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10/12/15 Anne de Looy Professor of Dietetics University Plymouth UK - PDF document

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10/12/15 Anne de Looy Professor of Dietetics University Plymouth UK EFAD Hon President www.efad.org Amsterdam October 2015 Europe 2020 is the EUs growth strategy for the coming decade. In a changing world we want the EU to become a

  1. 10/12/15 Anne de Looy Professor of Dietetics University Plymouth UK EFAD Hon President www.efad.org Amsterdam October 2015 Europe 2020 is the EU’s growth strategy for the coming decade. In a changing world we want the EU to become a smart, sustainable and inclusive economy . These three mutually reinforcing priorities should help the EU and the Member States deliver high levels of employment, productivity and social cohesion . Concretely the Union has set five ambitious objectives – on employment, innovation, education, social cohesion and climate/energy – to be reached by 2020. http://ec.europa.eu/europe2020/index_en.htm www.efad.org ¡ ¡ ¡Amsterdam ¡October ¡2015 ¡ 1

  2. 10/12/15 Health 2020 supports and encourages health ministries to bring key stakeholders together in a shared effort for a healthier European Region. http://www.euro.who.int/en/what-we-do/health-topics/health-policy/health-2020 www.efad.org ¡ ¡ ¡Amsterdam ¡October ¡2015 ¡ Risk management Data collection Individualised diets Society and food systems 2050 www.efad.org Amsterdam October 2015 2

  3. 10/12/15 www.efad.org Amsterdam October 2015 Proportion of overweight and obese males and females to increase in most European countries by 2030, say latest projections by WHO (Dr Joao Breda, ECO 2015 unpublished ) c t e o j r P y i t s e b O g n l i e l d o M O H W e h t f o r t a p m Dr Breda says: “Although this was a forecasting r o f s e a t m i s t e exercise, and therefore data needs to be By 2030 interpreted with caution, it conveys two strong “almost all Irish adults are projected to be messages—first that the availability and quality overweight” of the data in countries needs to be improved, 91% men overweight (which includes obese) and second these predictions show that more 83% women overweight and 57% obese needs to be done in terms of preventing and tackling overweight and obesity.” 77% of Greek men overweight and 44% obese 67% of Greek women overweight and 40% obese www.efad.org Amsterdam October 2015 3

  4. 10/12/15 Overweight and obesity continue to grow n t e s p e r a t s g e d b u h l t e a h U E a l o t t o f % y 7 s i t e o b o t e d k i n s l e a s e d i s o n a r y e h c e a U E e h n t i h s a t e d d n o n a l i t y m i l s i b e 8 o 2 . o d t e n k l i s s e u c a m o f r l t s u e r (WHO Global Status Report on NCDs 2010) h t i g w e r v e o oecd, 2012 www.efad.org Amsterdam October 2015 Are dietitians ready to deliver all relevant health care advice? Across Europe? 4

  5. 10/12/15 www.efad.org Amsterdam October 2015 Economics of providing care for a good life? www.efad.org Amsterdam October 2015 5

  6. 10/12/15 www.efad.org Amsterdam October 2015 http://www.idf.org/diabetesatlas/content/what-is-diabetes www.efad.org Amsterdam October 2015 6

  7. 10/12/15 OECD (2012) Toward a new comprehensive international health and healthcare policy decision support tool www.efad.org Amsterdam October 2015 Although anyone could have limited health literacy – and 42% of all working-age adults are unable to make use of everyday health information ……… .. People and Limited health literacy population undermines people’s groups with ability to take control limited financial of their health and the and social conditions that affect resources are their health. more likely to have limited Health literacy thus contributes to health literacy. health inequalities because the population groups most at risk of low health literacy are also known to have the poorest health outcomes. www.efad.org Amsterdam October 2015 7

  8. 10/12/15 “60% of life is spent at work; 30% of daily food is consumed at work. One in six working people live with a long term condition, such as diabetes, heart disease, respiratory disease or a disability.” Fiona McCullough, Chairman British Dietetic Association 2014 www.efad.org Amsterdam October 2015 www.efad.org Amsterdam October 2015 8

  9. 10/12/15 Food4Me; EU project on personalised diet (e-health) www.efad.org Amsterdam October 2015 Social • Respect • Acceptance • Recognise incurability • Stigmatisation • All stakeholder discussion • Shared responsibility Society www.efad.org Amsterdam October 2015 9

  10. 10/12/15 Better quality of Life Lower medical care costs Higher production lower social insurance costs www.efad.org Amsterdam October 2015 } Commissioned Dutch Association of Dietitians Nov 2012 } Dietitians in primary care } Authors M Lammers and L Kok www.efad.org Amsterdam October 2015 10

  11. 10/12/15 www.efad.org Amsterdam October 2015 www.efad.org Amsterdam October 2015 11

  12. 10/12/15 } Care for patients with (multiple) medical conditions } The medical diagnosis of the patients treated by the dietitian vary widely from underweight to overweight and from cancer to COPD. The needs of the patients from the dietitian are often complex as the majority of the patients who were treated by a dietitian in 2010 have more than one medical or dietetic diagnosis. } The dietary management focus on the individual and his or her own self-management. Cost benefit analysis of dietary treatment (2012) Lammers and Kok www.efad.org Amsterdam October 2015 100 employees = 26 days/yr increased productivity . . .. . www.efad.org Amsterdam October 2015 12

  13. 10/12/15 } ‘Treatment by the dietitian has various social benefits. The health of the patient (and his family) improves, such that the costs of health care can be avoided and the productivity of the patient increases. } For every € 1 spend on dietary counselling of these patients society gets a net of € 14 to € 63 in return: € 56 in terms of improved health, € 3 net savings in total health care costs and € 4 in terms of productivity gains. } The treatment of the patients with obesity and obesity-related diseases creates social benefits of € 0.4 to € 1.9 billion over a period of five years.’ www.efad.org Amsterdam October 2015 “ Of the six WHO regions, the European Region is the most severely affected by NCDs, which are the leading cause of disability and death; cardiovascular disease, diabetes, cancer and respiratory diseases (the four major NCDs) together account for 77% of the burden of disease and almost 86% of premature mortality”. www.efad.org Amsterdam October 2015 13

  14. 10/12/15 Accepted by the Regional Committe ttee for Eu Europe* (EUR/RC64/14) in Copenhagen, 15–1 –18 Septe tember 2014 2014 “The intention of the Action Plan is to significantly reduce the burden of preventable diet-related non- communicable diseases, obesity and all other forms of malnutrition still prevalent in the WHO European Region.” * all governments (Ministries of Health) www.efad.org Amsterdam October 2015 } Of the six WHO regions, the European Region is the most severely affected by NCDs, which are the leading cause of disability and death; cardiovascular disease, diabetes, cancer and respiratory diseases (the four major NCDs) together account for 77% of the burden of disease and almost 86% of premature mortality. } The promotion and accessibility of a healthy and varied diet (that is both available and affordable) is thus a key lever to improve the health, well-being and quality of life of the population, promote healthy ageing and reduce health inequalities. } This Action Plan provides guidance to Member States to support and encourage wider implementation of a “menu” of effective policies at the national level, including coherent, coordinated, multi-sectoral approaches. www.efad.org Amsterdam October 2015 14

  15. 10/12/15 Ø Objective 1 – Create healthy food and drink environments Ø Objective 2 – Promote the gains of a healthy diet throughout the life course, especially for the most vulnerable groups Ø Objective 3 – Reinforce health systems to promote healthy diets Ø Objective 4 – Support surveillance, monitoring, evaluation and research Ø Objective 5 – Strengthen governance, alliances and networks for a health-in-all-policies approach www.efad.org Amsterdam October 2015 } EFAD ¡then: ¡ ◦ founded ¡in ¡1978 ¡ ◦ 10 ¡member ¡associaAons ¡represenAng ¡10,000 ¡dieAAans ¡ ¡ } EFAD ¡now: ¡ ¡ ◦ 29 member associations (4 affiliated) members, representing over 35,000 dietitians in 29 countries ◦ 34+ education (HEI) associate members } EFAD is the only EU Platform advocating for development of the dietetic profession www.efad.org Amsterdam October 2015 15

  16. 10/12/15 Health 2020 Eur Food & Nutrition Action Plan 35,000 dietitians in 29 countries. www.efad.org Amsterdam October 2015 Health 2020 Eur Food & Nutrition Action Plan 35,000 dietitians in 29 countries. www.efad.org Amsterdam October 2015 16

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