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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.

Advertising and Sponsorship Policy

The Advertising and Sponsorship Policy approved by Bristol City Council restricts the marketing of food and drinks high in fat, sugar and/or salt. The policy covers all advertising generated by the Council itself and advertising and sponsorship by third parties on Bristol City Council-owned sites.

Turning the Tide: A 10-year Healthy Weight Strategy

"Our 10-year healthy weight strategy sets out a long-term agenda of evidence-informed policies with 30 recommendations, covering food and drink marketing, early years and treatment as well as the infrastructure needed to ensure policies are robustly implemented and evaluated."

Calorie reduction: guidelines for the food industry

This report sets out the calorie reduction ambitions for all food industry sectors, including: the approach to calorie reduction and reformulation, the different ambitions set across food industry sectors recognising that more action is required in the eating out, takeaway and delivery sectors, food products included in the categories and baseline figures for the different food sectors

Policy paper, Tackling obesity: empowering adults and children to live healthier lives

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)

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.

Care of Women with Obesity in Pregnanc

This is the second edition of this guideline. The first edition was published in 2010 as a joint guideline with the Centre of Maternal and Child Enquiries under the title ‘Management of Women with Obesity in Pregnancy’.

Soft Drinks Levy

The Soft Drinks Industry Levy aims to encourage producers to reduce added sugar content in drinks, market low-sugar alternatives, and reduce portion sizes for high-sugar drinks. The excise tax is levied on any prepackaged soft drink with added sugar containing at least 5 g of total sugars per 100 ml. The tax is ?0.18 per lite) on drinks with 5–8 g total sugar per 100 ml and ?0.24 per liter on drinks with >8 g total sugar per 100 ml. Milk-based drinks with >75% milk, milk substitute drinks (e.g. plant based milks), pure fruit juices or any other drinks with no added sugar, are exempt. Producers who produce <1 million litres/year are also exempt.

Healthy Active Schools System (HASS)

This is a free tool devised and delivered by a UK children’s activity provider 'Fit For Sport.' It is an online activity measurement tool which allows schools to track, monitor and evaluate children’s activity levels in schools.

NCD Country Profiles 2018 (Obesity Targets)

The profiles also provide data on the key metabolic risk factors, namely raised blood pressure, raised blood glucose and obesity and National Targets on Obesity (as of 2017)

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

EU nutrient content lists

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 13 December 2016.

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.

Government Dietary Recommendations

Government recommendations for energy and nutrients for males and females aged 1 – 18 years and 19+ years. NB These guidelines relate to England, The form the basis of the Eatwell guide which is applicable across all the nations.

Guide to creating a front of pack (FoP) nutrition label for pre-packed products sold through retail outlets

This guidance supports the development of front of pack (FoP) nutrition labels that are compliant with the UK Health Ministers. Recommendation on the use of colour coding as an additional form of expression and with EU Regulation No. 1169/2011 on the provision of food in formation to consumers (EU FIC). The provision of FoP information remains voluntary, but if provided it must meet the requirements set out in the EU FIC. UPDATED 2016

The Child's Obesity Strategy

This report calls for a ban on fast food takeaway deliveries to schools and the introduction of initiatives such as new classifications on unhealthy food and loyalty cards to tackle the childhood obesity epidemic in the UK.

Walk to School Week

Walk to School Week is a project run by the UK charity 'Living Streets.' It uses various campaigns and projects to overcome barriers to walking and encourage millions of people in the UK to walk.

Guidelines on Preventing excess weight gain (NICE)

Guidelines on how to prevent becoming overweight/obese, including interventions and activities in which weight is not the primary outcome, such as those aimed at preventing cardiovascular disease or type 2 diabetes, improving mental wellbeing or increasing active travel.

Preventing excess weight gain (NICE Guidelines NG7)

These guidelines makes recommendations on behaviours that may help people maintain a healthy weight or prevent excess weight gain.

School Food Regulations 2014 (No. 1603)

Applicable to school lunches and food provided to students on school premises, will come into force 1 January 2015. These replace the School Food Standards of 2007.

Sporting Future: A New Strategy for an Active Nation 2015

'This cross-government strategy will tackle head on the flatlining levels of sport participation and high levels of inactivity in this country. Through this strategy, government is redefining what success in sport means, with a new focus on five key outcomes: physical wellbeing, mental wellbeing, individual development, social and community development and economic development.'

The Food Standards Agency's Strategy for 2015-2020

'The FSA Strategy 2015 -20 reinvigorates our pledge to put consumers first in everything we do, so that food is safe and what it says it is, that we have access to an affordable healthy diet, and can make informed choices about what we eat, now and in the future.'

Thrive Plymouth

Thrive Plymouth is a ten year programme which aims to improve health and wellbeing in Plymouth and narrow the gap in health status between people in the city. Its objective is to generate collective action for social change around the main lifestyle choices that determine health and wellbeing in Plymouth. The programme will encourage and enable partners (residents, organisations, institutions) to support positive lifestyle choices in different settings. It encourages eating a healthy diet, leading active lifestyle, drinking sensibly and not smoking. Year one focus was the workplace, year two focus was schools and year three will be focused on the 'One You' campaign.

Annual weigh-in

Assessment of the Academy's 10 recommendations for obesity one year on.

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

GP Guidance: Management of nutrition following bariatric surgery

This guideline assumes that the bariatric centre will provide the first two years of_x000D__x000D_ follow up for the patient before discharging back to the care of the General_x000D__x000D_ Practitioner.

MAN v FAT

Man V Fat is a digital magazine and social media community designed to support and champion men who want to lose weight. It also runs bootcamps and football leagues for men with a BMI of 30+.

National Clinical Guidelines: Obesity

Clinical guidelines for the identification, assessment and management of overweight and obesity in children, young people and adults

National Clinical Guidelines: Obesity

Clinical guidelines for the identification, assessment and management of overweight and obesity in children, young people and adults

Front of Pack nutrition labelling - traffic light

Since 2013, the UK has recommended the "Traffic Light" Front of Pack Nutrition Labelling system. The system combines colour coding and percentage reference intakes in line with UK health ministers’ recommendations and the requirements of Article 35 of EU Regulation 1169/2011 on the provision of food information to consumers. The system is voluntary.

Measuring Up: The medical profession's prescription for the nation's obesity crisis

A report suggesting a number of policy measures to tackle obesity, a ban on junk food advertising before 9pm and recommendations on reducing the proximity of fast food outlets to schools.

Out to Lunch

This campaign works with restaurants and pub chains to improve the food and service offered to children and families when they eat out on the high street. With the help of a team of ‘secret diner’ parents, the campaign compiled an ‘Out to Lunch’ league table, ranking 21 of Britain’s top high street chains. Out to Lunch aims to improve healthy menu development and encourages good sourcing and preparation practices.

The Healthy Eating in Schools (Nutritional Standards and Requirements) (Wales) Regulations 2013

The Healthy Eating Regulations impose requirements and standards on the types of food and drink that can be served at breakfast and lunch, including nutritional standards.

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.

Multidisciplinary Tier 3 weight management service

Evaluation of this multi-disciplinary approach using focus groups revealed that participants_x000D__x000D_ described high levels of satisfaction. A Tier 3 weight management service for obese patients with complex co-morbidity was successfully delivered in a primary care setting with a full multidisciplinary team. Health outcomes were good compared with existing services.

Start Active, Stay Active

A UK-wide document that presents guidelines on the volume, duration, frequency and type of physical activity required across the life course to achieve general health benefits. It is aimed at the NHS, local authorities and a range of other organisations designing services to promote physical activity.

All Wales Obesity Pathway

The Pathway is a tool for Health Boards, working jointly with Local Authorities and other key stakeholders, to map local policies, services and activity for both children and adults against four tiers of intervention, and to identify any gaps.

The Toy Box Study

The Toy Box intervention is a multicomponent, kindergarten-based, family-involved intervention, focusing on the promotion of water consumption, healthy snacking, physical activity and the reduction/ breaking up of sedentary time in preschool children and their families.

Creating an Active Wales

This action plan sets out the steps the Welsh Assembly Government will take, with partners, to achieve an active, healthy and inclusive Wales. Creating an Active Wales focuses on four strategic aims; to develop a physical environment that makes it easier for people to choose to be more physically active; to support children and young people to live active lives, and become active adults; to encourage more adults to be more active, more often throughout life and to increase participation in sport, by all sectors of the population.

Healthy Stadia Network

"At Healthy Stadia, we encourage professional and amateur sports clubs, league operators, national and international governing bodies of sport to develop their stadia and sports facilities as health-promoting environments. We do this by supporting them to adopt a range of policies and practices in support of the health of their fans, their staff and the surrounding community. The definition we give to Healthy Stadia is: Healthy Stadia are… those who promote the health of visitors, fans, players, employees and the surrounding community… places where people can go to have a positive, healthy experience playing or watching sport."

Developing a Whole School Food and Fitness Policy

This document is designed to guide and support schools as they develop whole school food & fitness polices

Health, Exercise and Nutrition in the Really Young (HENRY)

"Health, Exercise and Nutrition in the Really Young (HENRY) is an eight-week obesity prevention programme currently delivered in children’s centres across the UK."

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.

Game Plan, Strategy for delivering the Government's sport and physical activity objectives

This document describes the United Kingdom's Government objectives for sport and physical activity and identifies ways of improving Government support. It was published in 2002 by two government departments: the Social Exclusion Unit and the Department of Culture, Media and Sport. The overall objectives of the plan are to increase the participation of all people in sport and to improve results in international competition.

UK Code of Broadcast Advertising (BCAP Code)

Statutory rules on advertisements for HFSS foods on TV channels dedicated to children. These regulations ban the advertising of food high in fat, sugar, and salt (as defined by a nutrient profiling model) during television programs that have particular appeal to children aged younger than 16 years. Since 2011, the provisions of the Code of Advertising Practice now apply to advertisers own websites and advertising on social media sites.

An evaluation of the UK Food Standard Agency’s salt campaign

An evaluation of the UK Food Standard Agency’s salt campaign

CAP non-broadcast code

"The CAP non-broadcast code has rules that cover non-broadcast advertising (for example print, online), sales promotion and direct marketing (such as telesales and email). The code specifies standards for accuracy and honesty that businesses must stick to, including specific conditions, such as: advertising to children" - UK Gov. The CAP non-broadcast code includes Mandatory regulation of food advertising in non-broadcast media.

Children’s exposure to food advertising: the impact of statutory restrictions.

Whalen R et al. (2017) Children’s exposure to food advertising: the impact of statutory restrictions. Health Promotion International, 34(2), 227‐235.

Commercial promotion of food to children

"A combination of statutory and government-approved private sector self-regulation techniques are used to control the commercial promotion of food to children. Statutory rules apply to child-targeted television advertisements for HFSS foods as defined by the nutrient profiling scheme developed by the Food Standards Agency. “Child-targeted” marketing is defined as marketing during preschool children’s programmes, during programmes made for children under the age of 16 in children’s airtime, and youth-oriented programming that attracts a significantly higher-than-average proportion of viewers younger than 16 years (the proportion of viewers under 16 is 20% higher than the general viewing population). The rules apply to commercial and public service broadcast channels and all cable and satellite channels. The objectives are to limit children’s exposure to advertising for HFSS products and to restrict the use of advertising techniques appealing to children." - WHO

Does participation in a population-based dietary intervention scheme have a lasting impact on fruit intake in young children?

Fogarty AW et al. (2007) Does participation in a population-based dietary intervention scheme have a lasting impact on fruit intake in young children? International Journal of Epidemiology, 36(5), 1080-1085.

Evaluation of the effectiveness of front-of-pack labelling

Sacks G et al. (2009) Impact of front-of-pack ‘traffic-light’ nutrition labelling on consumer food purchases in the UK. Health Promotion International, 24(4), 344-352.

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)

Living Streets

UK charity campaigning to get everyone out walking more

MEND (Mind,Exercise,Nutrition...Do it!) 5-7 Programme

"The MEND 5-7 programme is a comprehensive, multi-component intervention designed to tackle obesity inchildhood. The programme supports families by provid-ing information on child nutrition (based on governmenthealthy eating guidelines), active play and parenting prac-tices to help parents practically integrate these recom-mendations into everyday life. The programme uses anon-diet approach to prevent unduly restrictive eatingwhich can lead to problematic eating behaviours."

re:balance

Weight loss programme based in Camden or Islington. You can either refer yourself or a GP can refer you._x000D__x000D_ Rebalance is a 12 week, group, weight-loss programme of exercise and dietary advice for overweight or obese adults. It covers nutritional advice, healthy-eating guidance, online, cognitive behavioural support and help to get active.

The Family Project (a multi-disciplinary family-based programme for treating childhood obesity)

A multi-component family focused education package involving physical activity sessions and educational workshops focusing on; healthy eating, physical activity, reducing sedentary behaviour, behaviour change and psychological well being. Workshops were also delivered by a multi-disciplinary team comprising; a dietitian, physical activity health promotion officer, an educational or clinical psychologist and 2-3 physical activity instructors.