Newsletter 6/2017

Editorial

JANPA: MANY CONCRETE AND POSITIVE CONCLUSIONS, WHAT NEXT?

For 27 months, 26 European countries, with 39 public institutions and the technical support of the Joint Research Center of the European Commission and the WHO Regional Office for Europe, under the coordination of France (French Agency for Food, Environmental and Occupational Health & Safety – ANSES and French Ministry for Solidarity and Health - DGS), worked together within the “Joint Action on Nutrition and Physical Activity – JANPA”. The objective was to contribute to halting the rise of childhood obesity in Europe. JANPA is a “building block” for the implementation of the “EU Action Plan on Childhood Obesity 2014-2020”, initiated through the work of the member states within the High Level Group on Nutrition and Physical Activity chaired by the European Commission.

 

On 24th of November, the final conference of JANPA was held in Paris attended by more than 250 public health and physical activity professionals, representatives of the food industry, consumer protection and health associations from around 30 countries. The purpose of the conference was to present and discuss the results of JANPA and to envisage the future according to the conclusions and recommendations presented in the JANPA Position Paper. Vytenis Andriukaitis, Commissioner for Health and Food Safety, and Professor Agnès Buzyn, French Minister for Solidarities and Health, opened the conference. They reminded the audience of the strong political commitment to improve the nutritional situation in Europe and particularly to tackle childhood obesity. This political commitment is translated into a great number of concrete actions at national and European Level. Dr Francesco Branca, Director of the Department of Nutrition for Health and Development at WHO Headquarters, reminded the participants of the United Nation Decade of Action on Nutrition, decided on by the UN Assembly in 2016, and the different objectives and strategies aimed at reducing all forms of malnutrition around the world. Prof Aileen Robertson, for The Health Equity Pilot Project supported by the European Commission, presented data on the links between social inequalities mothers’ obesity, impact on pregnancy and breastfeeding, with finally the risk of transferring intergenerational obstetric complications and poor generational health and socio-economic development.

 

The various concrete results of JANPA were presented by the Action’s work package leaders:

 

1) The future costs of childhood obesity were estimated at country level thanks to a model which takes into account the health care costs and the societal costs linked to premature mortality and loss of productivity. These estimates can be critical for advocating, at national level, when government decisions are to be arbitrated. Close links with the OECD’s economics of prevention project are to be created in order to obtain results for more European countries in the near future.

 

2) The need to improve the nutritional information in order to contribute to the citizens’ food purchasing decisions and to gain knowledge of the variability of the nutrient content of the foods was recognized. The French OQALI model was tested in Romania and Austria, on two categories of products highly consumed by children: breakfast cereals and soft drinks. The pilot study demonstrated that OQALI is a realistic tool for gathering information on the situation within and between countries. Based on this knowledge, common goals for food reformulation and its monitoring through public institutions are realistic. The European Commission announced that thanks to specific funding, it should be possible to get a “snapshot” of country situations in order to get a first measure of the variability of the nutritional composition of foods across Europe.

 

3) Criteria to select best practices for early interventions and actions within the school settings starting from kindergarten were defined and implemented in order to perform a strict selection of these best practices among participating countries. Based on the description and a qualitative analysis of these best practices, an on-line tool box was created which allows the actions to be selected using search criteria such as country, intervention focus, type of intervention, budget, etc. (www.janpa-toolbox.eu). Based on the analysis, recommendations were made to build, implement, make sustainable a best practice and facilitate its transferability. This work can be used by the Commission in the process initiated on the sharing of best practices to tackle non-communicable diseases.

 

These results were commented in a roundtable with the participation of representatives from the European Commission – DG SANTE, WHO – Europe, the industrial and associative sectors (World Obesity Federation, BEUC, FoodDrinkEurope). All participants under lighted the importance and the interest of the work implemented by JANPA and shared their positive vision on the future use of the results.

 

In conclusion, all the teams contributing to JANPA are proud to provide concrete and directly usable results. JANPA has sown seeds that will have to grow to achieve the goal of halting the rise of childhood obesity. The High Level Group on Nutrition and Physical Activity and the Steering Group on Prevention and Promotion of the European Commission can be tasked with monitoring these developments and their implementation.

 

 

FINAL CONFERENCE PRESENTATIONS AND INTERVENTIONS

 

Introductory words

Agnès Buzyn, Minister, French Ministry for Solidarity and Health

 

Speech at the conference of the Joint Action on Nutrition and Physical Activity

Vytenis Andriukaitis, European Commissioner, Health and Food Safety

 

Brief overview of JANPA (pdf 855 kb)

Coordinators: Michel Chauliac - French Ministry for Solidarity and Health, France and Salma Elreedy - French Agency for Food, Environmental and Occupational Health & Safety, France

 

Keynote speech:

Addressing children overweight and obesity: strategies, challenges and perspectives. What is new from an international point of view? (pdf 3.4 Mb)

Francesco Branca, Director of the Department of Nutrition for Health and Development - WHO, Geneva

 

Session 1. Based on selected best practices: lessons learnt for the WHAT and HOW to prevent childhood obesity from pregnancy to school age

Moderator: Hélène Thibault, JANPA external evaluator, Paediatrician, paediatric unit of University hospital of Bordeaux, Coordinator of Specialized Center for Paediatric Obesity of Aquitaine region

Coordinator of RePPOP Aquitaine: regional health network for the prevention and care management of paediatric overweight and obesity - Vice-president of APOP - Association pour la Prise en charge et la Prévention de l’Obésité en Pédiatrie (France)

Comments

  • Panellist: Sandra Caldeira, Project Manager, Nutrition and Health at the European Commission's Joint Research Centre (JRC)
  • Pascale Duché, Professor of Pediatric Exercise Physiology - Université Clermont Auvergne - France

Session 2. How to produce and use nutrition information to promote reformulation and improve food behaviors?

Moderator: Nathalie Farpour-Lambert, JANPA external evaluator, Head of the Obesity Prevention and Care Program “Contrepoids”, University Hospitals of Geneva, Switzerland;

President-Elect of the European Association for the Study of Obesity - EASO

Comments

  • Panellist: Stéphan Marette, Directeur de recherche - INRA, France

Social inequalities, health and nutrition situation among European children (pdf 1.6 Mb)

Aileen Robertson, Public Health Nutritionist, Metropolitan University College Copenhagen - The Health Equity Pilot Project

 

Session 3. Today's childhood obesity and overweight will place a huge burden on social budgets for the next decades: is it an argument for ambitious public preventive policies?

Moderator: Nathalie Farpour-Lambert, JANPA external evaluator, Head of the Obesity Prevention and Care Program “Contrepoids”, University Hospitals of Geneva, Switzerland;

President-Elect of the European Association for the Study of Obesity - EASO

Comments

  • Panellist: Michele Cecchini, Lead economist of the programme of work on public health at the Organisation for Economic Co-operation and Development - OECD

Session 4. What are the strategic orientations for the future?

  • Presentation of JANPA Position Paper (pdf 684 kb)
    Angela Spinelli, WP2 leader – ISS, Italy
     
  • Roundtable discussion on the challenges for the future
    Moderator: Maria Hassapidou, WP3 leader – ATEITH, Greece
    Discussants:
    Artur Furtado, Deputy Head of Unit, Health Determinants and Inequality, EC - DG SANTE,
    João Breda, Head of the WHO European Office for the Prevention and Control of Noncommunicable Diseases and Programme Manager, Nutrition, Physical Activity and Obesity, WHO Europe,
    Johanna Ralston, Chief Executive Officer, World Obesity Federation,
    Monique Goyens, Director General, BEUC,
    Dirk Jacobs, Deputy Director General, Director Consumer Information, Diet and Health, FoodDrinkEurope

Closing remarks

Roger Genet, Director General, ANSES – France

 

OUTCOMES OF JANPA

POSITION PAPER

TACKLING CHILDHOOD OVERWEIGHT AND OBESITY IN EUROPE. LESSONS LEARNT FOR THE PROMOTION OF NUTRITION AND PHYSICAL ACTIVITY POLICIES IN EUROPE (pdf 900 kb)

Defined with the support of all work package leaders, the Position Paper arises from the experience gained in JANPA and contains the recommendations for the application of the Joint Action results.

 

FINAL BROCHURE

TACKLING CHILDHOOD OVERWEIGHT AND OBESITY IN EUROPE. LESSONS LEARNT AND RECOMMENDATIONS FROM THE JOINT ACTION ON NUTRITION AND PHYSICAL ACTIVITY - JANPA (pdf 492 kb)

This short summary contains the main results, conclusions and recommendations of the Joint Action.

 

FINAL GUIDANCE DOCUMENT ON THE INTEGRATED APPROACH AND ITS POTENTIALS - RESULTS OF WORK PACKAGE 6: HEALTHY ENVIRONMENTS

Numerous local and national programmes and policies aim to curb increasing obesity levels by promoting healthy nutrition and physical activity in kindergartens or schools. Some of these programmes or programme elements have been shown to be more effective in preventing obesity and/or its risk factors and thus can serve as a good example for other countries to follow.

 

This Guide has two aims: first, to present examples of good practices collected from 16 European countries following a strict and standardized protocol; secondly, to provide lessons learnt and conclusions on HOW to design and implement effective and sustainable actions.

 

These conclusions were synthetized based on the experiences of programme planners, decision makers, and those working in programme implementation via semi-structured interviews and online questionnaires carried out in the WP6 countries (Bulgaria, Estonia, France, Germany, Greece, Hungary, Italy, Latvia, Luxembourg, Poland, Romania, Slovakia, Slovenia, Spain plus Ireland and Malta).

 

For further information read the Report (pdf 2.2 Mb)

 

SUMMARY OF GOOD MODELS REPORT WITH RECOMMENDATIONS FOR ACTIONS TO BE IMPLEMENTED - RESULTS OF WORK PACKAGE 7: EARLY INTERVENTIONS

This report presents a summary of the best practices that are focusing on pregnant and lactating mothers and families with children under 3 years of age. There is information on 20 different practices from 9 European countries (Austria, Bulgaria, Croatia, Finland, Germany, Italy, Malta, Norway and Romania). The data collection in the WP7 aimed at finding good examples of multicomponent interventions and evaluating and analyzing successful actions. Information on both ongoing and finished or institutionalised/continued programmes/interventions was collected, as well as country-specific contextual information concerning childhood overweight and obesity prevention.

This report presents the results, per country and programme/intervention through various themes such as “equity”, “comprehensiveness”, “transferability”, “sustainability” and “evaluation”.

 

It gives the lessons learnt and the final recommendations of the “Early interventions” WP7 of JANPA. Effective public health policies and actions can halt the rise of childhood overweight and obesity and add healthy years to life. Promotion of healthy life-styles and ensuring access to health services for everybody regardless of gender, ethnicity and socioeconomic background is crucially important and should start early in life.

 

For further information read the Report (pdf 1.5 Mb)

 

INFOSHEETS ABOUT THE MAIN DELIVERABLES

JANPA EVALUATION, WE COUNT ON YOUR VIEW!

The aim of Work Package 3 Evaluation (WP3) is to assess whether JANPA was carried out as agreed to in the Grant agreement, if it was on the right track and if it achieved its objectives. Special attention is given to the evaluation of the efficiency, effectiveness and sustainability of the Joint Action. As JANPA ends, it is time for a review of the first benefits of this important project. As part of the evaluation process and final report preparation, we need the feedback of partners and stakeholders regarding the value of JANPA’s work and its recommendations, as well as, for the available deliverables, how this may have already influenced the decision making process as related to the objective of halting the rise of overweight and obesity in children and adolescents by 2020 in Europe.

 

Request for feedback: We request your feedback, we count on your views in order to incorporate them as an objective external opinion from our key stakeholders, over the quality and the impact of the initiatives that JANPA partners undertook in the last 2 years. Therefore, the WP3 leader cordially invites you to give us your opinion and feedback via a very simple and easy to fill questionnaire that will be sent soon to your e-mail address.

 

 

Collaborated to this newsletter:

- Michel Chauliac, French Ministry for Solidarity and Health- Directorate General for Health (DGS FR), France
- Salma Elreedy, French Agency for Food, Environmental and Occupational Health & Safety (ANSES), France
- Karin Vin, French Agency for Food, Environmental and Occupational Health & Safety (ANSES), France
- Liliya Stefanova, French Agency for Food, Environmental and Occupational Health & Safety (ANSES), France
- Camille Pestre, French Agency for Food, Environmental and Occupational Health & Safety (ANSES), France
- Maria Hassapidou, Alexander Technological Educational Institute of Thessaloniki (ATEITH), Greece
- Konstantinos Bouas, University Hospital of Aristotle University of Thessaloniki (AHEPA), Greece
- Heli Kuusipalo, The National Institute for Health and Welfare (THL), Finland
- Viktoria Anna Kovacs, National Institute of Pharmacy and Nutrition, (OGYEI), Hungary
- Kevin Balanda, The Institute of Public Health in Ireland, (IPH IRL), Ireland

 

Editorial committee: Eva Appelgren, Pierfrancesco Barbariol, Chiara Cattaneo, Barbara De Mei, Lorenzo Fantozzi, Carla Faralli, Susanna Lana, Antonella Lattanzi, Paola Luzi, Angela Spinelli. Istituto Superiore di Sanità (ISS), Italy.

 

 

The content of this newsletter represents the views of the author only and is his/her sole responsibility; it cannot be considered to reflect the views of the European Commission and/or the Consumers, Health, Agriculture and Food Executive Agency or any other body of the European Union. The European Commission and the Agency do not accept any responsibility for use that may be made of the information it contains.