PorGrow project Results from Cyprus

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PorGrow project Results from Cyprus

• Research Education Institute of Child Health
• Savvas C Savva MD

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(No Transcript)
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Cyprus..

• Third smallest country in EU-25
• Mid-year population (2003) 720 568
• Total expenditure on health 6.2 GDP

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Major causes of death
Source WHO European health for all database,
2005
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Obesity prevalence in children and adolescents
Source 1) IJO 2002261036-45, 2) EJCN
2005591259-65
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Obesity in children 7-10y - Europe
Cyprus
Source Obes Rev 20045(suppl 1)4-104
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Obesity prevalence in adults
Self-reported data
Measured data
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Adult obesity EU25
Source IOTF Database 2005
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Modern Cypriots westernised lifestyle
Source The Cyprus Experience. In The
Mediterranean Diet. CRC press 2001 pp341-362
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Direct Cost of Chronic Diseases in the United
States
53.2
51.6
38.7
Direct Cost ( Billions)
18.4
18.1
Type 2Diabetes
Obesity
CoronaryHeart Disease
Hyper-tension
Stroke
Adjusted to 1995 dollars.
Wolf AM, Colditz GA. Obes Res. 1998697-106. Hodg
son TA, Cohen AJ. Med Care. 199937994-1012.
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PorGrow project

• Methods

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Participants grouped into Perspectives
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Predefined policy options
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Additional policy options
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Criteria

• The criteria are the different factors that
  participants have in mind when they choose
  between, or compare, the advantages and
  disadvantages of different options. These may
  address any issue that they feel is relevant to
  their assessment of the performance of any of the
  options. But the criteria are applied equally to
  assess all the options.
• For instance, in the case of obesity policy, they
  may involve public health, operational, economic,
  social or ethical aspects, or entirely different
  issues divided up in a different way.

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Principles

• If a criterion does not lend itself to
  quantification or trading off against other
  criteria, but instead reflects an issue of
  principle under which different options are
  either acceptable or not, then this is handled by
  defining that criterion as a principle.
  Participants are then invited to register all
  those options that are in some way unacceptable
  under that criterion.
• These principles can also be used as a way to
  reflect the effects of important thresholds in
  the performance of options under a particular
  criterion. Options whose performance falls below
  a threshold of this kind will be ruled out in
  the same way as under any other issue of
  principle.

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Principles Options ruled out
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Criteria grouped into Issues
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Number of criteria in Issues and number of
participants that raised criteria in Issues
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Weighting of Criteria

• Weights reflect more general subjective
  judgements about the relative importance of the
  different criteria themselves.

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PorGrow project

• Findings in Cyprus

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Relative rankings of predefined options the
overall picture
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8. Improve training for health professionals
Educational Research Initiatives
15. Food and health education
10. Improved health education
13. More obesity research
Information-related Initiatives
5. Mandatory nutritional information labelling
3. Controls on food and drink advertising
19. Control of marketing terms
4. Controlling sales of foods in public
institutions
14. Provide healthier catering menus
Modifying the supply demand for foodstuffs
11. Controls on food composition
12. Incentives to improve food composition
6. Subsidies on healthy foods
7. Taxes on obesity-promoting foods
Institutional reforms
9. Common Agricultural Policy reform
18. New government body
2. Improve communal sports facilities
Exercise physical activity oriented
1. Change planning and transport policies
20. Physical activity monitoring devices
16. Medication for weight control
Technological innovations
17. Substitutes for fat and sugar
0
10
20
30
40
50
60
70
80
90
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Combining policy options

• Substantial societal benefits
• Way of living
• Perceptions and understandings
• Mentality culture

Combination of options
Improve outcome of options
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Examples of proposed combinations of options
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Examples of proposed combinations of options
Control of sales of foods in school canteens
(option 4)
Improved food composition (option 11)
Food and health education (option 15)
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PorGrow project

• Comparison with other national and transnational
  findings

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Combination of policy options!

• A package of measures instead of implementing
  single options

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Rankings of all options in all countries
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Thank you!!