Obesity Policy

Over a billion people now affected by obesity worldwide, comprehensive analysis shows

A groundbreaking analysis published in The Lancet has highlighted a concerning milestone in global health: the number of children, adolescents, and adults living with obesity worldwide has exceeded one billion. This significant finding marks a shift in the nutritional challenges faced globally, with obesity now surpassing undernutrition as the predominant form of malnutrition in the majority of countries.

This detailed examination of global data reveals a stark increase in obesity rates among the world’s youth in 2022, which are now four times higher than they were in 1990. For adults, the increase is equally alarming, with obesity rates more than doubling for women and nearly tripling for men. Specifically, the analysis found that 159 million children and adolescents, along with 879 million adults, were living with obesity in 2022.

Simultaneously, the study reports a decline in the prevalence of underweight individuals since 1990, indicating progress in one area of malnutrition but highlighting the growing concern of obesity. Professor Majid Ezzati of Imperial College London, a leading figure in the study, expressed grave concerns about the obesity epidemic’s expansion into younger demographics and stressed the importance of improving access to healthy, nutritious foods to combat both obesity and undernutrition.

The study, a collaborative effort between the NCD Risk Factor Collaboration (NCD-RisC) and the World Health Organization (WHO), analysed weight and height measurements from over 220 million people aged five years and older across more than 190 countries. This extensive data collection aimed to trace the evolution of obesity and underweight from 1990 to 2022, using Body Mass Index (BMI) as a key measure.

The findings reveal a dramatic rise in obesity rates globally, with significant increases observed in nearly all countries examined. In parallel, there has been a notable decline in underweight rates, shifting the focus of nutritional health challenges.

Regionally, the study provides detailed insights into the prevalence of obesity and underweight. For instance, in Polynesia and Micronesia, as well as in the Caribbean and the Middle East and North Africa, obesity rates have surged, surpassing those in many high-income industrialised countries, particularly in Europe. Specifically, Tonga and American Samoa reported the highest prevalence of obesity among women, while American Samoa and Nauru topped the list for men.

In contrast, the United Kingdom saw its obesity rates climb from 13.8% to 28.3% for women and from 10.7% to 26.9% for men between 1990 and 2022. Similarly, the United States experienced a significant increase in obesity rates, with women’s rates jumping from 21.2% to 43.8% and men’s from 16.9% to 41.6% over the same period.

China and India also witnessed notable increases in obesity rates, albeit from lower baselines. China’s obesity rates rose from 2.0% to 7.8% for women and from 0.8% to 8.9% for men, while India saw increases from 1.2% to 9.8% for women and from 0.5% to 5.4% for men.

Despite these increases, the study also highlighted countries where underweight remains a significant concern, with Eritrea and Timor-Leste for women, and Eritrea and Ethiopia for men, recording the highest prevalence of underweight in 2022.

The study underscores the complex global challenge of addressing both obesity and undernutrition, emphasising the need for comprehensive policy measures and international cooperation to tackle these issues effectively. Despite limitations, such as the imperfect nature of BMI as a measure and variable data availability, the analysis provides a crucial overview of global nutritional trends, highlighting the urgent need for action to create a healthier global population.

The first-ever “Obesity Bill of Rights” has been launched in the USA

In an unprecedented move to address the widespread and deeply rooted issue of obesity, which is the most prevalent and costly chronic disease across the United States, the National Consumers League (NCL) alongside the National Council on Aging (NCOA) have unveiled the nation’s inaugural Obesity Bill of Rights. This initiative, coupled with the establishment of the grassroots movement known as Right2ObesityCare, aims to instigate a profound shift in federal, state, and employer policies. The ultimate goal is to embed these rights within the framework of medical practice, ensuring that individuals with obesity receive comprehensive, non-discriminatory care as per medical guidelines.

Crafted through meticulous consultation with leading obesity experts and receiving endorsements from nearly 40 national bodies dedicated to obesity and chronic disease management, this Bill of Rights articulates eight fundamental entitlements. These entitlements guarantee that individuals with obesity are not only screened, diagnosed, and counselled but also treated in accordance with established medical guidelines. Moreover, it seeks to eradicate the pervasive issues of weight bias, ageism within healthcare settings, and the exclusionary practices of insurance providers and governmental bodies.

Sally Greenberg, the Chief Executive Officer of the National Consumers League, underscored the essence of the Obesity Bill of Rights, stating that it is designed to affirm the entitlement of all adults to quality obesity care. It empowers those afflicted by this disease to challenge and demand appropriate treatment free from any form of discrimination or prejudice, irrespective of their size or weight. Greenberg lamented the historical neglect and stigmatisation faced by individuals with obesity within the healthcare system, which has led to significant barriers in accessing care.

Echoing this sentiment, Patricia Nece, J.D., the Immediate Past Chair of the Obesity Action Coalition, shared her personal struggles with weight-related ridicule, highlighting the societal tendency to overlook the individual behind the weight.

Despite the American Medical Association’s recognition of obesity as a serious disease over a decade ago, a staggering number of American adults living with obesity remain undiagnosed. Out of an estimated 108 million adults, only 30 million have been diagnosed, and a mere 2% of those eligible for anti-obesity medications have received prescriptions. This lack of treatment has dire consequences, not only exacerbating the outcomes of over 230 obesity-related chronic conditions but also contributing to approximately 400,000 premature deaths annually and imposing an estimated $1.72 trillion burden on the U.S. economy.

The Obesity Bill of Rights introduces eight core rights aimed at catalysing transformative change and setting the standards for person-centred, quality care for individuals with obesity:

1. The Right to Accurate, Clear, Trusted, and Accessible Information on obesity as a treatable chronic disease.
2. The Right to Respect by all members of the integrated care team when screening, counselling, and providing treatment.
3. The Right to Make Treatment Decisions about one’s health goals and obesity care in consultation with the individual’s health providers.
4. The Right to Treatment from Qualified Health Providers including counselling and ongoing care from health providers with expertise in obesity care.
5. The Right to Person-Centred Care that is personalised, respects the individual’s cultural beliefs, meets their specific health goals, and considers the person’s whole health and not just their weight status.
6. The Right to Accessible Obesity Treatment from Health Systems, so those with severe obesity receive care in settings that allow for privacy, using size and weight-accessible equipment and diagnostic scans.
7. The Right for Older Adults to Receive Quality Obesity Care that comprises a respectful, comprehensive care approach consistent with their personalised medical needs.
8. The Right to Coverage for Treatment with access to the full range of treatment options for the person’s disease as prescribed by the individual’s health provider.
   

Ramsey Alwin, President and CEO of the NCOA, emphasised that these rights are foundational to ensuring that adults with obesity receive informed, respectful care, and comprehensive insurance coverage for treatments deemed necessary by their healthcare providers.

To promote the implementation of the Obesity Bill of Rights, the NCL and NCOA are spearheading the Right2ObesityCare movement. This campaign aims to engage a broad spectrum of stakeholders, including those with obesity, caregivers, health professionals, and policy-makers, through a variety of initiatives such as town halls, workshops, and advocacy forums. Additionally, efforts are underway to draft a model law that would facilitate the incorporation of the Obesity Bill of Rights into state legislation.

Prominent figures, including Rep. Brad Wenstrup and Rep. Gwen Moore, have voiced their support for legislative efforts to enhance obesity care and prevent associated health conditions. Their endorsements highlight the necessity of treating obesity as a chronic disease and ensuring that Americans can access holistic, high-quality care.

The development of the Obesity Bill of Rights was a comprehensive process that involved extensive research, community engagement, and expert consultations. The initiative has garnered initial support from 37 organisations, reflecting a wide endorsement from consumer, ageing, and public health sectors.

This groundbreaking initiative represents a pivotal step towards eradicating the stigma and discrimination faced by individuals with obesity, ensuring they receive the respect, care, and treatment they deserve.

Study finds some 40% of Chinese children face obesity by 2030

A comprehensive study recently unveiled alarming projections that nearly 40% of Chinese children and adolescents are on track to have overweight or obesity by the year 2030 if current upward trends persist. This pressing issue has prompted calls from experts for immediate action to mitigate the looming health crisis, with proposed strategies including the implementation of a 20% levy on sugar-laden beverages.

The research, which was published in The Lancet Regional Health last month and conducted by a collaborative team from the School of Public Health at Peking University and the United Nations Children’s Fund, highlights the swift rise in obesity rates among the youth in China, pinpointing significant consequent health and financial repercussions.

The study’s forecasts paint a grim picture, estimating a staggering lifetime economic toll of 218 trillion yuan (approximately $31.6 trillion) from 2025 to 2092, attributable to the prevailing rates of obesity among children and adolescents in the absence of intervention strategies.

Zhou Maigeng, Deputy Director of the National Center for Chronic and Noncommunicable Disease Control and Prevention at the Chinese Center for Disease Control and Prevention, stressed that the economic strain posed by the increasing prevalence of children with overweight and obesity is often overlooked, as many related health complications have yet to manifest.

Alarm bells have already been sounded by data concerning adult obesity, which forewarns of the annual costs of chronic diseases linked to excess weight reaching 49 billion yuan by 2030, according to Zhou.

The upward trajectory of childhood and adolescent obesity in China has been startling, with prevalence rates soaring from a relatively modest 8.8% in 2000 to an estimated 37.9% in 2020—an increase of 400% over two decades. This surge has not only eclipsed the global average but also surpassed rates observed in certain Western and upper-middle-income nations. Without decisive action, researchers warn that these figures could exceed 60% by 2030.

In response to this growing public health concern, China has initiated several national interventions aimed at curbing the trend, focusing primarily on enhancing nutrition and physical activity within schools. The proposed introduction of a 20% tax on sugar-sweetened beverages, coupled with tighter restrictions on marketing unhealthy food products to children, has been identified as the most effective course of action.

This recommendation aligns with the World Health Organization’s guidance issued in December, urging nations to adopt or amplify existing taxes on sugary drinks as a measure to safeguard public health. The call to action is supported by evidence from countries like Mexico, South Africa, and the United Kingdom, where such fiscal policies have yielded positive outcomes.

Zhang Man, a researcher at Peking University, emphasised the importance of grounding policy decisions in scientific evidence and underscored the need for ongoing monitoring and evaluation of intervention impacts, suggesting adjustments based on observed results to enhance efficacy.

UK government criticised for delaying vital anti-obesity policies, endangering children’s health

A recent independent report, commissioned by the UK government, has highlighted the severe risks posed to children’s health in England due to the postponement of crucial anti-obesity measures until 2025. The report underscores the grave consequences of this policy inaction, with children facing an increased risk of diabetes, heart disease, and other severe health issues.

The report points out that ultra-processed foods (UPF) and products high in fat, sugar, and salt (HFSS) have become alarmingly commonplace in children’s diets. This trend is particularly pronounced among lower-income families, who often find it challenging to limit these unhealthy foods. The delay in implementing measures such as the proposed 9pm watershed for junk food advertising and the ban on online ads and unhealthy buy-one-get-one-free deals is exacerbating the issue.

City, University of London, which undertook the government-commissioned research, found that UPFs, along with fatty, sugary, and salty foods, have become a standard component of children’s diets. The report reveals that access to healthy foods like fruits and vegetables is increasingly difficult for many families, especially those with lower incomes. Consequently, children are at a heightened risk of developing long-term health problems, including type 2 diabetes.

The research suggests that families with higher incomes are in a better position to maintain a healthier diet for their children, often avoiding retail environments that promote unhealthy food choices. In contrast, lower-income families find themselves reliant on multi-buy deals and promotions for UPFs, making these unhealthy options appear more economical.

The report’s authors urgently call for the introduction of shelved anti-obesity measures to reduce the appeal of UPF and HFSS and improve access to healthier food alternatives. Recommended actions include expanding access to Healthy Start vouchers, ensuring a living wage that covers the cost of a healthy diet, incorporating fruit and vegetable education in schools, and stricter regulation of misleading health claims on food packaging.

Dr Paul Coleman, one of the study’s authors and a former honorary senior research fellow at City, expressed concern over the early introduction of UPFs in children’s diets. He highlighted the lasting impact these dietary patterns can have into adulthood and their link to serious health outcomes later in life.

Childhood obesity is a significant public health challenge in England, with statistics showing that two in five children leave primary school with overweight or obesity. This puts them at a higher risk of chronic illnesses, mental health problems, and a reduced lifespan.

Katharine Jenner, director of the Obesity Health Alliance, emphasised the urgency for government intervention. She pointed out that parents on low incomes often find it economically risky to purchase healthier foods, such as whole fruits, for their children.

The report also notes that healthier snacks are, on average, three times more expensive per calorie than less healthy options, further complicating the choice for low-income families.

In response, a government spokesperson cited initiatives such as the distribution of fruit and vegetables to school children and voluntary sugar reduction programmes. They also mentioned new calorie labelling requirements in restaurants, cafes, and takeaways, and restrictions on the placement of less healthy products in shops and online to curb impulsive unhealthy purchases. However, these measures fall short of the comprehensive policy action called for in the report.

UK’s obesity epidemic costs economy almost £100 billion per year

Britain is grappling with an obesity crisis that is inflicting a staggering economic toll of nearly £100 billion annually, as per a comprehensive report by the Tony Blair Institute. This figure, highlighted in a report published by The Times, indicates that the impact of obesity on national productivity is far more severe than previously estimated, being ninefold higher.

The financial implications are forecasted to escalate by an additional £10 billion over the coming 15 years. This total cost, inclusive of the £63 billion attributed to shorter life spans and compromised health due to obesity, equates to roughly 4% of the nation’s GDP.

Henry Dimbleby, the former government advisor on food, is advocating for stringent measures akin to those applied to tobacco, targeting junk food. He warns that without decisive action, Britain risks becoming a nation burdened by illness and economic decline. Dimbleby is poised to highlight these concerns in a speech at a Royal Society conference, stressing the potential strain on the NHS and consequent economic stagnation.

Amid these warnings, the government has postponed initiatives like the 9pm junk food advertising watershed and restrictions on promotional deals for unhealthy food products until 2025. Health Secretary Victoria Atkins has expressed a desire to offer health guidance in a non-patronising manner.

A Department of Health spokesperson reiterated the government’s commitment to tackling obesity, pointing to initiatives like food-labelling standards, investment in school sports, and healthy food vouchers for underprivileged families.

Hermione Dace from the Tony Blair Institute underscored the critical link between the nation’s health and its economic prosperity, calling for a revamped approach to promote healthier food options and discourage the profitability of ultra-processed and junk food.

The obesity epidemic has intensified, with two-thirds of British adults now classified as having overweight or obesity, a significant rise from half a generation ago. Notably, the average weights of British men and women have increased by 6kg and 5kg, respectively, since 1993.

Japan’s healthcare system to include new obesity treatment in insurance coverage

Japan’s healthcare system is set to introduce a novel obesity treatment covered by public medical insurance starting Wednesday (22nd of November, 2023), marking the first such inclusion in thirty years. Wegovy, produced by the Danish firm Novo Nordisk, will be accessible under the national health insurance following its approval for manufacture and sale in March.

The treatment contains semaglutide, a GLP-1 receptor agonist that not only enhances insulin production and lowers blood sugar but also suppresses appetite by inducing satiety and curbing cravings.

Coverage is specifically tailored for patients who are significantly overweight or have weight-related health complications such as high blood pressure, hyperlipidemia, and Type 2 diabetes, and who have not seen results from lifestyle changes alone. Criteria for eligibility include having a Body Mass Index (BMI) of 35 or above, or a BMI of 27 with associated comorbidities.

Wegovy is administered weekly through self-injection, with a monthly supply consisting of four pens. The cost varies according to the dose, from ¥1,876 (£9.99) for the smallest dose to ¥10,740 (£57.19) for the highest.

The drug joins Ozempic, also a GLP-1 receptor agonist with semaglutide by Novo Nordisk, on the market. While Ozempic targets Type 2 diabetes at lower doses, Wegovy is dosed higher specifically for weight loss.

Despite its medical purposes, there’s growing concern over Wegovy’s use for aesthetic weight loss, leading to potential drug shortages for those in medical need. This has prompted Japanese medical bodies to warn against such misuse, especially with the trend of “medical diets” offered by clinics to individuals without obesity or diabetes.

Research has pointed out the risk of severe gastrointestinal issues with these medications, a concern highlighted in the Journal of the American Medical Association. Yet, Novo Nordisk has cited an August report claiming Wegovy can cut the risk of major adverse cardiovascular events by 20% in adult individuals with overweight or obesity.

Previously, Japan’s insured treatment for obesity was limited to Mazindol, introduced in 1992, designated for severe obesity and capped at three months of use due to addiction risks.

Teachers could play a major role in combating childhood obesity

Recent scholarly insights have underlined a potentially transformative role that educators can play in combating the alarming rates of childhood obesity, particularly in the United States (US). As published in the reputable journal Nutrients, a meticulous study embarked on an exploratory journey to gauge the impact teachers could make in mitigating this health crisis among the younger generation.

The roots of childhood obesity have embedded themselves deep within the US, displaying a consistent upward trend, with a pronounced prevalence in disadvantaged regions. The escalating concern has drawn concerted interventions from health authorities at local, state, and federal levels, spotlighting schools as pivotal arenas for executing preventative measures.

At the heart of these initiatives lies an appreciable emphasis on the instrumental role of teachers. By being on the frontlines of programme delivery, they emerge as invaluable assets in recognising and diffusing obesity-curbing strategies among students. However, the pressing commitments inherent to the teaching profession pose a formidable challenge to prioritising their health – a dilemma exacerbated by the outbreak of the COVID-19 pandemic, which brought to light the imperative of maintaining teacher well-being.

In 2022, a seminal report from the RAND Corporation shed light on a concerning level of job-induced stress among teachers, pointing towards a positive correlation between employer-facilitated wellness programs and reduced stress levels. Multiple strands of research echo a similar sentiment: a robust student-teacher rapport is a cornerstone for fostering student engagement, regular attendance, enhanced emotional well-being, and an overall conducive academic atmosphere.

An investigative team from the American University, Washington, orchestrated an elaborate five-year intervention venture beginning in 2017. The primary objective was to immerse educators in a milieu of nutrition literacy, aimed at equipping them with the requisite skill set to impart obesity-preventive knowledge among elementary scholars in Washington, DC. The study encapsulated four schools, two of which were designated as control while the others were intervention cohorts. Teachers, pivotal to this initiative, furnished demographic details and partook in Teacher Health Surveys before and subsequent to the intervention period.

Survey feedback, encapsulated through a Likert scale, facilitated an overall health score, amalgamated from various metrics including chronic conditions, self-efficacy, health education ideologies, and general health standings. The project’s crux was to evaluate the influence of a professional development scheme on augmenting teachers’ capacity to infuse nutrition-centric discourse into their pedagogical regimen.

Each intervention session commenced with a wellness-centric activity, transitioning into a demonstration lesson from “Serving up MyPlate: A Yummy Curriculum.” Teachers at the intervention forefront were required to integrate a minimum of three nutrition-dedicated lessons throughout the academic year. To measure the pedagogical impact, a Student Nutrition Literacy Survey was administered at both the outset and the conclusion of the intervention.

The data depicted a collective participation of 92 educators from both the control and intervention factions. The demographic backdrop of these teachers showcased a reasonable level of uniformity across the schools. An age average of 36 years, a predominant female representation (84.8%), and a significant Black demographic (68.5%) constituted the participant profile.

A cadre of 55 teachers from the intervention spectrum attended the professional development suite, orchestrating 71 nutrition-oriented lessons. A meticulous Poisson regression analysis unearthed a predictive association among job stress, professional development attendance, and self-efficacy towards the incorporation of nutrition lessons. An incremental self-efficacy score and each additional session attendance manifested a 25% and 48% increased likelihood, respectively, of infusing nutrition lectures into the curriculum. Interestingly, a stark inverse relation was observed between stress levels and self-efficacy scores.

The investigative lens also focused on the ripple effect of health scores, lesson implementations, and aggregate health scores. A noticeable inverse relationship emerged between lesson execution and stress levels, indicating that session attendance contributed to lower stress levels among teachers. Moreover, a higher aggregate health score was recorded for teachers who integrated three or more nutrition lessons compared to their counterparts. The student demographic, comprising both intervention and control schools, showcased a balanced representation concerning age, gender, and grade level.

The baseline knowledge levels didn’t exhibit significant discrepancies between the students of intervention and control schools. However, a commendable uptick in scores was observed among students of the intervention cohort who were recipients of nutrition education from session-attending teachers. Notably, students exposed to three or more nutrition lessons reflected a 10% enhancement in their scores compared to those receiving two or fewer lessons.

The observations evinced the practicability and sustainability of a short-term professional development module aimed at fostering teacher health while concurrently advancing nutrition education. It’s imperative to highlight that although the rise in healthful eating awareness is promising, it doesn’t necessarily translate to a behavioural modification. A holistic approach to enhancing student health necessitates a foundational support structure for teacher health, underscoring the necessity of workplace professional development.

Empowering teachers with a robust knowledge repository, a wealth of resources, and adeptness in managing their health not only transforms them into educational conduits but also as potent change agents in the classroom. By co-opting teachers as collaborative partners in the quest to curb childhood obesity, a more structured pathway towards attaining health equity is envisioned. The study, in essence, reinforces the potential of a professional development framework as a viable stratagem in advancing teacher well-being and fortifying the bulwark against childhood obesity.

Luton Council takes action against childhood obesity by banning unhealthy food ads on municipal property

Luton Council has made a significant decision to combat the growing concern of childhood obesity in the town by implementing a ban on advertising for unhealthy food items on most of its council-owned property. As part of this determined initiative, advertisements featuring food products high in fat, salt, and sugar will no longer be permitted to be displayed on billboards, lampposts, screens, or roundabouts within the town’s jurisdiction.

This move, according to the council, aims to “protect children and adults” from the influence of marketing that promotes unhealthy eating habits. The situation has become particularly alarming in Luton, where childhood obesity rates have exceeded national levels. The latest figures from the National Child Measurement Programme (NCMP) revealed that 11.4% of reception age children in Luton (ages four to five) were classified as having obesity, compared to the national rate of 10.1%. Similarly, obesity among children aged 10 to 11 (Year 6) in Luton stood at 29.2%, noticeably higher than the national rate of 23.4%.

Labour councillor Khtija Malik, who holds the portfolio for public health, declared the ban as a “start” in the town’s efforts to decrease its “high rates of obesity among young children.” Ms. Malik stressed the importance of fostering healthy eating habits early in life, acknowledging the considerable impact advertising has on shaping people’s food choices.

This ban, although extensive, will not encompass all advertising locations within the town. Unhealthy food adverts may continue to be seen on bus shelters until at least 2027, as the council’s current advertising contract for these spaces extends to that year. However, Ms. Malik reassured that the council, having “control of our assets,” would exercise control over “what is advertised” in areas under its jurisdiction.

The move by Luton Council has not only demonstrated a proactive approach to a pressing public health issue but has also been met with support from advocacy groups. Fran Bernhardt, the children’s food campaign coordinator at Sustain, a group dedicated to better food and farming, lauded the council’s efforts, stating, “Luton Council has stood up to the food and drinks industry on behalf of all their residents.” She further emphasised the importance of the decision, pointing out that those residing in the most deprived areas are the ones most affected by unhealthy food advertising and are consequently most at risk from diet-related diseases.

The decision by Luton Council signifies an important step in recognising and addressing the complex factors that contribute to childhood obesity. By limiting the exposure to advertising that encourages unhealthy food choices, the council is actively working to create an environment that supports healthier lifestyle decisions. This ban is a notable example of local governance taking decisive action to influence public behaviour and health, reflecting a growing awareness of the pivotal role advertising plays in shaping dietary habits and preferences. It serves as a landmark measure that could potentially inspire similar initiatives in other towns and cities, contributing to a broader societal shift towards prioritising public health.

Scientists call for government action on portion sizes to tackle childhood obesity

Leading scientists are urging the government to establish standard portion sizes for young children as part of efforts to combat the obesity epidemic. In a damning report, government scientific advisers have revealed that young children are consuming excessive amounts of salt and sugar while falling short on fruit, fibre, and vegetable intake.

Official data indicates that one in ten reception-age children in the UK now has obesity, with experts projecting that the obesity crisis will cost the NHS £10 billion annually by 2050. The report from the Scientific Advisory Committee on Nutrition (SACN) highlights the absence of formal guidance on appropriate portion sizes for young children and emphasises the need for policymakers to address this issue. Oversized servings are contributing to the rapid consumption of excessive calories.

According to the report’s authors, the current diet of young children in the UK fails to meet the recommended dietary guidelines for several nutrients. They note that larger portion sizes of snacks and meals provided in preschool settings are associated with higher food and energy intake in the short term. To address these concerns, the authors recommend that the government consider developing age-appropriate portion sizes for food and beverages, including vegetables, fruit, fruit juice, and milk, targeting children aged 1 to 5 years.

The SACN, known for its advocacy of the forthcoming ban on fast-food advertising before 9 pm from 2025 and the fortification of bread with folic acid, has identified excessive sugar consumption as a widespread issue, leading to dental problems that pose long-term health risks for individuals and place a persistent burden on the NHS.

The report reveals that nutritional imbalances are prevalent in the average diet, with children from disadvantaged backgrounds experiencing even worse dietary quality. Commissioned by the Department for Health and Social Care, the report provides the first update on recommended food and beverage consumption for children aged one to five in nearly two decades. Based on a comprehensive review of two decades of studies and data, the panel of nutrition experts and paediatricians who form the SACN made several recommendations, highlighting the urgency of addressing the “high prevalence” of overweight and obesity in children in the UK.

Official figures indicate that approximately 3% of reception-age children have severe obesity, and one in ten children at this age meet the threshold for obesity.

The report authors also suggest that repeated exposure to initially disliked vegetables can help children develop a preference for them. They recommend that parents persistently offer the vegetable to their child eight to ten times to increase acceptance.

Additional recommendations from the report include avoiding fizzy drinks for children under the age of five, consuming unsweetened yoghurt products, and making milk and water the primary beverage choices. Semi-skimmed cow’s milk is acceptable, but fully skimmed milk should be avoided until age 5.

Bridget Benelam, a Nutrition Scientist from the British Nutrition Foundation, highlighted the report’s findings, stating that the diets of 1-5-year-olds were inadequate, characterised by excessive sugar, salt, and unhealthy energy-dense foods, and insufficient fibre, fruit, and vegetables.

The report also emphasises the importance of early childhood nutrition, not only for growth and development but also for establishing healthy habits that will benefit children later in life.

The report suggests several strategies for the government to consider, including promoting continued breastfeeding into the second year of life, ensuring children receive daily vitamin D and A supplements, and providing adequate vitamins and minerals for vegan families who may lack these nutrients commonly found in animal products.

A government spokesperson acknowledged that the report’s recommendations are being noted and considered. They highlighted the Start for Life resources, which provide expert NHS advice, helpful videos, and simple recipe ideas to support families in providing healthy meals for babies and young children.

Wales takes strong action against junk food meal deals to combat obesity crisis

 In a determined effort to address the growing obesity problem, Wales is set to implement strict measures aimed at curbing the promotion and accessibility of unhealthy meal deals and temporary price reductions on foods high in fat, sugar, or salt. With almost two-thirds of adults in Wales classified as having either overweight or obesity, the Labour-led government intends to go beyond the initiatives taken in England by enacting legislation to tackle the promotion of ultra-processed foods.

The Welsh government plans to mirror the UK government’s approach in England to restrict volume promotions, such as buy one get one free deals. Additionally, Wales will introduce proposals targeting meal deals and temporary price reductions, acknowledging the urgency of the crisis and the need for more comprehensive actions.

Lynne Neagle, the Welsh Deputy Minister for Mental Health and Wellbeing, emphasised the pressing nature of the situation, stating, “Rising levels of obesity are causing a significant burden of preventable illness in Wales. We must act immediately.” Neagle clarified that the government does not intend to ban meal deals altogether but aims to shift the focus towards healthier, more nutritionally balanced options. Many meal deals currently include large bags of crisps and snacks that are high in fat and sugar. The objective is to ensure that affordable meal deals are available, which are lower in calories, fat, and sugar.

Research conducted by Public Health Wales revealed that three-quarters of lunchtime meal deals exceed recommended calorie and salt levels for a meal. The unhealthiest lunch options provide two-thirds of the daily calorie intake, over 122% of the daily fat intake, 149% of the recommended sugar intake, and 112% of the daily salt intake. The majority of dinnertime meal combinations exceed average energy requirements.

The researchers concluded that if an individual purchased an average meal deal for lunch five days a week, they could gain more than 6 pounds (2.8 kg) in a year. If they opted for a high-calorie meal deal five days a week, the weight gain could reach 47 pounds (21 kg) within a year.

Neagle clarified that temporary price reductions would not be banned either, stating, “Our aim is to rebalance our food environments so that the healthy choice becomes the easy choice.”

The UK government recently delayed the planned ban on buy one get one free deals for junk food by two years, citing concerns over the cost of living crisis. However, the Welsh government is committed to implementing its restrictions by 2025 and intends to proceed even if the UK government does not follow suit.

Neagle expressed hope for alignment across the UK, stating, “It would be great if England moved forward with these plans. We believe that consistency throughout the UK is beneficial, but we have a responsibility to address the crisis we are currently facing in Wales.”

Neagle dismissed the notion that these measures amount to a “nanny state” intervention, highlighting that tackling obesity extends beyond individual responsibility and encompasses the unhealthy food environment people are exposed to on a daily basis.

The regulations will apply to major food retailers, and the government will also explore measures to curb the purchase of unhealthy food online and offers associated with loyalty cards.

According to the Welsh government, 62% of individuals aged 16 and over in Wales either have overweight or obesity.

James Evans, the Welsh Conservatives’ Shadow Minister for Mental Health and Wellbeing, stressed the need for clear assurances from the Welsh Labour government that meal deals will not be banned and that any new regulations will not increase the average weekly cost for shoppers.

Weight loss injections could be prescribed to children with obesity

UK government officials are contemplating offering weight-loss injections to children with obesity as young as 12 in an effort to combat the escalating childhood obesity problem in the country.

Specialists are currently evaluating if semaglutide injections, a weight-loss medication recently sanctioned for adult use by the NHS, could be beneficial for children with obesity aged between 12 and 17. Health authorities are now encouraging the National Institute for Health and Care Excellence (NICE) to consider providing these injections to teenagers struggling with obesity.

The final decision, expected to be announced in early 2024, is being supported by experts who argue that the medication could prevent more children from needing invasive weight-loss procedures. However, this suggestion has sparked controversy, with some arguing it could lead to an over-medicalisation of children.

Those opposed to the idea of weight loss injections for children raise several concerns. They fear the potential interference of these drugs with the physical and mental growth and development of children. They also highlight the lack of evidence regarding the long-term effects of such treatments on children’s health.

Critics further argue that such injections might encourage an unhealthy emphasis on weight and physical appearance, potentially leading to body image issues and disordered eating. The potential for serious side effects from weight loss injections is another concern. Additionally, they worry about the psychological message these injections could send, implying that a child’s body is unacceptable as it is.

Professor Keith Godfrey, from the National Institute for Health and Care Research’s Southampton Biomedical Research Centre, warns that providing weight-loss injections to children might lead to the unnecessary medicalisation of an entire generation.

Charlotte Summers from Gro Health, a company offering health and wellbeing programs for adults, children, and young people, advocates for a more holistic approach: “By promoting healthy eating habits, regular physical activity, and a positive relationship with food, we can enable our children to attain and maintain a healthy weight throughout their lives. This comprehensive strategy not only contributes to physical wellbeing, but also lays a solid foundation for emotional and mental health. We must collaborate to support our children in adopting a balanced and wholesome lifestyle for a healthier, brighter future.”

More than half of the world will have overweight or obesity by 2035 – report

A new report by the World Obesity Federation predicts that more than half of the global population will have overweight or obesity by 2035. The report estimates that by 2035, 2.7 billion adults worldwide will have overweight, and 1.1 billion will have obesity.

The report points out that having overweight or obesity is a significant risk factor for many chronic diseases, including type 2 diabetes, cardiovascular disease, and some types of cancer. The cost of treating these diseases puts a significant burden on healthcare systems worldwide, with the federation estimating it will cost more than $4 trillion annually by 2035, or 3% of global GDP.

The report warns that the COVID-19 pandemic has exacerbated the problem by limiting access to healthy food and exercise opportunities, increasing stress and anxiety, and disrupting healthcare services. People who have overweight or obesity are also more likely to experience severe symptoms or complications from COVID-19.

The report calls for urgent action to address the growing obesity crisis, including measures to promote healthy eating, physical activity, and access to healthcare. It also calls for better regulation of the food industry to ensure that healthy options are available and affordable to all.

The authors of the report note that the obesity crisis is a complex issue that requires a multifaceted response from governments, healthcare providers, and individuals. They stress the importance of a coordinated and sustained effort to prevent and treat obesity, which they believe is essential for the health and well-being of individuals and societies worldwide.

The authors of the report have said they are not blaming individuals, but instead calling for a focus on the societal, environmental, and biological factors involved in the conditions. The report’s findings will be presented to United Nations policymakers and member states next week.