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Sahar Zaghloul (NNC) •2019 IFPRI Egypt - NNC Seminar: "100 million healthy lives"

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As part of the IFPRI Egypt Seminar in partnership with the National Nutrition Committee (ASRT affiliated): "100 million healthy lives: Scientific evidence on the double burden of malnutrition in Egypt"

Publicada em: Governo e ONGs
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Sahar Zaghloul (NNC) •2019 IFPRI Egypt - NNC Seminar: "100 million healthy lives"

  1. 1. 100 million healthy lives: Scientific evidence on the double burden of malnutrition in Egypt Introducing a multidimensional framework for control of obesity Sahar Zaghloul National Nutrition Committee Cairo Egypt February 2019
  2. 2. Outline of the presentation • Role of research in management of public health problems. • Obesity is a complex health problem with many factors contributing to weight gain. • Data needed to support decision makers for developing sound strategies and polices. • Research agenda to fill the gap in our knowledge.
  3. 3. Scientific evidence Basis for policy and strategy recommendations Action plan (Government bodies, multistakeholders bodies) Implementation Monitor and evaluation Role of research in management of public health problems
  4. 4. Obesity is a complex health problem with many factors contributing to weight gain.
  5. 5. Knowledge/ Attitude Obesogenic Environment  Walkability  Recreation areas  Food outlets  Transportation system Introducing a multidimensional framework for control of obesity Food Health Food availability, accessibility, affordability Food consumption Obesity  Diabetes  Hypertension  Cardiovascular disease  Cancer  Agricultural products  Imported food  Food Industry  Subsidized food  Social safety net  School canteens  School feeding programs  Food prices  Unemployment  Poverty  GDP  Policies/Food security Lack of Physical Activity  Breastfeeding and complementary feeding  Food consumption patterns  High sugar and sugary beverages  High fat diet (trans fat)  High calories  Low fruit and vegetables  Low dairy products  Unhealthy snacks  Food habits and traditional foods  Food eaten away from home  Iron deficiency anemia  Stunting Microbiota Sahar Zaghloul January 2019 Food advertisment
  6. 6. What do we know ?
  7. 7. “By subsidizing foods such as bread, sugar, edible oil, and rice that are high in calories but poor in vitamins and minerals, the system has inadvertently incentivized people to consume too much cheap, calorie-rich food lacking in nutritional value”. Ecker et al., 2017
  8. 8. What are the data needed to support decision makers for developing sound strategies and polices.
  9. 9. Building a multidimensional framework for control of obesity Good Food Good Health 1
  10. 10. Building a multidimensional framework for control of obesity Food availability, accessibility, affordability Food consumption Obesity DiabetesHypertension, Cardiovascular diseases, Cancer 2
  11. 11. Building a multidimensional framework for control of obesity Agricultural products  Import Foods Processed Foods Subsidized food  Distributed food aids School canteens/ school feeding program Food prices Unemployment Poverty GDP Food policies/Food security Food availability, accessibility, affordability 3
  12. 12. Building a multidimensional framework for control of obesity Food availability, accessibility, affordability Food consumption Obesity DiabetesHypertension, Cardiovascular diseases, Cancer
  13. 13. Building a multidimensional framework for control of obesity Foodconsumption Inadequate breastfeeding and poor complementary feeding Food consumption patterns High sugar and sweeteners beverages High fat diet (trans fat) High calorie diet Low fruits and vegetables Low dairy products Unhealthy snacks High caloric traditional foods Food eaten away from home Poor knowledge of Functional food availability 4
  14. 14. Knowledge/ Attitude/Choice Obesogenic Environment  Walkability  Recreation areas  Food outlets  Transportation system  Iron deficiency anemia  Stunting Food consumption Building a multidimensional framework for control of obesity --Non dietary factors recognized to date Food advertisement Obesity  Diabetes  Hypertension  Cardiovascular disease  Cancer Microbiota Food availability, accessibility, affordability Lack of Physical Activity 5
  15. 15. Knowledge/ Attitude Obesogenic Environment  Walkability  Recreation areas  Food outlets  Transportation system Building a multidimensional framework for control of obesity Food Health Food availability, accessibility, affordability Food consumption Obesity  Diabetes  Hypertension  Cardiovascular disease  Cancer  Agricultural products  Import Foods  Processed Foods  Subsidized food  Distributed food aids  School canteens/ school feeding program  Food prices  Unemployment  Poverty  GDP  Food Policies  Food security Lack of Physical Activity  Inadequate Breastfeeding and poor complementary feeding  Food consumption patterns  High sugar and sugary beverages  High fat diet (trans fat)  High calories  Low fruit and vegetables  Low dairy products  Unhealthy snacks  High caloric traditional foods  Food eaten away from home  Iron deficiency anemia  Stunting Microbiota Food advertisment
  16. 16. X
  17. 17. Key messages  Use of Scientific evidence to achieve a healthy and sustainable food environment for all Egyptians and fill the gap in our knowledge by developing a research agenda to assist decision makers to formulate sound food and nutrition related policies and legal framework.  Raise the priority ranking of NCD prevention by comprehensive actions involving a wide range of stakeholders in association with a research advisory committee.  Reactivation and strengthening of inter-ministerial collaboration √  Update dietary guidelines to reflect the change in the food intake, food habits and practices of Egyptians.  Increase healthy food availability/ accessibility and physical activity environment.  Apply the healthy cities model (WHO) to link between health, nutrition and urban planning.  Design effective, sustainable and multifaceted interventions for obesity prevention  Individual  Community  Systems  Policies  Each intervention alone may have minimal effects but synergism between multiple interventions can halt the rate of obesity.
  18. 18. Naja et al., 2017) Ranking of Egypt in peer reviewed publications addressing nutrition in association with NCD (2006-2016 )
  19. 19. Word Health Organization Guiding principles for the development of a population-based childhood obesity prevention strategy • Integrated strategy • Policy support from multiple levels of governance • Equity and inclusivity • Environmental support • Monitoring and surveillance • Engagement with multiple sectors and settings
  20. 20. Thank you
  21. 21. Example: fruit and vegetable (g) per capita/day =4*3331/100/4= 33 g Recommendations is 300 fruits and 400 g vegetables and beans for day to protect from NCD
  22. 22. What do we know? What •Obesity is a world health problem and is progressive over the last 40 years. do •World leaders are committed to meet World Health Assembly recommendation to halt and reverse obesity. we •Several interventions have been tested. know •No country to date has successfully reversed its epidemic. •WHY?

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