Head of Policy and Public Affairs Why it’s important for cancer societies to focus on nutrition, physical activity, alcohol and overweight & obesity 3 Nov 2016, 9-10.30am World Cancer Congress Louise Codling Head of Policy and Public Affairs OBESITY PREVENTION AND CONTROL Setting the scene Focus on epidemiological link, our science and research work Then highlighting how this is translated into policy recommendations About WCRF Int. Abou We fund research on the relationship of nutrition, physical activity and weight management to cancer risk We interpret the accumulated scientific literature in the field of cancer, food, nutrition, body fatness, physical activity and alcohol, and use this to derive Recommendations for Cancer Prevention We educate people through our national Health Information Departments We advocate wider implementation of effective policies through our international Policy and Public Affairs Department We do all this to help people and populations to implement our Recommendations and thereby reduce their chances of developing cancer t me

Preventability estimates In higher-income countries: About a third of the most common cancers could be prevented by choosing a healthy diet, being physically active and maintaining a healthy weight In lower-income countries: About a quarter of the most common cancers could be prevented by choosing a healthy diet, being physically active and maintaining a healthy weight Estimates for how much cancer could be prevented by having a healthy diet, being physically active and maintaining a healthy weight Produced for 4 countries: USA, UK (high-income countries) Brazil (middle-income) and China (low-income) UK estimates used for NL and HK Produced for 13 cancer sites: Mouth, pharynx & larynx; oesophagus, lung, stomach pancreas, gallbladder, liver, bowel, breast, endometrium, ovary, prostate, kidney SO HOW DID WE GET TO THESE ESTIMATES? – LINK TO CUP…NEXT SLIDE

Continuous Update Project (CUP) Analyses global cancer prevention and survival research linked to diet, nutrition and physical activity. Develops the work of the First and Second Expert Reports published in 1997 and 2007. Ongoing review and captures new research from around the world as it is published. Trusted, authoritative scientific resource, which underpins current guidelines and policy for cancer prevention. Ensures the World Cancer Research Fund network Recommendations for Cancer Prevention are based on the latest evidence. The scientific basis for our cancer preventio 2nd expert report: Published in November 2007 Most comprehensive review of lifestyle and cancer Diet, nutrition, body composition and physical activity are major determinants of cancer risk Recommendations: Personal Public Health Goals Underpins WCRF network activities n recommendations CUP database: World’s largest central resource for scientific evidence on cancer, diet, weight and physical activity. It’s continually updated as papers are published. Over 4,400 papers on prevention and survival CUP publications: Published: Breast cancer report 2010 Colorectal(bowel) cancer report 2011 Pancreatic cancer report 2012 Endometrial(womb) cancer report 2013 Ovarian cancer report 2014 Other activities: Developing a systematic approach to reviewing evidence on mechanisms on how diet, weight and physical activity affect cancer risk and survival

NOURISHING framework www.wcrf.org/NOURISHING

NOURISHING framework Aim: formalise a comprehensive package of policies to promote healthy diets and reduce obesity and non-communicable diseases (NCDs) Policymakers To identify where action is needed to promote healthy diets Select and tailor options suitable to different populations Assess if an approach is sufficiently comprehensive Researchers To identify the evidence available for different policies, identify research gaps and as a resource for policy monitoring and evaluation Civil society organisations To monitor what governments are doing around the world, benchmark progress and hold them to account

implemented policies across NOURISHING framework 360 implemented policies across 126 countries No silver bullet; policy response must be comprehensive and address: Food environment Food system Behavior change Policy coherence across government sectors crucial (in particular between health, education, trade/economic development, agriculture) Policy response must be adapted to local context Policies should be evidence-based, but: urgent need for more impact and process evaluations to overcome policy barriers and support the wider uptake of effective policies Food policy framework & database: www.wcrf.org/NOURISHING

Thank you! Louise Codling Head of Policy and Public Affairs l.codling@wcrf.org +44 (0)207 343 4200