ONTHECUSPOFAHEALTHREVOLUTION

WHAT’SYOURBRANDDOINGABOUTIT,ANDFAST?

NicoleCorbett25October2016

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TODAY’SPRESENTERS

NICOLECORBETTnicole.corbett@nielsen.comDirector,ThoughtLeadership,GrowthMarketsNielsen

REGANLEGGETTregan.leggett@nielsen.comExecutiveDirector,ThoughtLeadershipandForesight,GrowthMarketsNielsen

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“ ”Letfoodbethymedicineand

medicinebethyfood...HIPPOCRATES

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HEALTHCRISIS?

Risingobesitylevelsreach‘crisis’pointaroundtheworld

CORPORATERESPONSE>>Acceptchallengeorfacefinancialconsequences:1) Resize2) Reformulate3) Diversify4) Refocus

BEPROACTIVETOWIN1

4

5

CONSUMERDEMAND!

Consumersactivelytrytochangelifestyleanddiet– demandinggreatertransparencyinlabellingandproductingredients

2

GOVERNMENTACTION…

Governmentspurredintolegislativeactionamidrisinghealthcostsandsocialresponsibility

3

DOYOUHAVETHEAPPETITEFORWHAT’SONTHEHEALTHTHEWELLNESSMENU?

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1AHEALTHCRISISUNFOLDS….

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AROUNDTHEWORLD,OBESITYANDHEALTHCONCERNSAREONTHERISE

38%

13%20% 23% 25% 26% 28% 32% 32% 36% 38%

46%62% 62% 66% 66% 69%PrevalenceofOverweightBMI>25

23%

126%

16% 15%38%

76%

111%

28% 26%

73%

24% 21% 22% 29% 26% 21% 24%

%changesince1990

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7”“

THEPROBLEMISREALInhigh-incomecountries,therisksofchildhoodobesityaregreatestinlowersocioeconomicgroups.Althoughcurrentlytheconverseistrueinmostlowandmiddleincomecountries,achangingpatternisemerging. Ascountriesundergorapidsocioeconomicand/ornutritiontransitions,theyfaceadoubleburdeninwhichinadequatenutritionandexcessweightgainco-exist.

ENDINGCHILDOODOBESITYREPORTWORLDHEALTHORGANISATION

JANUARY2016

Forthefirsttimeinhumanhistory,childrenhavealowerlifeexpectancythantheirparents.Ourobjectivemustbetoresolvethisproblemwithinagenerationinordertoensurethatthosechildrenbeingborntodayreachadulthoodatanormalweight.

BARACKOBAMAUSPRESIDENT

IamnotpreparedtolookbackatmytimehereinthisParliament,doingthisjobandsaytomychildren'sgeneration...weknewtherewasaproblemwithsugarydrinks.Weknewit

causeddisease.Butweduckedthedifficultdecisionsandwedidnothing.

GEORGEOSBORNE– UKCHANCELLOR,MARCH2016

Source:Variousnewsarticles

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OBESITYCRISISISCOMPLEX–OURLIVESHAVEEVOLVEDFrommanualtosedentarywork,fromhomecookingtoconvenience

it’sasimpleequation…

CONSUMEMORE

EXPENDLESS

Source:WorldEconomicForum:TheWorldisGettingFatter, July2016

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2CONSUMERDEMAND

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CONSUMERSAREAWAREANDWILLACTONIT

Source:Global Burden of Disease Study 2014/2013 and NielsenGlobalSurveyWeAreWhatWeEatJan2015

OFASIANSOVERWEIGHTANDRISING BY50%

THINKTHEYAREOVERWEIGHT

TRYINGTOLOSEWEIGHT

29% 46% 54%

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INCREASINGOBESITYLEVELSAMONGEMERGINGMARKETSCAUSEFORCONCERN

38%

16% 76%

15%

126%

111%

24%28% 24%

21%26%

29% 26%21%22%

73%

23%

10%

20%

30%

40%

50%

60%

70%

80%

10% 20% 30% 40% 50% 60% 70% 80%

AUSTRALIA

PHILIPPINES

INDIAINDONESIA

SINGAPORE

MALAYSIA

THAILAND

VIETNAM

TAIWAN

UNITEDSTATES

UNITEDKINGDOMGLOBAL

NEWZEALAND MEXICO

KOREA

JAPAN

TRYINGTO

LOSEW

EIGH

T

PREVALENCEOFOVERWEIGHT/OBESEBMI>25

CHINA

Notoverweightbutthreatincreasing

SIZEOFCIRCLE%CHANGESINCE1990

Overweight,activelytryingtoreduce,threatstable

Overweight,activelytryingtoreduce,stillthreat Overweight,lesslikelytoreduce,threatstable

Sizeofbubble=increasingprevalencesince1990

Source:GlobalBurdenofDiseaseStudy2014(GBD2013)andNielsenGlobalSurveyWeAreWhatWeEatJan2015

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WHEREARETHEMISCONCEPTIONSVS.THREATS?

NOTOVERWEIGHTBUTTHREATINCREASING

OVERWEIGHT,ACTIVELYTRYING

TOREDUCE.THREATSTABLE

OVERWEIGHT,ACTIVELYTRYING

TOREDUCE,STILLATHREAT

OVERWEIGHT,LESSLIKELYTO

REDUCE,THREATSTABLE

EXAMPLESINDONESIAVIETNAMCHINA

PHILIPPINES

EXAMPLESMALAYSIASINGAPORE

EXAMPLESTHAILAND

EXAMPLESUS

MEXICOAUSTRALIABRITAIN

NEWZEALAND

ALLGROUPSPOSEATHREATANDREQUIREBEHAVIOURALCHANGE

Source:GlobalBurdenofDiseaseStudy2014(GBD2013)&NielsenGlobalSurveyWeAreWhatWeEatJan2015

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HOWARECONSUMERSCHANGINGTHEIRLIFESTYLESTOFIGHTHEALTHISSUES?

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EXERCISEIMPORTANTWAYFORASIANSTOLOSEWEIGHTFOLLOWEDBYDIETTryingtoloseweightby…

Source:NielsenGlobalSurveyWeAreWhatWeEatJan2015

Doingexercise Changingdiet

VIETNAM- 84%

CHINA- 81%

THAILAND- 81%

VIETNAM- 80%

MALAYSIA- 79%

THAILAND- 78%

AsiaGlobal

75%72%

AsiaGlobal

71%75%

AsiaGlobal

65%65%

AsiaGlobal

58%62%

AsiaGlobal

54%57%

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MOREAREACTIVELYUSINGDIETASPREVENTIONTOHEALTHISSUES

Source:NielsenGlobalSurveyWeAreWhatWeEatJan2015

Activelymakingdietarychoicestohelppreventcertainhealthconditions

(e.g.obesity,diabetes,highcholesterol,hypertension)

THAILAND- 90%

PHILIPPINES- 90%

CHINA- 90%

AsiaGlobal

82%79%

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CONSUMERSWANTMOREINFORMATIONONLABELS;BECOMINGMOREDISCERNINGABOUTFOODCHOICES

Readpackaginglabelscarefullyfornutrition

content

Chooselocal,naturalandorganicalternatives

wheneverpossible

THAILAND- 91%

PHILIPPINES- 90%

VIETNAM- 88%

PHILIPPINES- 90%

INDONESIA- 90%

THAILAND- 89%

AsiaGlobal

80%75%

AsiaGlobal

81%

76%

Source:NielsenGlobalSurveyWeAreWhatWeEatJan2015and Global IngredientandDining-OutTrendsReportAug2016

Trusthealthclaimsonfoodpackages

THAILAND- 76%

INDIA- 75%

MALAYSIA- 74%

AsiaGlobal

67%

63%

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RETHINKINGWHERETHEYSHOPANDWHATTHEYBUYMostlyshopforfoodsat

specialtyretailersthatsellawidevarietyofhealthyfoods

Paymoreforfoodsthatpromotehealthbenefits

PHILIPPINES- 89%

VIETNAM- 83%

THAILAND- 93%

PHILIPPINES- 92%

CHINA- 90%

INDIA- 87%

AsiaGlobal

71%

64%

AsiaGlobal

81%76%

Source:NielsenGlobalSurveyWeAreWhatWeEatJan2015and Global IngredientandDining-OutTrendsReportAug2016

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+15%

+5%

HEALTHY INDULGENTASIAPAC GLOBAL

+5%

ASIAPAC GLOBAL

+2%

Source:NielsenGlobalSurveyWeAreWhatWeEatJan2015(RMSdata2012AND2014)

ATTITUDESTRANSLATETOSALESINASIAPACIFICHEALTHYCATEGORIES>INDULGENTCATEGORY

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AsiaGlobal

62%62%

CONSUMERSBEGINNINGTODEMANDREMOVALOFBADINGREDIENTS

AsiaGlobal

76%75%

Iamconcernedaboutthelong-termhealthimpactof

artificialingredients

Theabsenceofundesirableingredientsismoreimportant

thantheinclusionofbeneficialones

CHINA- 84%

PHILIPPINES/INDIA- 81%

TAIWAN- 82%

CHINA- 76%

TAIWAN- 70%

INDIA- 75%

Source:Nielsen Global IngredientandDining-OutTrendsReportAug2016

Willingtopaymoreforfoodanddrinksthatdonotcontain

undesirableingredients

CHINA- 82%

VIETNAM- 79%

PHILIPPINES- 78%

66%68%

AsiaGlobal

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CONSUMERSWANTMOREVISIBILITY

TheyarebecomingmoreeducatedTheywilldemandthatwhatthey

consumearenotbadforthemandgovernmentsandmonitoringbodieswill

acceleratechange

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3GOVERNMENTACTION

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GOVERNMENTSCANPLAYAVITALROLEINFIGHTINGOBESITY

Establishedin2015asanannualcampaignwiththegoalofstimulatingandsupportingpracticalactionsthatwillhelppeopleachieveandmaintainahealthyweightandreversetheglobalobesitycrisis.

Source:www.obesityday.worldobesity.org

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S.KOREA2

ANDTHEYAREVIAVARIETYOFHEALTHINITIATIVESNUMBEROFGOVERNMENTHEALTHINITIATIVESBYCOUNTRY

AUSTRALIA16

CHINA12

JAPAN2

PHILIPPINES4

VIETNAM2

THAILAND10

INDIA8

MALAYSIA5

SINAGPORE8

MEXICO10

US33

UK33

FRANCE26

INDONESIA3

Clickcountrylabelforspecificinitiatives

Source:WorldObesityOrganisationSource:www.worldobesity.org

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SOCIALRESPONSIBILITYFORLONG-TERMHEALTHOFCONSUMERS

LIMITFINANCIALBURDENONHEALTHSYSTEM2.

OBESITYCOSTSGOVERNMENTS

GOVERNMENTSHOULDPLAYAROLE?

Anobeseperson“costs”morethanapersonofanormalweight.Everyyearoverweightandobesechildrencauseanincreaseincostsof$14.1BN inoutpatientvisits,pharmaceuticalsandemergencymedicines.

USStudy,BarillaCentreforFoodandNutrition

Lastyear,Malaysiahad3.3Mpeoplewithdiabeteswhichishigherthantheworldaverage.ThecostoftreatmenthashitRM7BN.

S.M.MohamedIdrisConsumersAssociationofPenang

presidentMALAYSIA

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LET’SEXPLORE…..

TAXLEGISLATION PRODUCTLABELLINGREQUIREMENTS

HEALTHY&WELLNESSINITIATIVES

GOVERNMENTACTION

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2017:YEAROFTHESUGARTAX?

1. Passonpriceincreasetoconsumers– reduce

consumption

Taxonproductswithhighsugarcontent

Putsfinancialburdenonmanufacturer

2. Reformulateto“healthierproduct”falling

undertaxthresholds

3. Diversifyproductportfoliotohealthiernon

taxproducts

$

$$

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INTRODUCTIONOFSUGARTAXISGAININGMOMENTUMWithactiveconversationsoccurringinmanyotherparliaments

DENMARK HUNGARY CALIFORNIAMEXICO

1930s 20111980s 2013 20152014 2016

NORWAY FRANCEBARBADOSCHILE

BELGIUMUKPassedlegislationtointroducein2018

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ASSUGARTAXGAINSPOPULARITY,TAXRATESEEMSLIKELYTOINCREASE

Source:Variousnewsarticles- refertoappendix

HUNGARY10%

2011 2012 20152014 2016

FRANCE3%

MEXICO10%

BARBARDOS10%CHILE8%

SOUTHAFRICA20%

THALAND20–25%

PHILIPPINES30%

UNITEDKINGDOM19%

INDIA40%

IMPLEMENTED BEINGDISCUSSED

2016

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HOTDEBATE:WILLASUGARTAXACTUALLYCURBOBESITY?

Symbolicmove–won’tcurbbyitself

Erraticimplementation• Typesofproductse.g.CSDnotsweets• Calculationsoftax

Noguaranteemanufacturerswillpassontax– revenueraiserwithnoconsequence

Minimalimpactinmarketswhereintroducede.g.Mexico

Carbonatedsoftdrinkconsumptionisnaturallyfalling

Subsidising healthierfoodsmaybeabetterexampleofrewarding healthierchoices

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WHATCANWELEARNFROMMEXICO?

Oneoflargestconsumersofsoda

intheworld

Obesityisamajorhealthconcern

TVadslimitedtimeframesandnonkidsprogrammes

Sugartaxpassesin2014;pricessoarby10%

Salesoftaxedcategoriesdown4%

Shopkeepersreduceassortment/prioritisecategories

Shoppersadjustbudget/seekalternatives

Traditionaltradehithardest;moderntrademoreresilient

IMPACT

Source:NielsenMexicocasestudy

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LONGTERMEFFECT– SUSTAINABILITY…

Demandisstabilisingandsalesarerecovering

Traditionaltradefoughtback

Consumersacceptednewpricesandreturned

topastbehaviour

++

Source:NielsenMexicocasestudy

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WHATCANWELEARN?

MEXICO TOBACCO

• Betonpremiumusers• Workcloselywithtradeoutlets• Launchmidpriceline• Lookafteryourlowcostline• Usesmallerpackstomeetpricepoint• Delaytax implementation• Fullavailabilityofaffordableoption

• Planforbudgetredistribution• Extendsupporttotrade• Activepricecontrol

• Innovateinpremium• Makedecisionsatportfoliolevel

• Innovateviareformulation

Source:NielsenAnalysis

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SUGARTAX,FATTAX,SALTTAX,SINTAX…

Companiesthatareproactivelylookingforwaystoimprovehealthinessoftheir

productportfolioswillwin

WHO’SNEXT?

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CONSUMERSWANTTRANSPARENCYONLABELLINGIpaycloseattentiontotheingredientsinthefoodanddrinksIconsume

Ifeelmorepositivelyaboutcompaniesthataretransparentaboutwhereandhowproductsweremade/raised/grown

INDIA- 81%

VIETNAM/THAILAND- 78%

CHINA- 79%

VIETNAM- 83%

INDIA- 80%

PHILIPPINES- 80%

INDIA- 83%

PHILIPPINES- 81%

CHINA- 82%

AsiaGlobal

68%71%

Iwanttoknoweverythingthatisgoingintomyfood

AsiaGlobal

71%71%

AsiaGlobal

73%73%

Source:NielsenGlobal IngredientandDining-OutTrendsReportAug2016

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SPECIFICALLYABOUTNUTRITIONALVALUEIreadnutritionlabelscarefully

INDIA- 76%

VIETNAM/PHILIPPINES- 71%

THAILAND- 72%

INDIA- 68%

PHILIPPINES- 62%

THAILAND- 62%

AsiaGlobal

59%60%

Ioftenlookatthesugarcontentonnutritionlabels

AsiaGlobal

54%55%

Source:NielsenGlobal IngredientandDining-OutTrendsReportAug2016

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NUTRITIONALLABELLINGHASCOMEALONGWAY

FROM2007 TO2014

Mandatorynutritionlabellingonpre-packagedfoods

Voluntarynutritionlabellingunlesshealthornutritionclaimsaremadeorfoodsforspecialdietaryuses

Informationnotfound

Globaloverviewofmandatoryandvoluntarynutritionlabelling:

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ASEANMINIMUM

COMMITMENT SOUTHKOREA

BUTCONSISTENCYANDIMPLEMENTATIONISDIFFICULTACROSSCOUNTRIES

Commonnutritional

labellingguidelineonvoluntary,self-regulatorybasisacrossAsia

Frontofpackenergylabelling

2012draftbillsformandatorytrafficlightlabelling

ASEANWILLFOSTERDEVELOPMENTOFFOODREGULATIONVIAASEANFOOD&BEVERAGEALLIANCE

Healthierchoicesymboldeveloped

in2012

SINGAPORE

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WHATLIESAHEAD……

Packagingchangesshowcasingshockingimagesofobesity’shealthconsequences?

?

“Theimpactofunhealthyfoodonpeople’shealthiscomparablewiththeeffectsofsmoking.”

DIRECTORGENERALOFCONSUMERSINTERNATIONAL

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GOVERNMENTSARETRYINGTOCURBOBESITYBYPROMOTINGHEALTHYLIFESTYLES

SINGAPORE:HEALTHPROMOTIONBOARD

AUSTRALIA:QUEENSLAND– HEALTHIER/HAPPIER

NEWMEXICO:DEPARTMENTOFHEALTHINITATIVE MALAYSIA:DEPARTMENTOFHEALTHINITATIVE

Source:www.worldobesity.org/resources/policies-and-interventions/

UNITEDKINGDOM:NHS– CHANGEFORLIFEPROGRAM

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4CORPORATERESPONSE

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DISTINCTHEALTHSTRATEGIESAREEMERGING

DIVERSIFYREFORMULATE RE-FOCUSRESIZE&RESTRICT

1. 2. 3. 4.

1 432

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DOWNSIZE LIMITCONSUMPTIONOCCASIONS

1.RESIZEANDRESTRICT

“Goodbyetothekingsize:Marstodownsizecandybarsin2013”

“When’sayourDolmioday?‘Occasionally’,newlabelstosay”

Source: TheGuardian14Apr2016DailyMail15Dec2013

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MarsInc.fundsresearchinlowfatchocolate

2.REFORMULATE

Pepsiintroduced“HelloGoodness”vendingmachines

withhealthyproductsproviding

nutritionalinformationandrecommendations

basedontimeofday

In2014,Nestléreformulated

6,973productstoreducesodium,sugars,transfats,totalfat,energyorartificialcolouring

Starbuckshascommittedtoreducingaddedsugarinindulgentbeveragesby25%byendof2020

Source: Telegraph20June2016 CNNMoney17Feb2016 Consumerist14Dec2015CopyrightNestle;www.nestle.com

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BUTAUTHENTICITYISVITAL:STANDBEHINDCLAIMSIfeelmorepositivelyaboutcompaniesthataretransparentaboutwhereandhowproductsweremade/raised/grown

VIETNAM- 83%

THAILAND/CHINA- 76%

PHILIPPINES- 80% THAILAND- 68%

VIETNAM- 60%

Healthclaimsarejustawayforfoodandbeveragecompaniestochargemoremoney

INDIA- 75%

AsiaGlobal

73%73%

AsiaGlobal

56%58%

Source:Nielsen Global IngredientandDining-OutTrendsReportAug2016

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3.DIVERSIFYTOGROW

CokelauncheslowcalproductinSpain,exotic

ingredientsandfitswithhealthyandactivelifestyle

Cokebuys30%shareinsuper

premiumorganicjuicefirmSuja

GeneralMillsdiversifiesintohealthoriented

start-ups

Danonebuysstart-upthatcompetesheadtoheadwith

portfolio

“DanonegetsalotmorethansoymilkwithWhiteWavepurchase”

“Coca-ColatakesminoritystakeinSujaJuice:‘Thisisahugecomplementaryopportunityforus’”

“Coca-Colaturnstobaobabinnewlowcaloriesoftdrinkbrand’”

“GeneralMillsisbettingaCaliforniastart-upcandisruptcottagecheesebiz’”

Source: Forbes,11April2016BeverageDaily,1Aug2016 FoodNavigatorUSA,19Aug2015 Fortune,July2016

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WHATDOCONSUMERSWANTONSHELF?Preferencedifferdependingoncurrentavailabilityanddiversityofneeds

RANK PHILIPPINES INDONESIA CHINA VIETNAM MALAYASIA THAILAND SINGAPORE KOREA JAPAN

1 ALLNATURAL NOARTIFICALFLAVOURS ALLNATURAL ALLNATURAL ALLNATURAL. ALLNATURAL ALLNATURAL ALLNATURAL LOWSODIUM

2 ORGANIC NOARTIFICIALCOLOURS ORGANIC NOARTIFICIAL

COLOURS ORGANIC ORGANIC LOWFAT/FATFREE LOWSODIUM ALLNATURAL

3 LOWSUGAR/SUGARFREE ALLNATURAL GMOFREE LOWFAT/FAT

FREELOWFAT/FAT

FREELOWFAT/FAT

FREELOWSUGAR/SUGARFREE ORGANIC NOARTIFICIAL

COLOURS

ALLNATURAL LOWFAT/FATFREEORGANIC

Source:Nielsen Global IngredientandDining-OutTrendsReportAug2016

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4.REFOCUS

“ImagineaNespressopod,perhaps,butforhighcholesterol."

EDBAETGE, NESTLÉ INSTITUTEOFHEALTHSCIENCES

Source:Bloomberg,May52016

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CONSUMERSBELIEVESUPERFOODSHAVEADEFINITEROLETOPLAY

Superfoodsprovideanaturalwaytotreatandpreventailments

PHILIPPINES- 82%

AsiaGlobal

64%65%

INDIA- 80%

INDONESIA- 76%

Superfoodsareagoodreplacementforprescriptionmedications

PHILIPPINES- 68%

AsiaGlobal

51%45%

INDIA- 73%

INDONESIA- 67%Source:NielsenGlobal SurveyQ32016

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YOGURT,TURMERICANDWALNUTSTOPLISTFORPREVENTATIVEANDTREATMENTINASIAOfconsumersusingfood/spice,whatpercentageusetopreventortreatanailment

31%

32%

32%

32%

33%

34%

34%

35%

35%

36%

Oats/steel-cutoatmeal

Peppermint

Salmon

Poi

Seaweed

Soy/SoyBeans

Tea(green,black,…

Walnuts

Turmeric

Yogurt

TOP10SUPERFOODSTOTREATANAILMENT- ASIA

37%

38%

38%

38%

38%

40%

40%

42%

42%

44%

Buckwheathoney

AcaiBerries

BlackGarlic

Beets

Seaweed

Soy/SoyBeans

Tea(green,black,…

Walnuts

Yogurt

Turmeric

TOP10SUPERFOODSTOPREVENTANAILMENT- ASIA

Source:NielsenGlobal SurveyQ32016

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BUTDESPITEWANTINGTHEM,NOTALWAYSEASYTOFIND

Iwouldbuyfoodsthatincludesuperfoodingredientsinthem

PHILIPPINES- 82%

INDIA- 80%

INDONESIA- 76%

Superfoodsarehardtofindinthestoresinmyarea

PHILIPPINES- 57%

INDIA- 56%

THAILAND- 59%

67% 62%

43%

57%

AsiaGlobal

AsiaGlobal

Source:NielsenGlobal SurveyQ32016

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COMPANIESMOVINGAWAYFROMCORE

Hormellaunchesfoodforcancerpatients

“Here’sHowNestlé’sNewCEOIsGoingtoTransform

theCompany”

ItshowsNestlereallywantstotransformthebusiness.

TraditionalFMCGcompaniesenternewterritories

Campbell’ssoupmovesintoplant-basedproteinmilks

Source: Forbes,6June2016 Bloomberg,May52016 FoodBusinessNews,1Aug2016

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5BEPROACTIVETOWIN

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IT’SALREADYHAPPENING…

OBESITYLAWSUITS

Potentialorfrivolous?

CORPORATERESONSIBILITYINMANDATORYREPORTING

BEPREPAREDFORWHAT’SAROUNDTHECORNER

HEALTH

TECHNOLOGY SUSTAINABILITY

CONVENIENCE

LessIsMore

Morallyconsciousfoods

UberEats(fromrestaurant

topantry?)

ArtificialIntelligentrecipes

Gourmetconvenience

Cleanerlabels

Wearablehealthalerts

TRENDSWILLCONVERGEANDCONNECT

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ARTIFICIALINTELLIGENCECONVERGESWITHFOOD

1.SELECTINGREDIENTS 2.CHOOSERECIPE

TODAY

TOMORROW

BRANDEDINGREDIENTLIST

HEALTHANDNUTRITONALSCORING

Source:https://www.ibmchefwatson.com

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NESTLÉ ANDSAMSUNGCOLLABORATION

Asmartphoneapplicationseemsthelikeliestproductthatthepairwouldbringtomarket,supportedbydedicatedwearablesandhomeappliancesforconsumerswishingtoextendthefunctionsofthatapp.

Withcouponsandadvertising intheapp,Nestlé iswell-positionedtoboostitssales,particularlytohealth-consciousconsumers thatliketospendmoneyonproductsthatclaimtoimprovetheirwellbeing.

Source:CopyrightNestlewww.nestle.com/mediarelease&RethinkInternetofThings2Aug2016

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THEHEALTHANDWELLNESSSTORYUNFOLDEDHealthwillcontinuetoremain#1priority

Consumerswanttransparency andchoicetomakebetterfooddecisions

Governmentswillcontinuetoputpressureoncompaniestobeaccountableandtransparent

• Transparency oningredientsandlabelling

• Adoptingnatural,simpleingredients• Changing the formulation of a product to be

healthier

• Tap into thefunctionalfoods movement

• Leveragetechnologytoenrich theconsumer experienceandcreate healthyrelationship withconsumers

• Measure,monitorandself-regulate

Corporationsmustbeproactiveandbeprepared:

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QUESTIONS?

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VIEW THEWEBINARREPLAYHERE

DOWNLOADINFOGRAPHICHERE

Visitusat:www.nielsen.com/apac

APPENDIX

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IMPLEMENTATIONOFSUGARTAXVARIESBYMARKETDENMARK HUNGARY FRANCE MAURITIS MEXICO CHILE BARBADOS

DATE Oct-11 Jul-11 Jan-12 Feb-13 Jan-14 Jan-15 Aug-15TAX FatTax- €2.15)per

kgofsaturatedfat,€0.22perlitre(US$0.24)on

drinkswithmorethan0.5%sugar

content,

CURRENT€.075(US8c)perlitrePROPOSEDJUNE

2016Theseamountswouldriseto€0.21(US23c)perlitreifproposalgotgo

ahead.

2013- 2cpergram;2014- 3cpergram

1peso($0.06)alitre Jan2015,8%taxonSSB.July2016front-of-package(FOP)warninglabelsandmarketingcontrols

forTVshowswatchedbychildren≤14will

begin,%PRICE 3-14% 10% 3% 10% 8% 10%

CATEGORIESINCLUDED

Allfoodscontainingsaturatedfat

Softdrinkswithaddedsugar,energydrinkswithaddedsugarandcaffeine,

pre-packagedsweetenedproducts,saltysnacks,highsaltcontentcondiments,soupmixes,gravymixesandbases

2012Sugar&artificially-sweeteneddrinks

(includingfruitbev&flavouredwaters)2016proposedsugaryfoods.TheVATonchocolatebarswouldgoupto20%,comparedtothe

current5.5%

Softdrinks;anysyrupfordilution;anyfruitsquash,cordialorfruitdrink(includingblendsandjuicewithadded

sugar).

Fizzydrinks,energydrinks,bottledteaandcoffee,fruitjuiceandanyfruit-flavoured

drinkwithaddedsugar

2016measurescoveringpackagedandprocessedfoodsandbeverageshighinsugars,sodium,saturatedfatsand

energy.

Softdrinks,juicedrinks,sportsdrinks,andfruit

juices

CATEGORIESEXCLUDED

Softdrinkscontainingonlyartificial

sweeteners,bottledwater,fruitand/orvegetablejuice

Dietsodas;sparkling,still,orplainwater;andother

drinks,includingunsweeteneddairy

beveragesandfruitjuices.

100%naturalfruitsjuice,coconutwater,plainmilk,evaporated

milk

SALESIMPACT

shorttermconsumptionofsometaxed

productsfellby10–15%.

Colademandfellby2.7%in2011,by7.5%in2012

andby6%in2013.

*Volumesdecreasedby2%.But2013volumesgrewby0.5%andbyendof2014saleswereup

1%.topre-taxlevelsin2011.

6-12%declineinpurchasesofsugar-

sweetenedbeveragesanda4%averageincreaseinuntaxedbeveragesover2014.2016– increasing

againGOVT

REVENUERAISED

US$148millionbetweenNovember2011andAugust

2012

US$68.2millionbetweenJanuary

2013andDecember2013.

US$333millionperyearsince2012.

peryear.

15.4-16.0billionpesos(aboutUS$836m)

$10millionin2015fiscalyear

STATUS ABANDONED ACTIVE ACTIVEANDUNDERREVIEWFORINCREASES

ACTIVE ACTIVE ACTIVE ACTIVE

Sources http://www.euro.who. http://www.who.int/bulletin/volumes/ http://www.thelocal.fr/20160622/the- http://www.treasury.gov.za/public%20 http://theconversation.com/what-the- http://globalfoodresearchprogram.we http://www.nationnews.com/nationne

Seeappendixforsources

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BUTNEWDISCUSSIONSSEETAXHIKESSTEEPENUS- PHILADEPHIA PHILIPPINES S.AFRICA THAILAND UK INDIA

DATE PassedAugust2016,effective1Jan2017

Jan-17 Apr-17 TBC Apr-18 TBC

TAX 1.5centsperounce(US50.7cperlitre)

$0.22perlitreonsoftdrinks.(P10)(3xMEX

TAX)

2.29cpergramofsugar,R2.29(US17c)perlitreof

SSB

equivalentto£0.18($0.25)and£0.24($0.34)perlitre

Proposeda40-per-centrate.

%PRICE Thetaxcouldaddupto18centstothecostofa12-ouncecan,$1tothecostofa2-liter

container,and$2.16tothecostofa12-pack.(rangefrom14%to

66%increase)

Mandatoryincreaseof4%everyyear

20%taxincidenceforacanofapopularfizzy

drink,suchasCoca-Cola,whichcontainsan

averageofabout35gofsugar— makingthetaxrateoneofthehighestin

theworld.

20%taxfordrinks6-10gofsugarper100ml&25%fordrinks>10gsugarper100ml

12-ouncecanofCokewillgetan8-pence(11-cent)tax,CokeLifewillbetaxedat6

pence(9cents).

CATEGORIESINCLUDED

Sodasincludingdiet,teas,sportsdrinks,

flavouredwaters,bottledcoffees,energydrinks,andotherproducts

Softdrinks,fruitdrinks,sportsdrinks,

sweetenedteaandcoffeedrinks,energy

drinksandallothernon-alcoholicbeveragesthatareready-to-drinkand

inpowderform

Sweetenedbeverages,suchassoftdrinks,fruitdrinks,vitaminandsportsdrinks,icedteasanddrinking

yoghurt

Carbonateddrinks,greentea,coffee,energydrinks,sourmilk,soymilkand

juice

Drinkswithtotalsugarcontentabove5gramsper100mlhigherratefordrinkswithmorethan8

grams.

Softdrinks,energydrinksandothersugarsweetened

beverages.

CATEGORIESEXCLUDED

Milk/juiceswithaddedsugaraslongastheyare

50%fruit/milk.

Naturalfruitjuices,naturalvegetablejuices,yogurt,milkproducts,mealreplacement

beveragesormedicalfood,aswellasweight

lossproducts.

Liquidfruitexemptandother100%fruitjuices,alongwithunsweetenedmilkandbottledwater

Milk-baseddrinksandfruitjuices.

PROPOSEDGOVTREVENUE

RAISED

Newtaxwillbringinanestimated$91millionoverthenextyear.

P35billionfromsoftdrinksalone($US745.5m)

AdditionalrevenuecouldbebetweenR3.6bn- R7billion(US$262.6m-

510m)ayearifthetaxissetat20%.

US$2.9bayear Newtaxtobringin£520million(US$732million)in

thefirstyear.

STATUS COMMENCING PASSEDBUTNOTINTRODUCEDYET

PASSEDBUTNOTINTRODUCEDYET

PROPOSEDNOTPASSED PASSEDBUTNOTINTRODUCEDYET

PLANNING

http://www.takepart.com/article/2016/06/ http://www.philstar.com/busine http://www.dailymaverick.co.za/articl http://www.foodnavigator- http://timesofindia.indiatimes.c

Seeappendixforsources

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GOVERNMENT INITIATIVE DESCRIPTIONHealthyMealsinSchoolsProgramme(HMSP)

TheHealthyMealsinSchoolsProgramme(HMSP)seekstoenhancetheavailabilityofhealthierfoodandbeveragechoicesinschoolsthroughanintegratedprogrammeinvolvingteachers,canteenvendorsandstudents.

CHERISHAwardsforSchools TheCHERISH(ChampioningEffortsResultinginImprovedSchoolHealth)Awardforprimaryandsecondaryschools,juniorcolleges,andcentralisedacademicinstitutionswasintroducedin2000.Thisawardrecognisesschoolswithcomprehensivehealthpromotionprogrammesforstaffandstudents.

Singapore'sHealthierHawkerProgramme

Theprogrammeaimstoencouragestall-holdersinhawkercentrestomakeavailablehealthierfoodchoicestocustomers.Itcallsforhawkerstoprovidemorevegetables,uselessfatandoil,lesssaltandlesssugarintheirdishes.

TheSingaporeResponsibleAdvertisingtoChildrenInitiative

AvoluntaryindustryframeworktohelpsupporthealthylifestylesinSingapore(signedby14companies).

NationalHealthyLifestyleCampaign

WCRF:Theannualmonth-longNationalHealthyLifestyleCampaignorganisedbytheHealthPromotionBoardhasbeenrunningsince1992andaimstoincreaseawarenessabouttheimportanceofahealthylifestyle.Thecampaigntakesamulti-prongedapproachandinvolvesdifferentactivitieseachyear.

TrimAndFitProgram(TAF) Thisprogrammeaimedtoimprovethephysicalfitnessoftheschoolpopulationandtoreducetheoverallprevalenceofoverweightstudents.

LoseToWin™ LoseToWin™isaholisticweight-lossprogrammeorganisedbytheHealthPromotionBoard(HPB)thathelpsparticipantsgetfitinafunandinteractiveway.

HealthHub HealthHubisaone-stopportalandmobileappforSingaporeanstoaccessawiderangeofhealthcontent,deals,rewardsande-services.ItisdesignedtoempowerSingaporeanstotakegreaterownershipoftheirhealthandwellnessthroughtheonlineaccessofpersonalizedhealthrecords,betterhealthliteracyandadoptionofhealthylifestylepractices.

GOVERNMENTINITATIVES– SINGAPORE

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTION

NationalNutritionPolicyofMalaysia MalaysiahasaNationalNutritionPolicy,whichaimsto“achieveandmaintainthenutritionalwellbeingofMalaysianstoenablethemtocontributeeffectivelytowardsnationbuilding.”Thepolicyhasthreeobjectives,whichare1)toenhanceandmaintainnutritionalwellbeingforall2)toensurehouseholdfoodsecurityforalland3)tostrengtheninterandintrasectorallinkagesinthedevelopmentandimplementationofallnutritionandrelatedactivitiesinthecountry

StrategyforthePreventionofObesity- Malaysia

Thisstrategycontainsrecommendationstohelppreventnormalweightindividualsfrombecomingoverweightorobese.

NationalPlanofActionforNutritionMalaysia(2006-2015)- NPANM

NPANMaimstoenhancethenutritionalstatusofthepopulationandpreventandcontroldiet-relatednon-communicablediseases.

MalaysiaDietaryGuidelines2010 Theguidelinesareaimedathealthcareproviderstoassistthemineducatingthepubliconimprovingtheirhealththroughsounddietarypractices.ItisalsointendedtoactasatoolforpromotinghealthyeatingandachievingtheNationalPlanofActionforNutritionofMalaysia.

MalaysianFoodandBeverageIndustry's"ResponsibleAdvertisingtoChildren"Initiative

Voluntaryself-regulatorypledgeonresponsiblemarketingoffoodanddrinktochildren.

GOVERNMENTINITATIVES– MALAYSIA

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONPreventionandControlofObesityinSchoolChildren

Guidelines for controlling and preventing overweight and obesity in school children.

NationalActionPlanforFoodandNutrition

A strategy to increase nutritional knowledge, awareness, attitude and behaviour amongst people in Indonesia.

NationalFoodandNutritionActionPlan2011-2015(RencanaAksiNasionalPanganDanGizi)

This plan was developed to provide guidance in implementing food and nutritional development at national, provincial, district levels.

GOVERNMENTINITATIVES– INDONESIA

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTION

PhilippinePlanofActionforNutrition(PPAN)

ThisPPANaddressesthefollowingkeyissues:1)Hunger2)Childundernutrition3)Maternalundernutrition,4)Deficienciesiniron,iodineandvitaminA,and5)Obesityandoverweight.

2012NutritionalGuidelinesforFilipinos(Filipino:MgaGabaysaWastongNutrisyonParasaPilipino)

Dietaryguidelines

NutritionMonth

NutritionMonthisheldeveryJulytocreategreaterawarenessontheimportanceofnutritionamongFilipinos(PresidentialDecree491(1974)ortheNutritionActofthePhilippines.The2015(41st)NutritionMonththemewas“Timbangiwasto,satamangnutrisyonatehersisyo!”(Achievenormalweightthroughpropernutritionandphysicalactivity)andfocusedontheproblemofoverweightandobesity.

"ResponsibleAdvertisingtoChildren"Initiative(ThePhilippinePledge)

Voluntaryself-regulatorymarketingpledge

GOVERNMENTINITATIVES– PHILIPPINES

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONHealthyThaiProvinceNOBELLY Acampaignagainstobesity,inthehopeofenablingallThai'stoliveahealthylifewithouttherisk

ofdiabetes

SweetEnoughNetwork Thiscampaignaimstoraisesocialawarenessaboutthedangersofexcessivesugarconsumption.

GuidelinesforAdvertisingtoChildren

Stanmark:TheAdvertisingAssociationofThailandhassetguidelinesonadvertisingtochildrenwhichfollowfromICCprinciples.Article10oftheethicalcodeison“protectingchildren”statesthat:advertisingmaynothaveharmfulphysicalormentaleffectsonchildren,andshouldnotdemeanchildren."

NutritionActionPlan13ThePakPoonModel Itcomprisesearlychildhooddevelopmentprograms,supportunitsfordisabledchildren,

alternativelearningprogramsfordrop-outstudents,programsorientedtoreducingobesityamongchildrenandageingpeople,andprogramstoencouragepeopletoliveself-sufficientlybyhavingtheirowngardens.

Thailand’sHealthPromotion TheThailand'sHealthPromotionhasfocusedoninstructingpeopletoemployahabit-changingpracticecalledthe“3Dos”whicharefood,mood,andexerciseand“2Don’ts”whicharedon’tdrink,anddon’tsmoke.

GOVERNMENTINITATIVES– THAILAND(1/2)

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONThailandChildren’sFoodandBeverageAdvertisingInitiative-ThaiPledge

TheaimoftheThaiPledge,madebyleadingmultinationalcompaniesinThailand,isto"supporttheindustry'songoingeffortstosupportparentsinmakingtherightdietandlifestylechoicesfortheirchildren."

Food-baseddietaryguidelinesforThailand

TheThaifoodguideisahangingflag,knownas‘thenutritionflag’.Thefourlayersinthenutritionflagdenotethetypeandamountofthefoodgroupsthatarerecommendedforconsumption.Toachieveahealthyfoodintakeandcontroltheobesityprevalence.

Food-baseddietaryguidelinesforinfantsandyoungchildreninThailand.

Toguidepeoplehowto1.Eatavarietyoffoodsfromeachofthefivefoodgroupsandmaintainaproperweight.2.Eatadequateamountsofriceoralternatecarbohydratesources.3.Eatplentyofvegetablesandfruitsregularly.4.Eatfish,leanmeat,eggs,legumesandpulsesregularly.5.Drinkinappropriatequalityandquantityforone’sage.6.Eatadietcontainingappropriateamountsoffat.7. Avoidsweetandsaltyfoods.8.Eatcleanandsafefoods.9.Avoidorreducetheconsumptionofalcoholicbeverages.

SmartKidsCamp Aninterventiontoimprovephysicalactivityandpromotehealthybehaviouramongschool-agedchildren

GOVERNMENTINITATIVES– THAILAND(2/2)

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTION

10tipsonpropernutritionforperiod2013–2020

AsetofdietaryguidelinesforthegeneralpopulationofVietnam.

NationalNutritionStrategyfor2011-2020,Withavisiontoward2030

Oneofthekeyobjectivesofthisstrategyistoeffectivelycontroloverweight,obesityandriskfactorsofnutritionrelatedtonon-communicablechronicdiseasesinadults.

GOVERNMENTINITATIVES– VIETNAM

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONHealthJapan21(2ndedition) Nationalhealthmeasuresforextendingpeople’shealthylifeexpectancy.Thispolicyincludes

53goalscoveringnutrition,dietaryhabits,exercise,smokingcessation,etc.

Walk-to-schoolpolicy Manyeducationboardsrequirestudentstowalktoschooliftheschoolislocatedwithinacertaindistancefromthechild'shome.Thewalk-to-schoolpracticehashelpedcombatchildhoodobesitybyprovidingregularphysicalactivity.

GOVERNMENTINITATIVES– JAPAN

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONTheSpecialActofSafetyControlonChildren’sFoodandEating/NutritionEnvironment(SAFENET)

TheSpecialActrestrictsthesalesandadvertisingofhigh-calorieandnutrient-poorvaluefoods,introducescolour-codedlabellingsystem(ortrafficlightlabellingsystem),andprohibitscertainfoodcolouringsinchildren'sfoods.

CodeofAdvertisingEthics TheCodestatesthatadvertisingforchildrenandyouthshouldnotexpressanythingthatmightspoilthemphysicallyormorally.Italsostatesthat“CriteriaforconcreteactivitiesshallconformtotheICCAdvertisingActivitiesStandards"

GOVERNMENTINITATIVES– SOUTHKOREA

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONChina’sNationalProgramforFoodandNutrition(2014-2020)

ToimproveandbalancethenutrientintakefromfoodandfurthertocontrolobesityinChina.

ChinaNationalProgramforChildDevelopment(2011-2020)

TheaimofthispolicyistodevelopChinesechildren'growthinvariousaspectsandtocontrolchildhoodobesityandoverweight.

TheChinesedietaryguidelines Tousethebestavailablescientificevidencetoprovideinformationonthetypesandamountsoffoods,foodgroupsanddietarypatternsthataimto:promotehealthandwellbeing;reducetheriskofdiet-relatedconditionsandreducetheriskofchronicdisease.

EatSmartatSchool Thisinterventionaimstoraiseawarenessabouttheneedforanhealthyfoodandsustainableconsumption,througha(re)discoveryofculinarytraditions.Withfoodwediscoverthatwearesofarandsocloseatthesametime,andthatwecanovercomeculturaldifferences.

RegulationonNationalFitness RegulationonNationalFitnesswasreleasedtohelpcontroltheprevalenceofobesityandimprovethelevelofphysicalactivityinChina.

NationalPlanofActionforNutrition Ensuringfoodsupplyandimplementationofappropriateinterventionstoalleviatehungerandfoodshortage,reducetheincidenceofenergy-proteinmalnutrition,prevent,controlandeliminatemicronutrientdeficiencies.Throughproperguidancetofoodconsumptionbehaviour,improvementofdietarypatternsandpromotionofhealthylifestyle,thispolicyaimstoimprovethegeneralnutritionstatusofthepeopleandpreventnutrition-relatedchronicdisease.

GOVERNMENTINITATIVES– CHINA(1/2)

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONTheguidelinesforpreventionandcontrolofoverweightandobesityinChineseadults

GuidelinestopreventandcontroloverweightandobesityinChineseadults.

ThetwelfthFive-YearPlanforNationalEconomicandSocialDevelopment

Toimprovelifeexpectancy,preventobesityandrelatedchronicdiseaseandpopularizehealtheducation.Healthylifestyleinitiativesbeganin2012andwillcovermorethan50percentofChinesecommunitiesby2015withthegoalofreducingtheprevalenceofobesitytolessthan12%inadultsandlessthan8%inchildrenby2015.

TheSchoolageChildrenandTeenagersOverweightandObesityPreventionandControlGuidelines

Guidanceforschoolagedchildrenandteenagerstopreventandcontroloverweightandobesity.

GuidelineonSnacksforChineseChildrenandAdolescents

ImprovedietaryissuesamongstChinesechildrenandadolescentsresultingincontrollingchildhoodobesityandadolescentobesity

ChineseAdults’PhysicalActivityGuidelines

ThroughimprovingthelevelofphysicalactivitytocontrolandpreventobesityandrelatedchronicdiseasesinChineseadults.

SunshineSportsprogram Thepolicyofonehourofphysicalactivity(PA)inschoolseverydayaimstoimprovetheintensityofphysicalactivityandcontrolchildhoodandadolescentobesity.

GOVERNMENTINITATIVES– CHINA(2/2)

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONConsensusPhysicalActivityGuidelinesforAsiansIndians

TheconsensusphysicalactivityguidelinesforAsianIndiansarearesultoftheabsenceofphysicalactivityguidelinesspecificallyforAsianIndians.ThegenesisoftheirdevelopmentliesinthefactthattheinternationalphysicalactivityguidelineshavebeendevelopedbasedonthedataavailablefortheCaucasians.WithAsianIndianspredisposedtonon-communicablediseasesatamuchearlyagecomparedtotheCaucasians,theconsensusgrouponphysicalactivityacrossIndiaformulatedtheseguidelines.ThesefocusonexerciseprescriptionforIndianadults,adolescentsandchildren.

Draftguidelinesformakingavailable,wholesome,nutritious,safeandhygienicfoodtoschoolchildreninIndia

Theobjectiveofthisdocumentistomakeavailablewholesome,nutritious,hygienicandsafefoodtoschoolchildreninIndia.IthasbeenpreparedbyanExpertGroupconstitutedbytheFoodSafetyandStandardsAuthorityofIndiaunderthedirectionsofHonourableHighCourtofDelhi.Thesehavebeenpreparedintwoparts:Part-I:GuidelinesformakingavailableWholesomeandNutritiousFoodtoschoolchildrenandPart-II:GuidelinesonFoodSafety,HygieneandSanitationforFoodavailableinschoolcanteens.However,asofnowthesedraftguidelinesareintheprocessofbeingconvertedintoaregulationafterthroughdiscussionsandinputsfromkeystakeholders.

SANKALP:Dishaswasthabharatki(commitmenttoreducethenoncommunicablediseasesinIndia)

TheSANKALPdocumentisablueprintdesignedforthecountrytoachieveitsgoalsandtargetsundertheNationalActionPlanandMonitoringFrameworktopreventNon-CommunicableDiseases.Itdefinesanevidencebasedactionplanthatcanbeadoptedbythegovernmentaswellastheprivatesectorbyfocusingonthreekeyareas:PolicyandSurveillance,StrengtheningofHealthcareSystemsandHealthcareFinancing.

DietaryGuidelinesforIndians- AManual

TheDietaryGuidelinesforIndians– Amanual,isthelatestrevisionofthedietaryguidelinesfromthefirstpublishedversionin1998.Theaimoftheseguidelinesistogetacrossmattersofnutritioninasimpleandeffectivewayinordertoinfluencedietarybehaviourwithfocusongoodhealth.Italsoaimstocleartheconfusionbeingcreatedamongthepopulationfrommultiplesourcesofinformation.

GOVERNMENTINITATIVES– INDIA(1/2)

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GOVERNMENT INITIATIVE DESCRIPTIONIndiaPledge Voluntaryindustrymeasuresonmarketingfoodanddrinktochildreninordertopromotehealthy

lifestyles.

NationalActionPlanandMonitoringFrameworkforPreventionandControlofNCDsinIndia

TheNationalActionPlanandMonitoringFrameworkwasdevelopedasaconsequenceofWorldHealthOrganization’scomprehensiveGlobalMonitoringFrameworkforPreventionandControlofNon-communicablediseases(2013-2020)bysetting9voluntarytargetsand25voluntaryindicatorsfor2025.India,asaWHOmemberstate,withallthenationalstakeholders,evaluatedtheexistingNCDsurveillancesystemleadingtotheestablishmentofanadvisorygroupthatdevelopedNationalActionPlanandMonitoringFrameworkforPreventionofNCDsin2013.Thisframeworkhasresultedinsettingof10targetsand21indicatorsfor2025totracktheprogressofactionsdesignedtopreventandcontrolNCDsinIndia.

ConsensusStatementforDiagnosisofObesity,AbdominalObesityandtheMetabolicSyndromeforAsianIndiansandRecommendationsforPhysicalActivity,MedicalandSurgicalManagement

Thisconsensusstatementwasdevelopedtorevisetheguidelinesfordiagnosisofobesity,abdominalobesity,themetabolicsyndrome,physicalactivity,anddrugtherapyandbariatricsurgeryforobesityforAsianIndians.TheserevisedguidelineswereformulatedastheexistingcutoffsforoverweightandobesityamongAsianIndianswasnotappropriateastheyarepredisposedtodevelopingobesityanditsco-morbiditiesatlowercutoffs.Theseguidelinesareanevidencebasedoutcometobeusedcountrywidetocontroltheeverincreasingburdenofcardiovasculardiseaseandtype2diabetes.

Consensusdietaryguidelinesforhealthylivingandpreventionofobesity,themetabolicsyndrome,diabetes,andrelateddisordersinAsianIndians.

Theconsensusdietaryguidelinesforhealthylivingandpreventionofobesityandotherrelateddisordersweredevelopedconsideringtheemergenceofdietrelatednon-communicablediseasesinthecountry.TheseguidelinesareapplicabletoAsianIndiansinanygeographicalsettingbutaremostapplicabletoindividualsresidingintheurbanandsemiurbanareas.Theyfocusonreductionintheintakeofcarbohydrates,preferentialintakeofcomplexcarbohydratesandlowglycaemicindexfoods,higherintakeoffibre,lowerintakeofsaturatedfats,optimalratioofessentialfattyacids,reductionintransfattyacids,slightlyhigherproteinintake,lowerintakeofsalt,andrestrictedintakeofsugar.

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GOVERNMENT INITIATIVE DESCRIPTIONNationalCyclingStrategy

HealthStarRating(HSR) TheHealthStarRatingisafront-of-packlabellingsystemthatratestheoverallnutritionalprofileofpackagedfoodandassignsitaratingfrom½astarto5stars.Itprovidesaquick,easy,standardwaytocomparesimilarpackagedfoods.Itisbeingimplementedonavoluntarybasisbythefoodindustry.

Romp&Chomp 'Romp&Chomp'promotedhealthyeatingandactiveplaytoachievehealthyweightinchildrenlessthan5yearsofageinGeelong,Victoria,Australia.

NewSouthWalesHealthyEatingandActiveLivingStrategy:PreventingoverweightandobesityinNewSouthWales2013-2018

Thisdocumentoutlinesgoalsandobjectivesrelatedtoobesity,healthyeatingandphysicalactivity.Itdetailsthecurrentstatusofobesityanditsantecedentsindifferentagegroups,aswellaswhatactionstheNewSouthWalesgovernmentwillbetakingtoaddressobesity.Thisincludesfourstrategicdirections;environmentstosupporthealthyeatingandactiveliving,state-widehealthyeatingandactivelivingsupportprograms,healthyeatingandactivelivingadviceaspartofroutineservicedelivery,andeducationandinformationtoenableinformed,healthychoices.

Obesity:acallforurgentaction.Federalobesitypolicies.

Thiscalltoactionrecommendsfourkeyactionstoaddressobesity,includingthedevelopmentofanationalhealthyweightstrategy,reducingchildrentounhealthyfoodmarketing,supportingtheeffectiveimplementationofthehealthstarratingfoodlabellingsystem,andinvestigatefoodpricingpoliciestoencouragehealthiereatingpatters.

TowardsZeroGrowth:HealthyWeightActionPlan

ThisdocumentoutlinestheproposedactionstheAustralianCapitalTerritorygovernmentwilltaketowardspreventingobesityandoverweightwithinthestate.Itoutlinesalistofactionstobetakenwithindifferingthemesthatincludeworkplaces,urbanplanning,schools,socialinclusion,foodenvironmentandevaluation.

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GOVERNMENT INITIATIVE DESCRIPTIONWesternAustraliaHealthPromotionStrategicFramework2012-2016

ThisdocumentdetailsthestrategicdirectiontheWAgovernmentplanstotaketoreducechronicdiseaseandinjury.Thisincludessixkeypriorityareas,ofwhichhealthierliving,activeliving,andhealthyweightcomposethreeofthese.Furthermore,eightactionareasor"levers"areidentifiedbywhichtoundertakechangeinthepriorityareas.Theseare:developmentofhealthypolicyatgovernmentandorganisationallevel,legislationandregulation,economicintervention,creatingenvironmentsforliving,workingandrelaxingwhichsupporthealthychoices,raisingpublicawarenessandengagement,communitydevelopment,targetedinterventions,andstrategiccoordination,buildingpartnershipsandcapacitybuilding.

HealthyTogetherVictoria HealthyTogetherVictoriaispopulation-widehealthpolicyeffortsetuptotackletherisingratesofoverweightandobesityandrelatedchronicdisease.IttargetschangeintheplaceswhereVictorianslive,work,learnandplay.HealthyTogetherVictoriaisworkingwithchildcarecentres,schools,workplaces,foodoutlets,sportingclubs,businesses,localgovernments,healthprofessionalsandmoretocreatehealthierenvironments.

EatWellBeActiveStrategy2011-16 ThisdocumentoutlinesfiveactionareasthatthestateofSouthAustraliaaimstoundertaketoincreasehealthyeatingandphysicalactivity,withtheaimofpreventingandmanagingoverweightandobesity.

NationalPreventiveHealthResearchStrategy2013-2018APriority-DrivenResearchAgendaforObesityPrevention

Thisdocumentoutlinesprioritiesforresearchinthecontextofobesitypreventionpolicies.Itorganisesresearchquestionsrelatedtoobesitypreventionpoliciesintotenkeydomains:1)economicinterventions2)supply,accessandavailabilityoffood3)advertising,promotionandsponsorship4)publiceducation,awarenessandengagement5)packagingandlabellingoffood6) reshapingphysicalenvironmentstowardshealthyoptions7)settingsandcommunitybasedapproaches8)maternalandchildhealth9)highriskpopulationgroups10)emergingissuesandcross-cuttingthemes.

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GOVERNMENT INITIATIVE DESCRIPTIONDraftframeworksformonitoringtelevisionandadvertisingtochildrenofunhealthyfoodanddrinks

Theframeworksguideconsistentandrobustreviewsforpartiesinterestedineithermonitoringorreviewingchildren’sexposuretomarketingandadvertisingofunhealthyfoodsanddrinks,ormonitoringcomplianceofthefoodindustryself-regulatorymarketingtochildreninitiatives.

ShapeUpAustralia AninitiativetohelpAustraliansreducetheirwaistmeasurementsandimprovetheiroverallhealthandwellbeing

TheResponsibleChildren'sMarketingInitiative(RCMI)

TheRCMIisaninitiativedevelopedtodemonstratetheAustralianFoodandBeverageIndustrycommitmenttoresponsiblemarketingonfoodandbeveragestochildren.

EatForHealth:Australiandietaryguidelines.

Theseguidelinesaimtopromotethebenefitsofhealthyeating,notonlytoreducetheriskofdiet-relateddiseasebutalsotoimprovecommunityhealthandwellbeing.

Queensland, healthier,happier TheaimofHealthier.Happier.istoaskpeopletostopandthinkabouthowsmallchangescanhelpthembethatlittlebithealthier.

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GOVERNMENT INITIATIVE DESCRIPTIONSugarPackCampaign TheSugarPackCampaignwascarriedoutinthreestagesandaimedtoeducateandmotivatethe

publictoreduceexcesscalorieintakefromsugar-sweetenedbeverageconsumption.

EatSmartMoveMore EatSmart,MoveMoreNorthCarolinaisastate-widemovementthatpromotesincreasedopportunitiesforhealthyeatingandphysicalactivitywhereverpeoplelive,learn,earn,playandpray.

ChooseHealthLA ChooseHealthLAisalocalinitiativeoftheLosAngelesCountyDepartmentofPublicHealthtopreventandcontrolchronicdiseaseinLosAngelesCounty.Itaimstoimprovenutrition,increasingphysicalactivityandreduceobesityinLACounty.

RidingItForward The'RidingItForward'campaignisagrassrootsmovementtoraiseawarenessforhealthylifestylesandencourageyouthtoproactivelypreventchildhoodobesity.

4-HHealthyLivingPrograms 4-Hhealthylivingprogramsaimtohelp4-Hyouthlearnhowtoleadlivesthatbalancephysical,mental,andemotionalhealth.4-Hhealthylivingprogramsareavailablethroughlocal4-Hclubsandthroughgrant-fundedprograms.Focusareasfor4-Hhealthylivingprogramsincludenutrition,childhoodobesity,drugawareness,bullyingprevention,healthandfitness,safety,stressmanagement,andfoodscience.

Strong4Life Children’sHealthcareofAtlantalaunchedStrong4Life,awellnessmovementdesignedtoignitesocietalchangeandreversetheepidemicofchildhoodobesityanditsassociateddiseasesinGeorgia.Strong4Lifereachesfamiliesthroughpublicawareness,policychangeefforts,schoolprograms,healthcareproviderprograms,andcommunitypartnerships.

PlanofActionforthePreventionofObesityinChildrenandAdolescents

Thisisa5yearplanofactionthatcallsfortheimplementationoffiscalpoliciessuchastaxesonsugar-sweetenedbeverages,regulationoffoodmarketingandlabelling,improvementofschoolnutritionandphysicalactivityenvironmentsandpromotionofbreast-feedingandhealthyeating.

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GOVERNMENT INITIATIVE DESCRIPTION

TakeMeWithYou AcampaigntoremindNewYorkersthatpackinganapple,bananaorsomecarrotsticksisaneasywaytoaddmorevegetablesandfruitsintotheirdietinsteadoflesshealthyoptions.Theadsappearatbusstops,checkoutandbannersthroughoutthecity.

FoodHero FoodHero’smissionistohelplow-incomeOregoniansimprovetheirhealththroughtheincreasedconsumptionoffruitsandvegetables.FoodHeroisamulti-channelsocialmarketingcampaignwhichaimstomeetit'sgoalsthroughworkatthedirecteducationlevelaswellasworkatthepolicy,systemsandenvironmentlevels.

HealthyPeople2020 HealthyPeople2020aimstoidentifynationwideimprovementpriorities,increasepublicawarenessandunderstandingofthedeterminantsofhealthanddisease,providemeasurableobjectivesandgoals,engagemultiplesectorsandidentifycriticalresearch,evaluationanddatacollectionneeds.

Healthy,Hunger-FreeKidsActof2010

TheHealthy,Hunger-FreeKidsActisafederalstatutesignedintolawbyPresidentBarackObamaonDecember13,2010.Thebillispartofthereauthorizationoffundingforchildnutritionandfundschildnutritionprogramsandfreelunchprogramsinschoolsforthenext5years.Italsosetsnewnutritionstandardsforschools,andallocates$4.5billionfortheirimplementation

TheConsortiumtoLowerObesityinChicagoChildren(CLOCC)

CLOCCaimstotacklechildhoodobesitybypromotinghealthyandactivelifestylesforchildrenthroughouttheChicagometropolitanarea.

FoodFitPhilly GetHealthyPhilly'sgoalistomakehealthychoiceseasierby1)EnsuringthatallPhiladelphianshaveaccesstohealthyandaffordablefood.2)Reducingtheconsumptionandmarketingofsugarydrinksandjunkfoodsamongchildrenandadults.3)Creatingsafespacesforphysicalactivityincommunities,includingwalkingandcycling.

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GOVERNMENT INITIATIVE DESCRIPTION

TheExpandedFoodandNutritionEducationProgram(EFNEP)

TheExpandedFoodandNutritionEducationProgram(EFNEP)isafederally-fundedprogrammethatoffersnutritioneducationtolimited-resourcefamiliesandchildreninall50statesandU.S.territory.

DietaryGuidelinesforAmericans TheseguidelinesaimtohelpAmericanseatahealthierdietandoutlinehowpeoplecanimprovetheiroveralleatingpatterns.

PhysicalActivityGuidelinesforAmericans(PAG)

ThePhysicalActivityGuidelinesforAmericans(PAG)areanessentialresourceforhealthprofessionalandpolicymakers.Theyprovideguidanceonhowchildrenandadultscanimprovetheirhealththroughphysicalactivity.

VERB VERB™It’swhatyoudo.wasanational,multicultural,socialmarketingcampaigncoordinatedbytheU.S.DepartmentofHealthandHumanServices’CentresforDiseaseControlandPrevention(CDC).It'saimwastoincreaseandmaintainphysicalactivityamongtweens(youthage9-13).

5ADayforBetterHealthProgram NCI’s5ADayforBetterHealthProgram(theProgram)isanationalprogramthatapproachesAmericanswithasimple,positivemessage:Eat5ormoreservingsofvegetablesandfruitdailyforbetterhealth.TheProgram,apartnershipbetweenthevegetableandfruitindustryandtheNCI,hasfourmajorcomponents:massmedia,pointofpurchase,communitycoalitions,andresearch.

HeartsN’Parks(HNP) HeartsN’Parks(HNP)isanational,community-basedprogramsupportedbytheNationalHeart,Lung,andBloodInstitute(NHLBI)oftheNationalInstitutesofHealth(NIH)andbytheNationalRecreationandParkAssociation(NRPA).It'saimwastoreducethegrowingtrendofobesityandtheriskofcoronaryheartdiseaseintheUnitedStatesbyencouragingAmericansofallagestoaimforahealthyweight,followahearthealthyeatingplan,andengageinregularphysicalactivitywhiletakingpartinlocalparkandrecreationdepartmentprograms.

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GOVERNMENT INITIATIVE DESCRIPTIONTheCommunityGuidelineRecommendationsProject

RecommendedcommunitystrategiesandmeasurementstopreventobesityintheUS.

CaliforniaProjectLEAN CaliforniaProjectLEAN(LeadersEncouragingActivityandNutrition)isaprogramofthePublicHealthInstitute.CaliforniaProjectLEANworkstoadvancenutritionandphysicalactivitypolicyinschools,earlychildcareandothercommunitysettingsinordertopreventobesityanditsassociatedchronicdiseases.

WeCan! WeCan(WaystoEnhanceChildren’sActivity&Nutrition)isascience-based,turn-keynationaleducationprogramthataimstohelpchildrenstayatahealthyweightthroughcommunityaction,strategicpartnershipdevelopment,andnationalnewsandevents.

HealthyKidsOutofSchool HealthyKidsOutofSchoolhelpsleadersandcoachesofout-of-school-timeprogrammespromotethreehealthybehavioursduringtheirprograms.DrinkRight:Choosewaterinsteadofsugar-sweetenedbeveragesMoveMore:BoostmovementandphysicalactivitySnackSmart:FueluponfruitsandvegetablesIn2013,HealthyKidsOutofSchoollaunchedtheHealthyKidsHub(HealthyKidsHub.org)toconnectout-of-school-timeprogramstaffandvolunteerswitheducationalmaterials,products,andservicestohelpthemovercomefinancialandlogisticalbarriersandimplementthethreeguidingprinciples.

SugarTax(Ordinance7388-NS) WCRF:ThecityofBerkeley,Californiapassedalaw(Ordinance7388-NS)taxingsugarydrinksthatcameintoeffect1January2015.Anexcisedutyof$0.01perfluidounceofasugar-sweetenedbeverageappliestosoda,energydrinksandheavilypre-sweetenedtea,aswellastothe“addedcaloricsweeteners”usedtoproducethem(note:taxonanounceof‘addedcaloricsweeteners”wouldbesignificantlymorethan$0.01).Infantformula,milkproducts,andnaturalfruitandvegetablejuicesareexempted

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GOVERNMENT INITIATIVE DESCRIPTION“HealthyDiné’NationAct”(LegislationNoCN-54-14)

WCRF:InNovember2014,theNavajoNationadoptedthe“HealthyDiné’NationAct”(LegislationNoCN-54-14)intolaw.Itincludesa2%taxon“minimal-to-no-nutritionalvaluefooditems”,includingsugar-sweetenedbeverages,pre-packagedandnon-pre-packagedsnacksstrippedofessentialnutrientsandhighinsalt,saturatedfatandsugarincludingsweets,chipsandcrisps.Thetaxwasimplemented1April2015.RevenuefromthetaxisearmarkedfortheCommunityWellnessDevelopmentProjectsFundandusedforprojectssuchasfarming,vegetablegardens,greenhouses,farmersmarkets,healthyconveniencestores,cleanwater,exerciseequipmentandhealthclasses.Thetaxiscollectedthroughself-reporting.

GranvilleGreenwaysMasterPlan In2002GranvilleCountyinNorthCarolinawantedtoreducethehealth-relatedrisksassociatedwithobesitybyincreasingphysicalactivityamongresidents.ThecountycreatedaplancalledtheGranvilleGreenwaysMasterPlan,tomakephysicalactivitymoreaccessiblebycreatingmorewalkablecommunities.

HoonahFunandFitPlan Tocountertheincreasingratesofobesity,tribalcommunitiesinruralHoonah,AlaskapartneredwiththeAlaskaDepartmentofHealthandSocialServicestoexpandaccesstoplacesforphysicalactivityandgetthecommunitymoving.

ReducingObesityRatesinIllinois:ThePathtoEnhancedPhysicalEducation

AnenhancedphysicaleducationprograminIllinoisschoolstoaddresstheincreasingratesofobesity.Inthesummerof2012,theIllinoislegislatureandGovernorestablishedtheEnhanceP.E.TaskForcewhichrecommended19keypoliciesandstrategiesfordeliveringevidence-basedenhancedP.E.ThenewenhancedP.E.standardsareexpectedtobeimplementedineveryschoolinIllinoisinthe2015-2016academicschoolyear.

Hawaii5210"Let'sGo!" Hawaii5210"Let'sGo!"isaninitiativetopromotehealthyeatingandactivelivingandpreventchildhoodobesityinHawaiithroughacoordinated,collaborative,locallyrelevanthealtheducationcampaign.

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GOVERNMENT INITIATIVE DESCRIPTIONPouringonthePounds TheNewYorkCityDepartmentofHealthlaunchedthe“PouringonthePounds”campaign

throughoutthepublictransportsystemtoraiseawarenessoftheamountofsugarinsugarydrinks.ThecampaignhasbeenadaptedforuseinotherUSstates,includingSanFranciscoandLA.

FitNOLA Since2012,theFitNOLApartnershiphasbeencommittedtoensuringthatallNewOrleanianshaveaccesstocommunityresourcesthatpromotenutritionalfoodsandphysicalactivity.Theultimategoaloftheinitiativeistoincreasephysicalactivityandhealthiereating.

FoodLiteracyCentre TheFoodLiteracyCentreisanon-profitorganisationbasedintheSacramentoarea.Itaimstoteachlow-incomeelementarychildrencookingandnutritiontoimprovetheirhealth,environmentandeconomy.

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GOVERNMENT INITIATIVE DESCRIPTIONEuropeanYouthTacklingObesity(EYTO)Project

TheEYTOprojectwasledbytheUKbasedNationalChildren’sBureau(NCB)inpartnershipwithorganisationsinSpain,PortugalandtheCzechRepublic.WithfundingfromtheEuropeanUnion,theEYTOpartnershipdevelopedaninnovativeyouth-ledsocialmarketingapproachtopromotehealthyeatingandphysicalactivityandstemtheriseinobesityamongstyoungpeople,agedbetween13and18yearsoldwhoarevulnerabletoobesity.

SugarSmartCity Thiscampaignusesawebpage,socialmediaandeventstoraiseawarenessaboutthesugarcontentoffoodanddrinkproductsandtoeducateandinformpeopleabouttheimpactofhighsugarintakeonhealth.

WalkingandCycling- anactionplan Theactionplansetsoutmeasuresfromacrossgovernmenttoincreaselevelsofactivetravelbycreatingplacestowalkandcycleinandinfluencingtravelbehaviourthroughtraining,education,marketingandpromotion.

Codeonmarketingfoodandnon-alcoholicbeveragestochildren

Codeonmarketingtochildren

StartActive,StayActive:areportonphysicalactivityforhealthfromthefourhomecountries'ChiefMedicalOfficers

TheseareguidelinesissuedbythefourChiefMedicalOfficers(CMOs)ofEngland,Scotland,WalesandNorthernIreland.Theydrawontheglobalevidenceofthehealthbenefitsthatpeoplecanachievebytakingregularphysicalactivitythroughouttheirlives.

StartActive,StayActive AUK-widedocumentthatpresentsguidelinesonthevolume,duration,frequencyandtypeofphysicalactivityrequiredacrossthelifecoursetoachievegeneralhealthbenefits.ItisaimedattheNHS,localauthoritiesandarangeofotherorganisationsdesigningservicestopromotephysicalactivity.

SchoolFoodRegulations2014(No.1603)

Applicabletoschoollunchesandfoodprovidedtostudentsonschoolpremises,willcomeintoforce1January2015.ThesereplacetheSchoolFoodStandardsof2007.

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GOVERNMENT INITIATIVE DESCRIPTIONFoodMatters:Towardsastrategyforthe21stCentury

ThisreportaddressesthemajorissuesfacingthefoodsystemintheUKandaseriesofagreedactions

MeasuringUp:Themedicalprofession'sprescriptionforthenation'sobesitycrisis

Areportsuggestinganumberofpolicymeasurestotackleobesity,abanonjunkfoodadvertisingbefore9pmandrecommendationsonreducingtheproximityoffastfoodoutletstoschools.

Beactive,behealthy:aplanforgettingthenationmoving

Beactive,behealthyestablishesanewframeworkforthedeliveryofphysicalactivityalongsidesportfortheperiodleadinguptotheLondon2012OlympicGames,ParalympicGamesandbeyond.ProgrammesoutlinedintheplanwillcontributetoGovernment’sambitionofgetting2millionmorepeopleactiveby2012andhavebeendesignedtoleavealastinglegacyfromtheGames.

Annualweigh-in AssessmentoftheAcademy's10recommendationsforobesityoneyearon.

Preventingexcessweightgain(NICEGuidelinesNG7)

Theseguidelinesmakesrecommendationsonbehavioursthatmayhelppeoplemaintainahealthyweightorpreventexcessweightgain.

TheFoodStandardsAgency’sStrategyfor2015-2020

'TheFSAStrategy2015-20reinvigoratesourpledgetoputconsumersfirstineverythingwedo,sothatfoodissafeandwhatitsaysitis,thatwehaveaccesstoanaffordablehealthydiet,andcanmakeinformedchoicesaboutwhatweeat,nowandinthefuture.'

IDEFICS- IdentificationandpreventionofDietaryandlifestyle-inducedHealthEffectsInChildrenandInfants

Thestudydelivereddatatomakeaninternationalassessmentoftheproblemof"obesityinchildren"possible.ThefocusoftheIDEFICSStudyliedinexploringtherisksforoverweightandobesityinchildrenaswellasassociatedlong-termconsequences.IDEFICSalsoofferedactivitiesforhealthpromotionandpreventioninkindergartensandschools.Thesepreventionprogrammesweredeveloped,implementedandevaluatedwithintheIDEFICSStudy.ParticipatingcountriesincludedBelgium,Cyprus,Denmark,Estonia,France,Germany,Hungary,Italy,Spain,SwedenandUK.

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GOVERNMENT INITIATIVE DESCRIPTIONWalktoSchoolWeek WalktoSchoolWeekisaprojectrunbytheUKcharity'LivingStreets.'Itusesvariouscampaignsand

projectstoovercomebarrierstowalkingandencouragemillionsofpeopleintheUKtowalk.

WHOEuropeanActionNetworkonreducingmarketingpressureonchildren

Currently28countriesparticipatingintheWHOEuropeanActionNetworkonreducingmarketingpressureonchildren,allofwhichhaveajointinterestinfindingwaystoreducethemarketingpressureofhighsalt,energy-dense,micronutrient-poorfoodsandbeveragestowardschildren

MANvFAT ManVFatisadigitalmagazineandsocialmediacommunitydesignedtosupportandchampionmenwhowanttoloseweight.ItalsorunsbootcampsandfootballleaguesformenwithaBMIof30+.

HealthyWeightSupportProgramme

6weekworkplaceinterventionthatcombinesgrouplecturesabouthealthyhabitsanddietandfreepasstoleisurecentretopreventobesity.

PhysicalactivitystrategyfortheWHOEuropeanRegion2016-2025

Thestrategyfocusesonphysicalactivityasaleadingfactorinhealthandwell-beingintheEuropeanRegion,withparticularattentiontotheburdenofnon-communicablediseasesassociatedwithinsufficientactivitylevelsandsedentarybehaviour.Itaimstocoverallformsofphysicalactivitythroughoutthelife-course.

Regulation(EU)No1169/2011 ThenewEURegulation1169/2011ontheprovisionoffoodinformationtoconsumersconsiderablychangesexistinglegislationonfoodlabelling.

TheChild’sObesityStrategy ThisreportcallsforabanonfastfoodtakeawaydeliveriestoschoolsandtheintroductionofinitiativessuchasnewclassificationsonunhealthyfoodandloyaltycardstotacklethechildhoodobesityepidemicintheUK.

GamePlan,StrategyfordeliveringtheGovernment'ssportandphysicalactivityobjectives

ThisdocumentdescribestheUnitedKingdom’sGovernmentobjectivesforsportandphysicalactivityandidentifieswaysofimprovingGovernmentsupport.Itwaspublishedin2002bytwogovernmentdepartments:theSocialExclusionUnitandtheDepartmentofCulture,MediaandSport.Theoverallobjectivesoftheplanaretoincreasetheparticipationofallpeopleinsportandtoimproveresultsininternationalcompetition.

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GOVERNMENT INITIATIVE DESCRIPTIONTomorrow’sroads:saferforeveryone—theGovernment'sroadsafety- strategyandcasualtyeducationtargetsfor2010

Thisplan,publishedin2004bytheDepartmentofTransportofEngland,describeshowtheGovernmentisaimingtoincreasewalkingandcyclinginthepopulation.Itsetsoutmeasuresacrosssectorstoincreaselevelsofactivetravel.

UKCodeofBroadcastAdvertising(BCAPCode)

StatutoryrulesonadvertisementsforHFSSfoodsonTVchannelsdedicatedtochildren.Theseregulationsbantheadvertisingoffoodhighinfat,sugar,andsalt(asdefinedbyanutrientprofilingmodel)duringtelevisionprogramsthathaveparticularappealtochildrenagedyoungerthan16years.Since2011,theprovisionsoftheCodeofAdvertisingPracticenowapplytoadvertisersownwebsitesandadvertisingonsocialmediasites.

ChoosingHealth:Makinghealthychoiceseasier

ThisWhitePapersetsoutthekeyprinciplesforsupportingthepublictomakehealthierandmoreinformedchoicesinregardstotheirhealth.

ChoosingaBetterDiet:AFoodandHealthActionPlan

ThisdocumentsetsouttheGovernment'splanstoencourageandco-ordinatetheactionofarangeoforganisationstoimprovenutritionandhealthinEngland.ThepapersummariseshowtheGovernmentwilldeliverthecommitmentsonnutritionpresentedinthepublichealthwhitepaperChoosingHealth:Makinghealthierchoiceseasier.

SportingFuture:ANewStrategyforanActiveNation2015

'Thiscross-governmentstrategywilltackleheadontheflatlininglevelsofsportparticipationandhighlevelsofinactivityinthiscountry.Throughthisstrategy,governmentisredefiningwhatsuccessinsportmeans,withanewfocusonfivekeyoutcomes:physicalwellbeing,mentalwellbeing,individualdevelopment,socialandcommunitydevelopmentandeconomicdevelopment.'

Guidetocreatingafrontofpack(FoP)nutritionlabelforpre-packedproductssoldthroughretailoutlets

Thisguidancesupportsthedevelopmentoffrontofpack(FoP)nutritionlabelsthatarecompliantwiththeUKHealthMinisters’RecommendationontheuseofcolourcodingasanadditionalformofexpressionandwithEURegulationNo.1169/2011ontheprovisionoffoodinformationtoconsumers(EUFIC).TheprovisionofFoPinformationremainsvoluntary,butifprovideditmustmeettherequirementssetoutintheEUFIC.

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GOVERNMENT INITIATIVE DESCRIPTIONTheSchoolFruitandVegetableScheme(SFVS)

TheSchoolFruitandVegetableScheme(SFVS)isagovernmentprogrammethatentitleseverychildaged4-6infullystate-fundedschoolstoapieceoffruitorvegetableeachschoolday.Thisequatestoapprox.2.2mchildreninapprox.16500schools.

TheEuropeanFoodandNutritionActionPlan2015-2020

Theaimonthisactionplanistosignificantlyreducetheburdenofpreventablediet-relatednon-communicablediseases,obesityandallotherformsofmalnutritionthatarestillprevalentintheWHOEuropeanRegion.

Europeancharteroncounteractingobesity

Toaddressthegrowingchallengeposedbytheepidemicofobesitytohealth,economiesanddevelopment,theMinistersanddelegatesattendingtheWHOEuropeanMinisterialConferenceonCounteractingObesity(Istanbul,Turkey,15–17November2006)adoptedtheEuropeanCharteronCounteractingObesity.TheprocessofdevelopingtheCharterinvolveddifferentgovernmentsectors,internationalorganizations,experts,civilsocietyandtheprivatesectorthroughdialogueandconsultations

ActionPlanforimplementationoftheEuropeanStrategyforthePreventionandControlofNoncommunicableDiseases2012−2016

Itidentifiespriorityactionareasandinterventionsforcountriestofocusonoverthenextfiveyears(2012–2016),astheyimplementtheEuropeanStrategyforthePreventionandControlofNon-communicableDiseases.

GOVERNMENTINITATIVES– UNITEDKINGDOM(5/5)

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONPromotionofphysicalactivityintheYouth(Promouvoirl’activitéphysiquedesjeunes)Sedentarinessandphysicalinactivity(Sedentariteetinactivitephysique)Urbanhealthworkshops Aimstoreducesocialinequalitieswithregardtohealthincommunitiesbybuildingpartnerships.

Activecities Aimstocreateafavourableenvironmentforgoodnutritioninmunicipalities.

Codeonmarketingfoodandnon-alcoholicbeveragestochildren

Codeonmarketingtochildren

WHOEuropeanActionNetworkonreducingmarketingpressureonchildren

Currently28countriesparticipatingintheWHOEuropeanActionNetworkonreducingmarketingpressureonchildren,allofwhichhaveajointinterestinfindingwaystoreducethemarketingpressureofhighsalt,energy-dense,micronutrient-poorfoodsandbeveragestowardschildren

Eatingmoving Aimstoimprovethehealthstatusofthepopulationonanationallevelbyfocusingonhealthynutritionandexercise.

Taxonsugarandartificiallysweetenedbeverages

Thisisprimarilyregardedasarevenue-raisingtaxbutitalsoaddressesoverweightandobesityamongchildrenandadolescents.

CharterforthePromotionofHealthyDietsandPhysicalActivityduringTVProgrammesandAdvertising(updatedversion)

Foodcharterthataimstopromoteahealthydietontelevision.Notethatthecharterwasupdatedin2013andapplicablefrom1Jan2014.

Nationalprogrammefornutritionandhealth2001-2005(PNNS)

Aprogrammecontaining9nutritionalobjectivestoimprovethehealthofthegeneralpopulation.

GOVERNMENTINITATIVES– FRANCE(1/4)

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONSecondnationalnutritionandhealthprogramme2006-2010(PNNS)

ThemainroleofthePNNSistoencouragevariouspublicandprivatesectorplayerstoact,byprovidingcohesiveguidelines,references,government-designedtoolsandaframeworkforpermanentdialogue.

FrenchNationalNutritionandHealthProgram2011-2015(PNNS)

ThePNNSinvolvestheministriesinchargeofnationaleducation,sports,consumeraffairs,socialcohesion,andhighereducationandresearchtopromotehealthyeatingaspartofthenutritionalprevention.

ePPOP- Electronic-personalizedprogramforobesityduringpregnancy

ePPOPisanelectronic-personalisedlifestyleinterventioncombiningnutritional,behaviouralandphysicalactivitycounsellingduringpregnancy,toreduceinstrumentaldeliveryandimprovehealthofobesepregnantwomenandtheirbabies.

EatandMoveforHealth(Lasantévientenmangeantetenbougeant)

Guidelinesonnutritionandphysicalactivity- documentinFrench

Healthcomesthrougheating(Lasantèvientenmangeant)

Nutritionprogramme- seedocumentinFrench

Lawregardingthepublichealthpolicy(Loino2004-806du9août2004relativeàlapolitiquedesantépublique)

ThelawofAugust9,2004,markedanewerawithastepinanewdirectionfordefiningaprocesstodevelophealthpolicyinFrance.Thefive-yearlawprovidedaframeworktoformalizepublichealthobjectives.Healthpolicywasarticulatedaroundfourambitions:improvementofhealthoutcomes,reductionofinequalities,efficiencyofthehealthsystem,andtheadvancementofhealthdemocracy.

JointActiononNutritionandPhysicalActivity(JANPA)

Theoverallaimoftheprojectistocontributetohaltingtheriseofoverweightandobesityinchildrenandadolescentsby2020.

Regulation(EU)No1169/2011 ThenewEURegulation1169/2011ontheprovisionoffoodinformationtoconsumersconsiderablychangesexistinglegislationonfoodlabelling.

GOVERNMENTINITATIVES– FRANCE(2/4)

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONEPHE(EPODEforthePromotionofHealthEquity)

TheEPODEprojectenablescommunitiestoimplementeffectiveandsustainablestrategiestopreventchildhoodobesity.Itsphilosophyincludesapositive,step-by-stepapproachtailoredtotheneedsofallsocio-economicgroups.Launchedin2012,theprojectaimstoreducesocio-economicinequitieslinkedtohealth-relatedbehaviouroffamiliesin7Europeancountriesoverthreeyears.

IDEFICS- IdentificationandpreventionofDietaryandlifestyle-inducedHealthEffectsInChildrenandInfants

Thestudydelivereddatatomakeaninternationalassessmentoftheproblemof"obesityinchildren"possible.ThefocusoftheIDEFICSStudyliedinexploringtherisksforoverweightandobesityinchildrenaswellasassociatedlong-termconsequences.IDEFICSalsoofferedactivitiesforhealthpromotionandpreventioninkindergartensandschools.Thesepreventionprogrammesweredeveloped,implementedandevaluatedwithintheIDEFICSStudy.ParticipatingcountriesincludedBelgium,Cyprus,Denmark,Estonia,France,Germany,Hungary,Italy,Spain,SwedenandUK.

EPODEFlandreLys TheEpode-programme(EnsemblePrévenonsl’ObésitédesEnfants– Togetherlet’spreventchildhoodobesity)isanationaldispositiveaimingtopreventchildhoodobesitythroughthepromotionofhealthynutritionandregularphysicalactivity.

PhysicalactivitystrategyfortheWHOEuropeanRegion2016-2025

Thestrategyfocusesonphysicalactivityasaleadingfactorinhealthandwell-beingintheEuropeanRegion,withparticularattentiontotheburdenofnon-communicablediseasesassociatedwithinsufficientactivitylevelsandsedentarybehaviour.Itaimstocoverallformsofphysicalactivitythroughoutthelife-course.

TheEuropeanFoodandNutritionActionPlan2015-2020

Theaimonthisactionplanistosignificantlyreducetheburdenofpreventablediet-relatednon-communicablediseases,obesityandallotherformsofmalnutritionthatarestillprevalentintheWHOEuropeanRegion.

GOVERNMENTINITATIVES– FRANCE(3/4)

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONEuropeancharteroncounteractingobesity

Toaddressthegrowingchallengeposedbytheepidemicofobesitytohealth,economiesanddevelopment,theMinistersanddelegatesattendingtheWHOEuropeanMinisterialConferenceonCounteractingObesity(Istanbul,Turkey,15–17November2006)adoptedtheEuropeanCharteronCounteractingObesity.TheprocessofdevelopingtheCharterinvolveddifferentgovernmentsectors,internationalorganizations,experts,civilsocietyandtheprivatesectorthroughdialogueandconsultations

ActionPlanforimplementationoftheEuropeanStrategyforthePreventionandControlofNoncommunicableDiseases2012−2016

Itidentifiespriorityactionareasandinterventionsforcountriestofocusonoverthenextfiveyears(2012–2016),astheyimplementtheEuropeanStrategyforthePreventionandControlofNon-communicableDiseases.

GOVERNMENTINITATIVES– FRANCE(4/4)

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTIONTaxonsugarydrinks Ataxonhighcaloriefoodandbeverageswithaddedsugarstohelpreducethenumberof

patientswithdiabetesandothercardiovasculardiseasesinMexico.

MexicanMarketingtoChildrenPledge

Voluntaryindustrymarketingtochildrenpledge.

"Chécate,Mídete,Muévate"-Check,MonitorandMoveYourself

Theaimofthiscampaignistofosteracultureoftakingcareofpersonalhealth,promoteexerciseanddiscouragetheconsumptionofhighcaloriefoods.

PlanofActionforthePreventionofObesityinChildrenandAdolescents

Thisisa5yearplanofactionthatcallsfortheimplementationoffiscalpoliciessuchastaxesonsugar-sweetenedbeverages,regulationoffoodmarketingandlabelling,improvementofschoolnutritionandphysicalactivityenvironmentsandpromotionofbreast-feedingandhealthyeating.

Ultra-processedfoodanddrinkproductsinLatinAmerica:Trends,impactonobesity,policyimplications

Areportonthesalesofultra-processedfoodanddrinkproductsandtheconnectionbetweenthesurgeinmarketshareandtheepidemicofobesityinLatinAmerica.

5StepsforYourHealth 5EasyStepsisaprogramthatpromotesbehaviourchange,adoptinghealthyhabitsandpromotingindividualstocarefortheirhealthwithonly5actions:1.Beactive2.Drinkwater3.Eatvegetablesandfruits4.Measureyourself5.Share

WorkplaceWellnessCouncil(WWC)

TheWorkplaceWellnessCouncil(WWC)workswithcompaniestoreducetheamountofabsenteeismcausedbychronicillnesseslinkedtoobesity.

Don’tharmyourselfdrinkingsugarydrinks(SugaryDrinks)

Publicawarenesscampaignthatcalledattentiontotheharmsofsodaconsumptionandbuiltsupportforathesodatax,whichwaspassedinOctober2013.

GOVERNMENTINITATIVES– MEXICO(1/2)

Source:WorldObesityOrganisation

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GOVERNMENT INITIATIVE DESCRIPTION

OurKidsComeFirst Thiswaspartofanobesitypreventionmassmediacampaign

Whatdidyourchildreneattoday? Thisisthesecondphaseofachildhoodobesitypreventionmassmediacampaignbythe'AllianceforHealthyFood'.Itwasdesignedtoraiseawarenessthatone-thirdofMexicanchildrenwilldevelopdiabetesduringtheirlifetime,largelybecauseoftheirconsumptionofjunkfoodandsugarydrinks,andtocallfortheremovalofalljunkfoodandrelatedmarketingfromchildren’slives.

GOVERNMENTINITATIVES– MEXICO(2/2)

Source:WorldObesityOrganisation

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