvements of already existing commitments and new ones:
responsible advertising/marketing to childrenfood reformulation
Vulnerable groupschildren and adolescentslow socio-economic groups
Physical activity and sports
Reaching out to schools with the aim of increasing physical activity and ……………………………………… making the healthy option available;
Health andConsumers
Health andConsumers
Strategy Evaluation
• Based upon three pillars:
• - Case studies according to desired outcomes
• - Analysis of statistics & trends
• - Evaluation according to instruments
21
Health andConsumers
Health andConsumers
Evaluation approach
22
3. Analysis of statistics and trends
2. Case studies according to desired outcomes
1. Evaluation according to instruments
Member State activities and
the HLG
EU Platform for Action on Diet, PA and
Health
EU legislation related to the
Strategy
EU integration of
policies
EU funding and
programmes
Monitoring system / evidence
base
Overall evaluation results
Making the healthy option available
Encouraging physical activity
Priority groups / inequalities
Evolution of obesity and overweight
Evolution of diet / nutrition
Evolution of physical activity rates
Health andConsumers
Health andConsumers
Milestones and Deliverables
Interim report 7 December 2012
Steering group meeting 18 December 2012
Draft final report End March 2013 (exact date TBD)
Steering group meeting Early April 2013
Final report 29 April 2013
Seminar with HLG members TBD
23