1. Prevention of Childhood Obesity Joining forces… Caroline Bollars Technical Officer, Nutrition Policy Nutrition, Physical Activity and Obesity World Health Organization - Regional Office for Europe

2. World Health Organization, Regional Office for Europe

3. 3 Burden of disease by broad cause group and region, 2004

4. WHO/EUROPE: mandate for action

5. 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

6. Action Plan for the Implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012-2016 WHO/Europe RC; Baku 2011

7. What are we going to do? Health Promotion

8. 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 Development European framework to promote physical activity for health (this framework has not been officially endorsed by MS at a RC)

9. 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.

10. European database on nutrition, obesity and physical activity (NOPA)

11. 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 Policy Actions

12. 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.

13. WHO European Childhood Obesity Surveillance Initiative

14. Overweight among European school children Prevalence of overweight and obesity among 6–9-year-old children in twelve European countries

15. Prevalence of overweight, incl. obesity Based on the 2007 WHO growth reference for children and adolescents 5-19 years Source: WHO, 2010 50 40 30 20 10 0 Prevalence (%) Countries 9-year-olds 8-year-olds 7-year-olds 6-year-olds BelgiumBulgariaIreland Italy Latvia Lithuania Norway PortugalSloveniaSweden

16. 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.

17. How best to respond? “We need a whole of government and a whole of society response” Margaret Chan, director general, WHO

18. www.who.intwww.who.int or www.euro.who.intwww.euro.who.int