fruits and vegetables importance for public health · fruits and vegetables per day for the...

Joint FAO/WHO Workshop on promotion of the production and consumption of

fruits and vegetables | Arusha, 20111 |

Fruits and vegetables

importance for public health



UN High Level meeting on Non-communicable Diseases

UN High Level meeting on Non-communicable Diseases



Non Communicable Diseases related mortality Non Communicable Diseases related mortality



Obesity affects all of usObesity affects all of usBMI 25+ (age-adjusted)

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

Low income Lower middle

income

Upper middle

income

High income

World Bank Income Category (2008 estimates)

Males

Females

Both Sexes

BMI 25+ (age-adjusted)

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

AFR AMR EMR EUR SEAR WPR

WHO Region

Males

Females

Both Sexes



Promoting fruit and vegetable consumption around the world


� Approximately 1.7 million (2.8%) of deaths worldwide

are attributable to low fruit and vegetable consumption.

� Low fruit and vegetable intake is among the top 10

selected risk factors for global mortality.

� Worldwide, insufficient intake of fruit and vegetables is

estimated to cause around;

– 14% of gastrointestinal cancer deaths,

– 11% of ischaemic heart disease deaths and

– 9% of stroke deaths.


fruits and vegetables | Arusha, 20116 |60% of global deaths due to NCDs

Sourc

e:

WH

O's

report

on "

Glo

bal health r

isks"

Leading risk factors for global mortalityLeadingLeading riskrisk factorsfactors for global for global mortalitymortality





� The 2003 Report of the joint WHO/FAO expert consultation on

diet, nutrition and prevention of chronic diseases, sets population

nutrient goals and recommends intake of a minimum of 400 g of

fruits and vegetables per day for the prevention of chronic

diseases such as heart diseases, cancer, diabetes and obesity.

� The report states that there is convincing evidence that fruits and

vegetables decrease the risk for obesity, and evidence that they

probably decrease the risk of diabetes. Further, there is

convincing evidence that fruit and vegetables lower the risk for

CVD.



WHO’s mandateWHO’s mandate

� WHO’s mandate is to improve public health around the world with particular emphasis on decreasing inequalities in health.

� In May 2002, WHO was requested by the Member States to develop aGlobal Strategy on Diet, Physical Activity and Health in the context of the rising burden of chronic diseases.

� During a series of regional consultations to develop the strategy, Member States stressed to WHO the importance of working proactively with them to assist in increasing the consumption of fruit and vegetables.

� WHO aims to actively promote an increase in fruit and vegetable intake worldwide, especially in developing countries.

� Incorporation of fruit and vegetable consumption as part of national noncommunicable disease (NCD) prevention and school health programmes is a central aim.



Global Strategy for the Prevention and Control of Noncommunicable Diseases

Global Strategy for the Prevention and Control of Noncommunicable Diseases2000

2003

2004

2008

2009

2010

2011

Global Strategy to Reduce the Harmful

Use of Alcohol

Global Strategy to Reduce the Harmful

Use of Alcohol

Set of Recommendations on the Marketing of Foods

to Children

Set of Recommendations on the Marketing of Foods

to Children

Doha Declaration

Doha Declaration

UN General Assembly resolution

A/RES/64/265

UN General Assembly resolution

A/RES/64/265

Ministerial Meetings

(Doha)

Ministerial Meetings

(Doha)

ECOSOC Ministerial Declaration

ECOSOC Ministerial Declaration

High-level

Meeting, Sept

High-level

Meeting, SeptUNSG Report

on NCDs

UNSG Report

on NCDs

Global response to the NCD epidemicGlobal response to the NCD epidemic

Ministerial

meeting, April

Ministerial

meeting, April

Member States are encouraged to implement the

recommendations of the Global Strategy on Diet,

Physical Activity and Health.

Adopted by 192 Member States



Joint WHO/FAO Workshop on Fruit and Vegetables for Health (Kobe, 2004)

Joint WHO/FAO Workshop on Fruit and Vegetables for Health (Kobe, 2004)

� Making fruit and vegetables available to all: a

joint FAO/WHO workshop, held at the WHO

Kobe Center for Health Development in Japan,

addressed the need for increased fruit and

vegetable consumption.

� The workshop resulted in a framework that

proposes ways to promote increased production,

availability and access, and adequate

consumption of fruit and vegetables.



Per capita consumption of Fruits and Vegetables for selected countries in AFRO

Per capita consumption of Fruits and Vegetables for selected countries in AFRO

-10

10

30

50

70

90

110

130

150

Ethio

pia

Bur

undi

Mal

awi

Moz

ambiq

ue

Tanza

nia

Rw

anda

Ken

ya

Uga

nda

Gha

na

Gui

nea

Fruit VegetableSource: Ruel et al., 2005,

www.who.int/dietphysicalactivity/fruit/en

Recommendation:> 146 kg/year



Sou

rce

: S

TE

PS

Da

ta

What does the data show ?What does the data show ?

Vegetable ConsumptionVegetable ConsumptionFruit ConsumptionFruit Consumption

0

1

2

3

4

5

6

7

Botsw

ana

Eritre

aG

ambi

a

Libe

riaM

alaw

iSey

chel

les

Sierra

Leo

neSw

azila

nd

Zambi

a

Nu

mb

er/

day

Mean number of days vegetables consumed

Mean number of servings of vegetables consumed on average per day

0

1

2

3

4

5

6

7

Botsw

ana

Eritre

aG

ambi

aLi

beria

Mal

awi

Seych

elle

sSie

rra L

eone

Swaz

iland

Zambi

a

Nu

mb

er/

day

Mean number of days fruit consumed

Mean number of servings of fruit consumed on average per day



Sou

rce

: S

TE

PS

Da

ta

What does the data show ?What does the data show ?

Percentage who ate less than 5 servings of fruit and/or vegetables on

average per day

0.00%

20.00%

40.00%

60.00%

80.00%

100.00%

Bot

swana

Erit

rea

Gam

bia

Libe

ria

Mal

awi

Sey

chel

les

Sie

rra L

eone

Sw

azila

nd

Zambi

a



Fruit ConsumptionFruit Consumption

WomenWomen

Sou

rce

: S

TE

PS

Da

ta

0

1

2

3

4

5

6

7

Botswana

Eritre

aGam

bia

Libe riaM

alaw iSeyc

helles

Sierra L

eoneSwaz ila

ndZam

bia

Nu

mb

er/

da

y



MenMen

0

1

2

3

4

5

6

7

Botswana

Eritre

aGam

bia

Libe ria

Malaw i

Seychelle

sSierra

Leone

Swaziland

Zambia

Nu

mb

er/

da

y





0

1

2

3

4

5

6

7

Botswana

Eritre

aGam

bia

Libe ria

Malaw i

Seychelle

sSierra

Leone

Swaz iland

Zambia

Nu

mb

er/

da

y



Vegetable ConsumptionVegetable Consumption

Sou

rce

: S

TE

PS

Da

ta

0

1

2

3

4

5

6

7

Botswana

Eritre

aGam

bia

Libe ria

Malaw i

Seychelle

sSierra

LleoneSwaz ila

ndZam

bia

Nu

mb

er/

da

y



MenMen WomenWomen



Percentage who ate less than 5 a DayPercentage who ate less than 5 a Day

Sou

rce

: S

TE

PS

Da

ta

MenMen WomenWomen


average per day

70.00%

75.00%

80.00%

85.00%

90.00%

95.00%

100.00%

Botswa na

Eritrea

GambiaLibe riaM

alaw iSeyc

helles

S ierra L

eoneSwaz ila

ndZam

bia


average per day

70.00%

75.00%

80.00%

85.00%

90.00%

95.00%

100.00%

Botswa na

Eritrea

GambiaLibe riaM

alaw iSeyc

helles

S ierra L

eoneSwaz ila

ndZam

bia



The Floor is Yours !The Floor is Yours !The Floor is Yours !The Floor is Yours !The Floor is Yours !The Floor is Yours !The Floor is Yours !The Floor is Yours !

http://www.who.int/dietphysicalactivity/en/

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