Dal 2nd International Forum on Food and Nutrition, 30 novembre-1 dicembre 2010, Milano. Childhood obesity in Europe: implications for the future food chain - Philip James

2. 10 17 18 31 36 22 19 18 27 15 16 18 33 27 35 34 26 12 17 33 34 9 21 20 17 17 22 23 25 8 9 17 13 12 12 18 11 Overweight (%) Equivalent to BMI>25 14-17 years 7-11 years

3. European national prevalences (%) of overweight and obesity in children aged 7-11yrs using IOTF cut-off points Norway Poland† Netherlands Slovakia Bulgaria Slovenia Sweden* Spain Italy Czech Rep Ireland (Rep) Denmark France Switzerland Germany England Cyprus Greece* Portugal† † 7-9yrs * 6-11yrs © International Association for the Study of Obesity Sept 2010 5 10 15 20 25 30 35 Obese Overweight

4. Children’s Overweight + Obesity Lobstein T. OECD. Sept 25th2010

5. Genetics influence susceptibility to prevailing dietary and activity environment

6. Rachel Leach, IOTF, April 28 th 2008

7. The natural history of childhood overweight/obesity using IOTF cut-offs in Australia over the last century and regional global increases Wang and Lobstein, IOTF, Int J Ped Ob 2006. 2000 1980 1960 1940 1920 1900 1900 0 10 20 30 40 Year % overweight + obese Raw data All data e.g. Japan e.g. India % e.g. US e.g. S.Arabia e.g. UK Global total now: obese 74 mil. +overwt. 287 mil. Norton K et al, Int J Ped Ob 2006 Australia

11. Sarah Hinde: The car-reliant environment. In: The 7 deadly sins of obesity. Univ. of NSW, Australia. 2007. CAR-RELIANCE limits child development Increase in traffic Parent concern for child safety Sedentary replaces active transport Parents chauffeur children Organised sport replaces play for children PHYSICAL INACTIVITY

13. The Traditional Mediterranean Diet Compiled by Anna Ferro-Luzzi Institute of Nutrition Rome

22. CHIPS ARE IN SEASON! Doubling shelf space increases sales by 40%

24. Marketing : celebrities and sports Gary Lineker = potato crisps David Beckham = soft drinks

26. Who controls the food chain ? Corinna Hawkes, 2006 PUB L I C Local markets, roadside stalls and farm shops Supermarkets: the "food consuming industry" Small food outlets Global Feed Companies Global Food Companies Fa rme r s Family and other small food companies

28. Sept.25 th 2010

31. US Adults Global Children De Onis et al.Amer J Clin Nut.2010;92:: 1257-1264 Ogden et al .CDC posters 2010

32. Fiscal Phys/Dietician counselling Mass media Work site School Food labelling Regulation Food advertising Self Regulation Physcn.Cnslng OECD/WHO modelling

35. The interest and influences of different stakeholders 5 0 - - 10 0 5 10 INFLUENCE -10 - - 5 0 5 10 INTEREST Children Health professionals Advocacy orgs . Scientists Parents Ministry of Health Parliament Farmers Media Church Ministries of Transport & Agriculture Retailers Treasury President Advertising industry Food/drink industry Food inspectors Ministry of Education Teachers 0 5 10 Ministry of Trade Lobstein T : Analyses based on The Food Commission's experience and new EU policy work. ?