NACCHO Aboriginal Health and #chronicdisease @SandroDemaio How #obesity ups your chronic disease risk and what to do about it

” Almost two in every three Australian adults are now overweight or obese, as are one in four of our children.

This rising obesity burden is the outcome of a host of factors, many of which are beyond our individual control – and obesity is linked to a number of chronic diseases.”

Dr Sandro Demaio is an Aussie medical doctor and global expert on non-communicable diseases. Co-host of the ABC TV series ‘Ask the Doctor’, author of 30 scientific papers and ‘The Doctor’s Diet’ (a cookbook based on science) see Part 2 below 

This article was originally published HERE 

Part 1 NACCHO Policy

” The committee heard that Aboriginal Community Controlled Health Organisations (ACCHOs) run effective programs aimed at preventing and addressing the high prevalence of obesity in Aboriginal and Torres Strait Islander communities.

Ms Pat Turner, Chief Executive Officer of National Aboriginal Community Controlled Health Organisation (NACCHO), gave the example of the Deadly Choices program, which is about organised sports and activities for young people.

She explained that to participate in the program, prospective participants need to have a health check covered by Medicare, which is an opportunity to assess their current state of health and map out a treatment plan if necessary.

However, NACCHO is of the view that ACCHOs need to be better resourced to promote healthy nutrition and physical activity.

Access to healthy and fresh foods in remote Australia

Ms Turner also pointed out that ‘the supply of fresh foods to remote communities and regional communities is a constant problem’.

From NACCHO Submission Read here 

” Many community members in the NT who suffer from chronic illnesses would benefit immensely from using Health Care Homes.

Unfortunately, with limited English, this meant an increased risk of them being inadvertently excluded from the initiative.

First, Italk Alice Springs produced the English version of the story. Then using qualified interpreters, they produced Aboriginal language versions in eight languages: Anmatyerre, Alyawarr, Arrernte, East Side Kriol, West Side Kriol, Pitjatjantjara, Warlpiri and Yolngu Matha

Read Article HERE

Figure 2.22-1 Proportion of persons 15 years and over (age-standardised) by BMI category and Indigenous status, 2012–13
Proportion of persons 15 years and over (age-standardised)

Source: ABS and AIHW analysis of 2012–13 AATSIHS

Read over 60 Aboriginal Health and Obesity articles published by NACCHO over past 7 Years

What is chronic disease?

Chronic disease is a broad term, which includes type 2 diabetes, heart disease, cancers, certain lung conditions, mental illness and genetic disorders. They are often defined by having complex and multiple causes, and are long-term or persistent (‘chronic’ actually means long-term).

How is obesity linked to chronic disease?

Obesity increases the risk of developing certain chronic diseases, including cardiovascular diseases (heart disease and stroke), sleep disorders, type 2 diabetes and at least 13 types of cancer.

Type 2 diabetes and obesity:

Obesity is the leading risk factor for type 2 diabetes, and even being slightly overweight increases this risk. Type 2 diabetes is characterised physiologically by decreased insulin secretion as well as increased insulin resistance due to a combination of genetic and environmental factors. Left uncontrolled, this can lead to a host of nasty outcomes like blindness, kidney problems, heart disease and even loss of feeling in our hands and feet.

Obstructive sleep apnoea and obesity:

This is another chronic disease often linked to obesity. Sleep apnoea is caused when our large air passage is partially or fully blocked by a combination of factors, including the weight of fat tissue sitting on our neck. It can cause us to jolt awake, gasping for oxygen. It leads to poor sleep, which adds physiological pressure to critical organs.

A woman preparing vegetables for a meal

Cancer and obesity:

This is a disease of altered gene expression. It originates from changes to the cell’s DNA caused by a range of factors, including inherited mutations, inflammation, hormones, and external factors including tobacco use, radiation from the sun, and carcinogenic agents in food. Strong evidence also links obesity to a number of cancers including throat cancer, bowel cancer, cancer of the liver, gallbladder and bile ducts, pancreatic cancer, breast cancer, endometrial cancer and kidney cancer.

Obesity is also associated with high blood pressure and increased risk of heart attack and stroke.

This might sound overwhelming, but it’s not all bad news. Here are a few things we can all start to do today to reduce our risk of obesity and associated chronic disease:

1. Eat more fruit and veg

Most dietary advice revolves around eating less. But if we can replace an unhealthy diet with an abundance of fresh, whole fruits and vegetables – at least two servings of fruit per day and five servings of vegetables – we can reduce our risk of obesity whilst still embracing our love for good food.

2. Limit our alcohol consumption

Forgo that glass of wine or beer after a long hard day at work and opt instead for something else that helps us relax. Pure alcohol is inherently full of energy – containing twice the energy per gram as sugar. This energy is surplus and non-essential to our nutritional needs, so contributes to our widening waistlines. And whether we’re out for drinks with mates or at a function, we can reduce our consumption by spacing out our drinks and holding off before reaching for another glass.

3. Get moving

While not everyone loves a morning sprint, there are many enjoyable ways to maintain a sufficient level of physical activity. Doing some form of exercise for at least 30 minutes each day is an effective way of keeping our waistlines in check. So, take a break to stretch out the muscles a few times during the workday, spend an afternoon at the local pool, get out into the garden or take some extra time to ride or walk to work. If none of these appeal, do some research to find the right exercise that will be fun and achievable.

Two women exercising in a park together

4. Buddy up

There’s nothing like a bit of peer pressure to get us healthy and active. Pick a friend who has the same goals and encourage each other to keep going. Sign up for exercise classes together, meet for a walk, have them over for a healthy meal, share tips and seek out support when feeling uninspired.

5. Prioritise sleep

Some argue that sleep is the healthy icing on the longevity cake. The benefits of a good night’s sleep are endless, with recent research suggesting it can even benefit our decision-making and self-discipline, making it easier to resist that ‘between-meal’ treat. Furthermore, lack of sleep can increase our appetite and see us lose the enthusiasm to stay active.

Above all, we need to foster patience and perseverance when it comes to achieving a healthy weight. It might not happen overnight, but it is within reach.

Let’s start today!

Co-host of the ABC TV series ‘Ask the Doctor’, author of 30 scientific papers and ‘The Doctor’s Diet’ (a cookbook based on science), Dr Sandro Demaio is an Aussie medical doctor and global expert on non-communicable diseases.

NACCHO Aboriginal Health and #findyour30 #getactive #lovesport #sport2030 @senbmckenzie launches #MoveitAUS a $28.9m grants program to achieve a goal of reducing inactivity amongst our population by 15% over the next 12 years :applications close 18 February 2019

 ” The Move It AUS – Participation Grant Program provides support to help organisations get Australians moving and to support the aspiration to make Australia the world’s most active and healthy nation.

If successful, applicants will receive grants up to $1 million to implement community-based activities that align to the outcomes of Sport 2030. ” 

How to apply for funding HERE

Photo above : Check out the very active Deadly Choices mob 

Or view HERE

“The nation’s first-ever sports plan – Sport 2030 – sets a goal to ensure Australia is the world’s most active, healthy nation and the Sports Participation Grants Program is part of our ongoing commitment to achieving this goal,

Our goal is to get more Australians more active more often.

We have set the aspiration, put out a call to action and are supporting this with a significant investment to unlock ideas and passion through our partners and communities.

We know that through increased participation, we have a larger pool from which the new elite athletes of the future will come from.

We want Australians to heed advice from the health experts – adults should “Move It’ 30 minutes a day and children 60 minutes a day.”

Minister for Sport Senator Bridget McKenzie has today 7 January 2019 launched a $28.9m grants program which will enable sport and physical activity providers to get Australia’s population moving. 

The government Move It AUS – Participation Grants Program, to be managed by Sport Australia, aims to help Australians reach the goal set in the government’s Sport 2030 report to reduce inactivity amongst the population by 15% over the next twelve years.

The four year program is part of the 2018-19 government Budget investment of over $230 million in a range of physical activity initiatives.

  • Get inactive people moving in their local community
  • Build awareness and understanding of the importance of physical activity across all stages of life
  • Improve the system of sport and physical activity by targeting populations at risk of inactivity, across all life stages
  • Delivering ongoing impact through the development of sector capability (Stream 2 only)

What types of programs are we looking for?

Programs that:

  • Activates available research (through delivery) which results in the development of positive physical activity experience for one or more of the targeted population groups.
  • Engages Australians that are currently inactive to increase physical activity levels in local communities. This includes women and girls, early years (age 3-7) – focus on the development of Physical Literacy, youth (ages 13-17), people from rural and remote communities, people with disability, people from culturally and linguistically diverse communities, Aboriginal and Torres Strait Islander people, low-medium income households or low socio economic status (SES).
  • Employs behaviour change principles and practices in their implementation and delivery.
  • Addresses common barriers to participation (cost, time, access, delivery method) and employs common drivers (eg: product design, market insights, communication, workforce and delivery method)
  • Activates the “Move it AUS” campaign within target population groups.
  • Directly addresses priority initiatives in Sport 2030.

The Department of Health’s Physical Activity and Sedentary Behaviour Guidelines advise adults aged 18-64 should accumulate 2.5 to 5 hours of moderate intensity physical activity or 1.25 to 2.5 hours of vigorous activity each week. Children should accumulate at least 60 minutes of moderate to vigorous physical activity a day.

National, State and Local Government sports organisations and physical activity providers are encouraged to apply for the grants, with key targets including inactive communities, increasing activity for women and girls and addressing the barriers related to participation in rural, remote and low socio-economic locations.

The Sports Participation Grants Program follow the launch of the Better Ageing Grants, aimed at Australians over 65, and the Community Sporting Infrastructure Grants, all aimed at helping Australians ‘Move It’ for life – and have the opportunity and facilities to ensure that happens.

Applications for the Sports Participation Grants Program open on Monday 7th January 2019 and close on the 18th of February 2019. Guidelines and details on the application process will be available on Monday 7th January at sportaus.gov.au/participationgrants

 

.@NACCHOChair Season’s Greetings and a very Happy #ChooseHealth New Year from all the NACCHO mob : Make @DeadlyChoices a #sugarfree 2019 New Year #SugaryDrinksProperNoGood

Season’s Greetings and a Happy New Year from the National Aboriginal Community Controlled Health Organisation

On behalf of NACCHO, the Board and our staff we wish you a safe, happy and healthy festive season.

Please note : Our Canberra Office Closes 20 December and Re Opens 4 January 2019

2018 has been a year of change, with many new members joining the NACCHO Board.

With change comes opportunity, 2019 will see many new and exciting developments as NACCHO continues to enhance better service for the sector.

We look forward to building strong relationships with you, maintain Aboriginal community control and work together in the new year to improve health and well-being outcomes for Aboriginal and Torres Strait Islander peoples.

I hope you all have good health, happiness and a safe holiday season

Ms Donnella Mills Chair NACCHO

Click on our 2018 year in review

If the NACCHO Christmas card isn’t playing, click here to view in a web browser.

”  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 all 60 + 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 obesitychildhood obesityheart diseasediabetes (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.

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

NACCHO @RACGP Aboriginal Health Survey : 2 of 2 From now until February 2019, NACCHO and @RACGP  wants to hear from you about implementing the National Guide and supporting culturally responsive healthcare for Aboriginal and Torres Strait Islander people

In 2018–19, NACCHO and the RACGP are working on further initiatives and we want your input!

Download this post as PDF and share with your networks

 We-seek-your-input-NACCHO-RACGP-Project

What we are currently doing:

  • Conducting practice team surveys and focus groups to:
    • understand current system requirements and how they can improve identification rates of Aboriginal and Torres Strait Islander patients in mainstream practices and
    • integrate the key recommendations from the National Guide into clinical software
  • Establishing a Collaborative with the Improvement Foundation to conduct rapid quality improvement cycles leading to the provision of better healthcare for Aboriginal and Torres Strait Islander peoples
  • Engaging with medical software vendors to understand how we can improve identification rates and integrate the National Guide into clinical software
  • Developing resources for Aboriginal and Torres Strait Islander people regarding preventive health assessments and follow up care
  • Working with our Aboriginal and Torres Strait Islander-led Project Reference Group to carry out all project activities.

From now until February 2019, we want to hear from you!

Do you have ideas, solutions or examples of good practice relating to:

  • how health services can ensure that Aboriginal and Torres Strait Islander patients receive patient centred, quality health assessments (715) that meet their needs?
  • the resources that would support mainstream general practice teams to provide culturally responsive healthcare for Aboriginal and Torres Strait Islander people?
  • how guidelines, such as the National Guide, can be integrated into clinical software?
  • features of clinical software that will support improved identification of Aboriginal and Torres Strait Islander patients at your practice?
  • features of a 715 health assessment template that will support a comprehensive health assessment?

To participate in a short survey, please CLICK HERE

We also welcome your feedback and input at aboriginalhealth@racgp.org.au

With your feedback, we will:

  • understand the needs of our cohort
  • understand what works through our Collaborative model for improvement report
  • develop new resources to support you and your team with delivering better healthcare to Aboriginal and Torres Strait Islander peoples regardless of where care is sought
  • share the lessons with mainstream general practice and Aboriginal Community Controlled Health Services to improve the health and wellbeing of Aboriginal and Torres Strait Islander peoples.

National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people

Early detection, preventing disease and promoting health

The National Guide is a practical resource intended for all health professionals delivering primary healthcare to Aboriginal and/or Torres Strait Islander people.

Its purpose is to provide GPs and other health professionals with an accessible, user-friendly guide to best practice preventive healthcare for Aboriginal and Torres Strait Islander patients.

See Website

New to the third edition!

National Guide podcasts

Subscribe to the National Guide Podcast (listen to the third edition) to hear host Lauren Trask, NACCHO Implementation Officer and CQI expert, speak to GPs  and researchers on updates and changes in the third edition of the National Guide.

Downloads

 National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (PDF 9.8 MB)

 Evidence base to a preventive health assessment in Aboriginal and Torres Strait Islander people (PDF 9.4 MB)

 National Guide Lifecycle chart (child) (PDF 555 KB)

 National Guide Lifecycle chart (young) (PDF 1 MB)

 National Guide Lifecycle chart (adult) (PDF 1 MB)

NACCHO Aboriginal Health and #Obesity : #refreshtheCTGrefresh : Download the Select Committee into the #Obesity Epidemic in Australia 22 recommendations : With feedback from @ACDPAlliance @janemartinopc

The Federal Government must impose a tax on sugary drinks, mandate Health Star Ratings and ban junk food ads on TV until 9 pm if it wants to drive down Australia’s obesity rates, a Senate committee has concluded.

The Select Committee into the Obesity Epidemic, comprising senators from all major parties and chaired by Greens leader Richard Di Natale, has tabled a far-reaching report with 22 recommendations.”

See SMH Article Part 1 below

Download PDF copy of report

Senate Obesity report

Extract from Report Programs in Aboriginal and Torres Strait Islander communities

The committee heard that Aboriginal Community Controlled Health Organisations (ACCHOs) run effective programs aimed at preventing and addressing the high prevalence of obesity in Aboriginal and Torres Strait Islander communities.

Ms Pat Turner, Chief Executive Officer of National Aboriginal Community Controlled Health Organisation (NACCHO), gave the example of the Deadly Choices program, which is about organised sports and activities for young people.

She explained that to participate in the program, prospective participants need to have a health check covered by Medicare, which is an opportunity to assess their current state of health and map out a treatment plan if necessary.

However, NACCHO is of the view that ACCHOs need to be better resourced to promote healthy nutrition and physical activity.

Access to healthy and fresh foods in remote Australia

Ms Turner also pointed out that ‘the supply of fresh foods to remote communities and regional communities is a constant problem’.

From NACCHO Submission Read here 

Recommendation 21 see all Recommendations Part 2

The committee recommends the proposed National Obesity Taskforce is funded to develop and oversee culturally appropriate prevention and intervention programs for Aboriginal and Torres Strait Islander communities.

Recommendation 22

The committee recommends the Commonwealth develop additional initiatives and incentives aimed at increasing access, affordability and consumption of fresh foods in remote Aboriginal and Torres Strait Islander communities.

“Unhealthy weight is a major risk factor for cancer, diabetes, heart disease, stroke and kidney disease. Preventing obesity in children is particularly important, as it is difficult to reverse weight gain once established,” 

Chair of the Australian Chronic Disease Prevention Alliance Sharon McGowan said limiting unhealthy food marketing would reduce children’s exposure to unhealthy food and its subsequent consumption.See in full Part 3

“Obesity in this country has reached epidemic proportions, but it is not a problem without a solution. Today’s report demonstrates a willingness from representatives across all political parties to investigate the systemic causes of obesity and develop a way forward.”

A key recommendation from the Inquiry’s report is the introduction of a tax on sugary drinks; something the OPC has led calls for, and which has been supported by around 40 public health, community and academic groups in the Tipping the Scales report.

Jane Martin, Executive Manager of the Obesity Policy Coalition, said that when two thirds of Australians are overweight or obese, the Inquiry’s comprehensive report provides an acknowledgement of the scale of the problem and a blueprint for tackling it .See part 4 Below for full press release

Part 1 SMH Article 

About 63 per cent of Australian adults are overweight or obese.

In a move that will likely delight health groups and enrage the food and beverage industries, it has recommended the government slap a tax on sugar-sweetened beverages (SSB), saying this would reduce sugar consumption, improve public health and push manufacturers to reformulate their products.

“The World Health Organisation has recommended governments tax sugary drinks and, at present, over 30 jurisdictions across the world have introduced a SSB tax as part of their effort and commitment toward preventing and controlling the rise of obesity,” the report said.

While health groups, such as Cancer Council, have demanded a 20 per cent levy, the committee suggested the government find the best fiscal model to achieve a price increase of at least 20 per cent.

“The impacts of sugary drinks are borne most by those on low income and they will also reap the most benefits from measures that change the behaviour of manufacturers,” it said.

About 63 per cent of Australian adults and 27 per cent of children aged 5 to 17 are overweight or obese, which increases the risk of developing heart disease and type 2 diabetes.

At the heart of the report is the recognition of the need for a National Obesity Taskforce, comprising government, health, industry and community representatives, which would sit within the Department of Health and be responsible for a National Obesity Strategy as well as a National Childhood Obesity Strategy.

“Australia does not have an overarching strategy to combat obesity,” it said.

“Many of the policy areas required to identify the causes, impacts and potential solutions to the obesity problem span every level of government.”

The committee has also urged the government to mandate the Health Star Rating (HSR) system, which is undergoing a five-year review, by 2020.

The voluntary front-of-pack labelling system has come under fire for producing questionable, confusing ratings – such as four stars for Kellogg’s Nutri-Grain – and becoming a “marketing tool”.

“Making it mandatory will drive food companies to reformulate more of their products in order to achieve higher HSR ratings,” the report said.

“The committee also believes that, once the HSR is made mandatory, the HSR calculator could be regularly adjusted to make it harder to achieve a five star rating.”

Pointing to a conflict-of-interest, it has recommended the HSR’s Technical Advisory Group expel members representing the industry.

“Representatives of the food and beverage industry sectors may be consulted for technical advice but [should] no longer sit on the HSR Calculator Technical Advisory Group,” it said.

The government has also been asked to consider introducing legislation to restrict junk food ads on free-to-air television until 9pm.

The group said existing voluntary codes were inadequate and also suggested that all junk food ads in all forms of media should display the product’s HSR.

The committee is made up of seven senators – two  Liberals, two Labor, one each from the Greens and One Nation and independent Tim Storer.

The Liberals wrote dissenting statements, saying a taskforce was unnecessary, HSR should remain voluntary, there shouldn’t be a sugar tax, and current advertising regulations were enough.

“No witnesses who appeared before the inquiry could point to any jurisdiction in the world where the introduction of a sugar tax led to a fall in obesity rates,” they said.

Labor senators also said there was no need for a sugar tax because there isn’t enough evidence.

“Labor senators are particularly concerned that an Australian SSB would likely be regressive, meaning that it would impact lower-income households disproportionately,” they said.

Committee chair, Dr Di Natale said: “We need the full suite of options recommended by the committee if we’re serious about making Australians happier, healthier, and more active.”

Part 2 ALL 22 Recommendations

Recommendation 1

The committee recommends that Commonwealth funding for overweight and obesity prevention efforts and treatment programs should be contingent on the appropriate use of language to avoid stigma and blame in all aspects of public health campaigns, program design and delivery.

Recommendation 2

The committee recommends that the Commonwealth Department of Health work with organisations responsible for training medical and allied health professionals to incorporate modules specifically aimed at increasing the understanding and awareness of stigma and blame in medical, psychological and public health interventions of overweight and obesity.

Recommendation 3

The committee recommends the establishment of a National Obesity Taskforce, comprising representatives across all knowledge sectors from federal, state, and local government, and alongside stakeholders from the NGO, private sectors and community members. The Taskforce should sit within the Commonwealth Department of Health and be responsible for all aspects of government policy direction, implementation and the management of funding

Recommendation 3.1

The committee recommends that the newly established National Obesity Taskforce develop a National Obesity Strategy, in consultation with all key stakeholders across government, the NGO and private sectors.

Recommendation 3.2

The committee recommends that the Australian Dietary Guidelines are updated every five years.

Recommendation 6

The committee recommends the Minister for Rural Health promote to the Australia and New Zealand Ministerial Forum on Food Regulation the adoption of the following changes to the current Health Star Rating system:

  • The Health Star Rating Calculator be modified to address inconsistencies in the calculation of ratings in relation to:
  • foods high in sugar, sodium and saturated fat;
  • the current treatment of added sugar;
  • the current treatment of fruit juices;
  • the current treatment of unprocessed fruit and vegetables; and
  • the ‘as prepared’ rules.
  • Representatives of the food and beverage industry sectors may be consulted for technical advice but no longer sit on the HSR Calculator Technical Advisory Group.
  • The Health Star Rating system be made mandatory by 2020.

Recommendation 7

The committee recommends Food Standards Australia New Zealand undertake a review of voluntary front-of-pack labelling schemes to ensure they are fit-forpurpose and adequately represent the nutritional value of foods and beverages.

Recommendation 8

The committee recommends the Minister for Rural Health promote to the Australia and New Zealand Ministerial Forum on Food Regulation the adoption of mandatory labelling of added sugar on packaged foods and drinks.

Recommendation 9

The committee recommends that the Council of Australian Governments (COAG) Health Council work with the Department of Health to develop a nutritional information label for fast food menus with the goal of achieving national consistency and making it mandatory in all jurisdictions.

Recommendation 10

The committee recommends the Australian Government introduce a tax on sugar-sweetened beverages, with the objectives of reducing consumption, improving public health and accelerating the reformulation of products.

Recommendation 11

The committee recommends that, as part of the 2019 annual review of the Commercial Television Industry Code of Practice, Free TV Australia introduce restrictions on discretionary food and drink advertising on free-to-air television until 9.00pm.

Recommendation 12

The committee recommends that the Australian Government consider introducing legislation to restrict discretionary food and drink advertising on free-toair television until 9.00pm if these restrictions are not voluntary introduced by Free TV Australia by 2020.

Recommendation 13

The committee recommends the Australian Government make mandatory the display of the Health Star Rating for food and beverage products advertised on all forms of media.

Recommendation 14

The committee recommends the proposed National Obesity Taskforce is funded to develop and oversee the implementation of a range of National Education Campaigns with different sectors of the Australian community. Educational campaigns will be context dependent and aimed at supporting individuals, families and communities to build on cultural practices and improve nutrition literacy and behaviours around diet, physical activity and well-being.

Recommendation 15

The committee recommends that the National Obesity Taskforce, when established, form a sub-committee directly responsible for the development and management of a National Childhood Obesity Strategy.

Recommendation 16

The committee recommends the Medical Services Advisory Committee (MSAC) consider adding obesity to the list of medical conditions eligible for the Chronic Disease Management scheme.

Recommendation 17

The committee recommends the Australian Medical Association, the Royal Australian College of General Practitioners and other college of professional bodies educate their members about the benefits of bariatric surgical interventions for some patients.

Recommendation 18

The committee recommends the proposed National Obesity Taskforce commission evaluations informed by multiple methods of past and current multistrategy prevention programs with the view of designing future programs.

Recommendation 19

The committee recommends the proposed National Obesity Taskforce is funded to develop and oversee the implementation of multi-strategy, community based prevention programs in partnership with communities.

Recommendation 20

The committee recommends the proposed National Obesity Taskforce develop a National Physical Activity Strategy.

Recommendation 21

The committee recommends the proposed National Obesity Taskforce is funded to develop and oversee culturally appropriate prevention and intervention programs for Aboriginal and Torres Strait Islander communities.

Recommendation 22

The committee recommends the Commonwealth develop additional initiatives and incentives aimed at increasing access, affordability and consumption of fresh foods in remote Aboriginal and Torres Strait Islanders

Part 3 Protect our children chronic disease groups support calls to restrict junk food advertising

Junk food advertising to children urgently needs to be better regulated.

That’s a recommendation from the Senate report on obesity, released last night, and a message that the Australian Chronic Disease Prevention Alliance strongly supports.

Chair of the Australian Chronic Disease Prevention Alliance Sharon McGowan said limiting unhealthy food marketing would reduce children’s exposure to unhealthy food and its subsequent consumption.

“Unhealthy weight is a major risk factor for cancer, diabetes, heart disease, stroke and kidney disease. Preventing obesity in children is particularly important, as it is difficult to reverse weight gain once established,” Ms McGowan said.

Ms McGowan said one in four children are already overweight or obese, and more likely to grow into adults who are overweight or obese with greater risk of chronic disease.

“While there are multiple factors influencing unhealthy weight gain, this is not an excuse for inaction,” she said. “Food companies are spending big money targeting our kids, unhealthy food advertising fills our television screens, our smartphones and digital media channels.

“Currently, self-regulation by industry is limited and there are almost no restrictions for advertising unhealthy foods online – this has to stop.

“We need to act now to stem this tide of obesity and preventable chronic disease, or we risk being the first generation to leave our children with a shorter life expectancy than our own.”

The Australian Chronic Disease Prevention Alliance also welcomed the Report’s recommendations for the establishment of a National Obesity Taskforce, improvements to the Health Star Rating food labelling system, development a National Physical Activity Strategy and introduction of a sugary drinks levy.

“We support the recent Government commitment to develop a national approach to obesity and urge the government to incorporate the recommendations from the Senate report for a well-rounded approach to tackle obesity in Australia,” Ms McGowan said.

Part 4

Sugary drink levy among 22 recommendations

The Obesity Policy Coalition (OPC) has welcomed a Senate Inquiry report into the Obesity Epidemic in Australia as an important step toward saving Australians from a lifetime of chronic disease and even premature death.

Jane Martin, Executive Manager of the Obesity Policy Coalition, said that when two thirds of Australians are overweight or obese, the Inquiry’s comprehensive report provides an acknowledgement of the scale of the problem and a blueprint for tackling it.

“Obesity in this country has reached epidemic proportions, but it is not a problem without a solution. Today’s report demonstrates a willingness from representatives across all political parties to investigate the systemic causes of obesity and develop a way forward.”

A key recommendation from the Inquiry’s report is the introduction of a tax on sugary drinks; something the OPC has led calls for, and which has been supported by around 40 public health, community and academic groups in the Tipping the Scales report.

“Sugar is a problem in our diets and sugary drinks are the largest contributor of added sugar for Australians. Consumption of these beverages is associated with chronic health conditions including type 2 diabetes, heart disease, some cancers and tooth decay,” Ms Martin said.

“We have been calling for a 20% health levy on sugary drinks for a number of years, but Australia continues to lag behind 45 other jurisdictions around the world that have introduced levies. When sugary drinks are often cheaper than water, it’s time to take action.”

The report also calls for a review of the current rules around junk food advertising to children.

Ms Martin insisted any review should prioritise an end to the advertising industry’s selfregulated codes.

“We know industry marketing is having a negative effect; it directly impacts what children eat and what they pester their parents for. It’s wallpaper in their lives, bombarding them during their favourite TV shows, infiltrating their social media feeds and plastering their sports grounds and uniforms when they play sport,” Ms Martin said.

“With more than one in four Australian children overweight or obese, it’s time for the Government to acknowledge that leaving food and beverage companies to make their own sham rules allows them to continue to prioritise profits over kids’ health.”

While the Inquiry’s report calls for a National Obesity Strategy, a commitment announced by the COAG Health Ministers earlier this year, Ms Martin stressed that this must be developed independently, without the involvement of the ultra-processed food industry, which has already hampered progress to date.

“The OPC, along with 40 leading community and public health groups, have set out clear actions on how best to tackle obesity in our consensus report, Tipping the Scales. These actions came through strongly from many of the groups who participated in the inquiry and we are pleased to see them reflected in the recommendations.

“The evidence is clear on what works to prevent and reduce obesity, but for real impact we need leadership from policy makers. We need to stop placing the blame on individuals. The Federal and State governments must now work together to push those levers under their control to stem the tide of obesity.”

The senate inquiry report contains 22 recommendations which address the causes, control of obesity, including:

  • The establishment of a National Obesity Taskforce, with a view to develop a National Obesity Strategy
  • Introduction of a tax on sugar-sweetened beverages
  • The Health Star Rating system be made mandatory by 2020
  • Adoption of mandatory labelling of added sugar
  • Restrictions on discretionary food and drink advertising on free-to-air television until 9pm
  • Implementation of a National Education Campaign aimed at improving nutrition literacy and behaviours around diet and physical activity
  • Form a sub-committee from the National Obesity Taskforce around the development and management of a National Childhood Obesity Strategy

BACKGROUND:

On 10 May 2018, the Senate voted to establish an inquiry to examine the impacts of Australia’s obesity epidemic.

The Select Committee into the obesity epidemic was established on 16 May 2018 to look at the causes of rising levels of obese and overweight people in Australia and how the issue affects children. It also considered the economic burden of the health concern and the effectiveness of existing programs to improve diets and tackle childhood obesity. The inquiry has received 145 submissions and has published its full report today.

The Committee held public hearings from public health, industry and community groups. The OPC provided a submission and Jane Martin gave evidence at one of these sessions.

NACCHO Aboriginal Health @IndigenousPHAA #Prevention : Download @_PHAA_ Report : Saving lives a million at a time: Australia’s #top10publichealth successes over the last 20 years

As we edge closer to the federal election, it’s critical our parties consider what public health successes we must achieve next, and how they can lead on issues such as Aboriginal and Torres Strait Islander health, obesity, nutrition, environmental and ecological issues such as climate change, and advancing health equity.”

PHAA CEO Terry Slevin

Today the Public Health Association Australia (PHAA) launched its new report, the Top 10 Public Health Successes Over the Last 20 Years at Australian Parliament House.

PHAA CEO Terry Slevin stated, “Public health initiatives have prevented an extraordinary amount of ill health and death in our communities – there is a saying in our field that nurses and doctors save lives, and public health professionals also save lives – they just do so a million at a time.”

The report has been compiled by Australia’s leading public health experts, and the top ten achievements are presented in no particular order as they are all considered to have been of equal importance to Australian public health.

The top ten public health successes include:

  • Folate: reduced neural tube defects
  • Immunisation and eliminating infectious disease
  • Containing the spread of HPV and its related cancers
  • Oral health: reduced dental decay
  • Reduced incidence of skin cancer
  • Tobacco control: reduced deaths caused by smoking
  • Reduced the road death and injury toll
  • Gun control: reduced gun deaths in Australia
  • Contained the spread of HIV
  • Prevented deaths from bowel and breast cancer

Download the PHAA report HERE 

PHAA Top 10 Public Health Successes_FINAL

“This report paints a clear picture of exactly which programs and initiatives have had the greatest impact – from cancer screening to vaccines, from road safety to tobacco control. These have all saved thousands of lives and protected the health of millions of Australians.”

“Public health is about preventing or minimising harm – it is always better than cure. We aim to intervene before illness, death or injury occurs, creating safe and healthy environments for all Australians. This is why in public health, we’re for birthdays,” Mr Slevin said.

“We aspire to give Australians more birthdays (five more for each person is our starting goal) and other important celebrations – weddings, births, graduations – all of the significant milestones we value in life. Perhaps most importantly, we want Australians to be healthy enough to really enjoy these extra years and milestones,” Mr Slevin said.

“So the next question we ask is, who will be the policy leaders and decision makers to help us achieve this aspiration? The report acknowledges key decision makers at the federal, state and territory government levels who were instrumental in making the top ten public health successes happen.”

“As we edge closer to the federal election, it’s critical our parties consider what public health successes we must achieve next, and how they can lead on issues such as Aboriginal and Torres Strait Islander health, obesity, nutrition, environmental and ecological issues such as climate change, and advancing health equity.”

The UK has just released a new preventive health vision statement proving that western conservative governments can prioritise prevention. This is key not just because it is the most effective form of public health practice, but also the most economically sound.

“Preventive public health measures are often cheap to implement and more than pay for themselves through reduced health care costs and increased productivity through keeping people out of hospitals.”

“Public health investment in Australia currently amounts to less than 2% of the national health budget, and has been generally declining since at least 2001. It is essential we allocate adequate resources to public health programs and initiatives to build a healthier population, stem the tide of chronic disease that is enveloping the nation, and reduce future health expenditure,” Mr Slevin said.

“We owe it to ourselves and to our children to look back in twenty years’ time and say we did all we could.”

NACCHO Aboriginal Health and #Nutrition : Download @aihw Nutrition across the life stages report @CHFofAustralia Poor diet findings underline calls for action on #obesity now : More than one-third of Australians’ energy intake comes from junk foods.

 

” More than one-third of Australians’ energy intake comes from junk foods. Known as discretionary foods, these include biscuits, chips, ice-cream and alcohol. For those aged 51-70, alcoholic drinks account for more than one-fifth of discretionary food intake.

These are some of the findings from the Nutrition across the life stages report released by the Australian Institute of Health and Welfare ” 

From The Conversation see Part 3 below

Download copy aihw-nutrition report

 ” Overall, the diets of Indigenous and non-Indigenous Australians are similar. However, Indigenous adults in some age groups eat less fruit, vegetables and dairy products and alternatives.

They also have a lower intake of fibre and a higher intake of discretionary food and added sugars than non-Indigenous adults.”

For Indigenous Health see page 108 or Part 2 Below

Part 1 Poor diet findings underline calls for action on obesity now

Read our NACCHO Obesity submission plus 60 articles here

The poor diet of many Australians, beginning in childhood, as revealed in a new official report, underlines the need for concerted national action on obesity, the Consumers Health Forum has said

The report of the Australian Institute of Health and Welfare released today shows that Australians generally do not eat enough of the right food, like vegetables, and too much food rich in fat, salt and sugars.

“These findings again vindicate calls over the years by health and community groups for concerted action on obesity and at last, Australia’s health ministers have agreed to develop a national strategy to counter this huge public health challenge,” the CEO of the Consumers Health Forum, Leanne Wells, said.

“We welcome the decision by the COAG Health Ministers Council last week to develop a national plan on obesity.

“As this new AIHW report Nutrition across the life stages, shows, there is great scope for improving diets of most Australians of all ages.  This includes children whose formative diets do not include enough vegetables, teenagers who tend to eat too much junk food and even those in middle age whose alcohol intake is often too high.

“It has taken too long to reach a national agreement for action on obesity.  Now health ministers must move promptly to introduce effective measures.

“Governments have a ready-made blueprint for action, provided by the Obesity Policy Coalition’s report Tipping the Scales, which CHF strongly supported.

“After a comprehensive and expert investigation, that report proposed eight critical actions to tackle obesity.  These included tougher restrictions on TV junk food advertising, food reformulation targets, mandatory Health Star ratings on food, an active transport strategy, public health education campaigns and a 20 per cent health levy on sugary drinks.

The Health Ministers considered a number of aspects relating to obesity. They agreed that the national strategy should have a strong focus on prevention measures and social determinants of health, especially in relation to early childhood and rural and regional issues.

The Consumers Health Forum has called for more effective measures to counter obesity over several years.

In January 2015, with the support of the Obesity Policy Coalition, the Heart Foundation and the Public Health Association of Australia, CHF released the results of an Essential Research poll showing strong community backing for national action on obesity.

That poll revealed that 79 per cent of Australians polled believed that if we don’t do more to lower the intake of fatty sugary and salty foods/drinks, our children will live shorter lives than their parents. Half of those polled then approved of the idea of a tax on junk food/sugary drinks.

“We called then for the Federal Government to take decisive action to stop the never-ending promotion of unhealthy food and drink, particularly to young people.

“Australia has lagged behind other nations in taking effective action against obesity which is one of the greatest triggers of chronic health problems which afflict a growing number of Australians.

Unless we act now to arrest this trend, it will add up to even greater demands on our health system as it attempts to manage the growing levels of chronic disease in the community.

“The time for talk is well past.  We need action now,” Ms Wells said.

Part 2 Indigenous Australians

This report looked at whether food and nutrient intakes and health outcomes differ between
Indigenous and non-Indigenous Australians, and found that overall, there is little difference.
Intake of serves from the 5 food groups for Indigenous children is similar to the intake for
non-Indigenous children.

However, differences are seen in the adult populations, particularly for fruit, vegetables, dairy products and alternatives (for those aged 19–50 and 71 and over) and grain foods
(for those aged 19–50), where intake is lower for Indigenous Australians.

Comparing the contribution of discretionary food to energy intake for Indigenous and non-Indigenous Australians, the main differences are seen in women aged 19–30 and men and
women aged 31–50, with the contribution being higher in Indigenous Australians

While the intake of added sugars appears higher among Indigenous Australians than non-Indigenous Australians, this is only significant in those aged 19–30 and 31–50. Intake of saturated and trans fats and sodium are similar for Indigenous and non-Indigenous Australians.

Fibre intake for Indigenous Australians aged 19–30 and 31–50 is lower than for non-Indigenous Australians.

The small survey sample for Indigenous Australians makes comparisons difficult when looking at  levels of physical activity as there is a high margin of error, so results should be interpreted with caution.

Levels of sufficient physical activity appear higher in Indigenous Australians; however, in most cases, the differences are not statistically significant.

The only exceptions are children aged 4–8 and boys aged 9–13, where the levels are higher in Indigenous Australians. For adults aged 19–30 and 31–50, non-Indigenous Australians have higher levels of physical activity.

For males, the prevalence of overweight and obesity does not differ by Indigenous status.

However, for women, from the age of 19, the prevalence is higher among Indigenous women than non-Indigenous women.

Among Indigenous Australians, there is no difference in the prevalence of overweight and obesity between males and females, unlike non-Indigenous Australians, where from the age of 19, the prevalence is higher in men than women.

Diet quality among Indigenous Australians may be affected by the remoteness of the area in which they live, as a higher proportion of Indigenous Australians live outside of Major cities than non-Indigenous Australians (AIHW 2018a).

Hudson (2010) suggests that many Indigenous Australians know what foods they need to maintain health; however, supply and affordability of fresh produce appear to be limiting factors in dietary quality.

Limited stock of fruit and vegetables have been found in remote shops near Indigenous communities, with some areas going without a delivery of fresh produce for weeks. And what is available is expensive.

When deliveries are received, stock can be up to 2 weeks old, so of poor quality. Additionally, lack of competition in these areas appears to be a factor with price.

Fibre-modified and fortified white bread appears to provide a large proportion of energy and required key nutrients for Indigenous Australians living in remote areas (in particular protein, folate, iron and calcium) (Brimblecombe et al. 2013a; Brimblecombe et al. 2013b; Gwynn et al. 2012).

The diet of Indigenous Australians have for some time, been shifting from traditional Indigenous diets that were previously high protein, fibre, polyunsaturated fat and complex carbohydrates to a more highly refined carbohydrate diet, with added sugars, saturated fat, sodium and low levels of fibre (Ferguson et al. 2017).

This may be due to lack of access to traditional food and general food affordability (Brimblecombe et al. 2014).

Lack of facilities to prepare and store food such as refrigerators and stovetops, have also caused an increased reliance of ready-made meals or takeaway foods for Indigenous Australians living in remote areas (Hudson 2010).

Part 3 from The Conversation

From HERE 

The report also shows physical activity levels are low in most age groups. Only 15% of 9-to-13-year-old girls achieve the 60-minute target. The prevalence of overweight and obesity remains high, reaching 81% for males aged 51–70.

The food intake patterns outlined in this report, together with low physical activity levels, highlight why as a country we are struggling to turn the tide on obesity rates.

Not much change in our diets

The report shows little has changed in Australians’ overall food intake patterns between 1995 and 2011-12. There have been slight decreases in discretionary food intake, with some trends for increased intakes of grain foods and meat and alternatives.

https://datawrapper.dwcdn.net/q7vtu/4/

The message to eat more vegetables is not hitting the mark. There has been no change in vegetable intake in children and adolescents and a decrease in vegetable intake in adults since past surveys. The new data show all Australians fall well short of the recommended five serves daily. We are are closer to meeting the recommended one to two serves of fruit each day.

Australians are consuming around four serves of grains, including breads and cereals, compared to the recommended three to seven serves.

https://datawrapper.dwcdn.net/dJD6n/4/

One serve of vegetables is equivalent to ½ cup of cooked vegetables. For fruit, this is a medium apple; grains is around ½ cup of pasta. A glass of milk and 65-120g of cooked meat are the equivalent serves for dairy and its alternatives, and meat and its alternatives respectively.

The data show a trend of lower serves of the five food groups in outer metro, regional and remote areas of Australia. Access to quality, fresh foods such as vegetables at affordable prices is a key barrier in many remote communities and can be a challenge in outer suburban and country areas of Australia.

There was also a 7-10 percentage point difference in meeting physical activity targets between major cities and regional or remote areas of Australia. Overweight and obesity levels were 53% in major cities, 57% in inner regional areas and 61% in outer regional/remote areas.

The CSIRO Healthy Diet Score compares food intake to Australian Dietary Guidelines. You can use these to see how your diet stacks up and how to improve.

Discretionary food servings

Discretionary foods are defined in guidelines as foods and drinks that are

not needed to meet nutrient requirements and do not fit into the Five Food Groups … but when consumed sometimes or in small amounts, these foods and drinks contribute to the overall enjoyment of eating.

https://datawrapper.dwcdn.net/ZyNXL/4/

A serve of discretionary food is 600kJ, equivalent to six hot chips, two plain biscuits, or a small glass of wine. The guidelines advise no more than three serves of these daily – 0.5 serves for under 8-year-olds.

Since 1995, the contribution of added sugars and saturated fat to Australians’ energy intake has generally decreased. This may be a reflection of the small decrease in discretionary food intake seen for most age groups.

But across all life stages, discretionary food intakes remain well in excess of the 0-3 serves recommended. Children at 2-3 years are eating more than three servers per day, peaking at seven daily serves in 14-to-18-year-olds. The patterns remains high throughout adulthood, still more four serves per day in the 70+ group.


Read more: Junk food packaging hijacks the same brain processes as drug and alcohol addiction


The excess intake of discretionary foods is the most concerning trend in this report. This is due to the doubleheader of their poor nutrient profile and being eaten in place of important, nutrient-rich groups such as vegetables, whole grains and dairy foods.

Our simulation modelling compared strategies to reduce discretionary food intake in the Australian population. We found cutting discretionary choice intake by half or replacing half of discretionary choices with the five food groups would have significant benefits for reducing intake of energy and so-called “risk” nutrients (sodium and added sugar), while maintaining or improving overall diet quality.

Main contributors to discretionary foods

Alcohol is often the forgotten discretionary choice. The NHMRC 2009 guidelines state:

For healthy men and women, drinking no more than two standard drinks on any day (and no more than four standard drinks on a single occasion) reduces the lifetime risk of harm from alcohol-related disease or injury.

https://datawrapper.dwcdn.net/cqgYQ/2/

For adults aged 51–70, alcoholic drinks account for more than one-fifth (22%) of discretionary food intake. Alcohol intake in adults aged 51-70+ has increased since 1995. This age group includes people at the peak of their careers, retirees and older people. Stress, increased leisure time, mental health challenges and factors such as loneliness and isolation would all play a part in this complex picture.

 

Young children have small appetites and every bite matters. The guidelines suggest 2-to-3-year-olds should have very limited exposure to discretionary foods. In, studies the greatest levels of excess weight are seen in preschool years.

Biscuits, cakes and muffins are the key source of added sugars for young children. These are also the top source of energy and saturated fat and a key source of salt in young children. This is the time when lasting food habits and preferences are formed.

NACCHO Aboriginal Health and #rethinksugarydrink : A new campaign asking people to reduce their sugar intake highlights the link between obesity and 13 different types of cancer

 ” Obesity is now a leading preventable cause of cancer , but less than half of all Australians are aware of the link . A new campaign launched today by Cancer Council Victoria is aiming to change this.

In a ground-breaking new public awareness campaign, Cancer Council Victoria will expose the link between obesity and 13 types of cancer by depicting the toxic fat around internal organs.

As many as 98% of Australians are aware that obesity is a risk factor for type 2 diabetes and heart disease, but as little as 40% of Australians know about its link with cancer . ”

Being above a healthy weight is now a leading preventable cause of cancer. Our new campaign urges people to avoid to reduce their risk

You wouldn’t put this much sugar in a tea or coffee? But if you’re drinking one soft drink a day, over 20 years – that’s 73,000 teaspoons.”

Dr Gihan Jayaweera

A third of Victorians admit to drinking more than a litre of sugary drink each week 7, that’s more than 5.5kgs of sugar a year. We want people to realise that they could be drinking their way towards weight gain, obesity and toxic fat, increasing their risk of 13 types of cancer,”

Dr Ahmad Aly

 ” 69% of Aboriginal and Torres Strait Islander people are considered overweight (29%) or obese (40%); among children this is 30% (20% overweight, 10% obese) “

Read over 60 NACCHO Aboriginal Health and Obesity articles

Or see Statistics part 2 Below 

SEE NEWS COVERAGE

https://www.9news.com.au/7f9400a3-9f9d-4e39-9eb2-eef88a7291ce

Cancer Council Victoria CEO, Todd Harper, acknowledged that the campaign’s portrayal of toxic fat could be confronting but said so was the fact that nearly two-thirds of Australians were overweight or obese 4.

“While talking about weight is a sensitive issue, we can’t shy away from the risk being above a healthy weight poses to our health.” Mr Harper said.

“With around 3,900 cancers in Australia each year linked to being above a healthy weight, it’s vital that we work hard to help people understand the link and encourage them to take steps to reduce their risk 5.”

Sugary drinks contribute the most added sugar to Australians’ diets 6, so Cancer Council Victoria is focusing on how these beverages can lead to unhealthy weight gain, which can increase the risk of certain cancers. The campaign will communicate that one way of reducing the risk is to cut sugary drinks from your diet.

The ad features Melbourne surgeon Dr Ahmad Aly exposing in graphic detail what sugary drinks could be doing to your health, as his laparoscopic camera delves inside a patient’s body to expose the dangerous toxic fat around internal organs.

Watch Video 

Dr Aly has seen first-hand the impact toxic fat has on people’s health and hopes the campaign will make people think again before reaching for sugary drinks.

Jane Martin, Executive Manager of the Obesity Policy Coalition, said that while the campaign aims to get people thinking about their own habits, Cancer Council Victoria and partner organisations are also working to encourage governments, the food industry, and communities to make changes.

“It’s virtually impossible to escape the enormous amount of marketing for sugary drinks surrounding us on TV, social media and public transport. It’s also easier to get a sugary drink than it is to find a water fountain in many public places, and that’s got to change. We need to take sugary drinks out of schools, recreation and healthcare settings to make it easier for Victorians to make healthy choices.”

“The need for a healthy weight strategy in Victoria, as well as nationally, is overdue. In the same way tobacco reforms have saved lives, we now need to apply the same approach to improving diets”, Ms Martin said.

Case study: Fiona Humphreys

Since giving up the sweet stuff, Fiona Humphreys has more energy and has managed to shed the kilos and keep them off.

“I used to drink at least two sugary drinks every day as a pick me up, one in the morning and one in the afternoon. I was addicted to the sugar rush and thought I needed them to get through my busy day.”

“After giving up sugary drinks I saw an immediate change in both my mood and my waistline. I lost 7 kilos just by making that one simple change and I haven’t looked back.”

“I decided to go cold turkey and switched to soda or mineral water with a slice of lime or lemon. I tricked my mind to enjoy the bubbles and put it into a beautiful glass. I feel healthier and my mind is clearer as a result.”

The campaign will run for five weeks and be shown on TV and radio and will feature across social media channels as well as outdoors across the state.

A dedicated campaign website cancervic.org.au/healthyweight will provide factsheets for health professionals and consumers and digital elements about how to make small lifestyle changes to improve people’s health.

Top tips to avoid sugary drinks 

  • Avoid going down the soft drink aisle at the supermarket and beware of the specials at the checkout and service stations.
  • If you’re eating out, don’t go with the default soft drink – see what other options there are, or just ask for water.
  • Carry a water bottle, so you don’t have to buy a drink if you’re thirsty.
  • Herbal teas, sparkling water, home-made smoothies or fruit infused water are simple alternatives that still taste great.
  • For inspiration and recipe ideas visit cancervic.org.au/healthyweight

How is sugar linked to weight gain

Sugar is a type of carbohydrate which provides energy to the body. However, eating too much sugar over time can lead to weight gain. Strong evidence shows that being above a healthy weight increases the risk of developing 13 different types of cancer and chronic diseases including cardiovascular disease and type 2 diabetes.

Let’s unpack what happens when our body receives more energy than it needs, how this can lead to weight gain and what you can do to decrease your risk of cancer.

Where do we find sugar?

In terms of health risks, we need to be concerned about ‘added sugar’. That is, sugar that has been added to food or drink.

Natural sugars in foods

  • Fruit and milk products
  • High in nutrients – vitamins, minerals, fibre or calcium.
  • We should eat these foods every day.

Sugar added to food

  • Processed foods
  • These foods are unhealthy and high in energy (kJ).
  • They don’t have other nutrients we need such as fibre, vitamins and minerals.
  • We should limit these foods.

Aboriginal and Torres Strait Islander Communities

Aboriginal and Torres Strait Islander communities tend to have higher rates of obesity and sugary drink consumption and experience poorer health outcomes as a result.

We know that more than half of the Aboriginal and Torres Strait Islander community drink sugary drinks almost every day.

The Overview also examined factors contributing to health, including nutrition and body weight. Some statistics of note include:

  • dietary risks contribute 9.7% to the total burden of disease for Aboriginal people
  • 69% of Aboriginal and Torres Strait Islander people are considered overweight (29%) or obese (40%); among children this is 30% (20% overweight, 10% obese)
  • 54% of Indigenous Australians meet the daily recommended serves of fruit; only 8% meet the daily recommended serves of vegetables
  • both measures are lower in remote communities compared with urban areas and intake is far more likely to be inadequate among the unemployed and those who did not finish school
  • on average, Aboriginal and Torres Strait Islander people consume 41% of their daily energy in the form of discretionary foods — 8.8% as cereal-based products (cakes, biscuits & pastries) and 6.9% as non-alcoholic beverages (soft drinks)
  • average daily sugar consumption is 111g — two-thirds (or the equivalent of 18tsp of white sugar) of which are free sugars from discretionary foods and beverages
  • 22% of Aboriginal people reported running out of food and being unable to afford more in the past 12 months; 7% said they had run out and gone hungry — both were more prevalent in remote areas

In the latest issue of JournalWatch, Dr Melissa Stoneham takes a look at obesity in Australia’s remote Indigenous communities and the struggle to eat well against the odds

Read in full at Croakey

Yorta Yorta woman Michelle Crilly gave up her sugary drink habit and hasn’t looked back. Watch her story.

Video: Rethink Sugary Drink - Michelle Crilly

Read more about the ‘Our Stories’ campaign and hear from more inspiring Victorian Aboriginal community members who have cut back on sugary drinks on our partner site Rethink Sugary Drink.

NACCHO Aboriginal Health and #Nutrition : Download @HealthInfoNet review that confirms community involvement is the most important factor determining the success of Aboriginal food and nutrition programs

It is important to note that from all the available evidence reviewed, that the most important factor determining the success of Aboriginal and Torres Strait Islander food and nutrition programs is community involvement in the program initiation, development and implementation, with community members working in partnership across all stages of development’.

HealthInfoNet Director, Professor Neil Drew

The Australian Indigenous HealthInfoNet (HealthInfoNet) at Edith Cowan University has published a new Review of programs and services to improve Aboriginal and Torres Strait Islander nutrition and food security.

Download

Review+of+programs+and+services+to+improve+Aboriginal+and+Torres+Strait+Islander+nutrition+and+food+security

This review is a companion document to the recent Review of nutrition among Aboriginal and Torres Strait Islander people published in February 2018. It builds on the broad discussion in that review by capturing a wider sample of evaluated programs and services and providing more detail about successful programs.

Written by Amanda Lee from the Australian Prevention Partnership Centre, The Sax Institute and Kathy Ride from the HealthInfoNet, the review highlights that improving diets, food supply and food 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 people.

This review identifies that many Aboriginal and Torres Strait Islander communities are motivated to tackle diet-related health issues and they recognise the importance of improving nutrition to prevent and manage growth faltering and chronic disease. However, community effort needs to be supported through the building of an Aboriginal and Torres Strait Islander nutrition workforce, and adequate government investment of funds and policy commitment to sustain improvement of nutrition and diet-related health.

Improving diets, food supply and food 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
people.

Effective action requires a whole-of-life approach, across the whole health continuum, including: preventive community interventions; public health nutrition policy actions; nutrition promotion; and quality clinical nutrition and dietetic services .

Previous reviews of Aboriginal and Torres Strait Islander food and nutrition programs have consistently noted the lack of availability of rigorously-evaluated interventions, especially with respect to long term evaluations .

Quality evaluations with practical recommendations are critical to helping the workforce build on what has been learnt. Evaluation reports and recommendations need to be publically available for policy makers and practitioners to learn from, apply and build on .

Other reviews have found that most nutrition interventions have focused on remote settings despite most Aboriginal and Torres Strait islander people living in urban and regional areas.

Most of these employed a comprehensive, whole-of-population approach – combining provision and promotion of healthier options in community food stores with nutrition education – which was found to be effective .

As with all health programs, nutrition programs should be developed with the target communities, be delivered according to cultural protocols, be tailored to community needs, and not be forced, or perceived to be forced, upon communities (see Box 1)

A major success factor is community involvement in (and, ideally, control of) decisions relating to all stages of program initiation, development, implementation and evaluation [9; 10; 14]. Program implementation methods that build confidence among collaborating Aboriginal and Torres Strait Islander and non-Indigenous health agencies are fundamental to building capacity to enhance Aboriginal and Torres Strait Islander nutrition and health .

The typical short-term funding cycles experienced in this area are at odds with the time required for community stakeholders to develop capacity to mobilise and build momentum for specific interventions.

An effective ecological approach to chronic disease prevention also requires inter-organisational collaboration in planning and implementation . While many programs targeting nutritional issues are implemented as healthy lifestyle programs to address obesity, it must be remembered
that diet is more than a ‘lifestyle’ choice – it is determined by the availability of and access to healthy food, and by having the infrastructure, knowledge and skills to prepare healthy food.

To improve diet-related health sustainably it will be necessary to take a food systems approach .

The underlying factors influencing nutrition and food security in Aboriginal and Torres Strait Islander communities include socioeconomic factors such as income and employment opportunities, housing, over-crowding, transport, food costs, cultural food values, education, food and nutrition literacy, knowledge, skills and community strengths.

Key points

• Nutrition, public health and Indigenous health experts are calling for a nationwide, comprehensive, sustained effort to address Aboriginal and Torres Strait Islander nutrition.

Primary prevention of diet-related disease and conditions

• The most effective community-based programs tend to adopt a multi-strategy approach, addressing both food supply (availability, affordability, accessibility and acceptability of foods), and demand for healthy foods.
• Supply of micronutrient supplements rather than food does not address the underlying issues of food insecurity, poor dietary patterns or high rates of obesity.
• The population health intervention of folate fortification of bread flour has had the desired effect of increasing folate status in the Australian Aboriginal population.
• Analysis of remote store sales data during the Northern Territory Emergency Response found that income management provided no beneficial impact in relation to purchasing of tobacco, soft drink or fruit and vegetables.
• Nutrition programs implemented at the community level mainly focus on improving food supply and/or increasing demand for healthy food.
• As with all health programs, all nutrition programs should be developed with communities, be delivered according to cultural protocols, be tailored to community needs, and be directed by the communities.

Primary health care and clinical nutrition and dietetic services

• Primary health care services for Aboriginal and Torres Strait Islander people need to deliver both competent and culturally appropriate dietetic and chronic disease care.
• Health services run by Aboriginal and Torres Strait Islander communities provide holistic care that is relevant to the local community and addresses the physical, social, spiritual and emotional health of the clients.
• The involvement of Aboriginal and Torres Strait Islander Health Workers has been identified by health professionals and patients as an important factor in the delivery of effective clinical care to Aboriginal and Torres Strait Islander people, including in dietetics and
nutrition education.

Aboriginal and Torres Strait Islander nutrition workforce

• A trained, well-supported and resourced Aboriginal and Torres Strait Islander nutrition workforce is essential to deliver effective interventions.
• It is estimated that less than 20 Aboriginal and Torres Strait Islander people have ever trained as nutritionists and/or dietitians in Australian universities.

NACCHO Example from Nhulundu Health Service

******************** W I N ********************
A $100 GROCERY VOUCHER & TUCKA-TIME GIFT PACK

To enter simply like our page, comment a photo showing us your healthy meal and share! 🍉🍊🍓🥦🥑

Giveaway closes 5pm Friday 16/10/18. Winners will be announced on 18/10/18. You can enter as many times as you wish, good luck to everyone!

Get healthy, get cooking and get snapping

 

NACCHO Aboriginal Health and Alcohol : Creating safer communities with roll out of the floor price legislation designed to tackle alcohol related violence and crime by targeting problem drinkers. Comments from @FAREAustralia @DoctorBoffa and @DonnaAhChee1

Over 30 years of working as a GP in Central Australia it is clear that grog, priced cheaper than water, is more like a form of poison in terms of the harm that it generates. The harm is a factor of price, not product type

There have been various attempts over the years to remove this really cheap alcohol from the market, all with some success, but the holy grail has always been the achievement of a floor price, so this is a great development for public health in the Northern Territory.”

 Dr John Boffa, spokesperson for the Peoples Alcohol Action Coalition ( PAAC ) says his organisation has been advocating for many of these alcohol policy reforms since 1995 with a continued focus on the harm being caused by really cheap alcohol. See Full PAAC Press Release Part 2 below

Listen to Congress ACCHO Alice Springs : CEO Donna Ah Chee Radio National Interview  

http://mpegmedia.abc.net.au/rn/podcast/2018/09/bst_20180927_0651.mp3

Part 1 Territory Labor Government press release

The Territory Labor Government is creating safer communities with the commencement of the floor price legislation from Monday 1st  October, designed to tackle alcohol related violence and crime by targeting problem drinkers.

The case for tackling alcohol abuse is clear:

  • Territorians drink more than anyone else in Australia per capita, and are even amongst the highest in the world.
  • Data from 2009 shows that alcohol related violence and crime is costing Territorians upwards of $640 million a year. That’s about $4,197 per adult, compared to $943 nationally.
  • The Territory has the highest rates of hospitalisations related to alcohol abuse in Australia
  • 40% of all Territory road fatalities involve an illegal blood alcohol concentration.

The floor price is just one of the 219 recommendations from the Riley Review, designed to tackle alcohol related violence and crime stemming from alcohol abuse.

Comments attributable to Minister for Health and Attorney General, Natasha Fyles:

The Territory Labor Government is creating safer communities by introducing some of the most signification alcohol reforms in the Territory’s history

There is simply too much alcohol fuelled crime, anti-social behaviour and social dysfunction in the Northern Territory.

Floor price legislation targets cheap bulk alcohol favoured by at-risk drinkers, without punishing those of us who enjoy a drink responsibly.

This means that a standard drink cannot be cheaper than $1.30. Products that will see a price increase will be cheap, high alcohol content cask, bottled, and fortified wine.

In order to ensure bottle shops don’t increase the vast majority products that already meet the floor price, we have informed consumer affairs to keep a close watch on price changes as this initiative rolls out.

The majority of Territorians enjoy a drink responsibly, but there are many in the Territory whose abuse of alcohol is hurting our community, it’s hurting our businesses and it’s destroying individuals and families.

Part 2 Fare / PAAC Press release 

With the introduction of Minimum Unit Price (MUP) in the Northern Territory, the People’s Alcohol Action Coalition (paac) and the Foundation for Alcohol Research and Education (FARE) say the Gunner Government is to be congratulated for putting the evidence first, and in turn prioritising the health, welfare and safety of the people of the NT.

The successful introduction of a floor price on alcohol in the NT now opens the door to its introduction across Australia, and should positively impact the development of the Commonwealth Government’s draft National Alcohol Strategy.

FARE Chief Executive Michael Thorn stresses the legislation will provide universal benefits to all Territorians, and is another important step towards tackling the NT’s severe alcohol problems.

“A floor price is a win for the people of the NT. World-high rates of drinking are finally being addressed with a world-leading alcohol policy intervention; an evidence-based solution that will have no impact on light and moderate drinkers, but will lead to decreased alcohol consumption among the Top End’s heaviest drinkers,” Mr Thorn said.

Mr Thorn said it was important to remember that the MUP was just one part of a comprehensive package of evidence-based reforms that would prioritise health and welfare throughout the Territory, and commended the Gunner Government on its resolve to tackle the Territory’s long-standing problems with heavy drinking.

“There is no doubt that the introduction of the floor price in the NT is a landmark achievement, but we must remember that is just one part of a comprehensive plan that also includes measures such as the Banned Drinkers Register and efforts to curb aggressive alcohol marketing, that once implemented will result in less alcohol violence, crime, hospitalisations and death in the Territory, Mr Thorn said

Dr Boffa says that in 2006, the Alice Springs Liquor supply plan effectively doubled the minimum unit price by forcing products from the market, achieving a near 20 per cent reduction in alcohol consumption in the town and a significant cut in harm, including about 120 fewer hospital admissions per year for Aboriginal women for assault.

“We know that increasing the price works and it is very likely that the MUP combined with the other measures being implemented by the NT government will see drinking levels in the NT drop below the national average, which will be a great outcome for the people of the Northern Territory,” he concluded.

The WHO Global status report on alcohol and health 2018 released last week, highlighted the gap between drinking rates in the Territory and the rest of the world, with the NT’s average per capita alcohol consumption almost double the world average of 6.4 litres of pure alcohol.

“Our aspiration should be to halve the Territory’s alcohol consumption levels and to knock the Territory off the world leader board for most dangerous drinking jurisdiction. In doing so, we will reduce the alcohol burden that weighs so heavily on communities throughout the Top End,” Mr Thorn said.

Mr Thorn stresses that there are also significant national implications.

“In the absence of a willingness at the Commonwealth level to address the availability of cheap alcohol through meaningful taxation reform, it is up to the States and Territories to follow the lead of the NT,” Mr Thorn said.

“Indeed the Western Australian Government is currently doing just that. And on the national stage, there is the opportunity to influence the National Alcohol Strategy so that it is informed by the range of evidence-based, life-saving measures being introduced into the NT, and not by an alcohol industry resistant to any measures that would impact its bottom line.”

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