The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
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This document discusses the growing challenge of noncommunicable diseases (NCDs) like heart disease, cancer and diabetes in Europe and implications for dietitians. It notes that NCDs are the leading cause of death in Europe and risk factors like obesity, unhealthy diets and physical inactivity are increasing. While some policies have helped like restricting marketing of unhealthy foods to children, more action is still needed on issues like salt reduction and nutrition labeling. The document concludes by emphasizing dietitians have an important role to play in several priority areas outlined in the Vienna Declaration, including promoting healthy diets and nutrition, supporting policy efforts and surveillance, and empowering communities for prevention.
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
- 1. The challenge of noncommunicable diseases for health in Europe: Implications for dietitians Trudy Wijnhoven Technical Officer Nutrition, Physical Activity and Obesity Programme Division of Noncommunicable Diseases and Life-course The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 2. Outline 1. Introduction to WHO 2. Policy and global monitoring frameworks 4. Nutrition policy actions in the European Region 3. Burden of noncommunicable diseases 5. Role of dietititans The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 3. 1. INTRODUCTION TO WHO The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 4. Structure Specialized agency within the Charter of the United Nations (1948) 194 Member States One WHO, but decentralized structure: Headquarters - Regional Offices - Country Offices Governing bodies: World Health Assembly - Executive Board The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 5. WHO Country and Regional offices The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 6. WHO is primarily responsible for: Providing leadership on global health matters Shaping the health research agenda Setting norms and standards Articulating evidence-based policy options Providing technical support to countries Monitoring and assessing health trends The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 7. 2. POLICY AND GLOBAL MONITORING FRAMEWORKS The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 8. Political declaration on NCDs: Surveillance: Calls for a monitoring framework and global and national targets and indicators. Prevention: Calls on Member States to accelerate the implementation of the WHO FCTC, the Global Strategy on Diet, Physical Activity and Health, and the Global Strategy to Reduce the Harmful Use of Alcohol and cost-effective interventions. Management: Calls on Member States to strengthen health systems that support primary care and prioritise early detection and treatment and improve access to affordable essential medicines for NCDs. The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 9. Comprehensive global monitoring framework The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 10. Nutrition, obesity and physical activity: major achievements but big challenges European Charter on Counteracting Obesity and the Food and Nutrition Policy Action Plan Established and scaled-up monitoring and surveillance systems 49 Member States developed or updated national policies Several Member States evaluated national policies The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 11. WHO European Ministerial Conference on Nutrition and NCD in the Context of Health 2020 RENEWED MANDATE FOR ACTION The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 12. 3. BURDEN OF NONCOMMUNICABLE DISEASES The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 13. Noncommunicable diseases and risk factors The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 14. NCDs increasing . Source: http://www.who.int/mediac entre/factsheets/fs310/en/i ndex.html The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 15. NCDs as leading causes of mortality Source: http://www.who.int/mediacentre/factsheets/fs310/en/index.html The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 16. Source: Capewell S, OFlaherty M. Rapid mortality falls after risk-factor changes in populations. The Lancet Published Online March 16, 2011 DOI:10.1016/S01406736(10)62302-1. Extensive empirical and trial evidence shows that substantial reductions in mortality can occur within months of decreases in smoking, and within 13 years of dietary changes
- 17. GBD attributable for 20 risk factors as % DALY - 2010 15 out of 20 risk factors linked with nutrition and PA Source: Lim & al. 2012
- 18. Prevalence of overweight (%) among adult men (BMI 25.0 kg/m2) 70 Austria, 20+ Belgium, 18+ Denmark, 16+ Estonia, 1664 Finland, 1564 France, 15+ Germany, 18+ Ireland, 18+ Italy, 18+ Latvia, 1564 United Kingdom, Scotland, 1664 Lithuania, 2064 Luxembourg, 16+ Netherlands, 20+ Norway, 16+ Portugal, 1864 Spain, 18+ Sweden, 1684 Switzerland, 15+ United Kingdom, Wales, 16+ United Kingdom, England, 16+ 65 60 55 50 45 40 35 Prevalence of overweight (%) among adult men (BMI >25.0 kg/m2) 30 25 1994 1997 2000 2003 2006 2009 2012 Source: WHO Regional Office for Europe The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 19. Prevalence of overweight (%) among adult women (BMI 25.0 kg/m2) 70 Armenia, 1549 Austria, 20+ Belgium, 18+ Denmark, 16+ Estonia, 1664 Finland, 1564 France, 15+ Germany, 18+ Ireland, 18+ Italy, 18+ Latvia, 1564 Lithuania, 2064 Luxembourg, 16+ Netherlands, 20+ Norway, 16+ Portugal, 1864 Spain, 18+ Sweden, 1684 Switzerland, 15+ Turkey, 1549 United Kingdom, Wales, 16+ United Kingdom, England, 16+ United Kingdom, Scotland, 1664 65 60 55 50 45 40 35 30 25 1994 1997 2000 2003 2006 2009 2012 Source: WHO Regional Office for Europe The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 20. HBSC key findings 2009/2010 age changes Health behaviours all worsen Overweight and obesity all increase Breakfast decreases in both boys and girls Fruit decreases in both boys and girls Physical activity decreases in both boys and girls The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 21. Salt intake per person per day for adults in the WHO European Region from individual country-based surveys, various years 20.0 18.0 Source: WHO Regional Office for Europe 16.0 14.0 10.0 8.0 6.0 WHO/FAO RECOMMENDATION - <5 grams 4.0 2.0 0.0 No data 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 12.0 Country The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 22. Prevalence of exclusive breastfeeding under or at 6 months of age in the WHO European Region from individual country-based surveys, various years 70.0 60.0 50.0 40.0 30.0 Source: WHO Regional Office for Europe 20.0 No data 0.0 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 10.0 Country The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 23. Nutrition National Survey Tajikistan 30% Stunting 28% (42% Dushanbe) overweight women reproductive age Micronutrient deficiencies (iron, vit. D, iodine) The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 24. 4. NUTRITION POLICY ACTIONS IN THE EUROPEAN REGION The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 25. Overview Policy Actions Implementation 53 WHO/Europe Member States 2012/13 Labelling - nutritional information Food Based Dietary Guidelines Breastfeeding promotion and protection policies Physical Activity Policy incl. Guidelines Baby Friendly Hospital Initiative Programs in schools (inc. vending machines) School Fruit Scheme (SFS) or similar Salt reduction initiatives Marketing HFSS foods to children - restrictions Promote Active Travel for school-children Reformulation - less sugar and salt Policy Actions Labelling - signposting Measures to affect food prices Source: WHO Regional Office for Europe 0% No Action 10% 20% 30% Partially implemented 40% 50% 60% 70% 80% 90% 100% Fully implemented The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 26. Great progress in certain areas MKT HFSS foods policies No action reported Countries (N) Partially or fully implemented 20 33 Salt reduction policies No action reported Countries (N) Partially or fully implemented 23 30 The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 27. Brinsden et al. Surveys of the salt content in UK bread: progress made and further reductions possible. BMJ Open 2013 Salt content in bread in repeated surveys - UK, 20012011
- 28. 5. ROLE OF DIETITIANS The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 29. Vienna Declaration (1) Priority area 1 - Create healthy food and drink environments and encourage physical activity for all population groups The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 30. Vienna Declaration (2) Priority area 2 - Promote the health gains of a healthy diet throughout the life-course, especially for the most vulnerable The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 31. Vienna Declaration (3) Priority area 3 - Reinforce health systems to promote health and to provide services for NCDs The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 32. Vienna Declaration (4) Priority area 4 - Support surveillance, monitoring, evaluation and research of the populations nutritional status and behaviours The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 33. Vienna Declaration (5) Priority area 5 - Strengthen governance, alliances and networks and empower communities to engage in health promotion and prevention efforts The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013
- 34. Contact: twi@euro.who.int The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013