food supplements an natural health products : a new … · food supplements are an important part...

FOOD SUPPLEMENTS AN NATURAL HEALTH PRODUCTS :

a new health approach as part of a health prevention policy

Christelle CHAPTEUIL

Bordeaux

27 -29/11/2019

A professional organization created in 1950 representing the whole supply chain.

165 MANUFACTURERS/

DISTRIBUTORS

14 CONSULTANTS31 SUBCONTRACTORS/

ANALYTICAL LAB/ CONSULTANTS

245 members

3 MISSIONS

1/ Promoting and representing the sector towards French and European authorities

2/ Accompanying its members in the implementation of regulatory and quality requirements

3/ Promoting food supplements and ensuring that their role in maintaining a good health is recognized by policy makers.

33 INGREDIENT

PROVIDERS

SYNADIET – THE FRENCH FOOD SUPPLEMENTS FEDERATION

Members located all over France

“‘food supplements’ means foodstuffs the purpose of which is to supplement

the normal diet and which are concentrated sources of nutrients or other

substances with a nutritional or physiological effect, alone or in

combination, marketed in dose form”

Directive 2002/46/CE

Vitamins, minerals, trace elements: vitamins, magnesium, calcium, chromium, etc.

Substances with a nutritional orphysiological effect : caffeine, lycopene, glucosamine, omega-3, amino acids, etc..

Plants or plants’ preparations : valerian, hawthorn, harpagophytum, etc.

Novel Foods: SchizochytriumDHA, etc.

Ingredients of animal origin : royal jelly, shark cartilage, etc.

Food supplements : a unique position in between food and medicine…

Conventional food

feed

Food supplement

Nutritional andphysiological effects

Drugs

Prevent, treat,heal diseases

Foodstuffs

Medicinal products

Food Supple-ments

MedicalDevices

Biocides

Cosmetics

Traditionalherbal

medicinalproducts

Addition of nutrients

Borderline issues=

National differences=

Competitive issues

Dietetic foods

Health claims

EU Legal Framework

Food supplements/drugs : for the consumer5

http://www.arkopharma.fr/produits/medicaments/arkogelules-artichaut.html

http://www.arkopharma.fr/produits/medicaments/arkogelules-fragon.html

http://www.arkopharma.fr/produits/complements-alimentaires/arkogelules-romarin.html

Food

Plants’ status

Food supplement Medicine

Difference medication / Food supplements

Drug Food supplement

Frame Diseases

To treat, heal

Well being

For healthy people who want to

remain healthy

Presentation Curative or preventive properties with regard to human diseasesMandatory "indications"

Nutritional Properties / PhysiologicalEffects

Function Restore, correct or modify physiological functions by exerting a pharmacological, immunological or metabolic action.

Supplement normal diet

Physiological effects

Composition Chemically defined active substances / risk-benefit assessment for each formulation

Traditional food ingredients or authorized by "food supplements" decree

Consumer Patient who may have a medical prescription or advice

Individual who chooses his own diet

prescription Medical prescription. Possible support social security (refund)

Behaviors and individual food choices in the context of a diet as varied as possible

Ingredients Formulation Processing Marketing Post-marketing

EUR

OP

E

FS Definition Directive 2002/46/ECNovel FoodRèglement (EC) 2015/2283Vitamins et MineralsRegulation (EC)1170/2009Substances w. a nut. or physio.Regulation (EU) 609/2013Used solventsDirective 2009/32/ECPesticides residuesRegulation (EC) 396/2005ContaminantsRegulation (EC) 1881/2006

AdditivesRegulation (EC) 1334/2008Regulation (EC) 1333/2008Regulation (EC) 1332/2008Regulation (EC) 1331/2008Regulation (EU)) 231/2012SolventsDirective 2009/32/EC

Food hygieneRegulation (EC) 852/2004General food lawRegulation (EC) 178/2002

Health claimsRegulation (EC) 1924/2006Regulation (EU) 432/2012Regulation (EU) 536/2013

LabellingRegulation (EU) 1169/2011

Food Alert System (RASFF)

FRA

NC

E

Définition FSDécret 2006-352Authorized plantsArrêté du 24 juin 2014 Substances w. a nut. or physio. Arrêté du 26 septembre 2006

Max. et min. limits of vitaminsArrêté du 9 mai 2006

Processing aidsArrêté du 19 octobre 2006Décret 2011-509

Quality charter Synadiet NotificationArt. n°15 et n°16 du décret2006-352

Nutrivigilance Process (Anses)

Safety and quality requirements all along the production process

FR Nutrivigilance process / UE alert management

Alerts management

(Règ. 178/2002/CEE)Nutrivigilance

Laboratories

Risk manager(DGAL, DGCCRF*)

Consumer

ANSESFrench Agency

for Food, Environmental and Occupational Health & Safety

Doctors, pharmacists

* Guardianship authority

Declaration of side effectsDeclaration of side effects

Information feed back

Exchange of informationAction plan

The food supplements market

12

11,6 Billion € au CMA à September 18

+5,3% of growth between

sept 18 vs sept 17

+6,2% of the CGAR over 4

years

State of the European market.A growth slowing down (+7,0 au CMA sept 2017 vs +5,3% in 2018)

Source : IQVIA Consumer Health Global Market Insights

Source : IQVIA - 20 European countries – CA sell out consumer prices including VAT

Sales models

Prescribers

Tradition, habits,history

Sales models….connected to healthcare systems

Health without prescriptionTO of non prescribed drug per person in 2017

15

Source : IQVIA - Sell out prices Pharmacies and parapharmacies – CMA September 2018

Two countries generate half of the European food supplements market

3 307

2 280

1 062

808 793 702

396 334 289 238 221 219 189 178 133 121 120 108 83 320

500

1 000

1 500

2 000

2 500

3 000

3 500

Ventes CA


16

Source : IQVIA - Evolution of the supplement market – CA PPUB – CMA September 2018/2017

The growth of the sector is important in almost all European countries

4,2

6,7

4,2 3,62,8

8,7

-0,1

18,5

4,1

-2,3

6,2

8,2

4,8

7,66,7

13,0

16,9

5,0

8,88,0

-5,0

0,0

5,0

10,0

15,0

20,0

25,0

Croissance (%) CMA Sept 17 Croissance (%) CMA Sept 18


+5,3% of growth, in average, in Europe

17

Per Capita expenses – PPUB – annual rolling total september2018

Average expenses per capita : 19,1€ in 2017 vs 20,5€ in 2018

4,9 €13,9 €13,8 €13,9 €

15,4 €16,1 €

17,1 €17,3 €17,4 €17,9 €

19,7 €19,8 €

20,4 €20,8 €

22,5 €26,1 €

27,7 €32,9 €

34,5 €55,8 €

20,5 €

RussiaSerbia

HungaryNetherlands

SloveniaFrance

RomaniaPortugal

SpainCzech Republic

FinlandGreeceCroatiaPoland

SlovakiaSwitzerland

GermanyAustria

BelgiumItaly

Total


18

Part of FS in a global OTC market – september 2018

Food supplements are an important part of OTC for some countries

2018

Total Marché OTC Part des CPAL

6,7 € billion 49 %

306 € Million 39 %

559 € Million 39 %

Total Marché OTC Part des CPAL

10,2 € billion 22 %

6,7 € billion 49 %

6,5 € billion 11 %

TOP 3 des of countries with high MS of FS in OTCTOP 3 of high OTC market

Russia

France

Germany

Serbia

Greece

Italy

Italy

6,5 € billion 14 %Source : IQVIA Consumer Health Global Market Insights

20

French market phramacies– PPUB – CMA décember 2018

Pharmacy market in France

Food supplements in pharmacies

957 € million+3,2%

FY décember 2018

Total pharmacy Market in France36,4 € Billion TO, +1,4%

DRUGS

77% +1,5%Non Drugs

23% +1,3%

Compulsary medical prescription

63% +2,1%OTC

14% -1,1%

Reimbursed

10%+2,8%

NR

13%+0,1%

FS : 957M€3% of pharmacy market

11% of non drugs market

+3,2%

Source Pharmatrend PharmaOne & Paratrend

337 422 464594 601 608 612 588 592 618 702 755 808 841 914

5261 73

80 86 81 71 60 65 8692

99104 103

113

9698 97

95 101 98 95 90 92 9092

9999 105

202

113115 118

119 118 119 120 122 138 155192

217250 281

273

101110

119120 117 124 136 155 170

198

288293

288293

300

0

200

400

600

800

1000

1200

1400

1600

1800

2000

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

French market for food supplementsSell out TTC, M€

Pharmacies Parapharmacies Supermarkets Specialized stores Distance selling

Sources : IMS Health, IRI, Fevad, FDV, distributeurs, 2017

1,8 Billion € of sales revenue

A constant growth

16 000 jobs created in France

51% of the products sold in

Pharmacies

404 brands among which 95% are SMEs

25 050 Sales points

22

Market in value – Pharmacies & Parapharmacies - CMA oct 2018

The distribution of these promises turns out to be very different between the pharmacy and parapharmacy circuits

19%

17%18%

8% 8%

6%5% 5%

4% 5% 4%

19%

13%

7%

22%

18%

6%

3%

0%

5%

3% 3%

Pharmacies Parapharmacie

Génitourinaire

Voiesrespi.

ArticulationBeautéMinceurDigestionHumeurStress

Sommeil

Vitalité Immunité

Ophta. Circulation Autres

Source Pharmatrend PharmaOne & Paratrend

23

Weight of Ingredients - Sales Value Public Prices– CMA oct 18 – Pharmacies + Parapharmacies

Herbal products contribute for two-thirds of the growth market value

40%Plants

+7% value growth

Contribution to growth : 69%

28%Vitamines & Minerals

+3% value growth


10% 9%

4%

9%

Ferments

+8% value growth


Others*

-4% value growth

Contribution to growth : -11%

Omega 3/6/9

-6% value growth

Contribution to growth : -4%

Substances

+3% value growth


Source Pharmatrend & Paratrend

24

Value sales – CMA oct 2018 – pharmacies

More generally in pharmacy, the naturalness is indeed recording a very marked boom ... but in the same way, not on all its segments

AROMATHERAPY222M€

PROBIOTICS (drugs and FS)

223M€

Source : Pharmatrend PharmaOne, CMA Octobre 2018 – Attention certains marchés peuvent se chevaucher.

DERMO-COSMETIC BIO31M€

+9,0%

+7,0% for digestion

+12,2% for vitality/immunity

+23,4% for urinary genitals

+3,7%

+6,8% for essential oils

+12,1% for neutral basis

+9,4%

+7,7% for cosmetics with official labels

+12,5% for cosmetics with organic image

25

CMA Décembre 2018 – CA Prix publics TTC

It is on the e.commerce channel that FS are proportionally the best implanted

Pharmacy Parapharmacy E-commerce

Weight of FS* 21%Growth of FS

market +3,2%Vs +0,1%*

Weight of FS 14%Growth of FS

market +4,1%Vs +2,5%

Weight of FS * 35%Growth of FS

market +5,6%Vs +10,0%*

Source : Pharmatrend PharmaOne – Paratrend – IQVIA E-commerce

* Total market ecluding drugs

26

TO PPUB by segment of e-commerce sites - CMA December 2018

Leaders manage to drive growth

Source : IQVIA E-commerce

7% du CAMiddles

+ 3,1%

65% du CALeaders

+ 8,4%

27% du CAChallengers

+ 0,0%

27

Value market FS PPUB – all channels- CMA december2018

E-commerce is distinguished from other circuits by a significant weight for digestion, ophthalmology, joints

19%

17%18%

8% 8%

6%5% 5%

4%5%

4%

19%

13%

7%

22%

18%

6%

3%

0%

5%

3% 3%

11% 11%

15%

13%

10%9%

1%

8%

5% 5%

7%

Pharmacies Parapharmacie E-commerce

Génitourinaire

Voiesrespi.

ArticulationBeautéMinceurDigestionHumeurStress

Sommeil

Vitalité Immunité

Ophta. Circulation Autres

Source : Pharmatrend PharmaOne – Paratrend – IQVIA E-commerce

28

Value market FS PPUB – all channels- CMA december 2018

Digestion accounts for half the growth in e-commerce

15%

13%11% 11%

10%9% 8%

7%5% 5%

2%

20,2%

1,8% 1,7%2,9%

0,8%-1,0%

7,4%

0,9%

10,4%

-1,4%

17,0%

-5,0%

0,0%

5,0%

10,0%

15,0%

20,0%

25,0%

0,0%

4,0%

8,0%

12,0%

16,0%

20,0%

24,0%

28,0%

Poids des promesses Evolution des promesses

Source : IQVIA E-commerce

-1,3% +4,8%

+11,6%

-1,3% Evolution du marché pharmacie /

parapharmacie

Responding to consumer expectations

Health in France

11% PIB

15% Higher than average OCDE

countries

77,0 % Funded by the State

Health expenses Intitutionnal prevention

2,2% Health expenses for

prenvention

87€/inhab

59%28%

14%

Etat et collectivités territoriales

Secteur privé

Sécurité sociale

Funded by the state

Food supplements in the health system

TRENDS

AgingIn 2050, 1/3 of population > 60 years old

Cardiovascular disease

2ndmortality event

30% of preventable premature deathsby reducing risky behavior

40% of the population has inadequate intakes

1/20 Google search

connected to health

A population more and more involved in its health

More than 259 000 mobile health apps

82% of French want to

manage their health

Risk factors of deseases

What benefit of the dietary supplement in the health system ?

For some people at certain moments of life

Maintaining good health: to allow everyone to stay healthy as long as possible

Prevention of discomfort related to aging. Ex: digestive, urinary, circular, sleep ....

Limit the appearance or progression of pathologies: AMD, cholesterol, diabetes ...

Prevention of loss of autonomy. Ex: articular, cognitive degeneration,….

Dietary supplements in maintaining good health

35Food supplements consumer in France: average 25% of adults

Source: INCA 2

And other studies

51% of products are

purchased in pharmacies

41% of purchases are

motivated by a doctor

90% of consumers are

satisfied

46% of French people

say they have already consumed dietary supplements

12% of purchases are

motivated by a pharmacist

2/3of French people recognize the benefits of dietary supplements

1,5 Cases of vigilance deemed "likely" all the millions of boxes sold between 2010 and

2014 (ANSES)

73% French people want more

information on dietary supplements

The consumption of food supplements in France

Dietary supplements in maintaining good healthopinionway 2019

Well informed

informed enough

not informed

not informed enough

Do you feel informed about Food Supplements ?


Do you think those products are very good, good, not good or very bad for your health and the health of your relatives ?

homeopathy

Essential oil

probioticshomeopathy gemmotherapy Super foodDrugs without prescriptionvegetal oil

Vitamins & mineralsphytotherapyBee products Omegas 3,6,9


Have you ever consumed FS ?

At least once Tried once Several times a year

Never tried


To Consumers : what has motivated the use of FS ?

Doctor’s advice

Pharmacist’s advice

Advise of a naturopath, homeopath, a dietitian

Advise of a health professional

Information on a website

Information on the media (TV, news)

An advertisment

Information on social networks

Advise from a member of my family

Advise from a friend

others


Natural defences

Vitality

Skin & hair

Sleep

Stress

Respiratory tracts

Joints

Digestion

Slimming

Blood circulation

Unbalanced diet

Prepare skin to tan

Urinary tracts

Menopause

Cardio

vision


Why do you use FS ?

Because they are natural products

To avoid taking drugs when it is not necessary

Because I want to remain healthy and avoid getting ill

Because I have food deficiency

Because it makes me feel good

Because there are soft products with no side effects

Because I was advised to take some

Because of the efficacy

Because they correspond to my diet choice

Because the efficacy/price ratio is positiv

How do we "get on" with food supplements?

sofres 2016

Base 438 people over 25

How did you know about food supplements?40% knew by family / friends.36% had a prescription by a doctor.34% had a pharmacist's advice18% had a naturopathic board, dietician, or other health professional23% by the media13% by internet

Are you satisfied with the price / quality ratio of the CA?85% say they are satisfied.

Have you ever felt any side effects with CAs?88% say they have never had such problems with CAs.10% say they have.

Why do they not consume FS ?

Sofres 2016

Base 438 people over 25

In non-CA customers:77% do not think they need it48% say they do not consume because they do not know well or not39% say they do not consume because the product has never been recommended by a health professional35% think CAs are not effective33% do not trust these products31% say they do not understand what they are used for23% do not buy because it is not refunded

What to remember

• Growing demand in Europe for Natural health products, soft non-drug solutions

• Awareness that healthy maintenance is everyone's business

• Health professionals must be a driving force in prevention and not just in healing

• Prescription remains the first driver of discovery of Food Supplements by consumers

• Pharmacy remains the main channel for purchasing, even if ecommerce is developing

• FS are part of health prevention, on a defined framework and holistic approach.

Thank you for your attention

food supplements an natural health products : a new … · food supplements are an important part...

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