NACCHO Aboriginal Health and #Sugartax : @4Corners #Tippingthescales: #4corners Sugar, politics and what’s making us fat #rethinksugarydrinks @janemartinopc @OPCAustralia

On Monday night Four Corners investigates the power of Big Sugar and its influence on public policy.

“How did the entire world get this fat, this fast? Did everyone just become a bunch of gluttons and sloths?”  Doctor

The figures are startling. Today, 60% of Australian adults are classified as overweight or obese. By 2025 that figure is expected to rise to 80%.

“It’s the stuff of despair. Personally, when I see some of these young people, it’s almost hard to imagine that we’ve got to this point.”  Surgeon

Many point the finger at sugar – which we’re consuming in enormous amounts – and the food and drink industry that makes and sells the products fuelled by it.

Tipping the scales, reported by Michael Brissenden and presented by Sarah Ferguson, goes to air on Monday 30th of April at 8.30pm. It is replayed on Tuesday 1st of May at 1.00pm and Wednesday 2nd at 11.20pm.

It can also be seen on ABC NEWS channel on Saturday at 8.10pm AEST, ABC iview and at abc.net.au/4corners.

See Preview Video here

 ” In 2012-13, Aboriginal and Torres Strait Islander people 2 years and over consumed an average of 75 grams of free sugars per day (equivalent to 18 teaspoons of white sugar)1. Added sugars made up the majority of free sugar intakes with an average of 68 grams (or 16 teaspoons) consumed and an additional 7 grams of free sugars came from honey and fruit juice. “

NACCHO post – ABS Report abs-indigenous-consumption-of-added-sugars 

Amata was an alcohol-free community, but some years earlier its population of just under 400 people had been consuming 40,000 litres of soft drink annually.

The thing that I say in community meetings all the time is that, the reason we’re doing this is so that the young children now do not end up going down the same track of diabetes, kidney failure, dialysis machines and early death, which is the track that many, many people out here are on now,”

NACCHO Post : Mai Wiru, meaning good health, and managed by long-time community consultant John Tregenza.

See Previous NACCHO Post Aboriginal Health and Sugar TV Doco: APY community and the Mai Wiru Sugar Challenge Foundation

4 Corners Press Release

“This isn’t about, as the food industry put it, people making their own choices and therefore determining what their weight will be. It is not as simple as that, and the science is very clear.” Surgeon

Despite doctors’ calls for urgent action, there’s been fierce resistance by the industry to measures aimed at changing what we eat and drink, like the proposed introduction of a sugar tax.

“We know about the health impact, but there’s something that’s restricting us, and it’s industry.”  Public health advocate

On Monday night Four Corners investigates the power of Big Sugar and its influence on public policy.

“The reality is that industry is, by and large, making most of the policy. Public health is brought in, so that we can have the least worse solution.”  Public health advocate

From its role in shutting down debate about a possible sugar tax to its involvement in the controversial health star rating system, the industry has been remarkably successful in getting its way.

“We are encouraged by the government here in Australia, and indeed the opposition here in Australia, who continue to look to the evidence base and continue to reject this type of tax as some sort of silver bullet or whatnot to solve what is a really complex problem, and that is our nation’s collective expanding waistline.” Industry spokesperson

We reveal the tactics employed by the industry and the access it enjoys at a time when health professionals say we are in a national obesity crisis.

“We cannot leave it up to the food industry to solve this. They have an imperative to make a profit for their shareholders. They don’t have an imperative to create a healthy, active Australia.”  Health advocate

NACCHO post – Sixty-three per cent of Australian adults and 27 per cent of our children are overweight or obese.

 “This is not surprising when you look at our environment – our kids are bombarded with advertising for junk food, high-sugar drinks are cheaper than water, and sugar and saturated fat are hiding in so-called ‘healthy’ foods. Making a healthy choice has never been more difficult.

The annual cost of overweight and obesity in Australia in 2011-12 was estimated to be $8.6 billion in direct and indirect costs such as GP services, hospital care, absenteeism and government subsidies.1 “

 OPC Executive Manager Jane Martin 

BACKGROUND

 ” This campaign is straightforward – sugary drinks are no good for our health. It’s calling on people to drink water instead of sugary drinks.’

Aboriginal and Torres Strait Islander people in Cape York experience a disproportionate burden of chronic disease compared to other Australians.’

‘Regular consumption of sugary drinks is associated with increased energy intake and in turn, weight gain and obesity. It is well established that obesity is a leading risk factor for diabetes, kidney disease, heart disease and some cancers. Consumption of sugary drinks is also associated with poor dental health.

Water is the best drink for everyone – it doesn’t have any sugar and keeps our bodies healthy.’

Apunipima Public Health Advisor Dr Mark Wenitong

Read over 48 NACCHO articles Health and Nutrition HERE

https://nacchocommunique.com/category/nutrition-healthy-foods/

Read over 24 NACCHO articles Sugar Tax HERE  

https://nacchocommunique.com/category/sugar-

NACCHO Aboriginal Health @VACCHO_org @Apunipima join major 2018 health groups campaign @Live Lighter #RethinkSugaryDrink launching ad showing heavy health cost of cheap $1 frozen drinks

NACCHO Aboriginal Health #Junkfood #Sugarydrinks #Sugartax @AMAPresident says Advertising and marketing of #junkfood and #sugarydrinks to children should be banned

Minister @KenWyattMP launches NACCHO @RACGP National guide for healthcare professionals to improve health of #Aboriginal and Torres Strait Islander patients

 

All of our 6000 staff in 145 member services in 305 health settings across Australia will have access to this new and update edition of the National Guide. It’s a comprehensive edition for our clinicians and support staff that updates them all with current medical practice.

“NACCHO is committed to quality healthcare for Aboriginal and Torres Strait Islander patients, and will work with all levels of government to ensure accessibility for all.”

NACCHO Chair John Singer said the updated National Guide would help governments improve health policy and lead initiatives that support Aboriginal and Torres Strait Islander people.

You can Download the Guide via this LINK

A/Prof Peter O’Mara, NACCHO Chair John Singer Minister Ken Wyatt & RACGP President Dr Bastian Seidel launch the National guide at Parliament house this morning

“Prevention is always better than cure. Already one of the most widely used clinical guidelines in Australia, this new edition includes critical information on lung cancer, Foetal Alcohol Spectrum Disorder and preventing child and family abuse and violence.

The National Guide maximises the opportunities at every clinic visit to prevent disease and to find it early.It will help increase vigilance over previously undiagnosed conditions, by promoting early intervention and by supporting broader social change to help individuals and families improve their wellbeing.”

Minister Ken Wyatt highlights what is new to the 3rd Edition of the National Guide-including FASD, lung cancer, young people lifecycle, family abuse & violence and supporting families to optimise child safety & wellbeing : Pic Lisa Whop SEE Full Press Release Part 2 Below

The Royal Australian College of General Practitioners (RACGP) and the National Aboriginal Community Controlled Health Organisation (NACCHO) have joined forces to produce a guide that aims to improve the level of healthcare currently being delivered to Aboriginal and Torres Strait Islander patients and close the gap.

Chair of RACGP Aboriginal and Torres Strait Islander Health Associate Professor Peter O’Mara said the third edition of the National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (the National Guide) is an important resource for all health professionals to deliver best practice healthcare to Aboriginal and Torres Strait Islander patients.

“The National Guide will support all healthcare providers, not just GPs, across Australia to improve prevention and early detection of disease and illness,” A/Prof O’Mara said.

“The prevention and early detection of disease and illness can improve people’s lives and increase their lifespans.

“The National Guide will support healthcare providers to feel more confident that they are looking for health issues in the right way.”

RACGP President Dr Bastian Seidel said the RACGP is committed to tackling the health disparities between Indigenous and non-Indigenous Australians.

“The National Guide plays a vital role in closing the gap in Aboriginal and Torres Strait Islander health disparity,” Dr Seidel said.

“Aboriginal and Torres Strait Islander people should have equal access to quality healthcare across Australia and the National guide is an essential part of ensuring these services are provided.

“GPs and other healthcare providers who implement the recommendations within the National Guide will play an integral role in reducing health disparity between Indigenous and non-Indigenous Australians, and ensuring culturally responsive and appropriate healthcare is always available.”

The updated third edition of the National Guide can be found on the RACGP website and the NACCHO website.

 

Free to download on the RACGP website and the NACCHO website:

http://www.racgp.org.au/national-guide/

and NACCHO

Part 2 Prevention and Early Diagnosis Focus for a Healthier Future

The critical role of preventive care and tackling the precursors of chronic disease is being boosted in the latest guide for health professionals working to close the gap in health equality for Indigenous Australians

The critical role of preventive care and tackling the precursors of chronic disease is being boosted in the latest guide for health professionals working to close the gap in health equality for Indigenous Australians.

Minister for Indigenous Health, Ken Wyatt AM, today launched the updated third edition of the National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people.

“Prevention is always better than cure,” said Minister Wyatt. “Already one of the most widely used clinical guidelines in Australia, this new edition includes critical information on lung cancer, Foetal Alcohol Spectrum Disorder and preventing child and family abuse and violence.

“The National Guide maximises the opportunities at every clinic visit to prevent disease and to find it early.

“It will help increase vigilance over previously undiagnosed conditions, by promoting early intervention and by supporting broader social change to help individuals and families improve their wellbeing.”

The guide, which was first published in 2005, is a joint project between the National Aboriginal Community Controlled Health Organisation (NACCHO) and the Royal Australian College of General Practitioners RACGP).

“To give you some idea of the high regard in which it is held, the last edition was downloaded 645,000 times since its release in 2012,” said Minister Wyatt.

“The latest edition highlights the importance of individual, patient-centred care and has been developed to reflect local and regional needs.

“Integrating resources like the national guide across the whole health system plays a pivotal role in helping us meet our Closing the Gap targets.

“The Turnbull Government is committed to accelerating positive change and is investing in targeted activities that have delivered significant reductions in the burden of disease.

“Rates of heart disease, smoking and binge drinking are down. We are on track to achieve the child mortality target for 2018 and deaths associated with kidney and respiratory diseases have also reduced.”

The National Guide is funded under the Indigenous Australian’s Health Programme as part of a record $3.6 billion investment across four financial years.

The RACGP received $429,000 to review, update, publish and distribute the third edition, in hard copy and electronic formats.

The National Guide is available on the RACGP website or by contacting RACGP Aboriginal and Torres Strait Islander Health on 1800 000 251 or aboriginalhealth@racgp.org.au.

 

 

 

NACCHO @RACGP Aboriginal Health and #Nutrition : The next RACGP NACCHO National guide to a preventive health assessment for Aboriginal people will examine the health effects of food insecurity.

 ” In the second of a series focusing on the coming third edition of the RACGP NACCHO National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people, newsGP examines the health effects of food insecurity.

The National Guide suggests interventions to improve food security include school-based nutrition programs, structured workshops, cooking classes, demonstrations and community kitchens.

The National Aboriginal Community Controlled Health Organisation (NACCHO) and the RACGP’s National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people will cover further information on food insecurity in these chapters:

  • Overweight and obesity
  • Physical activity
  • Diabetes prevention
  • Child health: Growth failure
  • Oral and dental health

To be launched at Parliament House Canberra 28 March by Minister Ken Wyatt

Ms Morgan Liotta Morgan is a newsGP staff writer

The next RACGP NACCHO National guide to a preventive health assessment for Aboriginal people will examines the health effects of food insecurity.

Food insecurity can be attributed to various physical and economic factors present in the lives of Aboriginal and Torres Strait Islander people, including limited food supplies, and lack of affordability of quality produce and nutritional education.

Traditional bush foods are a source of nutrition for Aboriginal and Torres Strait Islander people in remote communities; however, when they are not available communities can rely heavily on community store and take away food.

A recent study by the Dietitians Association of Australia (DAA) reveals that a third of Aboriginal and Torres Strait Islander children are not consuming adequate amounts of fresh fruits and vegetables, while rates of sugar consumption are high.

Sugar consumption was targeted in recent public health campaigns initiated by Aboriginal and Torres Strait Islander communities, such as Rethink sugary drink and Apunipima Cape York Health Council’s

Sugary drinks proper no good – Drink more water Youfla, both of which aimed to raise awareness about the detrimental health outcomes of over-consumption of sugar.

With access to supplies and lack of education part of the issue of food insecurity, financial burden is often also a significant factor for many residents of remote Aboriginal and Torres Strait Islander communities where, in comparison with urban centres, prices for fresh food can be up to 70% higher. Residents may have no choice but to opt for cheaper, less nutritious options.

Limited awareness of nutrition may also contribute to poorer health outcomes, with people’s diets influenced from an early age.

Together, all of these circumstances can result in various adverse health outcomes, including overweight and obesity, diabetes, failure to thrive in children, dental health and kidney disease.

Research from 2014–15 showed an association between dietary behaviour and other socioeconomic and health characteristics. For example, Aboriginal and Torres Strait Islander peoples aged 15 and older who were employed were more likely than those who were unemployed to report adequate fruit intake (48% compared with 39%).

Evidence also suggests that people who experience poverty are more likely to maximise calories per dollar spent. Foods rich in fats, refined starches and sugars represent the lowest-cost options, with healthy options like lean meats, grains and fruits and vegetables more expensive.

Engaging and participating in traditional food management has been established as a contributing factor for improved social and emotional wellbeing. In addition to the benefits of consuming traditional foods, participating in the sharing of knowledge and traditional practices has been shown to have significant benefits for Aboriginal and Torres Strait Islander people and communities in urban settings, as well as rural and remote areas.

The Council of Australian Governments’ (COAG) National strategy for food security in remote Indigenous communities aims to promote strategic action for Aboriginal health workers and GPs working in Aboriginal and Torres Strait Islander communities to improve food security. The strategy states that this effort requires ‘a multi-faceted and coordinated approach from all levels of government, [Aboriginal and Torres Strait Islander] people and the non-government and private sectors to develop and implement effective and targeted actions.’

The Australian Institute of Health and Welfare (AIHW) report, A picture of overweight and obesity in Australia, shows that Aboriginal and Torres Strait Islander and low socioeconomic populations are more likely to be overweight. As a result, the burden of diet-related chronic disease is high among people in these communities. This outcome can be traced back to issues with food security.

The National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (National Guide) suggests that interventions to improve food security include school-based nutrition education programs, structured workshops, cooking classes, demonstrations and community kitchens (including peer-to-peer education). Evidence suggests these programs can improve participants’ food security through developing cooking, shopping and budgeting skills, and can also reduce social isolation.

Initiatives such as fruit and vegetable delivery programs (eg the Good Tucker All Round program at Tharawal Aboriginal Corporation) and community-led programs that grow nutritious, sustainable produce for community members can also assist with improving food security.

NACCHO Aboriginal Health and #Nutrition : @HealthInfoNet Download the latest nutrition review confirming that community control is critical to improving the nutritional status of Aboriginal people

 ” This review describes how, prior to European settlement in Australia, Aboriginal and Torres Strait Islander peoples were generally healthy and enjoyed a varied traditional diet low in energy density and rich in nutrients.

Now, evidence shows that five of the seven leading risk factors contributing to the health gap between Aboriginal and Torres Strait Islander and non-Indigenous Australians relate to poor diet.

The review also highlights that sustained and effective interventions to improve nutrition will require: an adequately trained workforce; adequate and sustained resourcing; intersectoral partnerships; a practical monitoring, research and evaluation framework; and effective dissemination.”

Download a copy of the review HERE

NACCHO Download nutrition-review-2017

Or Read online here at HealthInfoNet

” At a local level, most mainstream and Community Controlled Primary Health Care Services (ACCHO’s) in Australia could play a critical role in the delivery of nutrition and dietetic services.

To meet the needs of Aboriginal and Torres Strait Islander people, primary health care services need to deliver both competent and culturally appropriate chronic disease care [215, 216].

The involvement of Aboriginal and Torres Strait Islander Health Workers has been identified by health professionals and patientsas an important factor in the delivery of effective clinical care to Aboriginal and Torres Strait Islander people, including nutrition education [215, 217].

Read over 45 NACCHO Aboriginal Health and Nutrition Healthy Foods published over the past 6 years

Press Release : The Australian Indigenous HealthInfoNet (HealthInfoNet) at Edith Cowan University has published a new Review of nutrition among Aboriginal and Torres Strait Islander people.

It provides detailed information on food, diet and nutritional health among Aboriginal and Torres Strait Islander people, and includes data for diet-related conditions; morbidity, mortality and burden of disease.

This review highlights the importance of nutrition promotion and the prevention of diet-related disease, and provides information on relevant programs, services, policies and strategies that help improve food supply, diet and nutritional health among Aboriginal and Torres Strait Islander people.

Lead author Professor Amanda Lee is a Senior Advisor at the Australian Prevention Partnership Centre at the Sax Institute and has more than 35 years’ experience as a practitioner and academic in nutrition, obesity and chronic disease prevention, Aboriginal and Torres Strait Islander health and public health policy.

HealthInfoNet Director, Professor Neil Drew says ‘This review written by Professor Amanda Lee and Kathy Ride (HealthInfoNet Research Team Leader) shows the important role nutrition plays in health. As we see in many areas of Aboriginal and Torres Strait Islander health, community control has been shown to be critical for the success of nutrition programs.’

This review describes how, prior to European settlement in Australia, Aboriginal and Torres Strait Islander peoples were generally healthy and enjoyed a varied traditional diet low in energy density and rich in nutrients. Now, evidence shows that five of the seven leading risk factors contributing to the health gap between Aboriginal and Torres Strait Islander and non-Indigenous Australians relate to poor diet.

The review also highlights that sustained and effective interventions to improve nutrition will require: an adequately trained workforce; adequate and sustained resourcing; intersectoral partnerships; a practical monitoring, research and evaluation framework; and effective dissemination

The United Nations General Assembly has proclaimed a Decade of Action on Nutrition from 2016 to 2025 in recognition of the need to eradicate hunger and prevent all forms of malnutrition, including under-nutrition and over-nutrition, worldwide [2]. The Global nutrition report provides context for nutrition issues internationally and in Australia, including those of Aboriginal and Torres Strait Islanders [5].

Aboriginal and Torres Strait Islander people continue to suffer the worst health of all population groups in Australia, with a high burden of disease and low life expectancy [6-9]. The latest available estimates of life expectancy, released in 2013, show that the gap between Aboriginal and Torres Strait Islander and non- Indigenous Australians remains high at 10.6 years for men and 9.5 years for women [10]. A relatively large proportion of Aboriginal and Torres Strait Islander deaths are premature; during the 5-year period 2009–2013, around 81% of deaths among Aboriginal and Torres Strait Islander people occurred before the age of 75 years, compared with 34% of deaths for non-Indigenous people [6].

Poor nutrition is an important factor contributing to overweight and obesity, malnutrition, cardiovascular disease, type 2 diabetes, and tooth decay [11, 12]. Chronic diseases – such as cardiovascular disease, type 2 diabetes, chronic kidney disease and some cancers- are responsible for at least 75% of the mortality gap between Aboriginal and Torres Strait Islander and other Australians [8].

For example, Aboriginal and Torres Strait Islander people are 1.6 times more likely to die from cardiovascular disease and 3-4 times more likely to die from type 2 diabetes than other Australians.

Yet these diseases are potentially preventable by modifying risk factors such as being overweight and obese, cigarette smoking, physical inactivity and poor nutrition [6, 10, 13]. Five of the seven leading risk factors contributing to the health gap between Aboriginal and Torres Strait Islander and non-Indigenous Australians – obesity, high blood cholesterol, alcohol, high blood pressure, and low fruit and vegetable intake – relate to poor diet [7]. Combined dietary factors contribute the greatest proportion (27.4%) of all risk factors assessed [7].

Poor diet and nutritional status of Aboriginal and Torres Strait Islander people are influenced by many factors, such as socio- economic disadvantage, and geographical, environmental, and social factors [11, 12].

Very few Aboriginal and Torres Strait Islander people meet dietary recommendations for intake of healthy foods [11, 14]. Also, 41% of their daily energy intake is derived from unhealthy ‘discretionary’ foods and drinks that are high in saturated fat, added sugar, salt and/or alcohol (‘junk’ foods), compared to 35% among non- Indigenous Australians [14-16].

The current poor nutritional health of Aboriginal and Torres Strait Islander people is in marked contrast to the situation prior to European settlement in Australia, when Aboriginal and Torres Strait Islander peoples were generally healthy and enjoyed a varied traditional diet low in energy density and rich in nutrients [12, 17].

Key facts

  • Aboriginal and Torres Strait Islander people continue to suffer the worst diet-related health of all population groups in Australia.
  • Diet-related chronic diseases – such as cardiovascular disease, type 2 diabetes, chronic kidney disease and some cancers – are responsible for at least 75% of the mortality gap between Aboriginal and Torres Strait Islanders and other Australians.
  • In 2011, 13 dietary factors were identified as being risk factors for the Australian population (out of 29 risk factors). When combined, the joint effect of all dietary risks combined contributed 9.7% to the burden of disease for Aboriginal and Torres Strait Islander people.
  • The nutrition burden among Aboriginal and Torres Strait Islander adults is underscored by malnutrition, which includes both over-nutrition (particularly over-consumption of unhealthy ‘discretionary’ foods) and under-nutrition (dietary deficiencies related to inadequate intake of healthy foods).
  • In 2012-13, very few Aboriginal and Torres Strait Islander adults or children consumed adequate amounts of healthy foods consistent with recommendations of the Australian Dietary Guidelines. Furthermore, over two-fifths (41%) of total daily energy reported by Aboriginal and Torres Strait Islander people came from unhealthy foods and drinks classified as ‘discretionary’.
  • The current situation is in marked contrast to the situation prior to European settlement of Australia. All available evidence suggests that Aboriginal and Torres Strait Islander Australians were traditionally healthy; enjoying varied dietary patterns of fresh plant and animal foods, low in energy density and rich in nutrients.
  • Many historical, socioeconomic, environmental and geographic factors contribute to the current poor diet, nutrition and food security experienced by Aboriginal and Torres Strait Islander people.
  • In 2012-13, 66% of Aboriginal and Torres Strait Islander people aged 15 years or older were classified as overweight (29%) or obese (37%); a further 30% were normal weight and 4% were underweight. In addition, 30% of Aboriginal and Torres Strait Islander children aged 2-14 years were overweight (20%) or obese (10%); 62% were in the normal weight range and 8% were underweight.
  • Prevalence of poor pregnancy outcomes and infant malnutrition remains high in many areas. Low birthweight, failure to thrive and poor child growth are still serious concerns in many Aboriginal and Torres Strait Islander communities.
  • In 2012-13, 83% of Aboriginal and Torres Strait Islander children aged 0-3 years had been breastfed, compared with 93% of non-Indigenous children. Of those who were breastfed, Aboriginal and Torres Strait Islander infants were less likely than non-Indigenous infants to have been breastfed for 12 months or more (12% compared with 21%).
  • Based on self-reported usual serves of vegetables eaten per day, only 8% of Aboriginal and Torres Strait Islander people met the vegetable intake recommended in the Australian Dietary Guidelines. Mean reported vegetable intake was less than a third of the recommended amount.
  • Based on self-reported usual serves of fruit eaten per day, 54% of Aboriginal and Torres Strait Islander people met the fruit intake recommended in the Australian Dietary Guidelines. Mean reported fruit intake was around half the recommended amount.
  • One-quarter (25%) of grain (cereal) foods consumed by Aboriginal and Torres Strait Islander people were from wholegrain and/or high fibre varieties, compared to the recommended 50% or more.
  • The average daily consumption of milk, yoghurt, cheese and alternatives for each age-sex group of Aboriginal and Torres Strait Islander people, with the exception of children aged 2-3 years and girls 4-8 years, was considerably lower than the respective recommend number of serves.
  • The average daily consumption of lean meats and meat alternatives for each age-sex group of Aboriginal and Torres Strait Islander people, with the exception of girls 2-3 years, was less than the respective recommendations; intake was relatively high in remote areas.
  • On average, Aboriginal and Torres Strait Islander people 2 years and over reported consuming an average of 75g (18 teaspoons) of free sugars per day, which equates to an average of 14% of dietary energy, nearly 50% more than World Health Organization (WHO) recommendations. Two-thirds of Aboriginal and Torres Strait Islander people’s free sugar intake came from sugary drinks.
  • In 2011-2013, 22% of survey respondents said they had run out of food and couldn’t afford to buy more in the last 12 months. Aboriginal and Torres Strait Islander people in remote areas were more likely to run out of food than those in non- remote areas (31% and 20% respectively).
  • The underlying causes of food insecurity in Aboriginal and Torres Strait Islander communities include factors such as low income and unemployment, inadequate housing, over- crowding, lack of educational opportunities, transport, high food costs, cultural food values, food and nutrition literacy, knowledge and skills.
  • A range of general Australian Government Department of Health programs contribute to the prevention and management of diet-related disorders among Aboriginal and Torres Strait Islanders at a national level. However, since the expiry of the National Aboriginal and Torres Strait Islander nutrition strategy and action plan 2002-2010, there has been no national coordination of nutrition efforts in Australia.
  • Several community-based nutrition programs have demonstrated positive outcomes in the past. The most effective programs have adopted a multi-strategy approach, addressing both food supply (availability, accessibility and affordability of foods) and demand for healthy foods. A major success factor is community involvement in (and, ideally, control of) all stages of program initiation, development, implementation and evaluation, to ensure the intervention is culturally appropriate and tailored to community needs.
  • Programs to improve food supply have included a focus on: food retail outlets; local food production, such as school or community gardens; food provided by Aboriginal and Torres Strait Islander and community organisations; and food aid. Community store nutrition policies have been shown to be important influences on the food supply and dietary intake in remote areas.
  • While nutrition education alone will not improve food security or dietary intake, it can be effective when combined with a range of other strategies to help people access healthy food, such as cooking programs, peer education, budgeting advice, and group-based lifestyle modification programs.
  • A well-supported, resourced and educated Aboriginal and Torres Strait Islander nutrition workforce is essential for the success of nutrition interventions.
  • There is a long history of effort to improve nutrition and food security among Aboriginal and Torres Strait Islander people, however there is no current national nutrition policy or strategy in place.
  • Improving food supply and security to better prevent and manage poor nutrition and diet-related disease is vital to the current and future health of Aboriginal and Torres Strait Islander Australians. Food and nutrition programs play an important role in the holistic approach to improving health outcomes for Aboriginal and Torres Strait Islander people.

NACCHO Aboriginal Health and #SmartEatingWeek : We give 40,000 years of bushtucker and #nutrition the #thumpsup : Contributions from @Wuchopperen @NutritionAust #NATryFor5 #NATryFor5 @SandroDemaio @MenziesResearch @DAA_feed

 ” Bush tucker, or bush food, we have used the environment around us for generations (40,000 years ) , living off a diet high in protein, fibre, and micronutrients, and low in sugars. Much of the bush tucker eaten is still available and eaten today.

We guide you through it here ”

See Part 1 Below.

Read over 45 NACCHO Aboriginal Health and Nutrition Healthy Foods articles published last 6 years

 ” Wuchopperen Health Service celebrated Smart Eating Week (12 – 18 February) by promoting the GOOD TUCKER app which gives food items thumbs up, thumbs across, or thumbs down depending on how healthy they are.

The GOOD TUCKER app was developed by Uncle Jimmy Thumbs Up!, The University of South Australia and Menzies School of Health Research in partnership with The George Institute, to provide a simple way for people to identify the healthiest food and drink options available in stores.

Your smart phone can help you make smart choices, Sometime the nutrition panels on food items can be complex – using the Thumbs Up app gives people a quick rating to help them make a better choice “

See Part 2 Below

 ” Why you still need to eat healthy foods — even if you aren’t overweight

We all have that one friend whose eating habits and body shape simply don’t add up. While enjoying the unhealthiest of meals and a sedentary lifestyle, somehow they effortlessly retain a slender figure.

At first glance we may assume these slim people are healthy, but it’s not always the case.

So if you don’t have weight to worry about, what’s the impetus for avoiding sweet or salty temptations and eating good, nutritious foods instead? ”

Alessandro R Demaio is an Australian medical doctor and fellow in global health and non-communicable diseases at the University of Copenhagen ( and a supporter of NACCHO ) See Part 3 Below

 ” Menzies is working towards better health through better nutrition by supporting #SmartEatingWeek,Join the celebrations by following
#SmartEatingWeek and check out our SHOP@RIC study resources “

Click here for Resources

To help celebrate Smart Eating Week we’re giving five Australians the chance to WIN some great prizes! To enter upload a photo or video on Facey or Insta of how you’re incorporating veggies into your snacks!

  To help celebrate Smart Eating Week we’re giving five Australians the chance to WIN some great prizes! To enter upload a photo or video on Facebook or Instagram of how you’re incorporating veggies into your snacks!

Don’t forget to tag @NutritionAust and use the hashtag #NATryFor5

DAA would  love for you to get involved this week in . Share with us what Smart Eating means to you. Join the celebrations by downloading our social media toolkit here

Part 1 Bush tucker, or bush food, we have used the environment around us for generations

Originally published HERE

Food from Animals

Providing the consumer with their required intake of Vitamin B, Aboriginal people learnt to hunt animals when they were at their fattest, offering the most amount of meat. Sometimes the meat would require a pounding before being traditionally cooked either over an open fire or by steaming it in pits. When fishing in the ocean, rivers, and ponds, mud crabs and barramundi were the popular choices. Whilst mud crabs were easy to catch, and tasted delicious boiled or roasted, barramundi would commonly grow to 1.2 metres, feeding more mouths, served on hot coals and wrapped in paper bark.

Land animals such as kangaroos, historically known as being high in protein, and emus whose meat is known to be higher in protein, Vitamin C, and protein than beef, are both low in fat. Not only are the two animals from the national emblem native foods, but hunters don’t stop there, hunting both small and large animals. Goannas are said to offer oily white meat tasting like chicken, while a 100g serving of stewed crocodile meat contains as much as 46g of protein, which is almost double the serving of a similar portion of chicken.

Other native animals previously captured by both Aboriginal and White Australians include: carpet snakes, rats, mussels, oysters, turtles, wallabies, echidnas, eels, and ducks. Most animals are still eaten today, and many like barramundi have made it to restaurants.

Insects and Grubs

The most famous of all bush tucker is the witchetty grub, which can be eaten either raw or roasted over a fire or coals, and holds a nutty taste. This grub is ideal for survival as they are a good source of calcium, thiamin, folate, and niacin, rich in protein and supportive of a healthy immune system. Like witchetty grubs, green ants are relatively high in fat content and another popular choice for tucker. Said to taste like lemon, the green ant’s white larvae is usually eaten, otherwise the green ants and their eggs have also made an appearance in a drink suitable for relieving headaches by grounding and mixing them together with water.

Many other insects known to be favoured include river red gum grub, Coolibah tree grub, cicadas, and tar vine caterpillars. Edible insects themselves offer a large amount of protein for such small creatures, for example, caterpillars contain 280g of protein per 1kg, which is 20g more than what salmon provides, along with good flavour, making insects a popular choice for bush tucker, especially on-the-go.

Fruits and Vegetables

We all know you need to find your five a day, and in bush tucker this is no exception.  Red fruits like quandong, which can be eaten raw or dried, and are often made into jams, and green fruits such as Kakadu plums contain 100 times more Vitamin C than oranges do. Other fruits and berries often eaten include kutjera, Davidson’s plum, boab, native gooseberry, lady apple, wild orange, wild passionfruit, desert lime, snow berry, and white elderberry.

Similarly to fruits, vegetables also act as a source of vitamin C, however, they are usually richer in other vitamins. The kumara, for example, are a staple crop of sweet potatoes that are rich in protein, Vitamins A and C, calcium, dietary fibre, and iron. Other common vegetables include yams, warrigal greens, water lilies, bush potatoes, and sea celery.

Native Spices

You can’t have a meal or make herbal drinks or sweets without a variety of spices. Throughout Australia, there are plenty of native spices from the mountain pepper and aniseed myrtle, to native basil, native ginger, and blue-leaved mallee. Each of these sources is able to be turned into food, an alternative flavour to one of the aforementioned food groups, a healthy drink, or act as a natural medicine.

Tree gums, for example, can be dissolved in water with honey, making sweets that the kids will love, but alternatively the sweet exudate that can be found on some of these trees can be made into jelly. Lemon ironbark and, one of the most famous plants in history, lemon myrtle, can be used in cooking or alternatively used as a herbal ingredient for tea to relieve cramps, fevers, and headaches.

Edible Nuts and Seeds

Nuts and seeds are another popular small choice; however, with many nut allergies seen today this shouldn’t be a go-to food group should you have any. Many of the edible seeds require soaking, pounding, and grinding before being baked in a careful ritual that is designed to remove the toxins from the food prior to eating them. If this preparation is not done correctly, most seeds will not be suitable for eating. Most nuts like the macadamia nut, peanut, and the Australian cashew, and seeds like the cycad palm seeds and seeds from the strap wattle and pigweed, can be eaten or turned into breads and cakes.

A prominent food for the Australian Aboriginals is the bunya nut. Similar to a chestnut (in both taste and appearance) this nut can be eaten raw or cooked. Traditionally, the Aboriginal people have been known to turn this nut into a paste to be eaten, or cooked on hot coals making bread. Similarly, seeds from the dead finish are collected to make delicious seedcakes.

Fungi

Although fungi are often believed among Aboriginal communities to hold ‘evil magic’, thus deeming them inedible, there are certain fungi that are believed to be of ‘good magic’. The truffle-like fungus, Choiromyces aboriginum, is a traditional native food that can be eaten raw, as well as cooked for over an hour in hot sand and ashes. This fungus is also a source of water, which is always key.

Commonly known as native bread (fungi) the Laccocephalum mylittae can also be eaten raw, but alternatively when roasted this fungi has been described to hold the flavour of boiled rice.

Part 2 Wuchopperen Health Service ACCHO Thumbs Up for Smart Eating Week

Wuchopperen Health Service Limited will celebrate the Dietitians Association of Australia Smart Eating Week (12 – 18 February) by promoting the GOOD TUCKER app which gives food items thumbs up, thumbs across, or thumbs down depending on how healthy they are.

Members of Wuchopperen’s Allied Health team including Community Dietitian Matthew Topping, Coordinator Allied Health Service Michelle Dougan, Diabetes Educator Tony Pappas, Dietitian Sue Charlesworth, and Exercise Physiologist Myles Hardy will wheel a trolley of common food items around Wuchopperen clinics , showing clients how the app works, and spark conversations about why particular foods get a thumbs up, across or down.

Community Dietitian Matthew Topping said the app was a useful tool to help people make healthy choices around what to eat.

‘Your smart phone can help you make smart choices,’ Matthew explained.

‘Sometime the nutrition panels on food items can be complex – using the Thumbs Up app gives people a quick rating to help them make a better choice.’

‘There’s no need to up end your diet, the key messages are around scanning a couple of your regular items and if they come up thumbs down or thumbs across, scanning another one to see if it’s a thumbs up.

Small changes are all that’s needed. The other thing to remember is that the healthy choice is not always the expensive choice – a home brand bag of rolled oats for example, is only a few dollars.

‘We are looking forward to taking our trolley into the clinics and having a chat with clients about the ratings, and why common foods may be rated thumbs up or thumbs down. This app is all about giving people the knowledge to make good choices.’

App demonstrations took place across Wuchopperen clinics on Tuesday 13 and Wednesday 14 February and at Wuchopperen’s Edmonton Clinic on Thursday 15 February.

Find out more about the GOOD TUCKER app here

Check out the app here

 Part 3 Why you still need to eat healthy foods — even if you aren’t overweight

We all have that one friend whose eating habits and body shape simply don’t add up. While enjoying the unhealthiest of meals and a sedentary lifestyle, somehow they effortlessly retain a slender figure.

At first glance we may assume these slim people are healthy, but it’s not always the case.

So if you don’t have weight to worry about, what’s the impetus for avoiding sweet or salty temptations and eating good, nutritious foods instead?

Healthy weight ≠ good health

Body mass index or BMI, the tool most often used to determine “healthy weight ranges”, was designed primarily to track the weight of populations.

While it’s a simple and useful screening tool when looking at groups of people, it’s not a good marker of individual health.

This is because BMI is a measure of our height and our weight, and the ratios of their combination.

But weight alone doesn’t discriminate between a kilogram of fat versus a kilogram of muscle nor does it account for body shape and fat distribution differences relating to, say, ethnicity or gender.

Just as not all obese individuals have heart disease risk factors or unhealthy metabolisms (the conversion of food into energy), nor do all lean people have healthy ones.

There’s a well-documented subset of people known as metabolically obese, normal weight individuals.

These people are not obese as determined by their height and weight, but may face metabolic dysfunction such as insulin resistance (which leads to a build-up of sugar in the blood), and like their physically obese counterparts are predisposed to type 2 diabetes, high levels of fats in the blood, heart disease and even some cancers.

Food is health

The most compelling reason to eat healthy foods is the correlation between good nutrition and wellbeing.

Coupled with regular exercise, eating a diet rich in whole foods and grains, healthy oils and low in sugar and salt, has been shown to convey a number of benefits.

These include a longer life with less pain and suffering, less risk of back pain or muscular problems and even an increased libido.

Studies from around the world also show people with healthy diets are less likely to experience depression while unhealthy diets may put individuals at an increased risk of depression.

Food has been identified as an important risk factor for cognitive decline and dementia in older age.

A healthy diet combined with physical activity can strengthen bones and reduce body aches and pains.

And these benefits are conferred irrespective of your baseline weight or age.

Health risks aren’t always visible

While it might be easy to take solace in a thinner weight, many of the serious health risks associated with poorer diet are often hidden from plain sight.

Excessive salt consumption can cause the kidneys to hold on to more water, resulting in an increase in blood pressure.

High blood pressure strains the arteries that supply blood to our vital organs including our heart and brain, and increases our risk of stroke, dementia, heart attack and kidney disease.

Consumption of high amounts of sugar, especially from sugar sweetened beverages, is associated with an increased risk in fatty liver disease, among many other health problems.

This in turn significantly increases our risk of liver scarring, heart disease and stroke.

Recent research has also reconfirmed a link between bowel cancer and red meat consumption. Processed meats such as ham, bacon and salami appear to be especially problematic.

Not only can all of these occur without any visual cues, but they can also develop irrespective of our weight.

Our kids’ health

The importance of a good diet is not just limited to our own health.

Children of parents with poor diets are significantly more likely to inherit similarly unhealthy eating habits.

And it doesn’t stop there. Through a mechanism called epigenetics, our health and our diet can result in alterations to the expression of our genes.

Animal studies have shown epigenetic changes resulting from poor diet (and other stressors) can influence the healthiness of future generations.

Many scientists now believe the same will prove true for humans too.

Saving lives, and money

Contrary to what many of us think, the latest evidence suggests eating a healthy diet is actually cheaper than consuming the unhealthy foods that now dominate many Australian households.

Analysis of both wealthier and poorer suburbs in Brisbane, for example, showed the average family of four spends 18 per cent more on current diets than would be required if they could more closely adhere to healthy dietary recommendations.

This is not to say eating healthily is easy, accessible or even possible for everyone, but might be more possible than we first think.

Not only would adopting a healthy diet be a beneficial investment for individuals and families, it might also go a long way to curbing the major societal costs from growing weight gain.

The annual costs from obesity already add up to $830 million in Australia alone.

The consequences of poor diet increasingly burden Australians and our healthcare system.

While it’s easy to measure our health based on a reading of the bathroom scales, eating a diverse and nutritious diet will bring overwhelming benefits to everyone — regardless of our current weight.

Thomas Goodwin contributed to the research and writing of this article.

Alessandro R Demaio is an Australian medical doctor and fellow in global health and non-communicable diseases at the University of Copenhagen.

Originally published in The Conversation

 

NACCHO #BackToSchool Aboriginal Children’s Health and #Nutrition : @Apunipima There is more to a healthy lunch than what you eat #RethinkSugaryDrink

” It is important for children to form good habits by choosing healthy drinks from a young age. It’s not only important for children but adults as well, and children are more likely to learn healthy habits if they see the adults around them making healthy choices.

“Water is the best choice, It doesn’t have any sugar in it and it’s free, straight from the tap.Plain milk is also a very good choice with important benefits such as building strong bones and teeth.

Too many sugary drinks can harm our health, by causing weight gain and obesity as well as poor dental health in both children and adults.”

Apunipima’s Community Nutritionist Kani Thompson

 ” The Sugary drinks proper no good – Drink more water Youfla campaign includes access to free water throughout the local community.

‘We’re really worried about the impact of sugar in our area, because of the high rates of overweight and obesity leading to chronic diseases such as diabetes and heart disease,’

Dr Mark Wenitong, senior medical officer at Apunipima Cape York Health Council in Far North Queensland, told newsGP @RACGP

‘What we say in a cultural way is water is not colonised, and it’s not coming from corporates who are trying to make money, Water has been here ever since we’ve been here. Keep drinking it.And see our water story

Watch Wujal Wujal water video HERE

Read over 43 NACCHO articles Health and Nutrition HERE

https://nacchocommunique.com/category/nutrition-healthy-foods/

Read over 20 NACCHO articles Sugar Tax HERE  

https://nacchocommunique.com/category/sugar-tax/

An apple a day might help keep the doctor away and could also mean better performance at school. One thing that we tend to think less about is the type of drinks that we are having.

As school has started for most Queensland children last week and many interstate today , Apunipima Cape York Health Council wants to remind families that healthy drinks are just as important as healthy food for good health.

Sugary drinks have become popular choices but they have little or no benefit to health. Sugary drinks refers to all drinks with added sugar such as soft drinks, fruit drinks, cordials, sports drinks, and flavoured waters. An alternative to having a ‘popper’ fruit drink or juice is to have a piece of fruit and water as a drink instead – these are much better choices!

Kani said packing healthy drinks with lunches was easy – keep it simple.

“Remember to pack water as the main drink with school lunches. Tetra packs of fruit drinks or juice can be a popular and are an easy drink to add to school lunches, but they have a lot of sugar that growing bodies just don’t need. It’s just as easy to swap them for a water bottle. And adults can take a reusable water bottle to work and keep refilling during the day as needed.”

Too many sugary drinks can harm our health, by causing weight gain and obesity as well as poor dental health in both children and adults.

Top tips for drinking more water at school or work:

  • Take a reusable water bottle that can be refilled
  • Freeze a water bottle the night before to put in school lunch boxes to help keep it cold the next day
  • If you are drinking a lot of sugary drinks start by swapping one for water
  • Drink water before you feel thirsty.

Apunipima is currently leading the ‘Sugary Drinks Proper No Good – Drink More Water Youfla’ social marketing campaign to promote key healthy messages around drinking water.

A series of videos have been developed with three Cape York communities to promote water as the drink of choice. The social marketing campaign is part of a larger project that involves a range of activities in the communities, that include adults and school aged children.

Apunipima is a partner with the Rethink Sugary Drink Alliance to increase awareness, and to tackle high consumption of sugary drinks which has led to overweight and obesity, an increased risk of chronic diseases and, poor dental health.

For more information on sugary drinks and drinking more water go to http://www.rethinksugarydrink.org.au/murri

From RACGP

Excessive sugar consumption is a major health problem in many remote Aboriginal and Torres Strait Islander communities throughout Australia.

News teaser

The Sugary drinks proper no good – Drink more water Youfla campaign includes access to free water throughout the local community.

‘We’re really worried about the impact of sugar in our area, because of the high rates of overweight and obesity leading to chronic diseases such as diabetes and heart disease,’ Dr Mark Wenitong, senior medical officer at Apunipima Cape York Health Council in Far North Queensland, told newsGP.

Aboriginal and Torres Strait Islander peoples today consume 15 g more free sugars on average than non-Indigenous Australians, with the majority of the excess coming in the form of sweetened beverages.

In response to this situation, the Apunipima Cape York Health Council launched its public health campaign, Sugary drinks proper no good – Drink more water Youfla, in November. The campaign uses a variety of channels to raise awareness, with language designed to resonate with the target demographic.

‘The language came from our Aboriginal health workers,’ Dr Wenitong said. ‘We are trying to get the message into the communities in a number of ways, from primary healthcare clinics, through GPs and health workers; through radio and TV ads; and also through social media.

‘[Social media] is the big one these days, because most people in remote communities have mobile devices and are pretty avid users of social media.’

In remote populations such as Cape York, some of the increased consumption of sweetened beverages can be attributed to the challenges presented by the logistics of a remote location.

‘Our area is tropical and remote, so there’s not a lot of infrastructure around with constant access to cool water, and we have lot of hot weather so people are always looking for a cold drink, particularly in summer,’ Dr Wenitong said.

‘If all that is around is soft drinks, that’s what people are going to go for.’

Dr Wenitong also believes there is a historical basis for sugar consumption among Aboriginal and Torres Strait Islander peoples.

‘Back in the day when [Aboriginal and Torres Strait Islander peoples] were consigned to missions, they were fed white sugar, white flour, white tea. That was their staple diet,’ he said. ‘That’s why, I think, we’ve got this long history of having a poor diet, leading to a lot of the chronic diseases we have today.’

The Sugary drinks proper no good – Drink more water Youfla campaign also has a practical component in order to ensure its message is actually achievable.

‘[That involves] making sure there’s water coolers outside the store, free water in the schools, handing out free bottles that people can refill with water and keep with them,’ Dr Wenitong said.

While the message of the campaign is simple and straightforward – just drink water – Dr Wenitong believes GPs can also use it to highlight a range of other positive health messages.

‘When you’re using self-management techniques, you’re really asking patients what’s most important in their lives and then hanging on that some of the things you know are healthy for them,’ Dr Wenitong said.

‘If it’s, “I really want to lose weight” they can say “One of the ways we can help you with that is to drink more water and drink less sugary drinks”; if it’s “I want to improve my dentition” they can say “Well, swap the lollies and soft drinks for water and healthier things, like fruit”.’

Dr Wenitong hopes the campaign will have a positive effect on the health of his community and his people.

‘What we say in a cultural way is water is not colonised, and it’s not coming from corporates who are trying to make money,’ he said. ‘Water has been here ever since we’ve been here. Keep drinking it.’


THE AUTHOR:
Amanda Lyons Amanda is an experienced health journalist and a newsGP staff writer

NACCHO Aboriginal Health @VACCHO_org @Apunipima join major 2018 health groups campaign @Live Lighter #RethinkSugaryDrink launching ad showing heavy health cost of cheap $1 frozen drinks

 

“A cheeky, graphic counter-campaign taking on cheap frozen drink promotions like $1 Slurpees and Frozen Cokes has hit Victorian bus and tram stops to urge Australians to rethink their sugary drink. 

Rather than tempt viewers with a frosty, frozen drink, the “Don’t Be Sucked In” campaign from LiveLighter and Rethink Sugary Drink, an alliance of 18 leading health agencies, shows a person sipping on a large cup of bulging toxic fat. “

NACCHO has published over 150 various articles about sugar , obesity etc

Craig Sinclair, Chair of Cancer Council Australia’s Public Health Committee, said while this graphic advertisement isn’t easy to look at, it clearly illustrates the risks of drinking too many sugary drinks.

“Frozen drinks in particular contain ridiculous amounts of added sugar – even more than a standard soft drink.”

“A mega $3 Slurpee contains more than 20 teaspoons of sugar.

That’s the same amount of sugar as nearly eight lemonade icy poles, and more than three times the maximum recommended by the World Health Organisation of six teaspoons a dayi.”

“At this time of year it’s almost impossible to escape the enormous amount of advertising and promotions for frozen drink specials on TV, social media and public transport,” Mr Sinclair said.

“These cheap frozen drinks might seem refreshing on a hot day, but we want people to realise they could easily be sucking down an entire week’s worth of sugar in a single sitting.”

A large frozen drink from most outlets costs just $1 – a deal that major outlets like 7-Eleven, McDonald’s, Hungry Jacks and KFC promote heavily.

LiveLighter campaign manager and dietitian Alison McAleese said drinking a large Slurpee every day this summer could result in nearly 2kg of weight gain in a year if these extra kilojoules aren’t burnt

“This summer, Aussies could be slurping their way towards weight gain, obesity and toxic fat, increasing their risk of 13 types of cancer, type 2 diabetes, heart and kidney disease, stroke and tooth decay,” Ms McAleese said.

“When nearly two thirds of Aussie adults and a third of kids are overweight or obese, it’s completely irresponsible for these companies to be actively promoting excessive consumption of drinks completely overloaded with sugar.

“And while this campaign focuses on the weight-related health risks, we can’t ignore the fact that sugary drinks are also a leading cause of tooth decay in Australia, with nearly half of children aged 2– 16 drinking soft drink every day.ii 

“We’re hoping once people realise just how unhealthy these frozen drinks are, they consider looking to other options to cool off.

“Water is ideal, but even one lemonade icy pole, with 2.7tsp of sugar, is a far better option than a Slurpee or Frozen Coke.”

Mr Sinclair said a health levy on sugary drinks is one of the policy tools needed to help address the growing impact of weight and diet-related health problems in Australia.

“Not only can a 20% health levy help deter people from these cheap and very unhealthy drinks, it will help recover some of the significant costs associated with obesity and the increasing burden this puts on our public health care system,” he said.

This advertising will hit bus and tram stops around Victoria this week and will run for two weeks. #

 

FROZEN DRINKS: More  FACTSiii 

About LiveLighter: LiveLighter® is a public health education campaign encouraging Australian adults to lead healthier lives by changing what they eat and drink, and being more active.

In Victoria, the campaign is delivered by Cancer Council Victoria and Heart Foundation Victoria. In Western Australia, LiveLighter is delivered by Heart Foundation WA and Cancer Council WA.

For more healthy tips, recipes and advice visit

www.livelighter.com.au

About Rethink Sugary Drink: Rethink Sugary Drink is a partnership between the Apunipima Cape York Health Council, Australian Dental Association, Australian Dental and Oral Health Therapists’ Association, Cancer Council Australia, Dental Health Services Victoria, Dental Hygienists Association of Australia, Diabetes Australia, Healthier Workplace WA, Kidney Health Australia, LiveLighter, The Mai Wiru Sugar Challenge Foundation, Nutrition Australia, Obesity Policy Coalition, Stroke Foundation, Parents’ Voice, the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) and the YMCA to raise awareness of the amount of sugar in sugar-sweetened beverages and encourage Australians to reduce their consumption.

Visit www.rethinksugarydrink.org.au for more information.

NACCHO Aboriginal Health #Junkfood #Sugarydrinks #Sugartax @AMAPresident says Advertising and marketing of #junkfood and #sugarydrinks to children should be banned

 

 ” Poor nutrition has been linked to the reduced health outcomes experienced by Aboriginal and Torres Strait Islander people, contributing to conditions known to disproportionately affect this population, including type 2 diabetes, kidney disease and some cancers.

Twenty two per cent of Aboriginal and Torres Strait Islander people live in a household that has, in the past 12 months, run out of food and not been able to purchase more. Food insecurity increases for Aboriginal and Torres Strait Islander people who live in remote areas.

Efforts to Close the Gap must recognise the potential impacts of improved nutrition on health outcomes, as well as the implications of food insecurity “

AMA Position Statement on Nutrition 2018

Download AMA Position Statement on Nutrition 2018

Advertising and marketing of junk food and sugary drinks to children should be banned, and a tax on sugar-sweetened beverages should be introduced as a matter of priority, the AMA says.

Releasing the AMA Position Statement on Nutrition 2018, AMA President, Dr Michael Gannon, said today that eating habits and attitudes toward food are established in early childhood.

“Improving the nutrition and eating habits of Australians must become a priority for all levels of government,” Dr Gannon said.

“Governments should consider the full complement of measures available to them to support improved nutrition, from increased nutrition education and food literacy programs through to mandatory food fortification, price signals to influence consumption, and restrictions on food and beverage advertising to children.

“Eating habits and attitudes start early, and if we can establish healthy habits from the start, it is much more likely that they will continue throughout adolescence and into adulthood.

“The AMA is alarmed by the continued, targeted marketing of unhealthy foods and drinks to children.

“Children are easily influenced, and this marketing – which takes place across all media platforms, from radio and television to online, social media, and apps – undermines healthy food education and makes eating junk food seem normal.

“Advertising and marketing unhealthy food and drink to children should be prohibited altogether, and the loophole that allows children to be exposed to junk food and alcohol advertising during coverage of sporting events must be closed.

“The food industry claims to subscribe to a voluntary code, but the reality is that this kind of advertising is increasing. The AMA calls on the food industry to stop this practice immediately.”

The Position Statement also calls for increased nutrition education and support to be provided to new or expecting parents, and notes that good nutrition during pregnancy is also vital.

It recognises that eating habits can be affected by practices at institutions such as child care centres, schools, hospitals, and aged care homes.

“Whether people are admitted to hospital or just visiting a friend or family member, they can be very receptive to messages from doctors and other health workers about healthy eating,” Dr Gannon said.

“Hospitals and other health facilities must provide healthy food options for residents, visitors, and employees.

“Vending machines containing sugary drinks and unhealthy food options should be removed from all health care settings, and replaced with machines offering only healthy options.

“Water should be the default beverage option, including at fast food restaurants in combination meals where soft drinks are typically provided as the beverage.”

NACCHO Campaign 2013 : We should health advice from the fast food industry !

Key Recommendations:

·         Advertising and marketing of unhealthy food and beverages to children to be prohibited.

·         Water to be provided as the default beverage option, and a tax on sugar-sweetened beverages to be introduced.

·         Healthy foods to be provided in all health care settings, and vending machines containing unhealthy food and drinks to be removed.

·         Better food labelling to improve consumers’ ability to distinguish between naturally occurring and added sugars.

·         Regular review and updating of national dietary guidelines and associated clinical guidelines to reflect new and emerging evidence.

·         Continued uptake of the Health Star Rating system, as well as refinement to ensure it provides shoppers with the most pertinent information.

Aboriginal and Torres Strait Islander people

Food insecurity

Food insecurity occurs when people have difficulty or are unable to access appropriate amounts of food.13

It has been estimated that four per cent of Australians experience food insecurity,14 though it is likely the extent of the problem is much higher.

Food insecurity is associated with a range of factors, including unstable living situations, geographic isolation and poor health.

It is more prevalent in already disadvantaged communities. In households with limited incomes, food budgets can be seen as discretionary and less of a priority.

This can result in disrupted eating habits and an over-reliance on less nutritious foods.

Food insecurity can have significant health implications, such as increased hospitalisation and iron deficiency anemia (in children) and increased kidney disease, type 2 diabetes and mental health issues (among adolescents and adults).

Poor nutrition has been linked to the reduced health outcomes experienced by Aboriginal and Torres Strait Islander people, contributing to conditions known to disproportionately affect this population, including type 2 diabetes, kidney disease and some cancers.16

Twenty two per cent of Aboriginal and Torres Strait Islander people live in a household that has, in the past 12 months, run out of food and not been able to purchase more. Food insecurity increases for Aboriginal and Torres Strait Islander people who live in remote areas.17

Efforts to Close the Gap must recognise the potential impacts of improved nutrition on health outcomes, as well as the implications of food insecurity. The development and implementation of potential solutions must be led by Aboriginal and Torres Strait Islander people.

The nutrition of Aboriginal and Torres Strait Islander people living in remote communities may be heavily dependent on Outback Stores. The 2009 Parliamentary Inquiry ‘Everybody’s Business: Remote Aboriginal and Torres Strait Community Stores’ resulted in a number of practical recommendations to increase the availability and affordability of healthy foods in Outback Stores, many of which have not been implemented.

Recommendation

These Stores, in consultation with local communities, should prioritise and facilitate access to affordable nutritious foods.

The AMA Position Statement on Nutrition 2018 is available at https://ama.com.au/position-statement/nutrition-2018

 

NACCHO Aboriginal #HealthyFutures : Making @DeadlyChoices Your 2018 New Year #HealthyChoice Resolutions

 ” In 2012–13, more than two-thirds (69%) of Aboriginal and Torres Strait Islander adults were overweight or obese (29% overweight but not obese, and 40% obese). Indigenous men (69%) and women (70%) had similar rates of overweight and obesity (ABS 2014a).

One-third (32%) of Indigenous men and more than one-quarter (27%) of Indigenous women were overweight but not obese, while 36% of Indigenous men, and 43% of Indigenous women were obese ”

See NACCHO Aboriginal Health article

Background AMA FACTS

·         According to CSIRO, four out of five Australians do not eat the recommended five servings of vegetables and two of fruit daily.

·         One-third of daily food consumption comes from discretionary foods – energy-dense foods that are typically high in saturated fats, sugar, and salt.

·         In 2014-15, nearly two-thirds (63 per cent) of Australian adults were overweight or obese, up from 57 per cent in 1995.

·         One in four children (aged 2-17) were overweight or obese in 2014-15.

·         Overweight and obesity was responsible for 7 per cent of the total health burden in Australia in 2011.

·         In 2011-12, obesity was estimated to cost the Australian economy $8.6 billion. The World Obesity Federation estimated that rose to $12 billion in 2017 and has forecast it to rise to $21 billion by 2025.

·         Australia’s obesity rate (28 per cent) is the fifth highest among Organisation for Economic Cooperation and Development (OECD) countries, behind the United States of America (38 per cent), Mexico (33 per cent), New Zealand (32 per cent), and Hungary (30 per cent).

·         Being overweight or obese is associated with a higher death rate, cutting two to four years off the life expectancy of a person with a Body Mass Index (BMI) between 30 and 35, and eight to 10 years for a person with a BMI of over 40.

·         Increased BMI is also linked to an increased risk of death from colon, rectum, prostate, cervical, and breast cancers.

See Deadly Choices Facebook Page

If you’re looking for a New Year’s Resolution that will improve your health, here are the resolutions we recommend:

The Healthy Weight Guide has been developed to provide you with the information you need to help you understand the importance of healthy eating and physical activity in achieving and maintaining a healthy weight.

Whether you already have a good understanding of what is required or if you are just starting out, the Healthy Weight Guide can help.

You might find achieving and maintaining a healthy weight easier if you break it down into the following seven steps:

Get started

An important first step towards achieving and maintaining a healthy weight is to understand what your journey will involve. You might like to start by finding out if you are a healthy weight. Setting goals and planning are also important steps. Once you are on your journey, it is important to monitor what you do to ensure you can maintain the healthy habits you set up. Registering with the Healthy Weight Guide can help you with all of these steps.

Set goals

It’s a good idea to set yourself some goals to help keep focused. Your goals might be related to your weight or about changing your behaviour, such as increasing your fitness or eating more healthily.  In the set goals section you will find some useful tips and ideas to help you decide on your goals and how you will achieve them. You will also find a downloadable goal setting form in this section. Alternatively, the My Goals section in the My Dashboard registered area will help you to set up and keep track of your goals.

Get active

Creating opportunities to be physically active every day can help you to achieve and maintain a healthy weight. In the get active section you will find helpful hints on finding out what physical activities you like and how to incorporate them into your day. For some people, planning to do physical activity at a regular time every day or week is more likely to make it a habit.  Get active also has a downloadable Physical Activity Planner to help you plan what physical activity you will do and when. The My Planner section of the My Dashboard registered area also has great tool to plan and monitor your physical activity.

Eat well

Developing healthy eating habits is important to being a healthy weight. You might like to start with a few small changes and gradually incorporate more. In the eat well section you will find some great suggestions on healthy shopping, cooking and eating out. You will also find a downloadable meal planner to help you plan and monitor your meals. The My Planner section of the My Dashboard registered area also has great tool to plan and monitor your meals and calculate your energy requirements.

Keep in check

Some people who keep track of their progress are more likely to make the changes that over time become new healthy habits. The keep in check section will give you some suggestions on how to continue to keep track of the healthy habits you have set. You might find the My Dashboard registered area useful to help you monitor your progress.

Managing the challenges

There may be times when you find managing your weight a challenge. The managing the challenges section has useful suggestions to help manage some of the common challenges you might face along the way.

Get informed and get support

In the get informed section you will find information related to achieving and maintaining a healthy weight from the Australian Dietary Guidelines and Australia’s Physical Activity and Sedentary Behaviour Guidelines. There is also information on different weight loss methods. You might find all this information helpful when setting your goals and making your healthy eating and physical activity plans. The getting support section has useful information on who you might be able to reach out to and how they might help. After all, everyone needs a helping hand.

If you’re looking for a New Year’s Resolution that will improve your health, here are 7 resolutions we also recommend: Adapted from

  1. Drink 8 glasses of water per day.  8 can be substituted for however many your body needs .Be sure to track your progress – find a way to track how many glasses you’re drinking per day, and to “check off” the days when you achieve your goal!
  2. Eat 2 servings of fruits and vegetables with every meal.  You could also choose to try for 4 different types of fruits and vegetables every day, or to try a new vegetable every month, or to achieve the recommended 9 servings of fruits and vegetables each day.  Any specific target that increases your vegetable consumption is a great resolution!
  3. Fit in some movement (or stretching) every day.  We are not saying you don’t need rest days, or you need to push yourself to exhaustion every day.  But even on your busiest days, try for a quick lunchtime walk, 10 minutes of stretching before bed, or even a quick interval workout
  4. Learn a new type of exercise, or achieve a new fitness goal.  Working on a new skill can be a great motivation to get active.  Set a resolution that you’ll learn a new activity   Or, set a specific goal in a mode of exercise you already practice (with interim steps along the way!).  Is there a certain weight you want to be able to deadlift, a certain KM time you’ve been hoping for, or a certain pose in yoga you’ve been dying to achieve?  Figure out how you’ll get there this year!
  5. Reduce added sugars (and/ or artificial sweeteners).  This is a lofty and hard-to-measure target, so I recommend you do this in smaller mini-goals.  For example, reduce the 2 tsp of sugar in your coffee to 1 tsp, or go for plain yogurt with fruit instead of sweetened, fruit-flavored yogurt.
  6. Eat at home 4 nights per week, or pack your lunch 2 times per week.  Of course, the numbers are arbitrary, so set a goal that works for you.  The point is to increase the number of home-cooked meals you prepare … so much better for your wallet and your health!
  7. Commit to a small, incremental change every month.  In January, you may order a side of veggies instead of french fries every time you go out to eat.  In February, you may switch from coffee with skim milk.  In March, you may add 5 minutes to your daily 30-minute walk.  Whatever it is, choose a small change that you can add on every single month.

NACCHO Aboriginal #ChooseHealth wishes you a very Healthy Xmas and #sugarfree 2018 New Year #SugaryDrinksProperNoGood

 ”  This campaign is straightforward – sugary drinks are no good for our health.It’s calling on people to drink water instead of sugary drinks.’

Aboriginal and Torres Strait Islander people in Cape York and throughout all our communities experience a disproportionate burden of chronic disease compared to other Australians.’

‘Regular consumption of sugary drinks is associated with increased energy intake and in turn, weight gain and obesity. It is well established that obesity is a leading risk factor for diabetes, kidney disease, heart disease and some cancers. Consumption of sugary drinks is also associated with poor dental health.

Water is the best drink for everyone – it doesn’t have any sugar and keeps our bodies healthy.’

Apunipima Public Health Advisor Dr Mark Wenitong

WATCH Apunipima Video HERE

“We tell ‘em kids drink more water; stop the sugar. It’s good for all us mob”

Read over 30 NACCHO articles Health and Nutrition HERE

https://nacchocommunique.com/category/nutrition-healthy-foods/

 ” Let’s be honest, most countries and communities (and especially Aboriginal and Torres Strait Islanders ) now face serious health challenges from obesity.

Even more concerning, so do our kids.

While no single mission will be the panacea to a complex problem, using 2017 to set a new healthy goal of giving sugar the kick would be a great start.

Understand sugar, be aware of it, minimise it and see it for what it is – a special treat for a rare occasion.

This New Year’s, make breaking up with sugar your planned resolution.

“Hey sugar – it’s not me, it’s you…”

Alessandro R Demaio  Global Health Doctor; Co-Founded NCDFREE & festival21; Assoc. Researcher, University of Copenhagen and NACCHO supporter ( First Published 2016 see in full below )

 

We recommend the Government establish obesity prevention as a national priority, with a national taskforce, sustained funding and evaluation of key measures including:

  • Laws to stop exposure of children to unhealthy food and drink marketing on free to air television until 9.30 pm
  • Mandatory healthy food star rating from July 2019 along with stronger food reformulation targets
  • A national activity strategy to promote walking, cycling and public transport use
  • A 20 per cent health levy on sugary drinks

Australia enjoys enviable health outcomes but that is unlikely to last if we continue to experience among the world’s highest levels of obesity.

 CEO of the Consumers Health Forum, Leanne Wells

NACCHO Aboriginal #HealthStarRating and #Nutrition @KenWyattMP Free healthy choices food app will dial up good tucker

” Weight gain spikes sharply during the Christmas and New Year holiday period with more than half of the weight we gain during our lifetime explained just by the period between mid-November and mid-January.

Public Health Advocacy Institute of WA

 ” Labels that warn people about the risks of drinking soft drinks and other sugar-sweetened beverages can lower obesity and overweight prevalence, suggests a new Johns Hopkins Bloomberg School of Public Health study.

The study used computer modelling to simulate daily activities like food and beverage shopping of the populations of three U.S. cities – Baltimore, San Francisco and Philadelphia.

It found that warning labels in locations that sell sugary drinks, including grocery and corner stores, reduced both obesity and overweight prevalence in the three cities, declines that the authors say were attributable to the reduced caloric intake.

The virtual warning labels contained messaging noting how added sugar contributes to tooth decay, obesity and diabetes.

The findings, which were published online December 14 in the American Journal of Preventive Medicine, demonstrates how warning labels can result in modest but statistically significant reductions in sugary drink consumption and obesity and overweight prevalence.”

Diabetes Queensland : Warning labels can help reduce sugary drinks consumption and obesity, new study suggests

 

Global recognition is building for the very real health concerns posed by large and increasing quantities of hidden sugar in our diets. This near-ubiquitous additive found in products from pasta sauces to mayonnaise has been in the headlines and in our discussions.

The seemingly innocuous sweet treat raises eyebrows from community groups to policy makers – and change is in the air.

Let’s review some of the sugar-coated headers from 2016 :

  • The global obesity epidemic continued to build while more than two-in-three Australian adults faced overweight or obesity – and almost one in four of our children.
  • Science around sugary drinks further solidified, with consumption now linked to obesity, childhood obesity, heart disease, diabetes (type-2), dental caries and even lower fertility.
  • Australians were estimated to consume a staggering 76 litres of sugary drinks each since January alone, and new reports highlighted that as much as 15% of the crippling health costs associated with obesity could result from sugary drinks consumption.
  • Meanwhile around the planet, more countries took sound policy measures to reduce sugar consumption in their citizens. France, Belgium, Hungary, Finland, Chile, the UK, Ireland, South Africa and many parts of the United States implemented, continued or planned the implementation of pricing policies for sugary drinks.

In short, the over-consumption of sugar is now well recognised as a public health challenge everywhere.

With all this in mind and a New Year ahead, it’s time to put big words into local action. With resolutions brewing, here are seven helpful tips to breaking up with sugar in 2017.

1. Understand sugar

When it comes to sugar, things can get pretty confusing. Below, I shed some light on the common misunderstandings, but let’s recheck sugar itself – in simplest terms.

Sugar is a type of refined carbohydrate and a source of calories in our diet. Our body uses sugar and other sources of calories as energy, and any sugar that is not used is eventually stored as fat in our liver or on our bellies.

“Free sugars” are those added to products or concentrated in the products – either by us or by the manufacturer. They don’t include sugars in whole fruits and vegetables, but more on that later. For a range of health reasons, the World Health Organization recommends we get just 5% of our daily calories from free sugars. For a fully grown man or woman, this equates to a recommended limit to sugar consumption of roughly 25 grams – or 6 teaspoons. For women, it’s a little less again.

Consume more than this, and our risk of health problems rises.

2. Quit soft drinks

With 16 teaspoons of sugar in a single bottle serving – that’s more than 64 grams – there’s nothing “soft” about soft drinks. Including all carbonated drinks, flavoured milks and energy drinks with any added sugars, as well as fruit drinks and juices, sugary drinks are a great place to focus your efforts for a healthier 2018. Sugary drinks provide no nutritional value to our diets and yet are a major source of calories.

sugartax

What’s more concerning, evidence suggests that when we drink calories in the form of sugary drinks, our brains don’t recognise these calories in the same way as with foods. They don’t make us feel “full” and could even make us hungrier – so we end up eating (and drinking) more. In this way, liquid calories can be seen as even more troubling than other forms of junk foods. Combine this with studies that suggest the pleasure (and sugar spike) provided by sugary drinks may make them hard to give up – and it’s not difficult to see why many of us are drinking higher amounts, more often and in larger servings. This also makes cutting down harder.

The outcome is that anything up to one-seventh of the entire public cost of obesity in Australia could now result from sugary drinks. In other words, cut out the sugary drinks and you’ll be doing your own health a favour – and the health of our federal and state budgets.

3. Eat fruit, not juice

When it’s wrapped in a peel or a skin, fruit sugars are not a challenge to our health. In fact, the sugars in fruit are nature’s way of encouraging us to eat the fruit to begin with. Fruits like oranges, apples and pears contain important fibres. The “roughage” in our foods, this fibre is healthy in many ways but there are three in particular I will focus on. First, it slows our eating down; it is easy to drink a glass of juice squeezed from 7 apples, but much harder to eat those seven pieces whole. Second, it makes us feel full or satiated. And third, it slows the release of the sugars contained in fruit into our blood streams, thus allowing our bodies to react and use the energy appropriately, reducing our chances of weight gain and possibly even diabetes.

Juice, on the other hand, involves the removal of most of those fibres and even the loss of some of the important vitamins. What we don’t lose though, is the 21 grams or more than five teaspoons of sugar in each glass.

In short, eat fruit as a snack with confidence. But enjoy whole fruit, not juice.

4. Sugar by any other name

High-fructose corn syrup, invert sugar, malt sugar and molasses – they all mean one thing: sugar.

As the public awakens to the health challenges posed by sugar, the industry turns to new ways to confuse consumers and make ‘breaking up’ more difficult. One such way is to use the many alternative names for sugar – instead of the ‘s’ word itself. Be on the lookout for:

Evaporated cane juice, golden syrup, malt syrup, sucrose, fruit juice concentrate, dextrose and more…

5. Eat whole foods where possible

Tomato sauce, mayonnaise, salad dressings, gravies, taco sauces, savoury biscuits and breakfast cereals – these are just some of the many foods now often packed with hidden, added sugars.

A study found that 74% of packaged foods in an average American supermarket contain added sugars – and there is little evidence to suggest Australia would be dramatically different. Added to food to make it more enjoyable, and moreish, the next tip when avoiding such a ubiquitous additive is to eat whole foods.

It’s hard to hide sugar in plain flour, or a tomato, or frozen peas. Buying and cooking with mostly whole foods – not products – is a great way to ensure you and your family are not consuming added sugars unaware.

6. See beyond (un)healthy claims

Words like “wholesome”, “natural” and “healthy” are clad on many of our favourite ingredients. Sadly, they don’t mean much.

Even products that are full of sugar, like breakfast cereals and energy bars, often carry claims that aim to confuse and seduce us into purchase. Be wary – and be sure to turn the package over and read the ingredients and nutrition labelling where possible (and if time permits).

7. Be okay with sometimes

The final but crucial message in all of this is that eating or drinking sugar is not a sin. Sugar is still a part of our lives and something to enjoy in moderation. The occasional piece of cake, or late night chocolate – despite the popular narrative painted by industry to undermine efforts for true pricing on sugar – these occasional sweet treats are not the driving challenge for obesity. The problem is that sugary drinks, and sugar in our foods, have become every day occurrences.

With this in mind, let’s not demonise sugar but instead let’s see it for what it is. Enjoy some juice or bubbles from time to time but make water the default on an everyday basis. With the average can of cola containing 39 grams or 9 teaspoons of sugar, be OK with sometimes.

Bitter truth

Let’s be honest, We now face serious health challenges from obesity.

Even more concerning, so do our kids.

Learn more about our ACCHO making Deadly Choices