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The Impact of Unhealthy Diets Dr. Bärbel-Maria Kurth Badenweiler, Germany

Prevention for Health Nutrition and Physical Activity – A Key to Healthy Living. The Impact of Unhealthy Diets Dr. Bärbel-Maria Kurth Badenweiler, Germany Conference from 25 – 27 February 2007. Dietary Habits and Health What do we know? What is recommended ?

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The Impact of Unhealthy Diets Dr. Bärbel-Maria Kurth Badenweiler, Germany

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  1. Prevention for HealthNutrition and Physical Activity – A Key to Healthy Living The Impact of Unhealthy Diets Dr. Bärbel-Maria Kurth Badenweiler, Germany Conference from 25 – 27 February 2007

  2. Dietary Habits and Health What do we know? What is recommended? Epidemiological Background in Europe Knowledge of Dietary Habits European Activities for Harmonisation National Activities Nutritional Report of the Netherlands: „Our Food-Our Health“ Health and Nutritional Surveys in Germany Vision for Europe European Public Health Nutritional Concept

  3. Dietary Habits and Health What do we know?

  4. Evidence for relationships between nutrients and several chronic diseases (adapted from RIVM 2004, WHO 2003)

  5. Evidence for relationships between foods and several chronic diseases (adapted from RIVM 2004, WHO 2003)

  6. Recommendations for „healthy diet“: Balanced diet: British Journal of Nutrition, Vol. 92 supplement 2, October 2004 or Dietary Guidelines for Americans: www.helathierus.gov/dietary guidelines or the nutritional pyramid of the US Department of Agriculture: www.mypyramid.gov EURODIET recommends: “Guidelines should first be developed for individual member states.”

  7. The 5 a day initiative: (Started by the NIH, USA)Model projects in several European Countries Promoted by many organisations, WHO, the European Commission, the World Cancer Research Fund, the German Cancer Society, the IARC

  8. Epidemiological Background in Europe

  9. Knowledge of Dietary Habits • European Nutrition and Health Report 2004(Forum of Nutrition, Vol. 58): • Summarising National Nutrition ans Health Reports: • Too high intake of fat, especially saturated fat • Generally too high intake of alcohol, especially for men • Too high availability of meat and meat products • In some countries low availability of fruits and vegetables • Generally inadequate intake of some vitamins and minirals • Alarming high prevalence of overweight and obesity

  10. European Activities for Harmonisation EURODIET project (2000): Methodological differences between the European countries in approaches to dietary surveys have a remarkable influence on the results and their comparability. European projects: Developing standardised method for dietary surves: EFCOSUM (European Food Consumption Survey Method) EFCOVAL (European Food Consumption Validation) Establishing a European nutritional data base: EuroFir-Projekt (European Food Information Resource Network) EUROFOODS-ENFANT (European Network on Food and Nutrition Tables

  11. National Activities Nutritional Report of the Netherlands

  12. Our food, our healthHealthy diet and safe food in the Netherlands (2006)

  13. Our food, our healthHealthy diet and safe food in the Netherlands (2006) Goals: Stopping the further increase of the prevalence of overweight in the population Balanced Diet: Proper composition of fatty accids in the diet regular fish consumption, adequate fruit and vegetables intake

  14. Priority 1: The promotion of healthy diet, which involves a two-pronged approach: Reduction of overweight and obesity Healthy diet Promotion of a healthy composition of diet

  15. National Activities Health and Nutritional Surveys in Germany

  16. Health and Nutritional Surveys in Germany Knowledge of the composition of diet

  17. Main sources of energy intake in Germany (National Health Survey 1998, German Population 18-80 years)

  18. Intake below recommended level (National Health Survey 1998, German Population 18-80 years)

  19. Percentage of adults which consume more than 400 g fruitsand vegetables per day (excluding juices) (National Health Survey 1998, German Population 18-80 years)

  20. National Health Survey for children and adolescents (0-17 years)Germany 2003-2006 (KiGGS) The survey was conducted from May 2003 till May 2006 in 167 cities and communities (Sample Points). Boys and girls aged 0 to 17 years were chosen randomely from population registries.

  21. (KiGGS) : Self-administered Questionnaire: parents, children, adolescents • Physical Health, Diseases • Mental Health, Problems • Social Health, Living conditions • Lifestyle, Health Behaviour,Health Risks • Health Care

  22. (KiGGS): Physical Measurements and Tests • anthropometry • vision tests • blood pressure, heart rate • motor activity, co-ordination • sonography of the thyroid gland

  23. National Health Interview and Examination Survey of Children and Adolescents (KiGGS)

  24. Percentage of boys and girls with daily fruit consumption (KiGGS results)

  25. Percentage of boys and girls with daily vegetable consumption (KiGGS results)

  26. Percentage of boys and girls with daily soft drinks consumption (KiGGS results)

  27. Outlook: EsKiMo -The Eating study as aKiGGSModule • A nutrition survey in 2006 in a subsample of KiGGS • Parents of children aged 6-11 years filled in a 3 day dietary record • Participants aged 12-17 years were interviewed at home (diet history)

  28. Health and Nutritional Surveys in Germany Overweight and obesity

  29. Prevalence of Obesity (95% Confidence Interval) National Health Surveys from 1984 to 1998, Men Alte Bundesländer Neue Bundesländer H. Knopf, G. Mensink, E. Bergmann, Th. Lampert

  30. (KiGGS): Prevalence of overweight and obesityChildren and adolescents 3-17 years Overweight Subgroup: Obesity 10% 3% Clear increase over reference data from 1985-1999.No differences between boys and girls.

  31. (KiGGS): Prevalence of overweight by age groups 10% Strong increase in primary school age, afterwards only a slight further increase.

  32. (KiGGS): Prevalence of obesity by age group 3% Strong increase in primary school age, especially in boys.

  33. (KiGGS): Prevalence of obesity by socioeconomic status Obesity is more prevalent in children coming from families with lower socioeconomic status.

  34. (KiGGS): Prevalence of obesity by migration status Children with migration background show higher obesity prevalences

  35. Vision for Europe European Public Health Nutritional Concept

  36. European Community Health Indicator Project (ECHI) European Community Health Indicator Project (ECHI), collecting comparable health indicators for application in all European countries “short list”: Indicators recommended as basis for European data collection.

  37. European Community Health Indicators (ECHI-shortlist) for Nutrition & Health

  38. European Community Health Indicators (ECHI) referring to nutrition

  39. European Health Interview Survey • In case that recommended indicators will be integrated • the comparability of food patterns will be achieved. • Result: • Setting European Priorities • European recommendations for balanced Diet • European activities for healthy diet • and…..

  40. Our food, our healthHealthy diet and safe food in Europe

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