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Report of the Commission on Ending Childhood Obesity Dr Douglas Bettcher Director, Department for the Prevention of Noncommunicable Diseases World Health Organization
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
3 │11 Oct 2016|
WHOCommissiononEndingChildhoodObesityWorkoftheCommissionshould:
l buildonandcomplementexistingWHOmandatesbutalsoaddressgapsanddeficienciesandidentifywhatisnew
l providepolicyrecommendationstogovernmentstohelpmeetWHOglobaltargetsforobesity:– childrenunderage5years,is‘noincreaseinchildoverweightby2025’
(baseline6.7%).– adolescentsandadults,isto‘halttheriseinobesity’by2025(adultbaseline13%).
4 │11 Oct 2016|
Developmentofthereportl Developedacomprehensive,integratedpackageof
recommendationsthrough:– Reviewofthescientificevidence
• Includingextensiveinputsfromadhocworkinggroupsandotheracademics/expertscommissionedtoproducereports
– Extensiveconsultationwith118MemberStatesandterritoriesatregionalmeetings
– Reviewof179commentsreceivedthroughonlinesubmissions
5 │11 Oct 2016|
StrategicobjectivesTackletheobesogenicenvironmentandnorms
improvehealthyeatingand
physicalactivitybehavioursofchildrenReducetheriskofobesitybyaddressingcriticalelementsinthelife-courseincriticalperiods
preconceptionandpregnancy
infancyandearlychildhood
olderchildhoodandadolescenceTreatchildrenwhoareobesetoimprovetheircurrentandfuturehealth
Recommendactionsandresponsibilitiesforgovernmentandotheractors
6 │11 Oct 2016|
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
8 │11 Oct 2016|
3.PreconceptionandpregnancycareDiagnoseandmanagematernalhyperglycaemia andgestationalhypertension
Monitorandmanagegestationalweightgain
Preconceptual nutritionadviceandguidanceforbothparentsandmaternalnutritionaladviceandguidance
Advicetoavoidexposuretotobacco,alcohol,drugsandothertoxins
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4.EarlychildhooddietandphysicalactivityProtect,promoteandsupportbreastfeeding(InternationalCodeonMarketingofBreastmilkSubstitutes,Baby-friendlyHospitalInitiative,maternityleaveandfacilitiesforbreastfeedingintheworkplace)
Regulationsonmarketingofcomplementaryfoods
Guidanceforcaregiversandchild-caresettingsonnutrition,physicalactivityandsleep
10 │11 Oct 2016|
5.Health,nutritionandphysicalactivityforschool-agechildren
Establishstandardsformealsprovidedinschool
Eliminateprovisionandsaleofunhealthyfoodsinschool
Inclusionofnutrition,foodandhealtheducationincorecurriculum
Improvenutritionliteracyofcaregivers
QualityPhysicalEducation
11 │11 Oct 2016|
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
16 │11 Oct 2016|
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 [email protected]
l DrFrancescoBranca,Director,DepartmentofNutritionforHealthandDevelopment,WHO [email protected]
l DrAnthonyCostello,Director,DepartmentforMaternal,Newborn,ChildandAdolescentHealth,WHO
