SlideShare una empresa de Scribd logo
1 de 10
Descargar para leer sin conexión
Sugar Reduction: The evidence for action
Dr Alison Tedstone, National Lead for Diet & Obesity, PHE
November 2015
ScientificAdvisory Committee on Nutrition’s
Carbohydrate and Health report
2
Key findings:
• Sugar consumption increases the risk of consuming too many
calories
• Sugar consumption is associated with increased risk of tooth
decay
• Sugar sweetened beverages associated with increased risk of
type 2 diabetes and linked to higher BMI in children
Recommendations:
• A definition for ‘free sugars’ should be adopted in the UK*
• The Dietary Reference Value for free sugars should not
exceed 5% of total dietary energy for age groups from 2
years upwards
• Consumption of sugar-sweetened beverages, by children
and adults, should be minimised
*Sugars added to food and those naturally present in honey, syrups and fruit juice
Change4Life key messages:
• Sugary drinks have no place in a child's daily
diet
• Swap to water, lower fat milks, sugar free and no
added sugar drinks instead
• A typical 8 year old shouldn’t have more than 6
sugar cubes a day
3 2.12.14
Overall (I-squared = 0.0%, p = 0.638)
Raben et al., 2002
Njike et al., 2011
Poppitt et al., 2002
Saris et al., 2000
Reid et al., 2010
Reid et al., 2007
Byrnes et al., 2003
name
Reid et al.,2014
Trial
Drummond & Kirk, 1998
Drummond et al., 2003
Aeberli et al., 2011
1.01 (0.70, 1.32)
2.06 (0.53, 3.58)
0.89 (-0.13, 1.90)
1.47 (-0.49, 3.43)
1.10 (0.40, 1.80)
0.53 (-0.63, 1.69)
1.32 (0.68, 1.95)
0.88 (-0.32, 2.08)
difference in means (95% CI)
1.10 (0.05, 2.14)
Weighted
0.54 (-0.82, 1.90)
-0.21 (-1.46, 1.04)
1.07 (-0.33, 2.47)
19
18.3
13.6
10.7
9.5
20.1
13.3
intake (% energy)
12.9
change in sugars
2.5
2.9
11
Between treatments
1.01 (0.70, 1.32)
2.06 (0.53, 3.58)
0.89 (-0.13, 1.90)
1.47 (-0.49, 3.43)
1.10 (0.40, 1.80)
0.53 (-0.63, 1.69)
1.32 (0.68, 1.95)
0.88 (-0.32, 2.08)
difference in means (95% CI)
1.10 (0.05, 2.14)
Weighted
0.54 (-0.82, 1.90)
-0.21 (-1.46, 1.04)
1.07 (-0.33, 2.47)
19
18.3
13.6
10.7
9.5
20.1
13.3
intake (% energy)
12.9
change in sugars
2.5
2.9
11
Between treatments
Favours higher sugar diet Favours lower sugar diet
0-2 0 2 4
Difference in energy intake between groups (MJ/day)
Meta-analysis of RCTs looking at higher versus lowersugar
consumption on energy intake
4
5
Sugar intakes compared to the new
SACN recommendation
Cost savings of achieving the
reduction to 5% of energy from sugar
6
Assuming the SACN recommendations to reduce sugar
intakes to 5% of energy intake are achieved within 10
years, the cost saving to the NHS is estimated to be
about £500M per annum by year 10 (due to reductions
in the costs associated with dental caries and
consequences of obesity).
• PHE has carried out an extensive
programme of work over the past 12
months in order to provide a package of
evidence to inform the government’s
thinking on sugar in the diet
• Published 22 October 2015
• Considers the need for action – how much
sugar we eat, where it comes from, the
associated health issues and benefits in
reducing intakes.
• Draws conclusions about what drives our
consumption and advises on actions that
could be implemented
7
Sugar Reduction: The evidence for action
Sugar reduction: the evidence
8
Influencers:
• Children are exposed to a high volume of marketing and advertising which, in all its forms,
consistently influences food preference, choice and purchasing
• Food retail price promotions are widespread in Britain; account for 40% of all food and drink
expenditure; increase the amount people spend by one-fifth and the amount of sugar
purchased by from higher sugar foods and drinks by 6%.
• Price increase, such as by taxation, can influence purchasing of sugar sweetened drinks and
other high sugar products in the short-term.
Food supply:
• A structured and universal programme of reformulation to reduce levels of sugar in food and
drink would significantly lower sugar intakes, particularly if accompanied by reductions in portion
size
• Better public food procurement at a national and local level would improve diets
Knowledge, training and local action:
• Accredited training in diet and health is not routinely delivered to many who could influence
others food choices but tools like competency frameworks can help change this
• Other consumer tools, such as the Change4Life campaign, can also help inform and educate
• Local action, when delivered well, can contribute to changing knowledge and also influence
food environments and can improve diets
Sugar reduction: areas for action
1) Reduce and rebalance the number and type of price promotions in all retail
outlets
2) Significantly reduce opportunities to market and advertise high sugar food and
drink
3) The setting of a clear definition for high sugar foods (to aid with 1 & 2 above)
4) Introduction of a broad, structured and transparently monitored programme of
gradual sugar reduction in everyday food and drink
5) Introduction of a price increase of a minimum of 10-20% on high sugar
products through the use of a tax or levy such as on full sugar soft drinks
6) Adopt, implement and monitor the government buying standards for food and
catering services across the public sector
7) Ensure that accredited training in diet and health is routinely delivered to all of
those who have opportunities to influence food choices
8) Continue to raise awareness of concerns around sugar levels in the diet to the
public as well as health professionals, employers, the food industry etc.
9
It is unlikely that a single action alone would
be effective in reducing sugar intakes
• The evidence suggests a broad, structured approach, involving
restrictions on price promotions and marketing, product reformulation,
portion size reduction and price increase on unhealthy products,
implemented in parallel, is likely to have a more universal effect.
• Positive changes to the food environment (e.g. public sector food
procurement, provision and sales of healthier foods) as well as
information and education are also needed to help support people in
making healthier choices.
10

Más contenido relacionado

La actualidad más candente

Salt reduction initiatives Malaysia, seminar with media 2015
Salt reduction initiatives Malaysia, seminar with media 2015Salt reduction initiatives Malaysia, seminar with media 2015
Salt reduction initiatives Malaysia, seminar with media 2015Feisul Mustapha
 
Issues that matter in the implementation of Health 2020
Issues that matter in the implementation of Health 2020Issues that matter in the implementation of Health 2020
Issues that matter in the implementation of Health 2020WHO Regional Office for Europe
 
Mrs Mags Bradbury: Diet and Health - The Co-operative Group approach
Mrs Mags Bradbury: Diet and Health - The Co-operative Group approachMrs Mags Bradbury: Diet and Health - The Co-operative Group approach
Mrs Mags Bradbury: Diet and Health - The Co-operative Group approachcooperatives
 
Survey analysis 28march2019_ap
Survey analysis 28march2019_apSurvey analysis 28march2019_ap
Survey analysis 28march2019_apPOSHAN
 
Free weight loss and diet tips for healthy eating and portion control of food
Free weight loss and diet tips for healthy eating and portion control of foodFree weight loss and diet tips for healthy eating and portion control of food
Free weight loss and diet tips for healthy eating and portion control of foodPrab Tumpati
 

La actualidad más candente (6)

Salt reduction initiatives Malaysia, seminar with media 2015
Salt reduction initiatives Malaysia, seminar with media 2015Salt reduction initiatives Malaysia, seminar with media 2015
Salt reduction initiatives Malaysia, seminar with media 2015
 
European Food and Nutrition Action Plan 2015–2020
European Food and Nutrition Action Plan 2015–2020European Food and Nutrition Action Plan 2015–2020
European Food and Nutrition Action Plan 2015–2020
 
Issues that matter in the implementation of Health 2020
Issues that matter in the implementation of Health 2020Issues that matter in the implementation of Health 2020
Issues that matter in the implementation of Health 2020
 
Mrs Mags Bradbury: Diet and Health - The Co-operative Group approach
Mrs Mags Bradbury: Diet and Health - The Co-operative Group approachMrs Mags Bradbury: Diet and Health - The Co-operative Group approach
Mrs Mags Bradbury: Diet and Health - The Co-operative Group approach
 
Survey analysis 28march2019_ap
Survey analysis 28march2019_apSurvey analysis 28march2019_ap
Survey analysis 28march2019_ap
 
Free weight loss and diet tips for healthy eating and portion control of food
Free weight loss and diet tips for healthy eating and portion control of foodFree weight loss and diet tips for healthy eating and portion control of food
Free weight loss and diet tips for healthy eating and portion control of food
 

Destacado

fw1728MSci Lit. Rev. Submission
fw1728MSci Lit. Rev. Submissionfw1728MSci Lit. Rev. Submission
fw1728MSci Lit. Rev. SubmissionFreddy White
 
Patrick Carabin dyrektorem hotelu Sofitel Warsaw Victoria
Patrick Carabin dyrektorem hotelu Sofitel Warsaw VictoriaPatrick Carabin dyrektorem hotelu Sofitel Warsaw Victoria
Patrick Carabin dyrektorem hotelu Sofitel Warsaw Victoriaaccorhotelspoland
 
Lập kế hoạch và triển khai công việc hiệu quả
Lập kế hoạch và triển khai công việc hiệu quảLập kế hoạch và triển khai công việc hiệu quả
Lập kế hoạch và triển khai công việc hiệu quảTổ chức Đào tạo PTC
 
Loopstra festival socialscience_8nov16_toshare
Loopstra festival socialscience_8nov16_toshareLoopstra festival socialscience_8nov16_toshare
Loopstra festival socialscience_8nov16_toshareThe Food Foundation
 
11 de junio de 2012
11 de junio de 201211 de junio de 2012
11 de junio de 2012escmauxi
 
laboratorio 3
laboratorio 3laboratorio 3
laboratorio 3denita89
 
Dom20 c13cas (agosto 18)
Dom20 c13cas (agosto 18)Dom20 c13cas (agosto 18)
Dom20 c13cas (agosto 18)escmauxi
 

Destacado (13)

Reach software
Reach softwareReach software
Reach software
 
fw1728MSci Lit. Rev. Submission
fw1728MSci Lit. Rev. Submissionfw1728MSci Lit. Rev. Submission
fw1728MSci Lit. Rev. Submission
 
Durham CCC - Reference
Durham CCC - ReferenceDurham CCC - Reference
Durham CCC - Reference
 
Patrick Carabin dyrektorem hotelu Sofitel Warsaw Victoria
Patrick Carabin dyrektorem hotelu Sofitel Warsaw VictoriaPatrick Carabin dyrektorem hotelu Sofitel Warsaw Victoria
Patrick Carabin dyrektorem hotelu Sofitel Warsaw Victoria
 
Lập kế hoạch và triển khai công việc hiệu quả
Lập kế hoạch và triển khai công việc hiệu quảLập kế hoạch và triển khai công việc hiệu quả
Lập kế hoạch và triển khai công việc hiệu quả
 
Bao cao danh gia cuoi cung 30.09
Bao cao danh gia cuoi cung 30.09Bao cao danh gia cuoi cung 30.09
Bao cao danh gia cuoi cung 30.09
 
Loopstra festival socialscience_8nov16_toshare
Loopstra festival socialscience_8nov16_toshareLoopstra festival socialscience_8nov16_toshare
Loopstra festival socialscience_8nov16_toshare
 
11 de junio de 2012
11 de junio de 201211 de junio de 2012
11 de junio de 2012
 
Recomenzar
RecomenzarRecomenzar
Recomenzar
 
laboratorio 3
laboratorio 3laboratorio 3
laboratorio 3
 
Fisicadecimo
FisicadecimoFisicadecimo
Fisicadecimo
 
El genio sevillano
El genio sevillanoEl genio sevillano
El genio sevillano
 
Dom20 c13cas (agosto 18)
Dom20 c13cas (agosto 18)Dom20 c13cas (agosto 18)
Dom20 c13cas (agosto 18)
 

Similar a SACN Report: Evidence Package

Obesity- Tipping Back the Scales of the Nation 19th April, 2017
Obesity- Tipping Back the Scales of the Nation 19th April, 2017Obesity- Tipping Back the Scales of the Nation 19th April, 2017
Obesity- Tipping Back the Scales of the Nation 19th April, 2017mckenln
 
Curbing-Global-Sugar-Consumption
Curbing-Global-Sugar-ConsumptionCurbing-Global-Sugar-Consumption
Curbing-Global-Sugar-ConsumptionAnna Savelyeva
 
Curbing global sugar consumption - Effective food policy actions to help prom...
Curbing global sugar consumption - Effective food policy actions to help prom...Curbing global sugar consumption - Effective food policy actions to help prom...
Curbing global sugar consumption - Effective food policy actions to help prom...World Cancer Research Fund International
 
Chilean experience: a good practice of food policy
Chilean experience: a good practice of food policyChilean experience: a good practice of food policy
Chilean experience: a good practice of food policyMaría Daniela Godoy Gabler
 
Food and Diet: How Can Economics Contribute to Better Outcomes?
Food and Diet: How Can Economics Contribute to Better Outcomes?Food and Diet: How Can Economics Contribute to Better Outcomes?
Food and Diet: How Can Economics Contribute to Better Outcomes?lunnevehr
 
"Putting Dietary Guidelines for Americans to Work! Multifactorial Approaches ...
"Putting Dietary Guidelines for Americans to Work! Multifactorial Approaches ..."Putting Dietary Guidelines for Americans to Work! Multifactorial Approaches ...
"Putting Dietary Guidelines for Americans to Work! Multifactorial Approaches ...ExternalEvents
 
Dietary guidelines for childdten and Nutrituon commitment as a tool for imple...
Dietary guidelines for childdten and Nutrituon commitment as a tool for imple...Dietary guidelines for childdten and Nutrituon commitment as a tool for imple...
Dietary guidelines for childdten and Nutrituon commitment as a tool for imple...THL
 
"Food Regulatory Authority role in providing healthier food and diet in Iran ...
"Food Regulatory Authority role in providing healthier food and diet in Iran ..."Food Regulatory Authority role in providing healthier food and diet in Iran ...
"Food Regulatory Authority role in providing healthier food and diet in Iran ...ExternalEvents
 
New Nutrition Facts Label and Dietary Guidelines
New Nutrition Facts Label and Dietary GuidelinesNew Nutrition Facts Label and Dietary Guidelines
New Nutrition Facts Label and Dietary GuidelinesEarlene McNair
 
Eupha 4.obesityhealthandeconomicassessment by_michelececchini
Eupha 4.obesityhealthandeconomicassessment by_michelececchiniEupha 4.obesityhealthandeconomicassessment by_michelececchini
Eupha 4.obesityhealthandeconomicassessment by_michelececchiniDiseaseprevention
 
Management Options for the Obesity Crisis
Management Options for the Obesity Crisis Management Options for the Obesity Crisis
Management Options for the Obesity Crisis Robert Ruotolo
 
João Breda, Ending Childhood Obesity in Europe
João Breda, Ending Childhood Obesity in EuropeJoão Breda, Ending Childhood Obesity in Europe
João Breda, Ending Childhood Obesity in EuropeTHL
 
Let food be thy medicine: Diet and disease
Let food be thy medicine: Diet and diseaseLet food be thy medicine: Diet and disease
Let food be thy medicine: Diet and diseaseUniversity of Calgary
 
Worksite dining as a collective good or individualization of health - a Danis...
Worksite dining as a collective good or individualization of health - a Danis...Worksite dining as a collective good or individualization of health - a Danis...
Worksite dining as a collective good or individualization of health - a Danis...Michael Søgaard Jørgensen
 

Similar a SACN Report: Evidence Package (20)

Obesity- Tipping Back the Scales of the Nation 19th April, 2017
Obesity- Tipping Back the Scales of the Nation 19th April, 2017Obesity- Tipping Back the Scales of the Nation 19th April, 2017
Obesity- Tipping Back the Scales of the Nation 19th April, 2017
 
Curbing-Global-Sugar-Consumption
Curbing-Global-Sugar-ConsumptionCurbing-Global-Sugar-Consumption
Curbing-Global-Sugar-Consumption
 
Curbing global sugar consumption - Effective food policy actions to help prom...
Curbing global sugar consumption - Effective food policy actions to help prom...Curbing global sugar consumption - Effective food policy actions to help prom...
Curbing global sugar consumption - Effective food policy actions to help prom...
 
Chilean experience: a good practice of food policy
Chilean experience: a good practice of food policyChilean experience: a good practice of food policy
Chilean experience: a good practice of food policy
 
Curbing global sugar consumption
Curbing global sugar consumptionCurbing global sugar consumption
Curbing global sugar consumption
 
Philip James
Philip JamesPhilip James
Philip James
 
Food and Diet: How Can Economics Contribute to Better Outcomes?
Food and Diet: How Can Economics Contribute to Better Outcomes?Food and Diet: How Can Economics Contribute to Better Outcomes?
Food and Diet: How Can Economics Contribute to Better Outcomes?
 
Food reformulation
Food reformulationFood reformulation
Food reformulation
 
"Putting Dietary Guidelines for Americans to Work! Multifactorial Approaches ...
"Putting Dietary Guidelines for Americans to Work! Multifactorial Approaches ..."Putting Dietary Guidelines for Americans to Work! Multifactorial Approaches ...
"Putting Dietary Guidelines for Americans to Work! Multifactorial Approaches ...
 
Dietary guidelines for childdten and Nutrituon commitment as a tool for imple...
Dietary guidelines for childdten and Nutrituon commitment as a tool for imple...Dietary guidelines for childdten and Nutrituon commitment as a tool for imple...
Dietary guidelines for childdten and Nutrituon commitment as a tool for imple...
 
Nutrition At Work
Nutrition At WorkNutrition At Work
Nutrition At Work
 
"Food Regulatory Authority role in providing healthier food and diet in Iran ...
"Food Regulatory Authority role in providing healthier food and diet in Iran ..."Food Regulatory Authority role in providing healthier food and diet in Iran ...
"Food Regulatory Authority role in providing healthier food and diet in Iran ...
 
Promoting health and well-being - English
Promoting health and well-being - EnglishPromoting health and well-being - English
Promoting health and well-being - English
 
New Nutrition Facts Label and Dietary Guidelines
New Nutrition Facts Label and Dietary GuidelinesNew Nutrition Facts Label and Dietary Guidelines
New Nutrition Facts Label and Dietary Guidelines
 
Eupha 4.obesityhealthandeconomicassessment by_michelececchini
Eupha 4.obesityhealthandeconomicassessment by_michelececchiniEupha 4.obesityhealthandeconomicassessment by_michelececchini
Eupha 4.obesityhealthandeconomicassessment by_michelececchini
 
Management Options for the Obesity Crisis
Management Options for the Obesity Crisis Management Options for the Obesity Crisis
Management Options for the Obesity Crisis
 
Steven Gortmaker, Sugar Sweetened Beverage Taxes: Impact on Health, Health Ca...
Steven Gortmaker, Sugar Sweetened Beverage Taxes: Impact on Health, Health Ca...Steven Gortmaker, Sugar Sweetened Beverage Taxes: Impact on Health, Health Ca...
Steven Gortmaker, Sugar Sweetened Beverage Taxes: Impact on Health, Health Ca...
 
João Breda, Ending Childhood Obesity in Europe
João Breda, Ending Childhood Obesity in EuropeJoão Breda, Ending Childhood Obesity in Europe
João Breda, Ending Childhood Obesity in Europe
 
Let food be thy medicine: Diet and disease
Let food be thy medicine: Diet and diseaseLet food be thy medicine: Diet and disease
Let food be thy medicine: Diet and disease
 
Worksite dining as a collective good or individualization of health - a Danis...
Worksite dining as a collective good or individualization of health - a Danis...Worksite dining as a collective good or individualization of health - a Danis...
Worksite dining as a collective good or individualization of health - a Danis...
 

Más de The Food Foundation

The Convention presentation slidepack
The Convention presentation slidepackThe Convention presentation slidepack
The Convention presentation slidepackThe Food Foundation
 
Evidence Summary: UK Healthy Food Environment Index
Evidence Summary: UK Healthy Food Environment IndexEvidence Summary: UK Healthy Food Environment Index
Evidence Summary: UK Healthy Food Environment IndexThe Food Foundation
 
How does the UK compare with other high income countries on key nutrition ind...
How does the UK compare with other high income countries on key nutrition ind...How does the UK compare with other high income countries on key nutrition ind...
How does the UK compare with other high income countries on key nutrition ind...The Food Foundation
 
Tracking progress on food and nutrition policies
Tracking progress on food and nutrition policiesTracking progress on food and nutrition policies
Tracking progress on food and nutrition policiesThe Food Foundation
 
Food Items: Where is Sugar Lurking?
Food Items: Where is Sugar Lurking?Food Items: Where is Sugar Lurking?
Food Items: Where is Sugar Lurking?The Food Foundation
 

Más de The Food Foundation (7)

The Convention presentation slidepack
The Convention presentation slidepackThe Convention presentation slidepack
The Convention presentation slidepack
 
Peas please Launch
Peas please LaunchPeas please Launch
Peas please Launch
 
Full slidepack
Full slidepackFull slidepack
Full slidepack
 
Evidence Summary: UK Healthy Food Environment Index
Evidence Summary: UK Healthy Food Environment IndexEvidence Summary: UK Healthy Food Environment Index
Evidence Summary: UK Healthy Food Environment Index
 
How does the UK compare with other high income countries on key nutrition ind...
How does the UK compare with other high income countries on key nutrition ind...How does the UK compare with other high income countries on key nutrition ind...
How does the UK compare with other high income countries on key nutrition ind...
 
Tracking progress on food and nutrition policies
Tracking progress on food and nutrition policiesTracking progress on food and nutrition policies
Tracking progress on food and nutrition policies
 
Food Items: Where is Sugar Lurking?
Food Items: Where is Sugar Lurking?Food Items: Where is Sugar Lurking?
Food Items: Where is Sugar Lurking?
 

Último

What Teenagers Have to Say about the Grandparents
What Teenagers Have to Say about the GrandparentsWhat Teenagers Have to Say about the Grandparents
What Teenagers Have to Say about the GrandparentsSERUDS INDIA
 
india sanitation coalition Swachata Abhiyan ​.pdf
india sanitation coalition Swachata Abhiyan ​.pdfindia sanitation coalition Swachata Abhiyan ​.pdf
india sanitation coalition Swachata Abhiyan ​.pdfcoalitionindiasanita
 
Item # 5&6 - 218 Canyon Drive replat prop.
Item # 5&6 - 218 Canyon Drive replat prop.Item # 5&6 - 218 Canyon Drive replat prop.
Item # 5&6 - 218 Canyon Drive replat prop.ahcitycouncil
 
Best charity ideas parents give their children’s
Best charity ideas parents give their children’sBest charity ideas parents give their children’s
Best charity ideas parents give their children’sSERUDS INDIA
 
Hub Design Inspiration Graphics for inspiration
Hub Design Inspiration Graphics for inspirationHub Design Inspiration Graphics for inspiration
Hub Design Inspiration Graphics for inspirationStephen Abram
 
Leveraging Water for Peace - World Water Day 2024
Leveraging Water for Peace - World Water Day 2024Leveraging Water for Peace - World Water Day 2024
Leveraging Water for Peace - World Water Day 2024Christina Parmionova
 
Item # 1a - March 18, 2024 Special CCM Minutes
Item # 1a - March 18, 2024 Special CCM MinutesItem # 1a - March 18, 2024 Special CCM Minutes
Item # 1a - March 18, 2024 Special CCM Minutesahcitycouncil
 
PPT Item # 2 -- Announcements Powerpoint
PPT Item # 2 -- Announcements PowerpointPPT Item # 2 -- Announcements Powerpoint
PPT Item # 2 -- Announcements Powerpointahcitycouncil
 
2024: The FAR, Federal Acquisition Regulations - Part 16
2024: The FAR, Federal Acquisition Regulations - Part 162024: The FAR, Federal Acquisition Regulations - Part 16
2024: The FAR, Federal Acquisition Regulations - Part 16JSchaus & Associates
 
PPT Item # 5-6 218 Canyon Drive replat prop.
PPT Item # 5-6 218 Canyon Drive replat prop.PPT Item # 5-6 218 Canyon Drive replat prop.
PPT Item # 5-6 218 Canyon Drive replat prop.ahcitycouncil
 
Sensitivity Training for 2023 BSKE.pptx
Sensitivity Training for  2023 BSKE.pptxSensitivity Training for  2023 BSKE.pptx
Sensitivity Training for 2023 BSKE.pptxAllidaacLuap
 
O Conselho Estadual de Cultura e o Incentivo à Cultura no RS: relato de expe...
O Conselho Estadual de Cultura e o Incentivo à Cultura no RS:  relato de expe...O Conselho Estadual de Cultura e o Incentivo à Cultura no RS:  relato de expe...
O Conselho Estadual de Cultura e o Incentivo à Cultura no RS: relato de expe...Alvaro Santi
 
OECD Webinar - ESG to deliver well-being in resource-rich regions: the role o...
OECD Webinar - ESG to deliver well-being in resource-rich regions: the role o...OECD Webinar - ESG to deliver well-being in resource-rich regions: the role o...
OECD Webinar - ESG to deliver well-being in resource-rich regions: the role o...OECDregions
 
World Happiness Report 2024- Full Report
World Happiness Report 2024- Full ReportWorld Happiness Report 2024- Full Report
World Happiness Report 2024- Full ReportEnergy for One World
 
Parents can give charity ideas for kids.
Parents can give charity ideas for kids.Parents can give charity ideas for kids.
Parents can give charity ideas for kids.SERUDS INDIA
 
Managing Planning and Development of Citie- 26-2-24.docx
Managing Planning and  Development of  Citie-  26-2-24.docxManaging Planning and  Development of  Citie-  26-2-24.docx
Managing Planning and Development of Citie- 26-2-24.docxJIT KUMAR GUPTA
 
Yes!? We can end TB - World Tuberculosis Day 2024.
Yes!? We can end TB - World Tuberculosis Day 2024.Yes!? We can end TB - World Tuberculosis Day 2024.
Yes!? We can end TB - World Tuberculosis Day 2024.Christina Parmionova
 
For World Water Day 2024, we promote the vital link between water and peace.
For World Water Day 2024, we promote the vital link between water and peace.For World Water Day 2024, we promote the vital link between water and peace.
For World Water Day 2024, we promote the vital link between water and peace.Christina Parmionova
 
My Burning Issue: "War in Ukraine" Cycle 54
My Burning Issue: "War in Ukraine" Cycle 54My Burning Issue: "War in Ukraine" Cycle 54
My Burning Issue: "War in Ukraine" Cycle 54mmazurak
 

Último (20)

What Teenagers Have to Say about the Grandparents
What Teenagers Have to Say about the GrandparentsWhat Teenagers Have to Say about the Grandparents
What Teenagers Have to Say about the Grandparents
 
india sanitation coalition Swachata Abhiyan ​.pdf
india sanitation coalition Swachata Abhiyan ​.pdfindia sanitation coalition Swachata Abhiyan ​.pdf
india sanitation coalition Swachata Abhiyan ​.pdf
 
Item # 5&6 - 218 Canyon Drive replat prop.
Item # 5&6 - 218 Canyon Drive replat prop.Item # 5&6 - 218 Canyon Drive replat prop.
Item # 5&6 - 218 Canyon Drive replat prop.
 
Best charity ideas parents give their children’s
Best charity ideas parents give their children’sBest charity ideas parents give their children’s
Best charity ideas parents give their children’s
 
Hub Design Inspiration Graphics for inspiration
Hub Design Inspiration Graphics for inspirationHub Design Inspiration Graphics for inspiration
Hub Design Inspiration Graphics for inspiration
 
Leveraging Water for Peace - World Water Day 2024
Leveraging Water for Peace - World Water Day 2024Leveraging Water for Peace - World Water Day 2024
Leveraging Water for Peace - World Water Day 2024
 
Item # 1a - March 18, 2024 Special CCM Minutes
Item # 1a - March 18, 2024 Special CCM MinutesItem # 1a - March 18, 2024 Special CCM Minutes
Item # 1a - March 18, 2024 Special CCM Minutes
 
PPT Item # 2 -- Announcements Powerpoint
PPT Item # 2 -- Announcements PowerpointPPT Item # 2 -- Announcements Powerpoint
PPT Item # 2 -- Announcements Powerpoint
 
How to Save a Place: Become an Advocate.
How to Save a Place: Become an Advocate.How to Save a Place: Become an Advocate.
How to Save a Place: Become an Advocate.
 
2024: The FAR, Federal Acquisition Regulations - Part 16
2024: The FAR, Federal Acquisition Regulations - Part 162024: The FAR, Federal Acquisition Regulations - Part 16
2024: The FAR, Federal Acquisition Regulations - Part 16
 
PPT Item # 5-6 218 Canyon Drive replat prop.
PPT Item # 5-6 218 Canyon Drive replat prop.PPT Item # 5-6 218 Canyon Drive replat prop.
PPT Item # 5-6 218 Canyon Drive replat prop.
 
Sensitivity Training for 2023 BSKE.pptx
Sensitivity Training for  2023 BSKE.pptxSensitivity Training for  2023 BSKE.pptx
Sensitivity Training for 2023 BSKE.pptx
 
O Conselho Estadual de Cultura e o Incentivo à Cultura no RS: relato de expe...
O Conselho Estadual de Cultura e o Incentivo à Cultura no RS:  relato de expe...O Conselho Estadual de Cultura e o Incentivo à Cultura no RS:  relato de expe...
O Conselho Estadual de Cultura e o Incentivo à Cultura no RS: relato de expe...
 
OECD Webinar - ESG to deliver well-being in resource-rich regions: the role o...
OECD Webinar - ESG to deliver well-being in resource-rich regions: the role o...OECD Webinar - ESG to deliver well-being in resource-rich regions: the role o...
OECD Webinar - ESG to deliver well-being in resource-rich regions: the role o...
 
World Happiness Report 2024- Full Report
World Happiness Report 2024- Full ReportWorld Happiness Report 2024- Full Report
World Happiness Report 2024- Full Report
 
Parents can give charity ideas for kids.
Parents can give charity ideas for kids.Parents can give charity ideas for kids.
Parents can give charity ideas for kids.
 
Managing Planning and Development of Citie- 26-2-24.docx
Managing Planning and  Development of  Citie-  26-2-24.docxManaging Planning and  Development of  Citie-  26-2-24.docx
Managing Planning and Development of Citie- 26-2-24.docx
 
Yes!? We can end TB - World Tuberculosis Day 2024.
Yes!? We can end TB - World Tuberculosis Day 2024.Yes!? We can end TB - World Tuberculosis Day 2024.
Yes!? We can end TB - World Tuberculosis Day 2024.
 
For World Water Day 2024, we promote the vital link between water and peace.
For World Water Day 2024, we promote the vital link between water and peace.For World Water Day 2024, we promote the vital link between water and peace.
For World Water Day 2024, we promote the vital link between water and peace.
 
My Burning Issue: "War in Ukraine" Cycle 54
My Burning Issue: "War in Ukraine" Cycle 54My Burning Issue: "War in Ukraine" Cycle 54
My Burning Issue: "War in Ukraine" Cycle 54
 

SACN Report: Evidence Package

  • 1. Sugar Reduction: The evidence for action Dr Alison Tedstone, National Lead for Diet & Obesity, PHE November 2015
  • 2. ScientificAdvisory Committee on Nutrition’s Carbohydrate and Health report 2 Key findings: • Sugar consumption increases the risk of consuming too many calories • Sugar consumption is associated with increased risk of tooth decay • Sugar sweetened beverages associated with increased risk of type 2 diabetes and linked to higher BMI in children Recommendations: • A definition for ‘free sugars’ should be adopted in the UK* • The Dietary Reference Value for free sugars should not exceed 5% of total dietary energy for age groups from 2 years upwards • Consumption of sugar-sweetened beverages, by children and adults, should be minimised *Sugars added to food and those naturally present in honey, syrups and fruit juice
  • 3. Change4Life key messages: • Sugary drinks have no place in a child's daily diet • Swap to water, lower fat milks, sugar free and no added sugar drinks instead • A typical 8 year old shouldn’t have more than 6 sugar cubes a day 3 2.12.14
  • 4. Overall (I-squared = 0.0%, p = 0.638) Raben et al., 2002 Njike et al., 2011 Poppitt et al., 2002 Saris et al., 2000 Reid et al., 2010 Reid et al., 2007 Byrnes et al., 2003 name Reid et al.,2014 Trial Drummond & Kirk, 1998 Drummond et al., 2003 Aeberli et al., 2011 1.01 (0.70, 1.32) 2.06 (0.53, 3.58) 0.89 (-0.13, 1.90) 1.47 (-0.49, 3.43) 1.10 (0.40, 1.80) 0.53 (-0.63, 1.69) 1.32 (0.68, 1.95) 0.88 (-0.32, 2.08) difference in means (95% CI) 1.10 (0.05, 2.14) Weighted 0.54 (-0.82, 1.90) -0.21 (-1.46, 1.04) 1.07 (-0.33, 2.47) 19 18.3 13.6 10.7 9.5 20.1 13.3 intake (% energy) 12.9 change in sugars 2.5 2.9 11 Between treatments 1.01 (0.70, 1.32) 2.06 (0.53, 3.58) 0.89 (-0.13, 1.90) 1.47 (-0.49, 3.43) 1.10 (0.40, 1.80) 0.53 (-0.63, 1.69) 1.32 (0.68, 1.95) 0.88 (-0.32, 2.08) difference in means (95% CI) 1.10 (0.05, 2.14) Weighted 0.54 (-0.82, 1.90) -0.21 (-1.46, 1.04) 1.07 (-0.33, 2.47) 19 18.3 13.6 10.7 9.5 20.1 13.3 intake (% energy) 12.9 change in sugars 2.5 2.9 11 Between treatments Favours higher sugar diet Favours lower sugar diet 0-2 0 2 4 Difference in energy intake between groups (MJ/day) Meta-analysis of RCTs looking at higher versus lowersugar consumption on energy intake 4
  • 5. 5 Sugar intakes compared to the new SACN recommendation
  • 6. Cost savings of achieving the reduction to 5% of energy from sugar 6 Assuming the SACN recommendations to reduce sugar intakes to 5% of energy intake are achieved within 10 years, the cost saving to the NHS is estimated to be about £500M per annum by year 10 (due to reductions in the costs associated with dental caries and consequences of obesity).
  • 7. • PHE has carried out an extensive programme of work over the past 12 months in order to provide a package of evidence to inform the government’s thinking on sugar in the diet • Published 22 October 2015 • Considers the need for action – how much sugar we eat, where it comes from, the associated health issues and benefits in reducing intakes. • Draws conclusions about what drives our consumption and advises on actions that could be implemented 7 Sugar Reduction: The evidence for action
  • 8. Sugar reduction: the evidence 8 Influencers: • Children are exposed to a high volume of marketing and advertising which, in all its forms, consistently influences food preference, choice and purchasing • Food retail price promotions are widespread in Britain; account for 40% of all food and drink expenditure; increase the amount people spend by one-fifth and the amount of sugar purchased by from higher sugar foods and drinks by 6%. • Price increase, such as by taxation, can influence purchasing of sugar sweetened drinks and other high sugar products in the short-term. Food supply: • A structured and universal programme of reformulation to reduce levels of sugar in food and drink would significantly lower sugar intakes, particularly if accompanied by reductions in portion size • Better public food procurement at a national and local level would improve diets Knowledge, training and local action: • Accredited training in diet and health is not routinely delivered to many who could influence others food choices but tools like competency frameworks can help change this • Other consumer tools, such as the Change4Life campaign, can also help inform and educate • Local action, when delivered well, can contribute to changing knowledge and also influence food environments and can improve diets
  • 9. Sugar reduction: areas for action 1) Reduce and rebalance the number and type of price promotions in all retail outlets 2) Significantly reduce opportunities to market and advertise high sugar food and drink 3) The setting of a clear definition for high sugar foods (to aid with 1 & 2 above) 4) Introduction of a broad, structured and transparently monitored programme of gradual sugar reduction in everyday food and drink 5) Introduction of a price increase of a minimum of 10-20% on high sugar products through the use of a tax or levy such as on full sugar soft drinks 6) Adopt, implement and monitor the government buying standards for food and catering services across the public sector 7) Ensure that accredited training in diet and health is routinely delivered to all of those who have opportunities to influence food choices 8) Continue to raise awareness of concerns around sugar levels in the diet to the public as well as health professionals, employers, the food industry etc. 9
  • 10. It is unlikely that a single action alone would be effective in reducing sugar intakes • The evidence suggests a broad, structured approach, involving restrictions on price promotions and marketing, product reformulation, portion size reduction and price increase on unhealthy products, implemented in parallel, is likely to have a more universal effect. • Positive changes to the food environment (e.g. public sector food procurement, provision and sales of healthier foods) as well as information and education are also needed to help support people in making healthier choices. 10