How does the UK compare with other high income countries on key nutrition indicators?

UK Food Policy & Nutrition: Tracking

ProgressStrengthening accountability systems for nutrition in the UK

Foodfoundation.org.uk

Today’s speakers

@Food_Foundation

Lawrence HaddadSenior Research Fellow

IFPRI@l_haddad

Inge KauerExecutive DirectorAccess to Nutrition

@ingekauer

Boyd Swinburn - KeynoteProf. of Population,

Nutrition and Global HealthUniversity of Auckland

@BoydSwinburn

Fiona WatsonConsultant

The Food Foundation@Food_Foundation

Today’s panellists

@Food_Foundation

Lord Chris Haskins

Andrew OpieDirector of Food and Sustainability

British Retail Consortium @the_brc

Jo RallingCampaign Director

Jamie Oliver Food Foundation@FoodRev

Guy Poppy Chief Scientific Advisor Food Standards Agency

@GuyPoppy1

Corinna Hawkes - ChairProf. of Food Policy

City University London@CorinnaHawkes

www.foodfoundation.org.uk

How does the UK compare with other high income countries on key nutrition

indicators?

Lawrence HaddadInternational Food Policy Research Institute

10 February 2016

Outline

Nutrition Status Drivers Policy and Legislation Missing Data Conclusions

GreeceSp

ain USA Italy UK

Belgium

German

yFra

nce

Netherlands

Australi

a

Canad

a

New Zeala

nd

Denmark

Norway

Irelan

d

Sweden

10

8 87 7 7 7 7 6 6 6 6 5 5 5

5

Low Birth Weight (%)

Source: UNICEF 2015

Greece Italy

France

Netherlands

Spain

Belgium

Denmark

German

y

Sweden

Australi

a

Norway

Irelan

d

Canad

a

New Zeala

nd UKUSA

20 19 19 18 18 18 18 18 18 18 17 17 1715 15

12

Anaemia in women of reproductive age (%)

Source: WHO 2015Note: all data estimated for 2011

Off course On course

USA

Canad

a

Australi

a

New Zeala

nd UKSp

ainFra

nce

Greece

Irelan

dIta

ly

Norway

Belgium

Netherlands

Sweden

Denmark

German

y

67 64 64 64 63 61 61 61 60 59 59 57 56 56 55 55

Adult overweight and obesity (%)BMI ≥ 25

Source: WHO 2015Note: all data estimated for 2014

High and increasing Low and increasing

USA

New Zeala

nd

Australi

a UK

Canad

a

Irelan

dFra

nceSp

ain

Norway

Greece Italy

Sweden

Belgium

German

y

Netherlands

Denmark

3429 29 28 28

26 24 24 23 23 21 21 20 20 20 19

Adult obesity (%)BMI ≥ 30

Source: WHO 2015Note: all data estimated for 2014.

Off course On course

English Data (not in GNR)

Overweight children 54-66 months All: 22.6% (2013-14)(Greater than or equal to the 85th BMI centile in reception class) Source: National Child Measurement Programme. England 2014-2015 school year http://www.hscic.gov.uk/catalogue/PUB16070/nati-chil-meas-prog-eng-2013-2014-rep.pdf p.17

Obese Adolescents 13-15 yearsBoys = 17% Girls = 22% (2013)(Greater than the 95th UK National BMI centile) Source: Health Survey for England 2013. http://www.hscic.gov.uk/catalogue/PUB16076/HSE2013-Ch11-Child-BMI.pdf p.18

Norway

Irelan

d

German

yIta

ly

Sweden UK

Spain

Netherlands

GreeceFra

nce

Belgium

Denmark

New Zeala

nd

Australi

aUSA

Canad

a

41 41 40 38 38 38 37 37 36 36 35 35 33 32 30 30

Raised blood pressure (%)

Source: WHO 2014.Note: all data estimated for 2008

Off course On course

German

y

Denmark UK

Irelan

d

Belgium

Italy

France

Norway

Netherlands

New Zeala

ndSp

ain

Australi

aUSA

Canad

a

Sweden

Greece

66 65 63 63 62 62 62 62 6156 56 55 54 53 52

48

Raised blood cholesterol (%)

Source: WHO 2014.Note: all data estimated for 2008

Off course On course

USA

New Zeala

ndSp

ain

Canad

a

Norway

Greece

Australi

a

German

y

Belgium

Denmark Italy

Irelan

d

Sweden UK

France

Netherlands

1110 10 10 9 9

8 8 8 7 7 7 7 76

5

Raised blood glucose (%)

Source: WHO 2014.Note: all data estimated for 2008

Off course On course

German

y

Belgium

Australi

aSp

ain

New Zeala

ndUSA

Sweden

France

Norway UK

Denmark

Irelan

d

Canad

a

Netherlands

Italy

Greece

478 515 521 557 566 576 578 586 588 602 605 621 666 673782

967

Availability of fruit and vegetables (grams per day)

Source: FAO 2014Note: Data are for 2011.

Source: Euromonitor 2014, (US $ fixed exchange rates)

Norway

Australia

New ZealandIta

lyFrance

Canada UKSpain

BelgiumGreece

Sweden

Denmark

Germany

Netherlands

Ireland

USA

740 722 720650 618

538 532 526 526 509 503 495444 424 414

332

Consumer expenditure on fruits & vegetables(US$/cap/year)

New Zealand

Greece

Denmark

BelgiumSp

ain

Ireland

Netherlands

Norway

USA

Canada

Sweden

Australia Ita

ly

Germany

France UK

391 381

334 318 306 296275

254 247 242 236 226 218 200 196 181

Fresh food purchased (kg per Cap)

Source: Euromonitor 2014

Belgium

Irelan

dIta

ly

Australi

a

DenmarkFra

nce

German

y

Netherlands UK

Canad

a

New Zeala

nd

Norway

Spain

Sweden

Greece USA

Availability and stage of implementation of guidelines, protocols, and standards for the

management of hypertension

Not available

Available, not implemented

Available, partially implemented

Available, fully implemented

Source: WHO 2014

Not available

Available, not implemented

Available, partially implemented

Available, fully implemented

Source: WHO 2014

Australi

a

DenmarkFra

nce

German

y

Irelan

dIta

ly UK

Belgium

Canad

a

Netherlands

New Zeala

nd

Norway

Spain

Sweden

Greece USA

Availability and stage of implementation of guide-lines, protocols, and standards for the management

of diabetes

No action Few provisions law Many provisions lawVoluntary Law

Source: UNICEF 2014

Implementation of the International Code of Marketing of Breast milk Substitutes

Breast feeding in England• % of babies breastfed at birth 81% in 2010• % of infants 0–5 months old, exclusively breastfed 1% in 2010

Infant Feeding Survey – UK 2010, http://www.hscic.gov.uk/catalogue/PUB08694

New Zeala

nd

Australi

a

Irelan

d

Denmark

Canad

aUSA

Netherlands

France

Norway

Spain

Greece

German

y

Belgium

Sweden UK

Italy

8572 8513

4155

1691 16671147 1072 1050 939 754 742 707 700 699 691 507

Total Emissions (CO2eq) from Agriculture/cap (kg)

Source: FAO 2011

Summary of UK performance relative to comparators

Outcomes Poor: Overweight, obesity, raised blood cholesterol Middling: LBW, raised blood pressure Good: anemia, raised blood sugar

Determinants Poor: exclusive breastfeeding, fresh food purchases Middling: availability of fruits and vegetables; purchase of fruits and

vegetables

Policy and Legislation Middling: BMS Code, Hypertension and Diabetes Protocol Implementation Good: CO2 emissions from agriculture

USA

Germany

Netherlands

Norway

France

Spain UK

Denmark

Sweden

BelgiumIre

land

Australia

Greece Italy

Canada

New Zealand

1419

25 25 26 26 26 27 27 30 30 30 33 34 34 36

% Missing Indicators in GNR Nutrition Country Profiles

Conclusions

UK food system nutritionally weak compared to other high income countries e.g. fresh food purchases, obesity and overweight rates

Even when good or middling compared to other countries, still poor in terms of absolute levels

Significant scope to improve implementation of protocols and code application

Plenty of missing UK data when reporting on global goals SDG reporting will require every country to provide U5

stunting, wasting and overweight

Thank You

www.foodfoundation.org.uk