Joint action on Nutrition and Physical Activity Dr Michel Chauliac Direction générale de la santé France Context 2006, Strategy on nutrition, overweight and obesity related issues (Commission). -Two groups are linked to the implementation : HLG on nutrition and Physical activity, Member States share on the implementation of national nutrition and physical activity policies . They might share common objectives and specific strategies EU Platform for action on diet, physical activity and diet : stakeholders can make commitments to act for Nut and Physical activity . – External evaluation 2012 ; Irish Presidency. In February 2014 an Action plan on childhood obesity 2014-2020 was adopted as a result of a coordinated work between Member States. EU Action plan on childhood obesity 2014-2020 Objective : Halt the rise in overweight and obesity in chldren and young people (0-18 years) by 2020 Areas for action -Support a healthy start -Promote healthier environments, especially in schools and preschools -Make the healthy option the easier option -Restrict marketing and advertising to children -Inform and empower families -Encourage physical activity -Monitor and evaluate -Increase research A focus on social inequalities in health and nutrition The Joint action on Nutrition and physical activity 2015-2017 Not finalised, all informations are putative A tool which allows a deepening of the cooperation between MS in activities related to nutrition and physical activities. It contributes to the implementation of the Action plan on childhood obesity 2014-2020. Various discussions in the HLG ; three specific meetings May, July, October Countries involved 3 general WP : •Coordination •Dissemination •Evaluation 4 technical WP The final objective is to contribute to the reduction of childhood obesity in EU. Specific Objectives (putative) -Identify , analyze and share, between voluntary MS, useful knowledge to advocate on the subject and best practices to act in order to improve the consumption of a healthy diet with better nutritional quality foods, to increase the level of physical activity and to reduce the sedentary behaviours ; -Identify mechanisms to support the implementation of best strategies, actions and practices and possibly initiate the implementation of some ; - Create recommendations and tools to advocate and implement concrete specific actions aiming at the improvement of nutrition and physical activity particularly of children; - Ensure that these strategies and actions do not increase social inequalities in nutrition. The work will take into consideration the food and nutrition as well as the physical activity aspects on a “health in all policies” view , the role of the families, the question of the social inequalities in nutrition. Different mode of actions are considered in the Joint Action on Nutrition •The use of economic evaluation of the cost of obesity to advocate and encourage public action, •The analysis, at national level, of the information on the nutritional quality of foods, its use by various stakeholders, the way to monitor with the aim to improve it •The integrated actions at local level for diet and physical activity, with children from in utero to the end of school age as a target, families and profesionals as main actors of the actions, kindergarten and schools as settings, WP4 Evidence based for policy (Ireland) Objective : to develop the economic rationale for action on childhood obesity. This rationale will develop evidence on the prevalence, impact and cost of obesity in the EU and will be framed in terms of the potential savings and cost reductions that might be achieved by halting the obesity epidemic. The data will be fed into an economic model to provide the current economic cost of this burden. Assuming everything stays the same, this data will provide the baseline for forecasting this burden and the cost involved to 2025. WP5 Food and nutritional information and monitoring Objective : Share the best practices on how the nutritional information on food and diet is gathered and used for nutritional policy by the different stakeholders. The use of these best practices will contribute to the improvement of the nutritional food quality within and between countries by creating a virtuous circle among the food providers and empowering families by giving them nutritional information on foods. Compare and benchmark, within and between countries participating in the workpackage, the food information provided on foods and available for the families Compare and benchmark within and between countries how this information is used for the nutritional policy (reformulation by the industry and retailers, information of public health professionals who are in contact with families, other) Implement a pilot study (with report) in 2 volunteer countries: collect the nutritional information on selected foods, harmonize the analysis and presentation of the data, test the use of this information for the different aims and stakeholders WP6 Healthy environments by integrated approaches Objective : help MS to create healthier environments in kindergartens and schools. In this regard, integrated approaches will be analyzed in depth to identify key lessons as well as main facilitators and barriers. WP6 will resulted in a state-of-the-art guidance and a web-based toolbox for program planners and decision makers on “healthy environment by integrated approaches”. Integrated approaches are 1) addressing multiple aspects of childhood obesity; 2) involving all stakeholders of a particular setting; 3) including actors from different sectors; and 4) multi-level measures. Specific objectives: •Frame a definition for good practices in childhood obesity prevention by integrated approaches •Gather national good practices according to a standardized protocol •Carry on stakeholder analysis involving actors from different sectors •Systematic overview of the collected good practices as well as lessons from the stakeholder analysis •Create guidance and toolbox for decision makers and programme planners WP7 Early intervention/actions The aim of WP/7 is to improve the quality of public policies and interventions promoting healthy diets and physical activity and diminish sedentary behaviour by developing database with models of good practices. Focus is especially in improvement of implementation and transferability (from research to practice/policy) of practical models that target pregnant women and families with small children. WP7 target population group are mothers and families expecting a child or with children up to the age of two. It is crucial to include fathers and other care-takers, not only mothers A Health education generally is conveyed to the families through health professionals, they need to have motivational tools to give proper information on nutrition and physical activity In addition to universal measures it is necessary to consider the increased differentiation of European populations and include selective interventions that focus on lower socioeconomic and immigrant groups This paper was produced for a meeting organized by Health & Consumers DG and represents the views of its author on the subject. These views have not been adopted or in any way approved by the Commission and should not be relied upon as a statement of the Commission's or Health & Consumers DG's views. The European Commission does not guarantee the accuracy of the data included in this paper, nor does it accept responsibility for any use made thereof.