1. INTERVENTIONS AGAINST CHILDHOOD OBESITY Éva Martos MD PhD, National Institute for Food and Nutrition Science Budapest , HUNGARY Action for Prevention Conference , WORKSHOP 2, 30 May 2011

3. THE PROBLEM - Tendency of childhood obesity 1996-2006

4. THE PROBLEM - Prevalence of overweight and obesity in 7 year old schoolchildren Source: WHO C hildhood O besity S urveillance I nitiative, 2010 In 2010 – 20% of 7-year-old boys and 25% of 7-year-old girls OW / OB Overweight Obese Overweight + Obese Boy (n=562) 12.1% 7.8% 19.9% Girl (n=707) 16.8% 7.9% 24.7%

5. PLANNING – EVIDENCE Nutritional factors associated with overweight in children Source: American Dietetic Association Evidence Library, 2009 Food / Nutrition / Food behavior Effect Evidence Sugar-sweetened beverages ↑ I High fat intake ↑ II High energy intake ↑ II Adequate fruit and vegetable consumption ↓ II 100% fruit juice -> II Low calcium intake ↑ III Low dairy product consumption ↑ III Portion size ↑ III Number of meals ↓ III Eating out (specially fast food) ↑ III Snacking ↑ III Breakfast skipping ↑ III

6. PLANNING – EVIDENCE Most important factors in prevention of childhood obesity Source : Eurobarometer, 2006 School has a central role as a setting for prevention

8. PLANNING – IDENTIFY NEEDS AND ACTION AREAS Amount of daily soft drink intake (dl / day) Supply of school canteens 64% of schools offer free drinking water ONLY in restrooms

9. AIM To ensure free availability of water in schools, which will significantly decrease soft drinks consumption and increase water intake . S UBJECTS 397 children (7-10 yrs); 6 primary schools of Budapest I NTERVENTION – 2 months long Education AND f ree availability of mineral water in school – full control and support 2 QUESTIONNAIRES AND 1-YEAR FOLLOW-UP – knowledge and behaviors H ungarian A qua P romoting P rogram in Y oung 2007 – PILOT PHASE THE INTERVENTION

10. MOST IMPORTANT RESULTS OF PILOT PHASE

12. HAPPY Week

16. Thank you for your attention! Eva MARTOS, MD PhD [email_address]