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Eat more dietary fiber ! From a simple message to a complex policy

Eat more dietary fiber ! From a simple message to a complex policy. Peter Gry, Gabriel Gulis, Marco Martuzzi, Matt Soeberg, Peter Otorepec, Jarmila Korcova, Elzbieta Grochowska-Niedworok. Health Impact Assessment in New Members states and Accession Countries – HIA-NMAC.

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Eat more dietary fiber ! From a simple message to a complex policy

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  1. Eat more dietary fiber! From a simple message to a complex policy Peter Gry, Gabriel Gulis, Marco Martuzzi, Matt Soeberg, Peter Otorepec, Jarmila Korcova, Elzbieta Grochowska-Niedworok www.hia-nmac.sdu.dk

  2. Health Impact Assessment in New Members states and Accession Countries – HIA-NMAC • EC funded research project, 2 years (2005-07) • 11 partners • WP 1 – Coordination of the project • WP 2 – Capacity building • WP 3 – HIA of CAP - wine production; a case study • WP 4 – HIA of CAP – dietary fiber; a case study • WP 5 – HIA of tourism and recreational water; a case study • WP 6 – Addressing socio-economic determinants of health within HIA • WP 7 – HIA on policies related to vulnerable populations; a case study • WP 8 – Introducing HIA on local level • WP 9 – Dissemination of results www.hia-nmac.sdu.dk

  3. Why focus on dietary fiber? • Epidemiologic studies have shown that dietary fiber is an important part of prevention of: • diabetes • colorectal cancer • gastrointestinal disorders • high cholesterol • heart disease • obesity www.hia-nmac.sdu.dk

  4. Danish context • A daily intake of 25-35 g dietary fibers for adults is recommended which corresponds to 3g/1000 kJ. • The intake should be covered by a number of different foods: whole grain products, fruits and vegetables, etc. • Studies in DK show that the intake of dietary fiber has declined during the last 20 years: • In the period 1985-2001 the average intake of dietary fiber for adults fall from 26,5g/day to 20 g/day. This is due to a decline in the intake of coarse bread and vegetables. www.hia-nmac.sdu.dk

  5. Where do we get fiber from? • Example of foods containing dietary fibers: www.hia-nmac.sdu.dk

  6. To assess health impacts we need to identify: • A production related policy • Determinants of health • Risk Factors • Health outcome www.hia-nmac.sdu.dk

  7. Production chain External influences? Farmers Processing Labeling Shop, business External influences? www.hia-nmac.sdu.dk

  8. External influence • A report published in 2004 by the Danish Agricultural Academy described four ways of political intervention in relation to food, obesity and health: • increase knowledge • technological solutions • regulation • economical mechanism www.hia-nmac.sdu.dk

  9. Other (external) influences • Domestic products vs. Imported products • EU/governmental subsidies to farmers • Main legislations/policies in Denmark • Action plan for the Aquatic Environment III • Intervention buying of crop • Voluntary deal regarding straw shortener • Deal regarding payment of grain, peas and rape. www.hia-nmac.sdu.dk

  10. Stakeholder meeting • We invited three people from the agricultural field. • Discussed external and internal influences with them • From the discussion we got new input: • Taste matter • Difficult to assess the policies found in the pre-screening • Taxation could be a step to increase consumption of products with dietary fiber www.hia-nmac.sdu.dk

  11. Ill health/disease, related to dietary fiber consumption Health outcome General population General population Risk factor Gender Physical activity Dietary fiber consumption Diet and Lifestyle Ethnicity Consumers Public health Information, Culture, Media SES, Education Marked access Health limitation, Food allergies Business, marked Determinants Media “experts” Labelling, Packaging Marked supply Producers, Processing Taxation Producers National policies Labelling Agriculture suppliers Policy Environment Politicians International policies Agriculture, CAP Trade, WTO www.hia-nmac.sdu.dk

  12. Preliminary results • A simple health promotion message (eat more dietary fiber) is much more complex as it sounds • Intervention on policy level needs to identify first the policy to change • HIA, even retrospective and not directly linked to a pending decision is a good method of intervention www.hia-nmac.sdu.dk

  13. Next step • Investigate taxation policy in Denmark and consumption of different food products containing dietary fiber during the last 40 years • Our assumption is that there is a relationship between increased taxation and trends of decreasing consumption pattern of food products containing high amount of dietary fiber www.hia-nmac.sdu.dk

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