1. Tackling obesity: an ecological public health approach Geof Rayner, PhD Associate Professor of Public Health, Brunel University UK Visiting Research Fellow, City University UK Director, GRAssociates consultancy [email_address] 18th Consumers International World Congress, Sydney

5. 1. Background

6. USA : 2 out of 3 overweight, 1 out of 3 obese “ among adults aged at least 20 years in 1999-2002, 65.1% were overweight or obese, 30.4% were obese, and 4.9% were extremely obese” Hedley, AA, Ogden, CL, Johnson, CL, Carroll, MD, Curtin, LR, Flegal, KM. Overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA 291:2847-50. 2004

7. Variation by ethnic group (US) Hedley, AA, Ogden, CL, Johnson, CL, Carroll, MD, Curtin, LR, Flegal, KM. Overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA 291:2847-50. 2004

8. Projections - England Klim McPherson Martin Brown & Tim Marsh Quantitative Modelling, Source: Foresight, Tackling Obesities: Future Choices – Project Report UK Government Office for Science 2007

9. Projections - England Klim McPherson Martin Brown & Tim Marsh Quantitative Modelling, Source: Foresight, Tackling Obesities: Future Choices – Project Report UK Government Office for Science 2007

10. Emerging global epidemic The cover of "The Economist", Dec. 13-19, 2003.

11. WHO (2005) Preventing Chronic Diseases: a vital investment. Overview. Geneva: WHO p.4

13. CHD mortality in all Finland and in North Karelia 35-64 year old men -75% -82% 100 200 300 400 500 600 700 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 2000 2001 2002 Year North Karelia All Finland start of the North Karelia Project extension of the Project nationally Source: Pekka Pushka, National Public Health Institute, Finland

14. 2 Science and policy

15. Foresight obesity map: a picture of complexity! Source: Foresight, Tackling Obesities: Future Choices – Project Report UK Government Office for Science 2007

16. What theoretical models are used to explain obesity? Adapted from: Tim Lang, Geof Rayner, Obesity: a growing issue for European policy? Journal of European Social Policy, Nov 01, 2005; 15: 301-327.

18. Source: Pepsico Example of dietary transition: soft drinks – following USA?

19. Example of dietary transition: fat overproduced and consumed WHO/FAO (2003) Diet, Nutrition and the Prevention of Chronic Diseases. WHO TR 916 p.18

20. Example of dietary transition: packaged food Source: Euromonitor, 2003 http://www.euromonitor.com 

21. Physical activity transition: motorised transport 1930-2000 Michael P Walsh, Motor Vehicle Pollution Control, Paper to China Fuel Economy Workshop, Hong Kong, December 13, 2004, http://www.walshcarlines.com/china/Applying%20The%20Lessons%20To%20China%20-%20MOVE%20.pdf

22. Drivers of diet and culture: ‘supermarketisation’

23. New supermarket culture: Tesco (Bangkok)

24. Yum! Brands: World's largest restaurant company: 34,000 restaurants, 100 countries New food culture: KFC (Bangkok)

25. 3. Rethinking public health and consumerism

26. There are world-wide actions underway to counter child obesity Source: Foresight, Tackling Obesities: Future Choices – Project Report UK Government Office for Science 2007

27. Auditing national policies to counter obesity (Europe) Policies to reduce and prevent excess body weight and obesity in children and adolescents, WHO Europe, Factsheet 2.7, May 2007