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Existing obesity-related policy

Existing obesity-related policy. P olicy formulation to reduce sugar consumption among Thai children. Background Policy/ regulation initiated in Thailand Lesson learned. S haring topics. Population nutrient goals a.

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Existing obesity-related policy

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  1. Existing obesity-related policy Policy formulation to reduce sugar consumption among Thai children

  2. Background Policy/ regulation initiated in Thailand Lesson learned Sharing topics

  3. Population nutrient goalsa Source: Diet, nutrition, and the prevention of chronic diseases. Report of a WHO Study Group. Geneva, World Health Organization, 1990 (WHO Technical Report Series, No. 797).

  4. In the beginning… • Thais sugar consumption • 21-30 kgs./head/year • 18 teaspoons/day or 432 g/day • WHO recommendation: 240 g/day

  5. In the beginning… pediatricians 2003 nutritionists Media advocator dentists control sweet tooth habit and excessive sugar consumption

  6. Strategy Research Policy movements Social change

  7. Research • Thais’ sugar consumption survey • Sugar consumption and illnesses • Tooth decays • Obesity • Type II Diabetes

  8. Policy Movements International level National level Local level

  9. International level • CODEX • Reducing sugar in baby food • Supported by Norway, Indonesia  the International Baby Food Action Network (IBFAN), the International Lactation Consultants Association (ILCA) and  the International Association of Consumer Food Organizations (IACFO).

  10. Proposal • "foods for infants and young children are very crucial contributing to their immediate and long term health. Since, a high intake of sugars  enhances the development of sweet taste  preference and dental caries in children, and provides excessive energy intake which may contribute to childhood obesity, therefore, the sugars intake in cereal-based foods should be limited.”

  11. Sweet enough National level • School milk: no sugar added • Sugar consumption recommendation • < 6 teaspoons/day • No sugar added food for infants ( MR # 286) • baby milk powder (6 months – 2 years old formula) • Food labeling • Food labeling on certain food items (chips, biscuits) • Simplified food label (signposting) • Fizzy drinks ban in schools • Healthy meeting

  12. 40-87% of 0-3 year old children was fed by sweet milk (2002) More than half of powder milk available in domestic market was sugar-added (2002) Policy evaluation(2007): consumption of sweet milk decrease to 19% Ministerial regulation # 286 (2005) Thailand

  13. Carbonated drink are available in >30% of primary schools Children who study in schools with carbonated drink, consume 5-7 times more Sugar 32-48 gm per can pH ~ 2.9 2. No carbonated drinks in schools(2007-2008) Thailand

  14. Snack during the coffee break was ~ 200-300 kcal Advocate for low calories coffee break Department of Health & 23 partners accepted the policy Supporting and evaluation 4.Healthy healthy meeting

  15. Nutrition label on 5 groups of snacks Warning: limit the amount & exercise Signposting 3. Snack labeling (MR # 305) Thailand Fat 10 gm Sodium 140 mg energy 370 kcal sugar 2 gm

  16. Local level Fizzy drinks ban in schools Fruit from farm to table No sugar day No candy distribution in the funeral Saving for traveling Sugar reduction in canteen

  17. Local policy to support national level

  18. Social change Media advocacy Social marketing Entertainment education

  19. Social marketing Slogan: Life is sweet enough with less sugar! Cartoon characters: Noynoi

  20. Entertainment education Kids TV program: Hedhansa Muppets Future TV program Hello Noynoi Songs

  21. Impacts • 6 teaspoons = standard sugar consumption per day • More sugar free and sweetener substitute products • 1 kg. less sugar consumption per head per year. • Sugar industry struggles

  22. Policy interventionsto promote healthy food consumption 1. Restriction on supply of high caloric foods 2. Product labeling 3. Restriction for advertising 4. Price controls

  23. Lesson learned • Information / Evidence based data • International understanding • National / local evidence based data • Start with feasible and high impact option • Common risk factors • Multidisciplinary approach to bring in different strengths • Combination of knowledge, social movement and policy advocacy • Consistent and regularly communicate to the public and policy makers Thailand

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