Obesity

PHAIWA has obesity as a key priority advocacy area. By 2025, more than three-quarters of Australian adults will be overweight or obese. Among Western Australians the number of obese adults has continued to rise, with 67% currently overweight or obese. One-quarter of children aged 5-15 are overweight or obese in WA. Obesity cost Australia $8.6 billion in 2011-12, with it set to rise to $21 billion by 2025.

PHAIWA is leading the work in WA to address the rising level of obesity. This process seeks to produce specific, rigorous and evidence-based obesity advocacy targets for WA, including all ages and metropolitan, remote and regional areas.

The updated targets will be developed through consultation with relevant stakeholders and a consensus-led obesity forum. These targets will then be available to guide action by a range of partners and sectors including groups such as the Obesity Prevention Alliance WA (OPAWA) in their endeavours to address overweight and obesity in WA through achieving policy change at all levels of government.

 

Obesity Advocacy Targets Forum 2019 

Why was the Obesity Advocacy Targets Forum 2019 organised?

Obesity is a key priority advocacy area for PHAIWA. In 2008, PHAIWA facilitated a consensus-led workshop with key experts and stakeholders from across sectors in WA to develop obesity advocacy targets. PHAIWA has also produced a number of resources, reports and research related to obesity prevention work.

In 2019, PHAIWA decided to organise another consensus-led workshop to review and update the advocacy targets for obesity prevention in WA. As the West Australian landscape has seen a number of important policy reports, plans and documents being developed, the timing for the development of updated advocacy targets was good.

The ultimate goal of this second workshop was to guide and inform any consistent obesity-prevention policy and advocacy work in WA across sectors and levels of government, non-government and the community.

What process did PHAIWA use to organise the OAT 2019 workshop?

PHAIWA looked at the breadth of obesity prevention work currently being developed and delivered in WA. PHAIWA then carefully selected five evidence based themes for OATS 2019 to avoid duplication of advocacy work being led by other agencies in WA and ensure relevance to the work currently being undertaken by PHAIWA.

In no particular order, the themes selected were:

  • Improving nutrition for Western Australian children
  • Improving nutrition for Aboriginal People, particularly in regional and remote communities in Western Australia
  • Promoting fruit and vegetable consumption for all Western Australians
  • Removing fast food sponsorship from sport in Western Australia
  • Improving food labelling and food literacy for all Western Australians.

PHAIWA invited five well-respected key notes to facilitate the discussions related to each theme. The key notes received a briefing document on their role and on the workshop process. They were also briefed through meetings with the organising team.

PHAIWA also identified five expert advocates as scribes to support the facilitators in their role and to ensure the discussions led to the development of advocacy targets. The scribes were provided with a briefing document and their role was clarified over a meeting.

PHAIWA invited experts working in obesity prevention in Western Australia across all sectors and levels of government, non-government, community organisations and universities to participate in this workshop.

The delegates had to choose their preferred themes for the workshop and were then allocated to two discussion groups. The groups were created in a way to ensure a variety of organisations were represented in each group.

Before the workshop, the delegates were provided with a Snapshot of the evidence, a document containing evidence related to their allocated themes in the WA context. This document was meant to be a starting point for discussions. The delegates were also provided with a briefing document including a description of their role on the day as well as criteria to guide the development of advocacy targets.

What happened on the day?

On the day of the workshop, each key note introduced their allocated theme over a five minutes presentation. The group was then invited to join the facilitated discussion for their first allocated theme. This first round of discussion lasted 2 hours.

In the afternoon, the delegates participated in the second round of facilitated discussion for their second theme. For this round, only 1.30 hours were allocated as the facilitators and delegates were expected to be more comfortable with the process. The facilitators were invited to initiate a fresh start with their second group.

In order to ensure the creation targets for both rounds, the groups were advised 20 minutes before the end of the discussion they needed to wrap up and write down their targets.

To ensure that the targets were focused on advocacy rather than program delivery or research, advocacy triggers were reinforced in each group of discussion.

After the discussions, the whole group was reunited and each of the facilitators presented the advocacy targets that were created in their groups and commented on them.

What happened after the workshop?

After the workshop, the PHAIWA team prepared a draft of the advocacy targets created for the five themes. This draft was sent to the delegates to revise and comment in order to prepare a final version of the advocacy targets that would be a true reflection of their work.

Following this final review process, PHAIWA launched WA’s obesity advocacy targets on their website. The delegates as well as anyone working in obesity prevention are encouraged to use these obesity advocacy targets as they see appropriate in their own work.

PHAIWA will promote the advocacy targets as the consensus developed goals for WA obesity sector. As for all other delegates, PHAIWA will assess which advocacy targets are most relevant and appropriate and will use some selected advocacy targets as a guide for their own work in obesity prevention.

Check back here soon for the updated targets! Below are the Advocacy Targets developed in 2008.

2008 Advocacy Targets

1. Programs and policies across all levels of government to ensure that all people have access to an adequate and sustainable supply of affordable, healthy, nutritious food.

2. Phase out advertising and promotion of unhealthy* foods and beverages, underpinned by legislated controls.

3. Clear, accessible information on the nutritional content of all food products; front of pack “traffic lights” labelling.

4. Regulations and planning codes that require provision of a built environment that supports accessible daily recreational physical activity, sport and active transport (e.g. walking and cycling).
5. Reorientation of transport and planning priorities to enable expansion of an affordable and accessible public transport network.

6. Rules, policies programs and infrastructure in schools and workplaces that support regular physical activity and healthy eating.

7. Sustained adequately funded public education programs on physical activity and healthy eating.

8. Programs, policies and infrastructure to inform and support parents and carers to maximise health, physical activity and good nutrition in the early years.

9. Policies and structures in all relevant agencies at all levels of government that prioritise the reduction of overweight and obesity.

10. Tax incentives and subsidies that encourage physical activity and healthy eating and policy and financial disincentives that discourage inactivity and unhealthy eating.

11. Specific and culturally appropriate programs to meet the needs of disadvantaged and at risk communities.

12. Adequately funded and sustained population monitoring, research and evaluation.

*Unhealthy foods are those high in kilojoules but lacking in vitamins, minerals, fibre and other nutrients required for a healthy diet. These can also be described as High in Fat, Sugar and Salt (HFSS) or Energy Dense Nutrient Poor (EDNP).

These 12 recommendations were made as a result of a forum and workshop in 2008 and 2009, please read more about the process of creating the advocacy targets for overweight and obesity.

2008 Advocacy Targets

1. Programs and policies across all levels of government to ensure that all people have access to an adequate and sustainable supply of affordable, healthy, nutritious food.

2. Phase out advertising and promotion of unhealthy* foods and beverages, underpinned by legislated controls.

3. Clear, accessible information on the nutritional content of all food products; front of pack “traffic lights” labelling.

4. Regulations and planning codes that require provision of a built environment that supports accessible daily recreational physical activity, sport and active transport (e.g. walking and cycling).
5. Reorientation of transport and planning priorities to enable expansion of an affordable and accessible public transport network.

6. Rules, policies programs and infrastructure in schools and workplaces that support regular physical activity and healthy eating.

7. Sustained adequately funded public education programs on physical activity and healthy eating.

8. Programs, policies and infrastructure to inform and support parents and carers to maximise health, physical activity and good nutrition in the early years.

9. Policies and structures in all relevant agencies at all levels of government that prioritise the reduction of overweight and obesity.

10. Tax incentives and subsidies that encourage physical activity and healthy eating and policy and financial disincentives that discourage inactivity and unhealthy eating.

11. Specific and culturally appropriate programs to meet the needs of disadvantaged and at risk communities.

12. Adequately funded and sustained population monitoring, research and evaluation.

*Unhealthy foods are those high in kilojoules but lacking in vitamins, minerals, fibre and other nutrients required for a healthy diet. These can also be described as High in Fat, Sugar and Salt (HFSS) or Energy Dense Nutrient Poor (EDNP).

These 12 recommendations were made as a result of a forum and workshop in 2008 and 2009, please read more about the process of creating the advocacy targets for overweight and obesity.

PHAIWA Projects and Resources

Soft Drink Consumption in Aboriginal Communities

High consumption of soft drinks and other sugary drinks are associated with a number of health problems, including overweight and obesity, type 2 diabetes, osteoporosis and dental caries. In Australia, soft drinks are the most commonly consumed sugary beverage and have been singled out for specific attention as a target of obesity prevention programs. The evidence linking soft drinks consumption to overweight and obesity is now strong.

Nearly two years ago, Indigenous Affairs Minister Jenny Macklin ordered two departments to give urgent advice about how to encourage people in the remote areas to consume less soft drink. One of the policy responses has been to install water bubblers in Aboriginal communities.

PHAIWA together with Diabetes WA is embarking on a project to investigate the extent of the soft drink consumption problems amongst Aboriginal peoples and identify additional policy solutions.

Who owns who in the Australian food Australian food market?

Read Dr Melissa Stoneham and Ainslie Sartori’s latest blog on Croakey on the recently released food map by PHAIWA here.

Healthy Vending Machines

PHAIWA has commenced a project to identify how best to support local governments to reduce unhealthy options in vending machines. Vending machines which are notorious for sugary drinks, salty snacks and fat laden chocolate bars are often located in Council owned Recreation Facilities, among other settings. Improving the nutrition and eating habits of Australians must become a priority for all levels of government.  Small changes such as simple product substitutions can make a big difference. We are advocating for water to be the default beverage option in vending machines. We are working with local governments to ensure that if obesity or healthy weight is identified as a priority in public health planning processes, they have the information needed to ensure their vending machines contain healthy options.

Obesity Prevention Alliance WA

PHAIWA is working with Live Lighter to support the OPAWA platform. OPAWA stands for Obesity Prevention Alliance WA. This is a non-government group of organisations including community, public health, medical and academic groups that have joined to address overweight and obesity for WA adults and children.

This is a new alliance and the role of this group is currently being developed. It has been agreed that this group should advocate for a rigorous and evidence-based obesity agenda to WA State and local governments, including a coordinated and comprehensive strategy between different sectors and levels of government.

More information will follow.

PHAIWA on Today Tonight on Surviving ‘Pester Power’

PHAIWA’S Dr Mel Stoneham recently spoke to Channel 7’s Today Tonight with tips for parents on how to survive ‘pester power’ in supermarkets.

See the clip here.

What’s cheaper?

We have done the maths and worked out the cost of a McDonald’s meal for a family of 6 compared to the price of a home cooked meal. See the results for yourself in the link below.

Comparison

Political Considerations

Healthy Choices in Health Care Facilities

In May 2018, Health Minister Roger Cook instructed State hospitals to ensure half of food options in outlets and vending machines were healthy and that less than 20 per cent was junk food. He told the Budget estimates hearing that none of WA’s health facilities met the current Government’s policy and that the same standard should be met by government buildings, including train stations, departmental headquarters and entertainment venues.

For information on healthier vending machines go to – https://healthierworkplacewa.com.au/media/3661/healthier-vending-machines.pdf

Childhood Obesity

A whole of government target for reducing childhood obesity has been muted. The Sustainable Health Review listed prevention as the number one priority in its list of preliminary directions, saying the state needed to “keep people healthy and get serious about prevention” and recommended the State Government ‘immediately take a leadership role in development of whole-of-government targets, commencing with childhood obesity’. A Preventive Health Summit on March 2 2018, addressed obesity as a priority alongside alcohol harm reduction.

Call for a Sugar Tax

WA Health Minister Roger Cook has advocated to Canberra to impose a tax on sugary drinks, arguing it is desperately needed to fight Australia’s obesity crisis, saying such a tax will force manufacturers to have less sugar content in products or increase prices, which will lead to a cut in consumption. Minister Cook stated that a levy on (sugar-sweetened beverages) would be likely to deliver the greatest health benefits to those groups most at risk of associated harms, such as young people and lower-income groups. PHAIWA supports a sugar tax on SSBs.

The Obesity Policy Coalition – Tipping The Scales Infographic

The Obesity Coalition has launched a new campaign called Tipping the Scales to address Australia’s serious obesity problem. To find out more visit Obesity Policy Coalition.

Facts of the Matter – Obesity is not just about personal responsibility

The Obesity Collective have prepared key message responses to common arguments about obesity. You can view this documenthere.

Live Lighter

PHAIWA supports the Live Lighter campaign, which aims to:

▲Increase awareness of the link between being overweight and chronic disease, while promoting healthy eating and regular physical activity.

▲Increase understanding of the risks associated with poor lifestyle choices.

▲Support the trial, adoption and maintenance of healthy eating, physical activity and healthy weight.

▲Encourage public debate about obesity and the need for changes in the community to support healthy eating and physical activity. We need to make sure the healthy choice is also the easy choice.

In April 2016 the most recent campaign focusing on junk food was launched. This campaign urges people to rethink junk food in a graphic new advertising campaign that adds fatty liver disease to the menu of serious health risks.

You can calculate how much junk food you eat and view the TV advertisements at the LiveLighter website. This is an example of some of the resources available.

Of interest, one of the strategies in this campaign was advertising at service stations – which was very quickly knocked on the head by Val Morgan, who manages this space. After some advocacy from the Heart Foundation, this decision has been reversed. Read about it here.

Visit the LiveLighter website for facts, tips, recipes and resources at https://livelighter.com.au/

Australian Health Star Rating (HSR) Front-of-Pack Labelling System

The Australian Health Star Rating (HSR) front-of-pack labelling system is now running across the country. The Health Star Rating system was developed by the Australian, state and territory governments in collaboration with industry, public health and consumer groups.  The labelling scheme aims to help shoppers easily compare similar packaged foods to help them make healthier choices based on the number of stars and the other descriptors below.

The Health Star Rating system has been operational since June 2014. Adoption of the system is voluntary for the next five years, and progress will be reviewed after two years. A new campaign promoting the Health Star Rating is being run June-August 2015.

Key Messages

What do the stars mean?

· Health Star Ratings provide an easy, standard way for consumers to compare the nutritional profile of similar packaged foods, at-a-glance.

· The Health Star Rating graphic can be displayed on the front of packaged food products.

· The Health Star Rating system provides at-a-glance nutritional information to help consumers make informed and healthier food choices that can lead to better health.

How to use the Health Star Rating system?

Stars are calculated by assessing the amount of energy, saturated fat, sugars, sodium, fruit, vegetable, nut and legume content as well as dietary fibre and protein.

A high Health Star Rating does not necessarily mean that the food provides all of the essential nutrients that are required for a balanced and healthy diet.

To help maintain a healthy lifestyle, the Australian Dietary Guidelines recommend eating a balanced diet that includes a variety of foods from the five food groups every day and to limit foods that are high in saturated fat, added sodium and sugars.

Useful information and resources about the Health Star Rating system is available on the Health Star website.

Please click here to read a report from Victoria Health which looks at the life transition period between childhood and adolescence, and the critical windows of opportunity to influence healthy behaviour.

Guide to Food Labelling

Food labels carry information that will help you to make good food choices. Visit this page provided by Vic Health to make it easier for you to understand food labels.

Food and Health Ministers to Implement Star Ratings on Foods

PHAIWA welcomes the decision by Food and Health Ministers to implement a star rating scheme that will enable consumers to make healthier choices at-a-glance.

The Federal government is set to introduce a star system for food packages to help consumers make healthier food choices. Much like the energy star rating system on white goods, the proposed star system for food labels will see healthier choices carrying more stars than less healthy choices.
The star ratings give an overall indication of a food’s nutritional quality and will appear on the front of food packages. There will be additional information about the key nutrients that consumers want to know about and are associated with diet-related disease: sugars, saturated fat, sodium and kilojoules.

The introduction of an easy-to-understand food labelling system was a key recommendation of the 2011 Blewett review of food labelling. Recently, public health experts, consumer groups, representatives from the food and retail industries, and state and territory governments have participated in a Commonwealth-led process aimed at developing a front-of-pack food labelling system that could be applied nationwide.
At the Food and Health Ministers meeting on Friday 27 June 2014, the Ministers imposed a timeframe on the implementation of the labelling scheme which, in the first instance, will be voluntary. This puts the onus on industry to embrace the Health Star Rating or face a mandatory approach. The Ministers also voted to reinstate the star rating website.

You can read the communique from the Ministers meeting here.

Here is an example of the star rating.

Preventing Obesity … What works? A Review of Research Evidence

CEIPS has conducted a review of systematic reviews examining the effectiveness of interventions targeting physical activity, healthy eating, sedentary behaviour and obesity.  Please view it here.

Articles

Livelighter Urges People to Stop Drinking Themselves Fat

On July 19 LiveLighter unveiled their new anti-obesity campaign targeting sugary drinks.  There was an event held on Friday at the Boulevard Centre in Floreat to celebrate the launch, which happened a day prior to a LiveLighter wrap-around spread being placed in Saturday’s edition of The West Australian and the broadcast of a primetime LiveLighter television commercial. The campaign hopes to raise public awareness of the large role sugar sweetened drinks have in contributing to obesity and to ultimately reduce consumption of beverages such as soft drinks, energy drinks and sports drinks.

LiveLighter’s media statement is available here.

An info graphic comparing the amount of sugar in different drinks and foods can be read here.

WA Health Article

Who is overweight and obese in Western Australia?

Advertising as a cue to consume: a systematic review and meta-analysis of the effects of acute exposure to unhealthy food and nonalcoholic beverage advertising on intake in children and adults

The Australian Institute of Health and Welfare Infographic can be accessed here.