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Commercial Determinants of Noncommunicable Diseases in the WHO European Region

This report highlights the substantial impact of commercial determinants on noncommunicable diseases (‎NCDs)‎ in the WHO European Region. Nearly 7500 deaths per day in the Region are attributed to commercial determinants, such as tobacco, alcohol,processed food, fossil fuels and occupational practices. These commercial products and practices contribute to 25% of all deaths in the Region. The report’s chapters systematically explore various facets of how commercial interests exacerbate NCDs and key strategies used by commercial actors to negatively influence NCD-related policies at the national and international level. The reportalso provides selected case studies from the Region to illustrate key strategies and outcomes of industry influence on health policies.The report then calls for urgent and coordinated action to address the commercial determinants of NCDs. It advocates for building coalitions based on the values of equity, sustainability, and resilience. Public health actors are urged to develop competencies in economic and legal frameworks, enforce transparency, and manage conflicts of interest effectively. The report underscores the need for robust financial reforms and strict regulation to curb industry power and protect public health. By implementing these strategies, the Region can accelerate progress towards global NCD targets and Sustainable Development Goals by 2030.

Nutri-Score labelling

The Nutri-Score labelling system is a 5-point colour coded nutritional rating system. It was originally implemented in France and has since been adopted by multiple countries in the WHO European region. Luxembourg officially adopted the Nutri-Score system in 2020 on a voluntary basis.

Annex III to Regulation (EC) No 1925/2006 of the European Parliament and of the Council as regards trans fat, other than trans fat naturally occurring in fat of animal origin

Measures to limit or virtually eliminate industrially-produced trans fatty acids in food intended for the final consumer and/or for supply to retail. Adopted by The European Commission from April 2019. (Available in multiple languages)

Combattre l'obesite prevenir le diabete, nous sommes tous concernes.

European practical and patient-centred guidelines for adult obesity management in primary care

This article aims to provide obesity management guidelines specifically tailored to GPs, favouring a practical patient-centred approach. The focus is on GP communication and motivational interviewing as well as on therapeutic patient education. The new guidelines highlight the importance of avoiding stigmatization, something frequently seen in different health care settings. In addition, managing the psychological aspects of the disease, such as improving self-esteem, body image and quality of life must not be neglected.

Promotion of healthy eating and physical activity 2018-2025

Part of the Gesond iessen - Méi bewegen programme that was launched in 2006. The objective of this interministerial collaboration is to jointly promote a balanced diet and regular and adapted physical activity and to fight against the problem of obesity and sedentary lifestyle for the entire population.

Healthy eating in education and childcare services

Part of the Gesond iessen - Méi bewegen programme with a focus diet and physical activity in educational and child care settings. Available in French & English

School Fruit, Vegetables and Milk Scheme

"Applicable since 1 August 2017, the EU school fruit, vegetables and milk scheme combines two previous schemes (the school fruit and vegetables scheme and the school milk scheme) under a single legal framework for more efficiency and an enhanced focus on health and educational. The scheme supports the distribution of products, educational measures and information measures. The scheme supports the distribution of fruit, vegetables, milk and certain milk products to schoolchildren, from nursery to secondary school. EU countries approve a list of products (in collaboration with their health and nutrition authorities) which will help achieve the schemes objective of helping children to follow a healthy diet. Priority is for fresh fruit and vegetables and for plain milk. In order to support a varied diet and/or specific nutritional needs, EU countries may also make processed fruit and vegetables such as juices and soups and certain milk products such as yoghurt and cheese, available. Additionally, under stricter conditions, milk-based drinks may be included." - EU Commission

Eat & Move

Luxembourg's obesity & physical activity strategy.

GNPR 2016-2017: Infant and young child nutrition - Breastfeeding promotion and/or counselling

This programme was reported by countries for the 2nd WHO Global Nutrition Policy Review 2016-2017 module on actions related to infant and young child nutrition. Information provided by WHO GINA Programme.

European Union (EU) Action Plan on Childhood Obesity 2014-2020

EU Action plan. To contribute to halting the rise in overweight and obesity in children and young people (0-18 years) by 2020

EU Regulation 1169/2011

Passed in 2011, EU Regulation 1169/2011 on the Provision of Food Information to Consumers requires a list of the nutrient content of most pre-packaged food to be provided on the back of the pack from October 2011.

Evaluation of the EU school milk and fruit scheme

European Court of Auditors (2011) Are the school milk and school fruit schemes effective? Special Report No 10. Publications Office of the European Union, Luxembourg.

National Physical Activity Recommendations

Physical activity guidelines are part of a national action plan which addresses adults, children, adolescents and sedentary groups separately. They provide references for the level and intensity of activity.

Eat healthy, get more exercise (GIMB)

"n order to combat the growing problem of obesity and sedentary lifestyle (lack of physical activity) in the general population and among children and adolescents in particular, the national interministerial action plan "Gesond iessen, Méi beweegen" was launched in the Grand Duchy in 2006. Its main objective is the promotion of a balanced diet and regular physical activity. In terms of food, it is a question of improving the dietary practices of populations and ensuring healthy food products. In terms of physical activity, the objective is to reduce a sedentary lifestyle and strengthen the practices of physical activity favorable to health, and this at the individual and collective level. GIMB is an interministerial program between the Ministry of Health, the Ministry of Sports, the Ministry of National Education, Children and Youth and the Ministry of Family, Integration and the Greater Region, and thus makes it possible to act jointly to improve the health of the population. GIMB has therefore become an initiative, which sees the birth of multiple projects across the country, both nationally and locally, in schools, municipalities or businesses."

EU health and nutrient claims regulation

Regulation nº 1924/2006 establishes EU-wide rules on the use of specified health and nutrient claims. The European Commission approves claims provided they are based on scientific evidence and accessible consumers. The European Food Safety Authority is responsible for evaluating the scientific evidence supporting health claims. Nutrition claims may only be used on food defined as "healthy" by a nutrient profile.

Gesond iessen - Méi bewegen

Aims to improve physical activity and healthy nutrition in the general population and special sub populations by organising national activities.

Inter-ministerial Committee for Healthy nutrition and physical activity

The Inter-ministerial Committee for Healthy nutrition and physical activity was established in 2006.

GNPR 2016-17 (q7) Breastfeeeding promotion and/or counselling

WHO Global Nutrition Policy Review 2016-2017 reported the evidence of breastfeeding promotion and/or counselling (q7)