NACCHO #ClosetheGap in Aboriginal Dental /Oral Health @AIHW Report #WOHD19 #rethinksugarydrink : It’s #WorldOralHealthDay @Live_Lighter Sugary drinks are the leading cause of tooth decay : We’re urging our mob to use this info as motivation to cut back on sugary drinks

” Indigenous Australians are more likely than other Australians to have multiple caries and untreated dental disease, and less likely to have received preventive dental care (AHMAC 2017). The oral health status of Indigenous Australians, like all Australians, is influenced by many factors (see What contributes to poor oral health?) and a tendency towards unfavourable dental visiting patterns, broadly associated with accessibility, cost and a lack of cultural awareness by some service providers (COAG 2015; NACDH 2012).” 

See Part 1 below AIHW Report

See full AIHW Web Report HERE 

Read over 35 NACCHO Aboriginal Oral Dental Health articles HERE 

” With new figures revealing almost half of Australian children aged 5-10 experience tooth decay in their baby teeth [1], the Rethink Sugary Drink alliance is urging Aussies to give their teeth a break from sugary drinks and make the switch to water in a bid to protect their oral health.

The Australian Institute of Health and Welfare figures released today also reveal this trend continues into adulthood with Australians aged 15 and over having an average of nearly 13 decayed, missing or filled teeth.

Sugary drinks, such as soft drinks, sports drinks and energy drinks, are a major contributor of added sugar in Australian children’s diets and the leading cause of tooth decay.’ ,

From Re Think Sugary Drinks Website See in Full Part 2 Below

Part 1 AIHW Report Oral health and dental care in Australia

Good oral health is fundamental to overall health and wellbeing (COAG 2015). Without it, a person’s general quality of life and the ability to eat, speak and socialise is compromised, resulting in pain, discomfort and embarrassment.

Oral health refers to the condition of a person’s teeth and gums, as well as the health of the muscles and bones in their mouth (AHMAC 2017). Poor oral health—mainly tooth decay, gum disease and tooth loss—affects many Australian children and adults, and contributed 4.4% of all the burden that non-fatal burden diseases placed on the community in 2011. Oral health generally deteriorates over a person’s lifetime

What contributes to poor oral health?

Many factors contribute to poor oral health (NACDH 2012), including:

  • consumption of sugar, tobacco and alcohol
  • a lack of good oral hygiene and regular dental check-ups
  • a lack of fluoridation in some water supplies
  • access and availability of services, including:
    • affordability of private dental care
    • long waiting periods for public dental care.

What is the impact of poor oral health?

The most common oral diseases affect the teeth (tooth decay, called ‘caries’) and gums (periodontal disease). Oral disease can destroy the tissues in the mouth, leading to lasting physical and psychological disability (NACDH 2012). Tooth loss can reduce the functionality of the mouth, making chewing and swallowing more challenging, which in turn can compromise nutrition. Poor nutrition can impair general health and exacerbate existing health conditions (NACDH 2012). Poor oral health is also associated with a number of chronic diseases, including stroke and cardiovascular disease (DHSV 2011) (Figure 1).

Figure 1 demonstrates the links between poor oral health and chronic diseases such as cardiovascular disease, lung conditions, oral cancers, adverse pregnancy outcomes, stroke and diabetes.

Poor oral health can also affect a person’s wellbeing. Dental disease can impair a person’s appearance and speech, eroding their self-esteem, which in turn can lead to restricted participation at school, the workplace, home and other social settings (NACDH 2012).

Some groups are at greater risk of poor oral health

The National Oral Health Plan identifies four priority population groups that have poorer oral health than the general population and also experience barriers to accessing oral health care—either in the private or public sector. State and territory governments are the current providers of most public dental services, and access is largely targeted towards people on low incomes or holders of concession cards. Eligibility requirements can vary between states and territories (AIHW 2018).

The four priority population groups identified in the plan are:

People who are socially disadvantaged or on low incomes: This group has historically been identified as those on a low income and/or receiving some form of government income assistance, but now extends to include people experiencing other forms of disadvantage including refugees, homeless people, some people from culturally and linguistically diverse backgrounds, and people in institutions or correctional facilities (COAG 2015). Poorer oral health results from infrequent dental care. Barriers include cost, appropriateness of service delivery and lower levels of health literacy, including oral health (COAG 2015).

Aboriginal and Torres Strait Islander AustraliansIndigenous Australians are more likely than other Australians to have multiple caries and untreated dental disease, and less likely to have received preventive dental care (AHMAC 2017). The oral health status of Indigenous Australians, like all Australians, is influenced by many factors (see What contributes to poor oral health?) and a tendency towards unfavourable dental visiting patterns, broadly associated with accessibility, cost and a lack of cultural awareness by some service providers (COAG 2015; NACDH 2012).

People living in regional and remote areasOverall, this group has poorer oral health than those in Major cities (COAG 2015), and oral health status generally declines as remoteness increases. Rural Australians have access to fewer dental practitioners than their city counterparts, which, coupled with longer travel times and limited transport options to services, affects the oral health care that they can receive (COAG 2015; Bishop & Laverty 2015). People living in Remote and Very remote areas are also more likely to smoke and drink at risky levels. They have reduced access to fluoridated drinking water and face increased costs of healthy food choices and oral hygiene products. These risk factors contribute to this population’s overall poorer oral health (COAG 2015).

People with additional and/or specialised health care needsThis group includes people living with mental illness, people with physical, intellectual and developmental disabilities, people with complex medical needs and frail older people. These people can be vulnerable to oral disease; for example, some medications for chronic diseases can cause a dry mouth, which increases the risk of tooth decay (Queensland Health 2008). A number of factors make accessing dental care more difficult for this group, including:

  • a shortage of dental health professionals with skills in special-needs dentistry
  • difficulties in physically accessing appropriate dental treatment facilities
  • the cost of treatment. People with additional and/or specialised health care needs often have their earning capacity eroded by ill health (COAG 2015).

Why does oral health vary across Australia?

People in some states and territories have generally poorer oral health than others. For example, the National Child Oral Health Study found that the prevalence of caries in the deciduous teeth of children was significantly higher in Northern Territory and Queensland than in all other states and territories (Do & Spencer 2016). Oral health status is influenced by a complex interaction of factors, as outlined above. These factors should be considered when looking at results by state and territory. For example:

  • all people living in the Northern Territory were located in Outer regionalRemote or Very remote areas, whereas the majority of the Victorian population were located in Major cities in 2016 (ABS 2018a)
  • the Northern Territory has Australia’s highest proportion of Aboriginal and Torres Strait Islander people (26% of its population) which is much higher than the next highest state, Tasmania (4.6% of its population) (ABS 2017)
  • Tasmania has the highest proportion of people living in the lowest socioeconomic areas (37%) (refer to Technical notes for explanation of SEIFA) (ABS 2018b).

The variations observed in oral health status between state and territory populations may also be partly explained by differences in individual state and territory oral health care funding, service models and eligibility requirements, which can result in varied patterns of dental visiting among residents (AIHW 2018). Oral health campaigns and policies can also make an impact. For example, water fluoridation coverage in Queensland has reduced since the Queensland Government transferred the decision whether to fluoridate water supplies from state to local governments in 2008, despite evidence that access to fluoridated drinking water has been shown to reduce tooth decay (Queensland Health 2015; NHMRC 2017).

Part 2 Australians’ love affair with sugary drinks rots the smiles of children as young as five

Leading health bodies call for people to rethink sugary drink this World Oral Health Day.

With new figures revealing almost half of Australian children aged 5-10 experience tooth decay in their baby teeth [1], the Rethink Sugary Drink alliance is urging Aussies to give their teeth a break from sugary drinks and make the switch to water in a bid to protect their oral health.

The Australian Institute of Health and Welfare figures released today also reveal this trend continues into adulthood with Australians aged 15 and over having an average of nearly 13 decayed, missing or filled teeth.

Sugary drinks, such as soft drinks, sports drinks and energy drinks, are a major contributor of added sugar in Australian children’s diets and the leading cause of tooth decay.

On World Oral Health Day today, Craig Sinclair, Head of Prevention at Cancer Council Victoria, a partner of Rethink Sugary Drink, is urging Australians to see this information as motivation to cut back on sugary drinks.

While regular sugary drink consumption leaves a lasting effect on Australians’ oral health, Mr Sinclair said the risks extend beyond just teeth.

“These super sugary drinks don’t stop at ruining Aussie smiles. In the long run they can lead to unhealthy weight gain, increasing the risk of serious health problems such as type 2 diabetes, heart and kidney disease, stroke and 13 types of cancer.”

“It’s sadly no surprise that tooth decay is hitting Australian kids hard, given the overwhelming availability of sugary drinks. Not only are there significantly more sugary drink choices available today, they are everywhere our kids look. Ironically they’re even in venues designed to help our kids be healthy, such as sports centres, sporting clubs, as well as places they visit regularly like train stations, festivals and events,” Mr Sinclair said.

“Big beverage brands don’t just stop there – they also sweet talk our kids into guzzling high-sugar drinks through social media, and outdoor and online advertising. We need government to invest in public education campaigns to cut through the marketing spin and expose the health impacts of sugary drinks.”

A/Prof Matthew Hopcraft, Chief Executive Officer of the Australian Dental Association Victorian Branch, a Rethink Sugary Drink partner, has seen the devastating impact sugary drinks has on children’s teeth and wants Australians to consider the consequences of drinking too many.

“I’ve seen firsthand the devastating impact tooth decay has on the health, nutrition, social and emotional wellbeing of these kids and their families. There are extreme cases where dentists are extracting all 20 baby teeth from kids as young as 3 – it’s not pretty.” A/Prof Hopcraft said.

“Some people may not realise every time they take a sip from a sugary drink they expose their teeth to an acid attack, dissolving the outer surface of our tooth enamel. This regular loss of enamel can lead to cavities and exposure of the inner layers of the tooth that may leave them feeling very sensitive and painful.

“Healthy teeth are an integral part of good oral health, enabling us to eat, speak and socialise without pain, discomfort or embarrassment. It’s disheartening to know 27% of Aussie kids feel uncomfortable about the appearance of their teeth. No kid should look back on their childhood and remember the distress and pain that came as a result of drinking too many sugary drinks.”

A/Prof Hopcraft said World Oral Health Day serves the perfect chance for Australians to rethink their choice of drink.

“We know less than 10 per cent of Australian adults have managed to avoid tooth decay. There is no reason why we can’t turn these numbers around. If Australians can simply cut back on sugary drinks or remove them entirely from their diet, their teeth will be much stronger and healthier for it,” A/Prof Hopcraft said

“We recommend taking a look at how much sugar is in these drinks – people may be shocked to know some have as many as 16 teaspoons of sugar. Water is always the best choice and your teeth will thank you in the long run.”

In support of World Oral Health Day the Rethink Sugary Drink alliance are calling for the following actions in addition to the restriction of unhealthy drink marketing to address the issue of sugary drink overconsumption:

A public education campaign supported by Australian governments to highlight the health impacts of regular sugary


[1] AIHW (Australian Institute of Health and Welfare) 2019. Oral health and dental care in Australia, 2014-15 and 2016-17


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

Visit  http://www.rethinksugarydrink.org.auu for more information.

NACCHO Aboriginal Health #Obesity #Diabetes News: 1. @senbmckenzie report #ObesitySummit19 and 2. @MenziesResearch are calling for immediate action to reduce risk the of #obesity and #diabetes in #Indigenous children and young people.

Type 2 Diabetes is a particular concern as there is a global trend of increasing numbers of young people being diagnosed, there is limited data available in Australia but anecdotally numbers are rising rapidly amongst young Indigenous Australians.

Childhood obesity and Type 2 diabetes leads to other serious health issues such as kidney disease which then puts a huge burden on families, communities and health facilities. When it occurs at a young age, it is a much more aggressive disease than in older people.

It is critical that we act now to prevent this emerging public health issue, with engagement of Indigenous communities in the design of interventions being crucial.

“A suite of interventions across the life course are required, targeting children and young people before they develop disease, particularly childhood obesity, as well as targeting their parents to prevent intergenerational transmission of metabolic risk” 

Dr Angela Titmuss, paediatric endocrinologist at Royal Darwin Hospital and Menzies School of Health Research (Menzies) PhD student : See Press Release Part 1

Read over 150 Aboriginal Health and Diabetes articles published by NACCHO over past 7 years

Read over 70 Aboriginal Health and Obesity articles published by NACCHO over past 7 years

” The latest Australian Bureau of Statistics National Health Survey shows that previous efforts to combat obesity have had limited success.

Two-thirds of adults and a quarter of children aged from five to 17 years are now overweight or obese.

While the rate for children has been stable for 10 years, the proportion of adults who are not just overweight but obese has risen from 27.9 per cent to 31.3 per cent.

Overweight and obesity not only compromise quality of life, they are strongly linked to preventable chronic diseases—heart disease, diabetes, lung disease, certain cancers, depression and arthritis, among others.

Senator McKenzie #ObesitySummit19 See Press Release Part 2 Below

Researchers are calling for immediate action to reduce risk the of obesity and diabetes in Indigenous children and young people.

A suite of interventions across the life course are required, targeting children and young people before they develop disease, particularly childhood obesity, as well as targeting their parents to prevent intergenerational transmission of metabolic risk.

The in utero period and first 5 years of life are influential in terms of the long term risk of chronic disease, and we propose that identifying and improving childhood metabolic health be a targeted priority of health services.

In an article published in the Medical Journal of Australia (MJA) today, researchers have identified childhood obesity and the increasing numbers of young people being diagnosed with Type 2 diabetes as emerging public health issues.

Lead author Dr Angela Titmuss, paediatric endocrinologist at Royal Darwin Hospital and Menzies School of Health Research (Menzies) PhD student, says in the MJA Perspective article that collaboration between communities, clinicians and researchers across Australia is needed to get an accurate picture of the numbers involved.

In Indigenous Australian young people with type 2 diabetes, there are also higher rates of comorbidities, with 59% also having hypertension, 24% having dyslipidaemia and 61% having obesity.

These comorbidities will have a significant impact on the future burden of disease, and may lead to renal, cardiac, neurological and ophthalmological complications. Canadian data demonstrated that 45% of patients with youth onset type 2 diabetes had reached end‐stage renal failure, requiring renal replacement therapy, 20 years after diagnosis, compared with zero people with type 1 diabetes.

Youth onset type 2 diabetes was associated with a 23 times higher risk of kidney failure and 39 times higher risk of need for dialysis, compared with young people without diabetes.

This implies that many young people who are being diagnosed with diabetes now will be on dialysis by 30 years of age, with significant effects on Aboriginal and Torres Strait Islander families and communities.

Menzies HOT NORTH project is supporting this research through the Diabetes in Youth collaboration, a Northern Australia Tropical Disease Collaborative Research Program, funded by the NHMRC.

The MJA Article is available here

https://www.mja.com.au/journal/2019/210/3/emerging-diabetes-and-metabolic-conditions-among-aboriginal-and-torres-strait

 Comprehensive strategies, action plans and both funding and better communication across sectors (health, education, infrastructure and local government) and departments are required to address obesity, diabetes and metabolic risk among Indigenous young people in Australia.

It requires a radical rethinking of our current approach which is failing Aboriginal and Torres Strait Islander young people and communities, and a commitment to reconsider the paradigm, to be open to innovative approaches and the involvement of multiple sectors

Part 2

I again apologise for any offence taken by the unfortunate photo taken out of context at the Obesity Summit on Friday, and I am happy if my ridicule leads to action on the complex issue of obesity in this country.

The Senator has apologised.

The issue of obesity is a matter I take very seriously and would never triavisie it- or to add in any way to stigmatisation. I sincerely apologise for this very unfortunate photo taken as I demonstrated how my stomach felt after scrambled eggs reacted w yogurt I had just eaten.

That is exactly the reason I called international and Australian experts together for the National Obesity Summit last week

Last October, the Council of Australian Governments’ (COAG) Health Council— comprising federal, state and territory ministers—agreed to develop a national strategy on obesity.

Friday’s National Obesity Summit in Canberra represented an important first step towards a new nationally cohesive strategy on obesity prevention and control.

The Summit focussed on the role of physical activity, primary health care clinicians, educators and governments to work collaboratively rather than in silos.

At the Summit we heard from national and global experts because obesity is an international issue and we need to understand how other jurisdictions are tackling the problem.  We also heard that stigma surrounding obesity can be a barrier to help being accessed.

The latest Australian Bureau of Statistics National Health Survey shows that previous efforts to combat obesity have had limited success.

Two-thirds of adults and a quarter of children aged from five to 17 years are now overweight or obese.

While the rate for children has been stable for 10 years, the proportion of adults who are not just overweight but obese has risen from 27.9 per cent to 31.3 per cent.

Overweight and obesity not only compromise quality of life, they are strongly linked to preventable chronic diseases—heart disease, diabetes, lung disease, certain cancers, depression and arthritis, among others.

We know that there is not one simple solution to tackling the problem so we need to examine all options and develop a multi-faceted approach.

The Obesity Summit represented an important moment for Australians’ health and recognised that there is no magic fat-busting policy pill.

NACCHO Aboriginal #MentalHealth and #JunkFood : Increasing how much exercise we get and switching to a healthy diet can also play an important role in treating – and even preventing – depression

” The review found that across 41 studies, people who stuck to a healthy diet had a 24-35% lower risk of depressive symptoms than those who ate more unhealthy foods.

These findings suggest improving your diet could be a cost-effective complementary treatment for depression and could reduce your risk of developing a mental illness.

From the Conversation / Megan Lee

 ” NACCHO Campaign 2013 : Our ‘Aboriginal communities should take health advice from the fast food industry’ a campaign that eventually went global, reaching more than  20 million Twitter followers.”

See over 60 NACCHO Healthy Foods Articles HERE

See over 200 NACCHO Mental Health articles HERE 

Worldwide, more than 300 million people live with depression. Without effective treatment, the condition can make it difficult to work and maintain relationships with family and friends.

Depression can cause sleep problems, difficulty concentrating, and a lack of interest in activities that are usually pleasurable. At its most extreme, it can lead to suicide.

Depression has long been treated with medication and talking therapies – and they’re not going anywhere just yet. But we’re beginning to understand that increasing how much exercise we get and switching to a healthy diet can also play an important role in treating – and even preventing – depression.

So what should you eat more of, and avoid, for the sake of your mood?

Ditch junk food

Research suggests that while healthy diets can reduce the risk or severity of depression, unhealthy diets may increase the risk.

Of course, we all indulge from time to time but unhealthy diets are those that contain lots of foods that are high in energy (kilojoules) and low on nutrition. This means too much of the foods we should limit:

  • processed and takeaway foods
  • processed meats
  • fried food
  • butter
  • salt
  • potatoes
  • refined grains, such as those in white bread, pasta, cakes and pastries
  • sugary drinks and snacks.

The average Australian consumes 19 serves of junk food a week, and far fewer serves of fibre-rich fresh food and wholegrains than recommended. This leaves us overfed, undernourished and mentally worse off.

Here’s what to eat instead

Mix it up. Anna Pelzer

Having a healthy diet means consuming a wide variety of nutritious foods every day, including:

  • fruit (two serves per day)
  • vegetables (five serves)
  • wholegrains
  • nuts
  • legumes
  • oily fish
  • dairy products
  • small quantities of meat
  • small quantities of olive oil
  • water.

This way of eating is common in Mediterranean countries, where people have been identified as having lower rates of cognitive decline, depression and dementia.

In Japan, a diet low in processed foods and high in fresh fruit, vegetables, green tea and soy products is recognised for its protective role in mental health.

How does healthy food help?

A healthy diet is naturally high in five food types that boost our mental health in different ways:

Complex carbohydrates found in fruits, vegetables and wholegrains help fuel our brain cells. Complex carbohydrates release glucose slowly into our system, unlike simple carbohydrates (found in sugary snacks and drinks), which create energy highs and lows throughout the day. These peaks and troughs decrease feelings of happiness and negatively affect our psychological well-being.

Antioxidants in brightly coloured fruit and vegetables scavenge free radicals, eliminate oxidative stress and decrease inflammation in the brain. This in turn increases the feelgood chemicals in the brain that elevate our mood.

Omega 3 found in oily fish and B vitamins found in some vegetables increase the production of the brain’s happiness chemicals and have been known to protect against both dementia and depression.

Salmon is an excellent source of omega 3. Caroline Attwood

Pro and prebiotics found in yoghurt, cheese and fermented products boost the millions of bacteria living in our gut. These bacteria produce chemical messengers from the gut to the brain that influence our emotions and reactions to stressful situations.

Research suggests pro- and prebiotics could work on the same neurological pathways that antidepressants do, thereby decreasing depressed and anxious states and elevating happy emotions.

What happens when you switch to a healthy diet?

An Australian research team recently undertook the first randomised control trial studying 56 individuals with depression.

Over a 12-week period, 31 participants were given nutritional consulting sessions and asked to change from their unhealthy diets to a healthy diet. The other 25 attended social support sessions and continued their usual eating patterns.

The participants continued their existing antidepressant and talking therapies during the trial.

At the end of the trial, the depressive symptoms of the group that maintained a healthier diet significantly improved. Some 32% of participants had scores so low they no longer met the criteria for depression, compared with 8% of the control group.

The trial was replicated by another research team, which found similar results, and supported by a recent review of all studies on dietary patterns and depression. The review found that across 41 studies, people who stuck to a healthy diet had a 24-35% lower risk of depressive symptoms than those who ate more unhealthy foods.

These findings suggest improving your diet could be a cost-effective complementary treatment for depression and could reduce your risk of developing a mental illness.

 

.@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 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 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

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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 #Sugarydrinks : @BakerResearchAu Study reveals the damaging effects for inactive, young, obese people who consume soft drink regularly : What’s going on inside your veins ?

“ With lifestyle-related diseases such as obesity rising rapidly and sugar sweetened beverages the largest source of added sugars in Western diets, understanding the ‘real world’ health impact is critical in determining ‘real world’ prevention and intervention strategies,”

Professor Bronwyn Kingwell, the study’s senior author : See Baker Institute Press Release Part 1

If you did this day in, day out, your pancreas would be under considerable stress – and this is how diabetes can develop.

Having a little can of soft drink in the morning is going to have lasting effects throughout the day.”

If your diet has too much sugar in it, forcing your body to keep your insulin high all the time, eventually your cells will grow insulin-resistant. That forces the pancreas to make even more insulin, adding to its workload. Eventually, it will burn out

Professor Bronwyn Kingwell. See SMH Article Part 2 What’s going on inside your veins after you drink a soft drink

See NACCHO Nutrition ,Obesity , Sugar Tax,, Health Promotion 200 + articles published over 6 years and see our policy below

 ” The 2012-13 Health Survey identified that Indigenous adults were 1.6 times as likely to be obese as non-Indigenous Australians, with the prevalence increasing more rapidly in Aboriginal school-aged children.

Overweight and obesity in childhood are important predictors of adult adiposity, increasing the risk of developing a range of medical conditions, each of which is a major cause of morbidity, mortality and health expenditure.

While it is surprisingly clear what needs to be done to improve the health of Indigenous children, recent cuts to Indigenous preventative workforce and nutrition programs throughout Australia have severely reduced the capacity to respond.

Comprehensive primary health care is a key strategy for improving the health of Indigenous Australians and is an important platform from which to address complex health and social issues associated with obesity.

Closing the Gap, including the gap attributable to obesity, requires ensuring the ACCHS sector is resourced to deliver the full range of core services required under a comprehensive and culturally safe model of primary health care.

The effectiveness of ACCHSs has long been recognised, with many able to document better health outcomes than mainstream services for the communities they serve. “

Extract from NACCHO Network Submission to the Select Committee’s Obesity Epidemic in Australia Inquiry. 

Download the full 15 Page submission HERE

Obesity Epidemic in Australia – Network Submission – 6.7.18

Press Release : Study reveals the damaging metabolic effects for inactive, young, obese people who consume soft drink regularly

We know drinking soft drink is bad for the waistline, now a study by Baker Heart and Diabetes Institute researchers provides evidence of the damaging metabolic effects on overweight and obese people who regularly consume soft drink and sit for long periods.

Researchers have quantified the detrimental effects on glucose and lipid metabolism by studying young, obese adults in a ‘real-world’ setting where up to 750ml of soft drink is consumed between meals daily and where prolonged sitting with no activity is the norm.

The results, outlined by PhD candidate Pia Varsamis in the Clinical Nutrition journal, show how habitual soft drink consumption and large periods of sedentary behaviour may set these young adults on the path to serious cardiometabolic diseases such as fatty liver disease, type 2 diabetes and heart disease.

Whilst most studies to date have focused on the relationship between soft drink consumption and obesity, the large amount of added sugars contained in these drinks has additional implications beyond weight control.

Watch TV Interview

Senior author, Professor Bronwyn Kingwell, who heads up the Institute’s Metabolic and Vascular Physiology laboratory, says the acute metabolic effects of soft drink consumption and prolonged sitting identified in this latest study are cause for concern.

“With lifestyle-related diseases such as obesity rising rapidly and sugar sweetened beverages the largest source of added sugars in Western diets, understanding the ‘real world’ health impact is critical in determining ‘real world’ prevention and intervention strategies,” Professor Kingwell says.

She says this study quantified the effects of soft drink consumption compared to water on glucose and lipid metabolism in a context that was reflective of typical daily consumption levels, meal patterns and activity behaviours such as sitting for long periods.

The study, involved 28 overweight or obese adults aged 19–30 years who were habitual soft drink consumers. They participated in two separate experiments on different days drinking soft drink on one and water on the other both mid-morning and mid-afternoon during a 7-hour day of uninterrupted sitting.

Professor Kingwell says the combination of soft drink and prolonged sitting significantly elevated plasma glucose and plasma insulin, while reducing circulating triglycerides and fatty acids which indicates significant suppression of lipid metabolism, particularly in males.

She says the metabolic effects of a regular diet of soft drink combined with extended periods of sitting may contribute to the development of metabolic disease in young people who are overweight or obese, including predisposing men to an elevated risk of fatty liver disease.

“The acute metabolic effects outlined in this study are very worrying and suggest that young, overweight people who engage in this type of lifestyle are setting themselves on a path toward chronic cardiometabolic disease,” Professor Kingwell says. “This highlights significant health implications both for individuals and our healthcare system.”

Part 2 : Here’s what’s going on inside your veins after you drink a soft drink

Orginally published Here

Half an hour after finishing a can of soft drink, your blood sugar has spiked.

So you’re probably feeling pretty good. Your cells have plenty of energy, more than they need.

Maybe that soft drink had some caffeine as well, giving your central nervous system a kick, making you feel excitable, suppressing any tiredness you might have.

But a clever new study, published this week, nicely illustrates that while you’re feeling good, strange things are going on inside your blood vessels – and in the long run they are not good for you.

For this study, 28 obese or overweight young adults agreed to sit in a lab for a whole day while having their blood continuously sampled.

The volunteers ate a normal breakfast, lunch and dinner. At morning tea and afternoon tea, researchers from Melbourne’s Baker Heart and Diabetes Institute gave them a can of soft drink.

Their blood samples revealed exactly what happened next.

Sugar from, say, a chocolate bar is released slowly, as your digestive system breaks it down.

With a can of soft drink, almost no break-down time is needed. The drink’s sugar starts to hit your bloodstream within about 30 minutes. That’s why you get such a big spike.

Your body responds to high levels of blood sugar by producing a hormone called insulin.

Insulin pumps through the bloodstream and tells your cells to suck in as much sugar as they can. The cells then start burning it, and storing what they can’t burn.

That quickly reduces the amount of sugar in the blood, and gives you a burst of energy. So far so good.

But the sugar keeps coming. High levels of blood sugar will quickly damage your blood vessels, so the body keeps making insulin.

In fact, just having two cans of soft drink meant the volunteers’ insulin stayed significantly higher than usual – all day.

After lunch, and another soft drink for afternoon tea, their sugar and insulin levels spiked again.

And, once again, over the next few hours blood sugar dropped but insulin levels stayed stubbornly high – right through to late afternoon, when the study finished.

The study demonstrates that two cans of soft drink is all it takes to give your pancreas – the crucial organ that produces insulin – a serious workout, says Professor Bronwyn Kingwell, the study’s senior author.

Watch Video 

We get more sugar each year from beverages than all the sweet treats you can think of combined.

“If you did this day in, day out, your pancreas would be under considerable stress – and this is how diabetes can develop,” says Professor Kingwell. “Having a little can of soft drink in the morning is going to have lasting effects throughout the day.”

If your diet has too much sugar in it, forcing your body to keep your insulin high all the time, eventually your cells will grow insulin-resistant. That forces the pancreas to make even more insulin, adding to its workload. Eventually, it will burn out.

But something else interesting is happening inside your body as well.

Insulin tells your body to burn sugar. But it also tells it to stop burning fat.

Normally, the body burns a little bit of both at once. But after a soft drink, your insulin stays high all day – so you won’t burn much fat, whether you’re on a diet or not.

One of the study’s participants, Michelle Kneipp, is now trying as hard as she can to kick her soft-drink habit.

She’s switched soft drinks for flavoured sparkling water. “It still tastes like soft drink, and it’s still got the fizz,” she says.

“But it’s hard, because sugar’s a very addictive substance.”

 

 NACCHO Aboriginal Health and Food security #IndigenousNCDs : Welfare reform is targeting many remote-living Aboriginal people impoverishing them and resulting in the consumption of unhealthy foods that are killing them prematurely from non-communicable diseases

What national and average Closing the Gap figures do not tell us is just how badly the estimated 170,000 Indigenous people in remote and very remote Australia are faring. This region where I focus my work covers 86 per cent of the Australian continent.

In the last decade new race-based instruments have been devised to regulate Indigenous people including their forms of expenditure (via income management), forms of working via the Community Development Programme (CDP) and their places of habitation, where they might access basic citizenship services.

All these measures have implications for consumption of market commodities, including food from shops, and of customary non-market goods, including food from the bush.

Owing to deep poverty, many people can only purchase relatively cheap and unhealthy takeaway foods that are killing them prematurely from non-communicable diseases, like acute heart and kidney disorders, followed by lung cancer from smoking.

With income management Aboriginal people are being coerced to shop at stores according to the government’s rhetoric for their ‘food security’. Before the introduction of this regime many more people were exercising their ‘food sovereignty’ right to harvest far healthier foods from the bush.

Extracts from Jon Altman a research professor in anthropology at the Alfred Deakin Institute for Citizenship and Globalisation at Deakin University, Melbourne.

From New Matilda Read and subscribe HERE

A version of this article was first published in the Land Rights News

READ over 5 Articles NACCHO Aboriginal Health and Nutrition 

READ Articles NACCHO Aboriginal Health and Welfare Card 

” NACCHO is strongly opposed to the current cashless debit card trials as well as any proposal to expand. We also note that Aboriginal people are disproportionately affected by the trials and that they are in and proposed for locations where the majority participants are Aboriginal. Whilst it is not the stated intent of the trials, its impact is discriminatory.

NACCHO knows that some Aboriginal people and communities need additional support to better manage their lives and ensure that income support funds are used more effectively.

However, NACCHO is firmly of the view that there are significantly better, more cost efficient, alternative approaches that support improvements in Aboriginal wellbeing and positive decision making.

Aboriginal Community Controlled Health Services would be well placed to develop and implement alternative programs. We firmly believe that addressing the ill health of Aboriginal people, including the impacts of alcohol, drug and gambling related harm, can only be achieved by local Aboriginal people controlling health care delivery.

We know that when Aboriginal and Torres Strait Islander people have a genuine say over our lives, the issues that impact on us and can develop our own responses, there is a corresponding improvement in wellbeing. This point is particularly relevant given that the majority of trial participants are Aboriginal. “

Selected extracts from Submission to the Senate Community Affairs Legislation Committee Inquiry into the Social Services Legislation Amendment (Cashless Debit Card Trial Expansion) Bill 2018 

Download HERE 

NACCHO submission on cashless debit card final

As is the case in many countries, Indigenous people in Australia, New Zealand, United States of America and Canada are disproportionately affected by NCDs.

Diabetes, cardiovascular disease, cancer,  smoking related lung disease and mental health conditions are the five main NCDs identified by the World Health Organisation (WHO), and these are almost uniformly experienced by Indigenous peoples at higher rates than other people.

Indigenous people globally are disproportionately affected by diabetes. In Australia, Aboriginal and Torres Strait Islander peoples are 6 times more likely than the non-Indigenous population to die from diabetes. In Canada, Indigenous peoples are 3-5 times more likely to have diabetes than other citizens.

Indigenous people are also more likely to have Cardiovascular disease. Cardiovascular disease accounts for almost a quarter of the mortality gap between Aboriginal and Torres Strait Islander peoples and other Australians. Maori people are 3-4.2 times more likely to die from cardiovascular disease than other people in New Zealand.

These numbers are not improving, despite national rates of smoking decreasing, and increased social marketing aimed at reducing sugar consumption and increasing physical activity.

Mainstream solutions do little to reduce the burden of NCDs for Indigenous populations. The broader social determinants of health have a huge role to play, and until these are addressed in a meaningful way, Indigenous peoples will continue to experience an inequitable burden.

With colonisation having had a devastating impact on Indigenous peoples, and mainstream solutions unable to significantly reduce the rates of NCDs experienced by Indigenous peoples, a new paradigm is urgently required.

What is required is not more state based solutions but Indigenous led solutions.

Summer May Finlay Croakey 

Welfare reform is targeting many remote-living Aboriginal people impoverishing them and resulting in the consumption of unhealthy foods that are killing them prematurely from non-communicable diseases

Rome (Canberra) continues to fiddle while Black Australia burns. Professor Jon Altman weighs in on the ongoing disasters of government policy that have a tight grip on remote living Indigenous people.

In the last month I participated in two workshops. I used what I observed on my latest visit to Arnhem Land and what people were telling me to inform what I presented at the workshops.

The first workshop explored issues around excessive consumption by industrialised societies globally and how this is harming human health and destroying the planet. Workshop participants asked how such ‘consumptogenic’ systems might be regulated for the global good? My job was to provide a case study from my research on consumption by Indigenous people in remote Australia.

The second workshop looked at welfare reform in the last decade in remote Indigenous Australia. In this workshop I looked at how welfare reform by the Australian state after the NT Intervention was creatively destroying the economy and lifeways of groups in Arnhem Land who are looking to live on their lands and off its natural resources.

Here I want to share some of what I said.

BROADLY speaking Indigenous policy in remote Australia is looking to do two things.

The first is to Close the Gaps so that Indigenous Australians can one future day have the same socio-economic status as other Australians. In remote Australia this goal is linked to the project to ‘Develop the North’ via a combination of opening Aboriginal communities and lands to more market capitalism and extraction, purportedly for the improvement of disadvantaged Indigenous peoples and land owners.

While remote-living Indigenous people have economic and social justice rights to vastly improved wellbeing, in such scenarios of future economic equality based on market capitalism, the downsides of what I think of as ‘consumptomania’ are never mentioned.

The second aim of policy is the extreme regulation of Indigenous people and their behaviour, when deemed unacceptable. In a punitive manifestation of neoliberal governmentality, the Australian state, and its nominated agents, are looking to morally restructure Indigenous people to transform them into model citizens: hard-working, individualistic, highly educated, nationally mobile at least in pursuit of work (not alcohol), and materially acquisitive.

This paternalistic project of improvement makes no concessions whatsoever to cultural difference, colonial history of neglect, connection to country, discrimination, and so on.

In the last decade new race-based instruments have been devised to regulate Indigenous people including their forms of expenditure (via income management), forms of working via the Community Development Programme (CDP) and their places of habitation, where they might access basic citizenship services.

All these measures have implications for consumption of market commodities, including food from shops, and of customary non-market goods, including food from the bush.

We have all heard the bad news, year after year, report after report, that the government-imposed project of improvement, called ‘Closing the Gap’ and introduced by Kevin Rudd in 2008, is failing.

Using the government’s own statistics, after 10 years only one target, year 12 attainment, might be on track. I say ‘might’ because ‘attainment’ is open to multiple interpretations: is attainment just about attendance or about gaining useful life skills?

What national and average Closing the Gap figures do not tell us is just how badly the estimated 170,000 Indigenous people in remote and very remote Australia are faring. This region where I focus my work covers 86 per cent of the Australian continent.

What we are seeing in this massive part of Australia according to the latest census are the very lowest employment/population ratios of about 30 per cent for Indigenous adults (against 80% for non-Indigenous adults) and the deepest poverty, more than 50 per cent of people in Indigenous households currently live below the poverty line.

This is also paradoxically where Indigenous people have most land and native title rights, a recent estimate suggests that 43 per cent of the continent has some form of indigenous title; and is dotted with maybe 1000 small Indigenous communities with a total population of 100,000 at most.

Native title rights and interests give people an unusual and generally unregulated right to use natural resources for domestic consumption.

This form of consumption might include hunting kangaroos or feral animals like the estimated 100,000 wild buffalo in Arnhem Land.

Such hunting is good for health because the meat is lean and fresh; it is also good for the environment because buffalo eat about 30kg of vegetation a day and are environmentally destructive; and it is good for global cooling because each buffalo emits methane with a carbon equivalent value of about two tonnes per annum.

The legal challenge of gaining native title rights and interests is that claimants must demonstrate continuity of customs and traditions and connection to their claimed country. But in remote Australia, culture and tradition have been identified as a key element of the problem that is exacerbating social dysfunction. (That is unless tradition appears as fine art ‘high culture’ which is imagined to be unrelated to the everyday culture and is a favourite item for consumption by metropolitan elites.)

Hence the project of behavioural modification to eradicate Indigenous cultures that exhibit problematic characteristics, like sharing and a focus on kinship and reciprocity, to be replaced by western culture with its high consumption, individualistic and materially acquisitive characteristics.

Connection to country, at least if it involves living on it, is also deemed highly problematic by the Australian state if one wants to produce western educated, home-owning, properly disciplined neoliberal subjects — terra nulliusis now to be replaced by terra vacua, empty land.

Such empty land would be ripe for resource extraction and capitalist accumulation by dispossession Despite all the talk of mining on Aboriginal land, there are currently very few operating mines on the Indigenous estate. This is imagined as one means to Develop the North, but recent history suggests that the long-term benefits to Aboriginal land owners from such development will be limited.

MUCH of what I describe above in general terms resonates with what I have observed in Arnhem Land where I have visited regularly since the Intervention; and what I hear from Aboriginal people and colleagues working elsewhere in remote Indigenous Australia.

From 2007 to 2012 all communities in Arnhem Land were prescribed under NT Intervention laws. Since 2012, under Stronger Futures laws legislated in force until 2022, the Aboriginal population has continued to be subject to a new hyper-regulatory regime: income management, government-licenced stores, modern slavery-like compulsory work for welfare, enhanced policing, unimaginable levels of electronic and police surveillance, school attendance programs and so on.

The limited availability of mainstream work in this region as elsewhere means that most adults of working age receive their income from the new Community Development Program introduced in 2015. Weekly income is limited to Newstart ($260) for which one must meet a work requirement of five hours a day, five days a week if aged 18-49 years and able-bodied.

Of this paltry income, 50 per cent is quarantined for spending at stores where prices are invariably high, owing to remoteness.

The main aim of such paternalism is to reduce expenditure on tobacco and alcohol which cannot be purchased with the BasicsCard.

Shop managers that I have interviewed tell me that despite steep tax-related price rises (a pack of Winfield blue costs nearly $30) tobacco demand is inelastic and sales have not declined.

Since the year 2000, Noel Pearson has popularised his metaphor ‘welfare poison’. Pearson is referring figuratively to what he sees as the negative impacts of long-term welfare dependence. In Arnhem Land welfare is literally a form of poison because in the name of ‘food security’ people are forced to purchase foods they can afford with low nutritional value from ‘licenced’ stores.

However, paternalistic licencing to allow stores to operate the government-imposed BasicsCard is not undertaken equitably by officials from the Department of Prime Minister and Cabinet.

So one sees large, long-standing, community-owned and operated and mainly Indigenous staffed stores being rigorously regulated, managers argue over-regulated. Such stores are highly visible, as are their accounts.

But small private-sector operators (staffed mainly by temporary visa holders and backpackers) that have been established as the regional economy has been prised open to the free market appear under-regulated, even though they are also ‘licenced’ to operate the BasicsCard.

These private sector operators compete very effectively with community-owned enterprises because they only have a focus on commerce: all the profits they make and most of the wages they pay non-local staff leave the region.

Owing to deep poverty, many people can only purchase relatively cheap and unhealthy takeaway foods that are killing them prematurely from non-communicable diseases, like acute heart and kidney disorders, followed by lung cancer from smoking.

With income management Aboriginal people are being coerced to shop at stores according to the government’s rhetoric for their ‘food security’. Before the introduction of this regime many more people were exercising their ‘food sovereignty’ right to harvest far healthier foods from the bush.

This dramatic transformation has occurred as an unusual form of regional economy that involved a high level of customary activity has been effectively destroyed by the dominant government view that only prioritises engagement in market capitalism — that is largely absent in this region.

On one hand, we now see the most able-bodied hunters required to work for the dole every week day with their energies directed from what they do best.

On the other hand, the greatly enhanced police presence is resulting simultaneously in people being deprived of their basic equipment for hunting — guns and trucks — regularly impounded because they are unregistered or their users unlicenced.

People are being increasingly isolated from their ancestral lands and their hunting grounds.

Excessive policing, growing poverty, dependency and anomie are seeing criminality escalate with expensive fines for minor misdemeanours further impoverishing people and reducing their ability to purchase either more expensive healthy foods or the means to acquire bush foods.

A virtuous production cycle that until the Intervention saw much ‘bush food consumption’ has been disastrously reversed. Today, we see a vicious cycle where people regularly report hunger while living in rich Australia; people’s health status is declining.

Welfare reform and Indigeneity is indeed a toxic mix, poison, in remote regions like Arnhem Land.

I WANT to end with some more general conclusions.

On the regulation of Indigenous expenditure, we see a perverse policy intervention: the Australian government is committing what are sometimes referred to as Type 1 and Type 2 errors.

The former sees the government looking to regulate Indigenous consumption using the expensive instrument of income management that has cost over $1.2 billion to date, despite no evidence that it makes a difference.

The latter sees an absence of the proper regulation of supply in licences stores evident when stores with names like ‘The Good Food Kitchen’ sell cheap unhealthy take-aways.

In my view the racially-targeted and crude attempts to regulate Indigenous expenditure are unacceptable on social justice grounds.

Two principles as articulated by Guy Standing stand out.

‘The security difference principle’ suggests that a policy is only socially just if it improves the [food]security of the most insecure in society. Income management and work for the dole do not do this.

And ‘the paternalism test’ suggests that a policy like income management would only be socially just if it does not impose controls on some groups that are not imposed on the most-free groups in society.

Paternalistic governmentality in remote Australia is imposing tight regulatory frameworks on some people, even though the justifying ideology suggests that markets should be free and unregulated.

Sociologist Loic Wacquant in  Punishing the Poor shows how the carceral state in the USA punishes the poor with criminalisation and imprisonment; the poor there happen to be mainly black.

In Australia, punitive neoliberalism punishes those remote living Aboriginal people who happen to be poor and dependent on the state.

Once again there is a perversity in policy implementation.

Hence in Arnhem Land, people maintain strong vestiges of a hunter-gatherer subjectivity that when combined with deep poverty makes them avid consumers of western commodities that are bad for health (like tobacco that is expensive and fatty, sugary takeaway food that is relatively cheap).

At the same time commodities that might be useful to improve health, like access to guns and trucks essential for modern hunting, are rendered unavailable by a combination of poverty and excessive policing.

Australian democracy that is founded on notions of liberalism needs to be held to account for such travesties.

Long ago in 1859, John Stuart Mill, the doyen of liberals, wrote in  On Liberty: “…despotism is a legitimate form of government in dealing with barbarians, providing the end be their improvement and the means justified by actually effecting that end”.

In illiberal Australia today, authoritarian controls over remote living Indigenous people and their behaviour are again viewed as legitimate by the powerful now neoliberal state, even though there is growing evidence from remote Australia that things are getting worse.

I want to end with some suggested antidotes to the toxic mix that has resulted from welfare reform that is targeting many remote-living Aboriginal people and impoverishing them.

First, in my view despotism for some is never legitimate, so people should be treated equally irrespective of their ethnicity or structural circumstances.

Second, the Community Development Programme is a coercive disaster that is far more effective at breaching and penalising the jobless for not complying with excessive requirements than in creating jobs. CDP is further impoverishing people and should be replaced, especially in places where there are no jobs, with unconditional basic income support.

Third, people need to be empowered to find their own solutions to the complex challenges of appropriate development that accord with their aspirations, norms, values, and lifeways. Devolutionary principles of self-government and community control, not big government and centralised control, are needed.

Fourth, the native title of remote living people should be protected to ensure that they benefit from all their rights and interests. There is no point in legally allocating property rights in natural resources valuable for self-provisioning if people are effectively excluded from access to their ancestral lands and the enjoyment of these resources.

Finally, governments should support what has worked in the past to improve people’s diverse culturally-informed views about wellbeing and sense of worth.

While such an approach might not close some imposed ‘closing the gap’ targets, like employment as measured by standard western metrics, it will likely improve other important goals like reducing child mortality and enhancing life expectancy and overall quality of life.