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The EU platform for action on diet,
physical activity and health.
What has been achieved, what more can
be done?
ELC Symposium
21 November, 2012
Philippe Roux
European Commission
Health and
Consumers
Unhealthy diets and physical inactivity
"contribute" to Chronic Diseases
Health and
Consumers
Obesity Update OECD 2012
 Obesity rates remain high
 Social disparities in obesity unabated
 At least 1 in 2 people is overweight or obese in over
half of OECD countries
 Severely obese people lose 8 -10 life years
 An obese person incurs 25% higher health expenditures
in any given year
http://www.oecd.org/dataoecd/1/61/49716427.pdf
 New measures
taxes on unhealthy foods and beverages
increasingly comprehensive strategies by many governments
Health and
Consumers
The White Paper
•
The last three decades have seen the levels of overweight and obesity in the
EU population rise dramatically.
•
This is particularly worrying among children, where the estimated prevalence
of overweightness was 30% in 2006.
•
The EU Strategy on Nutrition, Overweight and Obesity Related Health Issues,
also known as the White Paper, is the Commission's response to these
concerns – not SANCO response only.
•
The White Paper is built upon five main pillars:
•
Creating better informed consumers
•
Making the healthy option available
•
Encouraging physical activity
•
Priority groups and settings
•
Developing an evidence base to support policy making decisions
Health and
Consumers
4
Member
States
NOPA integrated
into other policies
Co-ordination /
collaboration
EU policies:
Education, transport,
regional policy, etc.
Platform for Action
on Diet, Physical
Activity and Health
European Commission
Health and
Consumers
Priority groups
targeted
Evidence base
for policy-making
Effective monitoring
systems
Private
actors
NOPA database
Priority areas
Monitoring of
national policies
Physical activity
encouraged
Commitments
Transnational
projects on NOPArelated issues
Health Programme
Healthier diets
Self-regulation
Other actions
Collaborative
research projects on
NOPA-related issues
7th Framework
Programme for
Research (FP7)
Distribution of fruit &
veg. to children and
accomp. measures
School Fruit Scheme
Healthy options
available
Transnational
projects on HEPArelated issues
Codes of conduct
for advertising to
children
Audiovisual Media
Services Directive
Better informed
consumers
Preparatory Actions
in the field of Sport
Key nutrition
information provided
on front of packs
Food labelling
regulation
Potentially
all outcomes
Distribution of
agricultural products
to the most needy
False, misleading or
unfounded claims
prohibited
Health claims
regulation
Impacts
Most Deprived
Programme
Co-ordination /
collaboration
Instruments
High-Level Group for
NPA
Outputs
Miscellaneous
approaches/actions
Outcomes
National policies,
laws, actions
Intervention logic of the EU Strategy on Nutrition,
overweight and obesity Health related issues
Smart, sustainable,
inclusive growth
Better health and
quality of life
Reduced obesity and overweight
Reduced incidence of related NCDs
More health-enhancing
physical activity
Potentially
all outcomes
EC & WHO
Europe
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An action oriented process
 The Platform is part of a broader EU Strategy on Nutrition, Overweight and
Obesity-related Health Issues.

The development of effective partnerships is a basic principle for action.
 The Platform Charter reads: “a cooperative and action-oriented approach is
respected”.
 33 Platform members
industry
public health NGOs
health professionals
consumer groups
Health and
Consumers
What’s the nature of the Platform?
 cooperative voluntarism
 multi-stakeholder
 forum for
action
discussion on action
 “agree to disagree”
each commitment is subject to other members’ criticism
all common actions are challenged from multiple perspectives
Health and
Consumers
How does it work?
 Members have full responsibility for financing, implementing,
monitoring and reporting the actions
 Areas of commitments
consumer information, including labelling
education, including lifestyle modification
physical activity promotion
marketing and advertising
composition of foods, availability of healthy food options, portion sizes
advocacy and information exchange
Health and
Consumers
Who benefits from the work of the
Platform?
 Geographical and population reach
just under 40% of commitments target more than 50% of the EU
population*
55% of commitments are multi-national and target more than one
Member State*
*Mid-term Evaluation Report
 Priority target groups
children and adolescents
low socio-economic groups
senior citizens
Health and
Consumers
Who benefits from the work of the
Platform?
Distribution of assessed commitments per target audience
Health and
Consumers
Annual Report 2011
Who benefits from the work of the
Platform?
Number of commitments per activity type addressing children and adolescents
Health and
Consumers
Annual Report 2012
Who benefits from the work of the
Platform?
Percentage of commitments by geographical coverage
Annual Report 2012
Health and
Consumers
What else happens in the Platform?
 Exchange of information on other initiatives and
good practices out of the Platform
 Information on developments in the work of
EU institutions and Member States
 Updates on recent events and publications in the Platform field of work
 Observers from the WHO, EFSA, ECOSOC, certain Member States,
EP, relevant scientists
Health and
Consumers
Is the Platform successful?
 More than 300 commitments in 6 years
 External Mid-term Evaluation – conclusions
Balanced distribution between not-for-profit and for-profit members
Better understanding among members through “dialogue that has become more
constructive and less confrontational over the years”
Platform commitments in the areas of advertising/marketing to children and
food/drink reformulation are having an impact.*
*based on 2 case studies
Selected case studies suggest commitments in the areas of
marketing/advertising to children and food/drink reformulation are being
implemented effectively.
Health and
Consumers
Platform ACTIONS primarily linked
to members’ core business
activities - examples*
Sector
Type of commitment
Food & Drink
Implementation of GDA nutrition labelling schemes
Advertising
Promotion and adoption of advertising self-regulatory
mechanisms and codes
Sports &
Fitness
Creation of links between health clubs and schools
Agriculture
Teaching children about food production
Retail &
Catering
Implementation of national guidelines and information of
products' nutrition content
•
Health and
Consumers
*Mid-term Evaluation Report
Concrete results from Platform
commitments
- examples
 More than 15 340 670 children have benefitted
from Platform actions encouraging physical activity
 10 dedicated websites featuring healthy nutrition and physical
activity topics (one more in the pipeline)
 Food reformulation
183 tons of salt reduction (2006-2010)
1314 tons of fat reduction (2008-2010)
2229 tons of sugar reduction (2006-2010)
Health and
Consumers
Concrete results from Platform
commitments: examples
 The renewed Pledge (approximately 80%
of food and beverage advertising spent in the EU)
 Voluntary commitment
No advertising of products to children under 12 years*, except for products which fulfil
shared specific nutrition thresholds based on accepted scientific evidence and/or applicable
national and international dietary guidelines.
Media covered : TV, Print, third-party internet and company-owned websites,
Audience definition: >35%
No communication related to products in primary schools, except where specifically
requested by, or agreed with, the school administration for educational purposes.
Health and
Consumers
Concrete results from Platform
commitments: examples
Diet, Physical Activity and CVD Prevention in Europe
 Scientific reviews on fats, salt, sugars, dietary fibre,
complex carbohydrates, fruit and vegetables, BMI/energy intake,
physical activity, folate, polyphenols and CVD
 Research findings published in a report
 Main target audience: policy makers
More than 1600 hits of the launched website
Policy conference with the participation of Director General Paola Testori Coggi to
disseminate the results and to address stakeholders
Health and
Consumers
Concrete results from Platform
commitments : examples
Stakeholders discussing out of home nutrition information
 survey indicates consumer interest in information on calories in restaurants
 advocacy action aiming to:
look at provision of nutrition information on foods
in restaurants and other food establishments
lead informal discussions with representatives
of the restaurant sector
exchange views on communicating consumer
information at point of sale
Health and
Consumers
Platform 2012-2013: the way forward
 Improvements of already existing commitments and new ones:
responsible advertising/marketing to children
food reformulation
 Vulnerable groups
children and adolescents
low socio-economic groups
 Physical activity and sports
 Reaching out to schools with the aim of increasing physical activity and
……………………………………… making the healthy option available;
Health and
Consumers
Strategy Evaluation
• Based upon three pillars:
• - Case studies according to desired outcomes
• - Analysis of statistics & trends
• - Evaluation according to instruments
Health and
Consumers
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Evaluation approach
Overall evaluation
results
Making the healthy
option available
Evolution of obesity
and overweight
Encouraging
physical activity
Evolution of diet /
nutrition
Priority groups /
inequalities
Evolution of physical
activity rates
2. Case studies according
to desired outcomes
3. Analysis of statistics
and trends
Member State
activities and
the HLG
EU Platform
for Action on
Diet, PA and
Health
EU legislation
related to the
Strategy
EU
integration of
policies
EU funding
and
programmes
Monitoring
system /
evidence
base
1. Evaluation according to instruments
Health and
Consumers
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Milestones and Deliverables
Interim report
7 December 2012
Steering group meeting
18 December 2012
Draft final report
End March 2013
Steering group meeting
Early April 2013
Final report
29 April 2013
Seminar with HLG members
TBD
(exact date TBD)
Health and
Consumers
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Health and
Consumers
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