Activities and Results of the Global Food Monitoring Group

Transcription

1 Affiliated with Sydney, AUSTRALIA Beijing, CHINA Hyderabad, INDIA London, UK Activities and Results of the Global Food Monitoring Group Dr Elizabeth Dunford III World Congress of Public Health Nutrition, November 2014

2 Outstanding scientific credibility Outstanding scientific credibility Health Benefits of Improving the Food Supply Poor diet major contributor to chronic disease worldwide Current food supply has excess levels of total fat, saturated fat, sugar and salt in large serves of energy-dense foods Driving epidemics of obesity, high blood pressure, diabetes and dyslipidaemia, leading to heart attacks, stroke and cancer Even small changes in key constituents of the food supply have the potential to produce enormous health gains 2

3 Outstanding scientific credibility Outstanding scientific credibility The objective of the Food Policy Division is to reduce the incidence of deaths and disease caused by diets high in salt, saturated fat, added sugar and excess energy By undertaking research and advocating for a healthier food environment 3

4 How do we improve population diet? Get individuals to make healthier choices or Change the environment that people live in (so they can t help but make healthier choices)

5 real US$ per capita 1800 Packaged Food expenditure per capita (in real US$) among higher income countries Australia USA Spain Brazil Year Source: Euromonitor Global Market Information Database.

6 real US$ per capita 400 Packaged Food expenditure per capita (in real US$) among lower income countries 350 South Africa 300 Malaysia 250 Thailand 200 China (excluding HK) 150 Indonesia 100 Vietnam 50 India Year Source: Euromonitor Global Market Information Database.

7 Outstanding scientific credibility The importance of branded food (nutrition label) data 7

8 Example same brand in same country Sodium per serve: 155mg Sodium per serve: 55mg Product higher in salt 65% less salt! Product lower in salt 8 8

9 Example same product in different countries Product higher in salt Product lower in salt USA: Sodium per 100g: 900mg 35% less salt! Australia: Sodium per100g: 620mg 9 9

10 Example white bread different brands, same country Sodium per 100g: 600mg Sodium per 100g: 400mg 35% less salt! Brand higher in salt Brand lower in salt 10

11 Typical Australian daily food intake By switching to different brands of processed foods, 5g of salt can be removed from the daily diet 11

12 Evaluating Industry Changes Product & Food category level (Supply-side only) Changes in nutritional profile of products or (class of products) over time Changes in ingredients or additives used in products over time Changes in portion sizes/ package size of products over time SMART & BOLD Standardized and Sustainable Market-share weighted Accurate Representative Timely Brand-specific Open-sourced and Objective Low-cost Dynamic 12

13 Global Food Monitoring Group Aim To bring together data on nutrient information (or lack thereof) for processed foods that can be used to drive national and international improvements in the food supply Status 31 countries involved (2/3 are LMICs) >250,000 individual branded food items Focus on building capacity in LMICs 13

14 Global Collaborating Organisations World Health Organization FAO InterAmerican Heart Foundation PanAmerican Health Organisation Institute of Food Research (IFR) - UK Medical Research Council UK Medical Research Council South Africa Health Canada - Canada Costa Rican Institute of Research and Education on Nutrition and Health Costa Rica RIVM The Netherlands C-POND Fiji National Public Health Institute Mexico Center for Science in the Public Interest USA and Canada Health Promotion Board - Singapore National Chronic Non Communicable Diseases Commission Barbados Peru Center of Excellence to Combat Chronic Diseases - Peru Consumers International Chile CUBAFOODS Cuba The George Institute Australia, China and India Ministry of Health Thailand 14

15 Global Collaborating Organisations cont University of Auckland New Zealand University of Calgary Canada University of Paris - France Queen Mary University of London UK Centro Nacional de Alimentacion y Nutricion Peru Universidad de Panamá - Panama University College of Medical Sciences Malaysia Universidad de San Carlos de Guatemala Guatemala Cuenca University Ecuador University of Toronto Canada Universidade de São Paulo Brazil Universidad Nacional de Tucumán Argentina University of Cape Town South Africa University of the South Pacific Fiji University of North Carolina - USA 15

16 Opportunity: harnessing smartphone technology for data collection iphone app downloaded App used to scan product barcode instore App used to take a photo of the front of package App used to take a photo of the product s nutrition info

17 Photos of food products uploaded and nutrition information entered into the FMG database Photos uploaded from iphone Photos stored in Amazon cloud Photos downloaded to central data entry system, data entered by team in India 17

18 Branded food products currently in database Country Number of products Australia 80,000+ New Zealand 16,429 Costa Rica 5,079 Argentina 5,400 Canada 16,500+ China 11,157 India 8,700 UK 11,000 (+75,000 Brandbank) Fiji 1,500 TOTAL 250,

19 Group protocols published 19

20 UK and Australia comparison Global branded food database was used to compare sodium levels in UK and Australia Publication: Ni Mhurchu C, Capelin C, Dunford EK, Webster JL, Neal BC, Jebb SA. Sodium content of processed foods in the United Kingdom: analysis of 44,000 foods purchased by 21,000 households. Am J Clin Nutr. 2010:93(3);

21 In India, information on food labels was used to examine the presence of labelling Figure shows proportion of products from major food companies meeting local (grey) and CODEX (black) requirements for nutrition labelling 21

22 Changes in the sodium content of bread in Australia and New Zealand Changes in the sodium content of bread Publication: Dunford E, Eyles H, Ni Mhurchu C, Webster J, Neal B. Changes in the sodium content of bread in Australia and New Zealand between 2007 and 2010 implications for policy. Med J Aust 2011;195(4). 22

23 Comparison of sodium content of fast food products in 6 countries Sodium per 100g 3 fold variation in fries 4 fold variation in chicken nuggets 5 fold variation in salads Sodium per serve Marked variation, reflecting non-standard serving sizes between countries >100-fold variation in salads 25-fold variation in pizzas Results by country Breakfast in US highest in sodium (1061mg) Burgers in Australia (1180mg) Chicken products in France (994mg) Sandwiches in Canada (790mg and 1292mg) Publication: Dunford E, Webster J, Woodward M, Czernichow S, Yuan WL, Jenner K, Ni Mhurchu C, Jacobson M, Campbell N, Neal C. The variability of reported salt levels in fast foods across six countries and opportunities for salt reduction. CMAJ 16 April [Epub ahead of print]. 23

24 Publish publish publish.

25 Outstanding The importance scientific of advocacy credibility - Harnessing the power of the media Research released showing that 94% of pizzas sold in Australia were dangerously overloaded with salt and just 3 slices of pizza can contain the entire daily salt intake for an adult (4g/day) Both Domino s pizzas and Yum! Restaurants (Pizza Hut) contacted The George Institute to discuss salt reduction strategies as a result of this release with both subsequently making public commitments to salt reduction. 25

26 Outstanding The importance scientific of advocacy credibility - Harnessing the power of the media Both Domino s pizzas and Yum! Restaurants (Pizza Hut) contacted The George Institute to discuss salt reduction strategies as a result of this release with both subsequently making public commitments to salt reduction. 26

27 Building capacity in Latin America to collect Outstanding food scientific composition credibility data: Training seminar held at the Latin American Nutrition Congress Havana, Cuba -14 November 2012 Training items covered: Data collection using smartphone technology in the supermarket Uploading and management of photos Creation of food categorisation system appropriate to each country Data entry, checking and analysis Attended by 33 participants from 15 Latin American countries 27

28 Protocol for collecting data on processed foods for Latin American countries FIC-Argentina have developed a guidance document for Latin American countries in Spanish to undertake data collection in line with the global protocol 28

29 FOOD LABELLING Outstanding scientific credibility It is one of the most highly valued and sought after communication channels in the marketplace. It is also a highly contested space with competing pressures from consumers and food suppliers 29

30 Reading food labels

31 The problem with food labels

32 Traffic Light Label Solution LOW MED HIGH 32

33 Why FoodSwitch? Outstanding scientific credibility Poor diet major contributor to chronic disease worldwide Current food supply has excess levels of nutrients total fat, saturated fat, sugar and salt in large serves of energydense foods. Driving global epidemics of obesity, high blood pressure, diabetes and dyslipidaemia, leading to heart attacks, stroke and cancer 33

34 Why FoodSwitch? Outstanding scientific credibility Poor diet major contributor to chronic disease worldwide Current food supply has excess levels of nutrients total fat, saturated fat, sugar and salt in large serves of energydense foods. Driving global epidemics of obesity, high blood pressure, diabetes and dyslipidaemia, leading to heart attacks, stroke and cancer 65% of Australians own a smartphone 76% use their phones to get recommendations for health and other lifestylerelated factors 34

35 Outstanding scientific credibility Multistakeholder partnership needed 35

36 Shared vision and values Outstanding scientific credibility Helping people live longer, healthier, happier lives Support customers to achieve best health Build and provide access to better health programs, practical advice and resources Actively participate in healthcare policy development and play leadership role to achieve sustainable positive health system change Support and drive health research and service innovation Improving the health of millions of people worldwide Innovation to ensure sustainability of healthcare services Better management of common chronic and critical conditions Improving the health of disadvantaged populations worldwide 36

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38 FoodSwitch recognition and outcomes More than 500,000 downloads More than 500,000 photos of missing items sent in by users

39 The real power behind FoodSwitch: crowd-sourcing of data Originally FoodSwitch Australia was launched with ~17,000 products (SKUs) When products do not appear in the database, users are asked to help by taking 3 photographs the front of the product, the nutrition information and the ingredients list and send them to us. In this way the database can be constantly updated and new products entered. 26,000 photos sent in by FoodSwitch users in the first 2 days, and a minimum of 200 photos are sent in every day currently - Database now includes >75,000 products 39

40 Post-launch development SaltSwitch November 2012 GlutenSwitch May 2013 Coming in November. FatSwitch EnergySwitch SugarSwitch

41 Other Countries FoodSwitch NZ Launched Aug 2013 FoodSwitch UK Launched Feb 2014 Launch plans: China (2015) India (2015) USA (2015) Austria (2015) Canada (2016) Switzerland (2016) South Africa (TBC) Costa Rica (TBC)

42 Outstanding scientific credibility But what does this add up to? How do we know whether there have been actual reductions in adverse nutrient levels in foods? How do we know whether this has translated into healthier food purchases? 42

43 Do food labels influence food purchases? - Food Label Trial Randomised trial with 2000 participants The aim is to find out which type of label is best at helping people make healthier food and drink choices Participants scan items they purchase and send in till receipts form grocery shops Results will evaluate whether different label formats influenced foods purchased 43

44 Participants are randomised to one of 5 trial arms

45 Collaboration with major retailer online shopping Supporting healthier shopping purchases 45

46 Summary Individual behaviour change is NOT the solution One single approach is NOT the solution Collaboration and partnership are needed Improving the food environment is crucial Advocacy is crucial

47 Thank you! Contact details Phone: