ReportoftheCommissiononEndingChildhoodObesity

DrDouglasBettcher

Director,DepartmentforthePreventionofNoncommunicableDiseases

WorldHealthOrganization

2 │11 Oct 2016|

ChildhoodObesityl Inabsolutenumbers,therearemoreoverweightandobesechildrenlivingin

low- andmiddle-incomecountries

l Childhoodobesityunderminesthephysical,socialandpsychologicalwell-beingofchildrenandisaknownriskfactorforadultobesityandnoncommunicablediseases.

l Ascountriesundergorapidsocio-economictransition,theyfaceadoubleburden:inadequatenutritionandexcessweightco-exist.

l Undernutritioninearlylifeplaceschildrenatespeciallyhighriskofdevelopingobesitylaterinlife,whendietandphysicalactivitypatternschange

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WHOCommissiononEndingChildhoodObesityWorkoftheCommissionshould:

l buildonandcomplementexistingWHOmandatesbutalsoaddressgapsanddeficienciesandidentifywhatisnew

l providepolicyrecommendationstogovernmentstohelpmeetWHOglobaltargetsforobesity:– childrenunderage5years,is‘noincreaseinchildoverweightby2025’

(baseline6.7%).– adolescentsandadults,isto‘halttheriseinobesity’by2025(adultbaseline13%).

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Developmentofthereportl Developedacomprehensive,integratedpackageof

recommendationsthrough:– Reviewofthescientificevidence

• Includingextensiveinputsfromadhocworkinggroupsandotheracademics/expertscommissionedtoproducereports

– Extensiveconsultationwith118MemberStatesandterritoriesatregionalmeetings

– Reviewof179commentsreceivedthroughonlinesubmissions

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StrategicobjectivesTackletheobesogenicenvironmentandnorms

improvehealthyeatingand

physicalactivitybehavioursofchildrenReducetheriskofobesitybyaddressingcriticalelementsinthelife-courseincriticalperiods

preconceptionandpregnancy

infancyandearlychildhood

olderchildhoodandadolescenceTreatchildrenwhoareobesetoimprovetheircurrentandfuturehealth

Recommendactionsandresponsibilitiesforgovernmentandotheractors

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1.Promoteintakeofhealthyfoodsandreducetheintakeofunhealthyfoods

Accessiblenutritioninformationandguidelines

Effectivetaxonsugar-sweetenedbeverages

Marketingoffoodsandnon-alcoholicbeveragestochildren

Nutrientprofiling,labellingandfront-of-packlabelling

Healthyfoodenvironmentinchild-care,school,sportsfacilities

Increaseaccesstohealthyfoods

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2.PromotephysicalactivityImplementcomprehensiveprogrammes thatpromotephysicalactivityandreducesedentarybehaviours inchildrenandadolescents

Provideguidanceonhealthybodysize,physicalactivity,sleepandappropriateuseofscreen-basedentertainment

Ensureadequatefacilitiesavailableinschoolandpublicspacesforphysicalactivityduringrecreationaltimeforallchildren

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3.PreconceptionandpregnancycareDiagnoseandmanagematernalhyperglycaemia andgestationalhypertension

Monitorandmanagegestationalweightgain

Preconceptual nutritionadviceandguidanceforbothparentsandmaternalnutritionaladviceandguidance

Advicetoavoidexposuretotobacco,alcohol,drugsandothertoxins

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4.EarlychildhooddietandphysicalactivityProtect,promoteandsupportbreastfeeding(InternationalCodeonMarketingofBreastmilkSubstitutes,Baby-friendlyHospitalInitiative,maternityleaveandfacilitiesforbreastfeedingintheworkplace)

Regulationsonmarketingofcomplementaryfoods

Guidanceforcaregiversandchild-caresettingsonnutrition,physicalactivityandsleep

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5.Health,nutritionandphysicalactivityforschool-agechildren

Establishstandardsformealsprovidedinschool

Eliminateprovisionandsaleofunhealthyfoodsinschool

Inclusionofnutrition,foodandhealtheducationincorecurriculum

Improvenutritionliteracyofcaregivers

QualityPhysicalEducation

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6.WeightmanagementDevelopandsupportappropriateweightmanagementservicesthatare• Family-based• Multicomponent(nutrition,physicalactivity,psychosocialsupport)• Deliveredbymulti-professionalteams• AspartofUniversalHealthCoverage

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HowECHOcontributestootherprogrammes

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Whatnext?

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ImplementationPlanl Toguidefurtheraction

– DetailsstepstobetakenbyMemberStatestoputintoactionrecommendations– Buildonexistingactivities– notaseparateActionPlan,butfreshfocusand

emphasisonlife-courseapproachtoprevention– Groupsrecommendationstoensurecomprehensiveactionineachdomain

l CollaborationbetweenrelevanttechnicalunitsatWHOHQandRegionalfocalpoints

l Draftcurrentlyopenforconsultation

http://www.who.int/end-childhood-obesity/en/

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Actionframework

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ActionsneededI. Leadership forcomprehensive,integrated,multisectoralaction

II. Interventionsi. Improvefoodandphysicalactivityenvironmentii. Reduceriskofobesitythroughthelife-courseiii. Improvecurrentandfuturehealthofchildrenwhoareobese

III. Monitoringandaccountabilityforeffectiveprogress

IV. Keyelementsforsuccessfulimplementation

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LEADERSHIP&

POLITICAL COMMITMENT

Coordinate multisectoral

action Strengthen capacity

Advocacy & social

mobilisationMonitoring

& Accountability

Mobilize resources

Data for action

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ForfurtherinformationontheImplementationPlan

l DrDouglasBettcher,Director,DepartmentforPreventionofNoncommunicableDiseases,WHO bettcherd@who.int

l DrFrancescoBranca,Director,DepartmentofNutritionforHealthandDevelopment,WHO brancaf@who.int

l DrAnthonyCostello,Director,DepartmentforMaternal,Newborn,ChildandAdolescentHealth,WHO

costelloa@who.int