10/12/15 Anne de Looy Professor of Dietetics University Plymouth UK - - PDF document

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10/12/15 Anne de Looy Professor of Dietetics University Plymouth UK - - PDF document

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10/12/15 Anne de Looy Professor of Dietetics University Plymouth UK EFAD Hon President www.efad.org Amsterdam October 2015 Europe 2020 is the EUs growth strategy for the coming decade. In a changing world we want the EU to become a

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Anne de Looy Professor of Dietetics University Plymouth UK EFAD Hon President

www.efad.org Amsterdam October 2015 www.efad.org ¡ ¡ ¡Amsterdam ¡October ¡2015 ¡ http://ec.europa.eu/europe2020/index_en.htm

Europe 2020 is the EU’s growth strategy for the coming decade. In a changing world we want the EU to become a smart, sustainable and inclusive economy. These three mutually reinforcing priorities should help the EU and the Member States deliver high levels of employment,

productivity and social cohesion.

Concretely the Union has set five ambitious objectives – on employment, innovation, education, social cohesion and climate/energy – to be reached by 2020.

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www.efad.org ¡ ¡ ¡Amsterdam ¡October ¡2015 ¡

Health 2020 supports and encourages health ministries to bring key stakeholders together in a shared effort for a healthier European Region.

http://www.euro.who.int/en/what-we-do/health-topics/health-policy/health-2020 www.efad.org Amsterdam October 2015

Risk management Data collection Individualised diets Society and food systems 2050

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www.efad.org Amsterdam October 2015

Proportion of overweight and obese males and females to increase in most European countries by 2030, say latest projections by WHO (Dr Joao Breda, ECO 2015 unpublished

e s t i m a t e s f

  • r

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  • f

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  • d

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  • j

e c t )

www.efad.org Amsterdam October 2015

By 2030 “almost all Irish adults are projected to be

  • verweight”

91% men overweight (which includes obese) 83% women overweight and 57% obese 77% of Greek men overweight and 44% obese 67% of Greek women overweight and 40%

  • bese

Dr Breda says: “Although this was a forecasting exercise, and therefore data needs to be interpreted with caution, it conveys two strong messages—first that the availability and quality

  • f the data in countries needs to be improved,

and second these predictions show that more needs to be done in terms of preventing and tackling overweight and obesity.”

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www.efad.org Amsterdam October 2015

Overweight and obesity continue to grow

  • ecd, 2012

7 %

  • f

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  • t

a l E U h e a l t h b u d g e t s a r e s p e n t

  • n

d i s e a s e s l i n k e d t

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  • n

d e a t h s i n t h e E U e a c h y e a r r e s u l t f r

  • m

c a u s e s l i n k e d t

  • b

e s i t y a n d

  • v

e r w e i g h t (WHO Global Status Report on NCDs 2010)

Are dietitians ready to deliver all relevant health care advice? Across Europe?

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www.efad.org Amsterdam October 2015 www.efad.org Amsterdam October 2015

Economics

  • f providing

care for a good life?

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www.efad.org Amsterdam October 2015 www.efad.org Amsterdam October 2015 http://www.idf.org/diabetesatlas/content/what-is-diabetes

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OECD (2012) Toward a new comprehensive international health and healthcare policy decision support tool www.efad.org Amsterdam October 2015

Although anyone could have limited health literacy – and 42% of all working-age adults are unable to make use of everyday health information……….. People and population groups with limited financial and social resources are more likely to have limited health literacy. Health literacy thus contributes to health inequalities because the population groups most at risk of low health literacy are also known to have the poorest health outcomes. Limited health literacy undermines people’s ability to take control

  • f their health and the

conditions that affect their health.

www.efad.org Amsterdam October 2015

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2014

“60% of life is spent at work; 30% of daily food is consumed at work. One in six working people live with a long term condition, such as diabetes, heart disease, respiratory disease or a disability.”

Fiona McCullough, Chairman British Dietetic Association

www.efad.org Amsterdam October 2015 www.efad.org Amsterdam October 2015

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www.efad.org Amsterdam October 2015

Food4Me; EU project on personalised diet (e-health)

Social Society

  • Respect
  • Acceptance
  • Recognise

incurability

  • Stigmatisation
  • All

stakeholder discussion

  • Shared

responsibility

www.efad.org Amsterdam October 2015

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www.efad.org Amsterdam October 2015

Better quality of Life Lower medical care costs Higher production lower social insurance costs

} Commissioned Dutch

Association of Dietitians Nov 2012

} Dietitians in primary care } Authors M Lammers and L

Kok

www.efad.org Amsterdam October 2015

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www.efad.org Amsterdam October 2015 www.efad.org Amsterdam October 2015

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} Care for patients with (multiple) medical conditions } The medical diagnosis of the patients treated by

the dietitian vary widely from underweight to

  • verweight and from cancer to COPD. The needs of

the patients from the dietitian are often complex as the majority of the patients who were treated by a dietitian in 2010 have more than one medical or dietetic diagnosis.

} The dietary management focus on the individual

and his or her own self-management.

Cost benefit analysis of dietary treatment (2012) Lammers and Kok

www.efad.org Amsterdam October 2015 www.efad.org Amsterdam October 2015

. . .. . 100 employees = 26 days/yr increased productivity

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} ‘Treatment by the dietitian has various social

  • benefits. The health of the patient (and his family)

improves, such that the costs of health care can be avoided and the productivity of the patient increases.

} For every €1 spend on dietary counselling of these

patients society gets a net of €14 to €63 in return: €56 in terms of improved health, €3 net savings in total health care costs and €4 in terms of productivity gains.

} The treatment of the patients with obesity and

  • besity-related diseases creates social benefits of

€0.4 to €1.9 billion over a period of five years.’

www.efad.org Amsterdam October 2015 www.efad.org Amsterdam October 2015

“Of the six WHO regions, the European Region is the most severely affected by NCDs, which are the leading cause of disability and death; cardiovascular disease, diabetes, cancer and respiratory diseases (the four major NCDs) together account for 77% of the burden of disease and almost 86% of premature mortality”.

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10/12/15 14 Accepted by the Regional Committe ttee for Eu Europe* (EUR/RC64/14) in Copenhagen, 15–1 –18 Septe tember 2014 2014 “The intention of the Action Plan is to significantly reduce the burden of preventable diet-related non- communicable diseases, obesity and all other forms

  • f malnutrition still prevalent in the WHO European

Region.” * all governments (Ministries of Health)

www.efad.org Amsterdam October 2015

} Of the six WHO regions, the European Region is the most

severely affected by NCDs, which are the leading cause of disability and death; cardiovascular disease, diabetes, cancer and respiratory diseases (the four major NCDs) together account for 77% of the burden of disease and almost 86% of premature mortality.

} The promotion and accessibility of a healthy and varied diet

(that is both available and affordable) is thus a key lever to improve the health, well-being and quality of life of the population, promote healthy ageing and reduce health inequalities.

} This Action Plan provides guidance to Member States to

support and encourage wider implementation of a “menu” of effective policies at the national level, including coherent, coordinated, multi-sectoral approaches.

www.efad.org Amsterdam October 2015

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Ø Objective 1 – Create healthy

food and drink environments

Ø Objective 2 – Promote the

gains of a healthy diet throughout the life course, especially for the most vulnerable groups

Ø Objective 3 – Reinforce health

systems to promote healthy diets

Ø Objective 4 – Support surveillance, monitoring,

evaluation and research

Ø Objective 5 – Strengthen governance, alliances and

networks for a health-in-all-policies approach

www.efad.org Amsterdam October 2015

} EFAD ¡then: ¡

  • founded ¡in ¡1978 ¡
  • 10 ¡member ¡associaAons ¡represenAng ¡10,000 ¡dieAAans ¡

¡

} EFAD ¡now: ¡ ¡

  • 29 member associations (4 affiliated)

members, representing over 35,000 dietitians in 29 countries

  • 34+ education (HEI) associate members

} EFAD is the only EU Platform advocating for

development of the dietetic profession

www.efad.org Amsterdam October 2015

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10/12/15 16 Health 2020 Eur Food & Nutrition Action Plan

35,000 dietitians in 29 countries.

www.efad.org Amsterdam October 2015

Health 2020 Eur Food & Nutrition Action Plan

35,000 dietitians in 29 countries.

www.efad.org Amsterdam October 2015

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} Objective 1 – Ensure that healthy food and nutrition is

accessible, affordable and attractive

} Objective 2 – Promote the gains of a healthy diet throughout

the life course, especially for the most vulnerable groups in the community and in clinical settings

} Objective 3 – Promote the role of dietitians as an expert in

food and nutrition in community and clinical settings to the general population, to other health professions and to authorities

} Objective 4 – Invest in establishing the (cost) effectiveness of

dietitians in the delivery of better health through improved nutrition

} Objective 5 – Strengthen governance, alliances and networks

for a Health-in-all-policies approach

www.efad.org Amsterdam October 2015

} Is aligned to WHO European Food and

Nutrition Action Plan (2015-2020)

} It is for all Dietetic Associations to use } Dietitians in Europe will show how they are

contributing to Health 2020 and FNAP

} Reports will be kept to give to national

ministers and at European level.

www.efad.org Amsterdam October 2015

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www.efad.org Amsterdam October 2015 www.efad.org Amsterdam October 2015

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www.efad.org Amsterdam October 2015

O b j e c t i v e 5 – S t r e n g t h e n g

  • v

e r n a n c e , a l l i a n c e s a n d n e t w

  • r

k s f

  • r

a H e a l t h

  • i

n

  • a

l l

  • p
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  • a

c h

} Commissioned Dutch

Association of Dietitians (NVD) Nov 2012

} Authors M Lammers and L

Kok (SEO)

www.efad.org Amsterdam October 2015

Commissioned by Dutch Association of Dietitians and dietetic departments of the University Hospitals (OHDAZ) SEO, April 2015

The Social Costs and benefits of dietetics for malnourished patients in hospital

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10/12/15 20 In the study the social cost and benefits in dietetics in two groups of patients, malnourished oncology- and malnourished elderly patients. The total benefits of treatment of malnutrition is estimated as:-

} € 4- € 42 million in gastro-intestinal or lung cancer per

year

} € 1,5- €3,8 million in head-neck cancer /year } € 15-€ 78 million in elderly patients/year Scholte R, Lammers M. (2015) The value of dietetics in malnourished patients in the

  • hospital. Amsterdam; SEO Economic Research

www.efad.org Amsterdam October 2015 www.efad.org Amsterdam October 2015

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10/12/15 21 Austrian Dietitians help create a ‘Disease Prevention Vacation’ (with health insurance; food service outlets)

www.efad.org Amsterdam October 2015 www.efad.org ¡ ¡ ¡Amsterdam ¡October ¡2015 ¡ http://ec.europa.eu/europe2020/index_en.htm

Europe 2020 is the EU’s growth strategy for the coming decade. In a changing world we want the EU to become a smart, sustainable and inclusive economy. These three mutually reinforcing priorities should help the EU and the Member States deliver high levels of employment,

productivity and social cohesion.

Concretely the Union has set five ambitious objectives – on employment, innovation, education, social cohesion and climate/energy – to be reached by 2020.

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Are dietitians ready to deliver all relevant health care advice? Across Europe?

Pretty much! We just need to collect the data and say so…........

www.efad.org Amsterdam October 2015

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www.efad.org Amsterdam October 2015