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oh well thank you and good morning and i've i've greatly appreciate the owner of
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being here today and uh certainly following my dear friends from the us
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i'm trying to uh paint a picture of what all of this
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talk about nutrition means to the person on the street
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and you know just start this i wanted to make sure that we were all looking and
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thinking about the same information when we think about the state of global health uh today
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and certainly in my role as the c. e. o. of the american heart association
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um i spend every single day thinking about the state of cardiovascular health
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and the mare in the united states and around the world
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the leading cause of death seventeen and a half a million people
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every year lose their life to cardiovascular diseases in the world
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oh that is projected to be twenty three and a half almost
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twenty four million people your um in the coming years
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and what we recognise and know and and certainly
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important to this discussion uh today and tomorrow
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is the rising rates of risk for cardiovascular disease including type two diabetes and obesity
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hypertension and all of these rests on the rise and the question is how
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do our dietary patterns and dietary intake of that uh these diseases
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i i think that is important to know from of framing construct is what it is that
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um people here are about in our thinking about is the crises that will face the
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world and now and in the future and there was a recent world economic forum
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um survey of over seven hundred leaders of
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countries and large corporations in the world
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and you'll see that in the next ten years this
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question of scarcity and abundance of water and flew
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are definitely on the mind of people who are leading the dialogue in the world
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um you know the fact that forty percent of people um in the world have one month
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of their life where they have a scarcity of water you know that's really astonishing
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oh yeah there is such an abundance in other areas and when we think about food in
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particular and how the food supply is impacted by climate change you know scarcity of food
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i'm a over abundance of food in other areas you know certainly
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problems that are important to think of from a framing construct
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it was the state of global nutrition you know it is well known
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and documented that seventy percent of all diseases haven't nutrition background
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and this availability of high calorie neutering up for
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fruit is generating new forms of malnutrition
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so much today is wasted every single year um a yeah there are eight hundred and fifty
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million people around the world were mounted pressures it now um have our undernourished and
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we know that this lack of vital nutrients can lead
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to obesity type two diabetes and other severe illnesses
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they are um thing that's important to think about um and sell important our work at
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the american heart association is the work around health at woody or health inequity
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and you know when uh the united nations uh began focusing on non communicable
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diseases um after the high level meeting of uh uh twenty eleven
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uh when there was much more attention paid to the state of health in at woody around the world
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and there were really alarming uh rates in differences
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in life expectancy from country to country
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and this is something that all of us need to take accountability for and
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and have as part of our um agenda as we think about flu
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any us in particular you know we think a lot about obesity in
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children thirty one percent of united states children are overweight or obese
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out with the disproportionate percent of those who
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are in our under represented minority populations
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and what is striking in terms of advertising by um
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the fruit industry restaurants trade associations in the
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us there's about fourteen billion dollars a year spent
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on the ever ties in by those organisations
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and our own national institutes of health only spends twelve point four billion dollars to your own research
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for cardiovascular diseases including stroke and when we think about marketing take hits in the us
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um about one point eight billion dollars us that for your
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marketing aimed at children and teens and you can see
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um on this graph on the right with more than half of
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that focused on shrubbery substances cereals sweets and snacks et cetera
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and when we think about the what technology has done
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to enable new forms of ever ties thing
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and social media to promote products there some interesting studies that have been funded by the canadian
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i'm heartened stop foundation looking at ah might advertising of shrubbery
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products to uh use in canada that is certainly something worth uh taking a look at
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no i mentioned earlier the worldwide focus on health equities or inequity and in the
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united states um and certainly in my organisation and we're thinking a lot
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about the broader context in which people live their lives
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this is a scientific meeting thinking about a
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nutrition if we cannot take away is a adam said to start this that individual people
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have to make choices every single day about what they can and
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can't eat uh what they will and won't eat yet so many
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people are impacted by these social determinants of health that
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oh really robbed them of the opportunity to have the right
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to live a healthy like things like economic stability
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access to healthcare societal influences neighbourhood environment
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and level of education have all been shown to play a factor in terms of the
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overall health and well being of populations worldwide and certainly in the united states
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and when we think about those most at risk for disease you can look at
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these particular social determinants and no one understand that they play a tremendous role
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i'm here again uh the united states is the map of uh the new orleans louisiana area
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and when you wanna use the word that we're a new social
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justice you know i don't think that anyone thinks it okay
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yeah within a one mile radius in new orleans louisiana people who live in
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the french quarter area have a life expectancy of fifty five years
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we're right down the road um are people that have the um ability
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to have a life expectancy of seventy five seventy one years
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these um numbers can be replicated major
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cities in the united states and really make uh the
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point input and exclamation point on the social
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determinants of health that are absolutely impacting individual's ability
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to live a long and healthy life
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i'm only what consumers want and we at the ha and many organisations have
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done extensive market research on this not just for years but for decades
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and at the end of the day you can boil it down to one very simple statement
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people want to live a healthy lifestyle without any health conditions
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and they believe that consuming healthier foods can help them achieve their goals
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back and our two thousand and ten the american heart association published the first ever
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definition of ideal cardiovascular health with this uh uh data market research and mine
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and based upon available data at that time on these
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seven whole factors and health behaviours have banned
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um identified is those that help determine whether an
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individual will or won't have ideal cardiovascular health
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larger levels low cholesterol levels blood pressure maintaining a healthy weight
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maintaining a healthy diet being physically active in not smoking the striking use is that
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for an individual of your uh mail uh in you reach your the age of fifty
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five with all of these health factors and health behaviours in the quote ideal category
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you well i have a strong opportunity a strong
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likelihood of living well and your nineties
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and if you're a woman that you'll also have a strong a possibility of living and you're late eighty
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but as we stand here today in the united states you were then one
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percent of all americans have ideal cardiovascular health as we have defined it
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and if you were to strip away the healthy diets for which is a piece of that that number would go to seventeen percent
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so you can see that diet plays a very important
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role in the if a defining overall cardiovascular health
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but it's really the bundling of these hell factors and health behaviours together that really matter
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and so when you put together the social determinants in drivers of health the risk
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factors metabolic risk factors alternately these are leading to more heart attacks more strokes
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and increase in congestive heart failure in the us in around the world
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and we know i'm just to make the point even um more strongly that in
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the united states and this is based on the g. m. s. study
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uh focused on the nineteen ninety the twenty ten burden of diseases report that that hot
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um seven risk factors for an individual dying in the united states
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are the exact same risk factors that i just mentioned
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dietary to back up what pressure body mass index et cetera
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but an important thing to note is that dietary risks
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uh cause more deaths in the united states then cigarette smoking and that was really news when that
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came out because globally cigarette smoking causes the biggest um you know because cause of death
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so the question then becomes onto individual consumers and are they manage in there right
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and the good news is according to the nielsen global health and wellness report published in twenty
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fifteen and a supplement twenty sixteen have of global consumers are trying to lose weight
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two thirds of them are trying to cut down and fat and sugar
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people are trying to eat more fresh and natural for you
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you know more than three quarters of people are trying to change their diet and trying
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to you last process flew these are all of the things that are good news
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and in the united states the percent of americans who believe it's important to
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live a healthy lifestyle has increased from sixty to seventy five percent
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that's all really good news and the question is are people able to do it
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um and we're looking as well at a significant growth in healthy food sales except in europe
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um that uh is allowing a individuals to have more
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of a chance to uh live healthy life
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but um we also know that when you look at particular countries in here
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and since we're in switzerland we can look at switzerland this is um
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a steady proportionally american journal of clinical nutrition this looks at
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fifteen year trends in the prevalence of seriously eating uh
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i'd uh eating healthy in switzerland and you can see 'em
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that as things like taste in price daily habits time
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a limited options become less of a barrier people are eating healthier
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foods in this certainly should make the case for why
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it's important for um organisations for governments and for the fruit industry to
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work together to make these are areas more accessible for everyone
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now when we are thinking about consumers an individual people
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uh we've done a lot of studying about what people in various age ranges find important
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and the headline is that all generations believe that healthy products are important
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but what they're looking for unhealthy products varies by the ages unsolvable any holes
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um are thinking a lot about products that are um well
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when sugar all natural um have appropriate levels of protein
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low sodium and free from preserve it is the gen exercise care a lot about things that are on sale
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i'm also care about a server hormone free and
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trans fat free and baby boomers of course
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are concerned about things that are artificial and if you go younger then lenny alls
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um there is a real trend although we have not yet documented it and we uh didn't have it in this study but
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we're seeing at a very much in our work of people
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that are younger the millennium is very much focused on
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wholesome natural um socially responsible produced from
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and this is these are very important friends when we're trying to create this intersection of what people want
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what is available to people and how much people are willing to pay
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for it in order to live um i hope he likes style
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we also know that in different populations there are different priorities
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oh this is the us study um yeah that looks at individuals
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in income gender and ethnicity and the good news is
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um you know most people especially those in high incomes care a
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lot about living a healthy lifestyle men and women care
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pretty much equally um and across the ethnicity is we were
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surprised to find that more african americans and hispanics
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hear about living not like healthy lifestyle than do whites in the us
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the question again comes to access and social determinants of health and can i
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but despite he's um trends towards hell of what we're
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recognising is unhealthy food sales continue to rise
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um even though we know that global consumers are cutting down
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on sugar we also recognise that the consumption of
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uh energy dense nutrient for fruit is five times higher in developing countries
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and at twenty five percent increase in packaged foods worldwide
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i'm certainly is going to lead to less um than positive health and well being
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and so these unhealthy food trends um are very important for us to to consider and
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again speaking about consumers and to build on something that marion talked about earlier today
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is the amount of confusion of consumers is
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you just cannot be understated every time
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an article and abstract is presented at the meeting you know a new
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dietary guidance comes out in by any association in any country
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you're the news media um is is making it the story of the day
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and the average person on the street whether in the u. s. or in any
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you know place where people have access to the news media are with their completely confuse
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um you know do wire don't i drink you know drinks with coconut oil should i or shouldn't i have sure what
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you know what should i or shouldn't id when who was the trusted resourceful people
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to help them that through all of the confusing science and so when you look at it
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um we are studies have shown that fifty one percent of us consumers or confuse
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about what they're supposed to do to live a healthy lifestyle and
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places that people are looking to for information from trusted sources
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in the us include doctors nutrition scientists not for profit organisations like the ha
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um and then you'll see 'em down more members of the news
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media like blogger is government's food industry manufacturers et cetera
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and so we um again have this disconnect of individuals knowing in under same they're hearing things in the
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news media not sure how the actual eyes that into their own life looking for clear guidance
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um and you know with all respect our wonderful us a dietary
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guidelines they it's very difficult for the average person with
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an average education level and average income level to know and understand what that means for them as a person
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and for all the work that we do with the ha to try
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to translate that there is still this mass confusion among people
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um and speaking of the american heart association and you know we're
00:16:05
doing a lot to try to clear this confusion out
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um you know we're certainly advocating for public policies that promote better health providing clear guidance
00:16:14
um based on ha science in trying to empower consumers through innovative health campaigns
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like our plus colour campaign that focuses on access to fruits and vegetables
00:16:25
um it and we recognise that how was he plays
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a critically important role and as as stated earlier
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this focus on access a or reducing access disagree beverages is very critical
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there have been nine um public policy campaigns in united
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states in recent months in as mary mentioned earlier
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eight of those have resulted in taxation and should re beverages in one of them in new mexico
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um did not pass and the reason it didn't pass is
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that the advocates including um the ha did not do
00:16:59
a good job with the spanish speaking hispanics helping to
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translate the benefit to individuals of consuming less sugar
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um but this idea that reducing um access to should re beverages
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will reduce consumption and improve health is something we're making
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a big baton at the ha we focused an enormous amount
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of resources to try to move this public policy agenda
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as we have been in terms of reducing sodium content and fruits and improving school nutrition
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when you talk to parents in the us are they are gravely
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concerned about what's being fed to their kids it's cool
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the amount of a shiver in fact the access to healthy
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foods the affordability of fruit since uh school fruits
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and it's very unfortunate that much progress that was made uh in the prior eight years in the
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united states um with government policies to assure more access to healthy foods in the united states
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um many of that including the school nutrition policies are being zero down
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and so we have a lot of work to do to make sure that that
00:18:01
continues an interest of opportunities for the food and beverage industry there are many
00:18:07
um and these are things that are an important part of our portfolio to help encourage
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um members of industry to take seriously the opportunity
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and responsibility to meet the needs of consumers
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you know what it is that people want they say they want this and so
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they can't have it if the food industries in providing things in so
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first roll inspiring consumers to eat healthy foods you making it easy
00:18:32
for consumers to make informed choices isn't important responsibility of the food industry
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ensuring access to healthy foods inspiring healthy purchases through pricing incentives
00:18:43
complying with healthy labelling requirements and offering portion control and then then options all very
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important things are what we would call on the food industry to do
00:18:54
and specifically is it results in france here is it relates to transparency in nutrition labels
00:18:59
seventy five percent of the united states consumer say that the food
00:19:03
label is that how influence for their for who purchases
00:19:07
and what do they want more of all of the things on the left
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in the green vitamins heart healthy ingredients fibre vitamin d. anti accidents calcium
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um it's cetera and what do they might last of all of the
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things that are or are perceived to be harmful to health
00:19:22
including on this list rubber and artificial sweeteners um in the
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u. s. people are looking for less of that
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um we also hope that um even though
00:19:33
there are varying levels of um enforcement
00:19:36
of menu labelling requirements in the us in in other countries around the world
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uh there is no question that when menu label lang is better um yen
00:19:45
restaurants and places where food is served cafeterias hospitals colleges six cetera
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that there is an absolute awareness of the importance of eating healthier
00:19:55
this thing is um a steady propulsion lemur american journal of public health and march twenty fifteen
00:20:00
based upon mandatory menu label in an investment thinking county washington and
00:20:05
you can see that what the data powell semen into effect
00:20:09
um that there has there was a spike both in terms of
00:20:12
awareness in actual consumption of health your fruit and so
00:20:16
this idea of nutrition menu label in is very
00:20:19
important to consumers and something that we encourage
00:20:23
um that there be more support for in less of fighting against when it comes to
00:20:28
um uh industry in terms of re formulating this food supply
00:20:33
as well um you know we know that consumers
00:20:35
look for many a look in many places i and
00:20:39
for many pieces of health uh in well misinformation
00:20:43
we need a c. over here the of food marketing
00:20:45
institute looked at the us grocery shopper trends
00:20:49
and you'll see the things that us grocery shoppers are looking for from the
00:20:53
consumer point of view whole grains low sodium low server high fibre
00:20:57
no artificial ingredients no trance that no preservatives low calorie interesting
00:21:01
low calorie about halfway down on the list and when
00:21:06
we look globally forty five percent of global responded say
00:21:09
that snacks with all natural ingredients are very important
00:21:13
um and people are willing to pay more for things that are better for them those that can afford
00:21:19
to pay more so again just more case for the importance of re formulating the food supply
00:21:25
and you know we at the age i applaud nestle for its work and its
00:21:29
commitment publicly to re formulate a third of their global portfolio every year
00:21:34
this is really industry leading um and this is why we have been very
00:21:39
proud at the ha to help convene other members of the fruit industry
00:21:43
um to think about ways to uh impact the food supply especially when
00:21:48
it comes to focusing on promoting health equity or reducing health inequity
00:21:55
um i mentioned earlier uh the importance of the
00:21:59
fast food in fast casual market fifteen
00:22:02
million people in the united states eat at a fast food restaurant every day
00:22:07
i mean that is us that statistic but it's the truth statistics
00:22:11
so how do we help make sure those who are healthier
00:22:14
i'm sixteen and seventeen billion dollars a year the projected value
00:22:18
of the global fast would market by twenty nineteen
00:22:21
and almost fifty percent of two dollars in the united states
00:22:25
are spent away from home so again this idea that
00:22:29
we have to look not just at things that people buy the stock their p. entries at home but
00:22:34
consider all of the places that people consume fruit as important places
00:22:39
for um organisations governments and industry to help make sure that there's equity in the food
00:22:45
distribution acts here in the united states um you can think
00:22:50
about this idea of this concept of fruit deserts
00:22:53
and back to the large disparities in health that
00:22:57
are caused by income and education and
00:23:00
um and access to healthcare and access to healthy food
00:23:04
these are real issues that our society is facing
00:23:08
um if you look at this uh um map of the united states
00:23:13
uh you will see that there are many many people
00:23:17
who do not have a supermarket within one mile
00:23:20
of their home and have no car so how are people going to have access to fresh through
00:23:26
um i grew up in a community just outside of detroit michigan
00:23:30
and you know until last year for ten years there was not
00:23:34
a supermarket or grocery store in the city of detroit michigan
00:23:39
into whole foods open the supermarket right near the new sports complex
00:23:43
and so you know how are people going to eat healthy if we don't address the
00:23:48
social determinants we on the ground at the ha are doing a lot of work
00:23:52
there are voices for healthy to its initiative to try to make the access to healthy foods available work
00:23:57
finding places like gas stations in others that are selling bananas in fruit and lettuce and
00:24:03
and things that you know pop up stands gardens in schools all of the kinds of things that
00:24:08
we would one expect to make a health healthful food more available to
00:24:12
folks um but these are real problems that need a real answers
00:24:19
we also would call on um the food industry to make sure
00:24:22
that there are proper nutrition offerings across the life style
00:24:27
oh life cycle of individuals from pregnancy all the way to a jane um you know we think
00:24:32
a lot about young people we think about adults but you know people with disease and people
00:24:37
better a gene um you know very important markets for the work that we um think about
00:24:43
and we also call on members of the food industry to partner with organisations
00:24:47
like the h. a. m. like local governments in transforming health in communities
00:24:51
people live in communities they go to school in communities they um
00:24:56
you get their groceries in communities in until we transform
00:25:00
the way that communities are able to own the health of the people on their areas
00:25:04
um i think we'll continue to have these huge uh statistics about
00:25:08
disease and whisper disease as well as the inequities that
00:25:12
um don't do not allow people to have a chance of living a healthy life
00:25:17
um we heard earlier about this still interventions on unhealthy foods this
00:25:21
is a difficult one for the food industry uh that have
00:25:25
our shareholders to support but we know that fiscal
00:25:29
interventions make a difference and i'm talking
00:25:31
specifically about taxation policy in price subsidies they make a difference in terms of
00:25:37
people consuming healthful foods verses on healthful foods if you wanna look at
00:25:42
the huge reduction in cigarette use tobacco use in the world
00:25:46
uh in the past twenty years you can look no further than taxation policies that have driven the rates of
00:25:52
of uses that harmful um a product down if you wanna look at a
00:25:58
direct correlation between subsidies for healthful food and places where i um she
00:26:04
a fruit that is high in calories and high and all of the wrong ingredients cost a less
00:26:09
money you will directly see these health disparities in
00:26:12
increase levels um of course health and populations
00:26:17
and we also call on the food industry to collaborate with our organisation in the public health community
00:26:22
i mentioned earlier that we were very proud to our co host with um nestle
00:26:27
uh i've fruit uh some that were we called an industry to
00:26:31
agree to more standardised menu label into very robust goals
00:26:35
for um for we formulation of the food supply we know
00:26:39
that um it's very important that uh we and the
00:26:42
public health community and fruit industry together think about these died
00:26:47
in nutrition guidelines and make sure that we're aligned
00:26:49
and also making sure that marketing and products that are being supported him promoted
00:26:55
by the food industry are influencing people to make healthier choices um when they are shopping
00:27:01
and we also encourage industry to collaborate with the ha and the
00:27:05
public health community you know there's a great example in new
00:27:08
york uh when the uh former mayor and former health commissioner of
00:27:13
very much focused on salt reduction and we were proud
00:27:16
participant in the national uh salt reduction initiative that
00:27:19
call for twenty five percent reduction in fruit
00:27:22
so the main food products over five year time period many organisations participated in that it
00:27:28
was a wonderful way for industry to come together with public health and with governments
00:27:33
to make commitments that actually could be demonstrated to make an impact and help for people
00:27:39
and of course we work on industry to partner on global
00:27:42
solutions um and many organisations were thinking about global solutions
00:27:51
i was just spend a moment uh talking about a few things that um are on the
00:27:55
horizon impacting food nutrition and these things are very much on the mind of real people
00:28:00
um you know who eat fruit every single day or who don't have access to fruit
00:28:04
oh that they wish they did um and a lot of these have to do with disruptions in technology
00:28:10
um you know it is a hard to imagine a if you we were to put the clock back
00:28:15
ten years ago you know all of us who we live our entire life on our mobile phone
00:28:20
um you know the the thought that the um technology solutions available on your mobile phone if you
00:28:26
bottom ten years ago because nine thousand dollars per phone right your video conferencing audio conferencing
00:28:32
all of the various things so if if we think about today and think about
00:28:37
next year or the year after or the year after what will technology enable
00:28:41
as it relates to access to flew as it relates to new fruit in product development
00:28:47
and as it relates to how individuals will manage um their diet
00:28:52
and so this idea of on line and automated food delivery maybe even a year or two years ago
00:28:58
um we didn't see that the way we see it now you know many of the purchases
00:29:02
strategically that amazon for an exam for example is
00:29:05
making um will allow them to create
00:29:09
um accessed of healthful food in ways that people couldn't even imagine
00:29:14
um i know where i live in dallas texas i'm i'm very fortunate to have an amazon
00:29:19
filament centre fourteen uh about thirty to forty minutes from my house so i can press
00:29:25
order now and i haven't even moved from my home office
00:29:30
you know to my front door in what i've ordered now has appeared on my front doorstep
00:29:34
um your readers in it at amazon and other technology companies are
00:29:38
absolutely trying to figure out how to solve the problems
00:29:42
that people have and this includes access to food in access to helpful too
00:29:47
so there are a number of the strategic acquisitions taking place and when you think about drone
00:29:52
delivery i mean we can laugh and say oh well drawn delivery ever really happened
00:29:57
what people probably left ten years ago and said would you ever get nine thousand dollars worth of
00:30:01
you know technology available to you on something you could fit in your pocket or your purse
00:30:06
we believe this is going to happen and i can absolutely change the way food is made available to people
00:30:12
um you know personalise died initiation based on genome there's a lot of work happening here many foot companies
00:30:18
are investing in subsidiary businesses that are trying to figure this out
00:30:22
um and as we try to layer and not just a
00:30:26
focus on the genome but on other um areas and
00:30:30
aspects of people's uh um body composition this idea of
00:30:34
course allies nutrition will become a reality we believe
00:30:38
and the idea of three d. printed food um you know i left
00:30:41
when i first heard about three d. printing and we actually had
00:30:45
a an individual common speak to our board who was very much on
00:30:49
the forefront of three d. paint printing about two years ago
00:30:52
any talked about three d. printing of a bridge and how this three d. printing of
00:30:56
a bridge would really allow people to drive a car over bridge and that
00:31:00
you know if you think about infrastructure today in creating roads
00:31:04
and bridges and those kind of things the money
00:31:07
you know the the availability of label um and the time it takes to that to
00:31:12
happen that not too far in the distant future will people be able to
00:31:15
create um transportation alternatives with three d. printing and people three d. printing foo now
00:31:22
um you know this in these little capsules that allow people to what helpful ingredients e. and
00:31:27
um and they can absolutely three d. three food products you know will this
00:31:32
becomes something that everyone does a year two years three years five years
00:31:36
now i don't have a a crystal ball to know but these are things
00:31:40
that many of these technology companies and food companies are working on
00:31:44
um when we think about food and beverages medicine and you know and in one way this has been happening for
00:31:50
a long time if you look at type one diabetic so
00:31:53
how they manage their urge food consumption um meticulous
00:31:57
because they had to over so many euros that is an example of fruit is madison
00:32:03
but when we think about prevention and opportunities for individual to prevent disease by looking
00:32:09
at healthful ingredients in fruit and thinking about the right foods that could
00:32:13
be prescribed by health care providers for individuals to manage the risk for disease
00:32:18
this is a big trend um that we believe will be happening
00:32:22
and also um we're paying very close attention on as our people to house startups could be
00:32:28
taking a bite out of the food industry you know here's a really interesting example
00:32:33
um this organisation or company called ample so ample his company has created
00:32:38
this comp could pick what they claim complete nutrition in a bottle
00:32:42
twenty six percent protein twenty five percent carbohydrate forty nine percent of the fat
00:32:47
and they um through crowds sourcing created the revenue to be
00:32:53
able to launch their product into the marketplace the biggest
00:32:56
funded um yen a very short period of time three nine
00:32:59
sixty seven thousand hours of funding from individual people
00:33:03
you know when on and gave ten dollars a hundred hours a thousand dollars to get this food startup going
00:33:08
um we think of other fruits startups like door dash appealing and
00:33:12
our evaluation um and sense twenty fifteen fruit tech start ups
00:33:17
um have race five point seven billion dollars from investors and so there's big that's happening
00:33:23
that these um companies that are able to go after a problem very quickly will make a big difference
00:33:30
well what we like to think about um is that all
00:33:34
of this whether it's that the support that is needed
00:33:38
um by new start ups to have the evidence that their product actually makes a difference
00:33:44
or whether it is all that we heard of this morning um
00:33:47
about dietary guidance over time the confusion between sugar for at
00:33:52
um you know that what we really haven't society today um is
00:33:57
any information problem clear and simple science has an information problem
00:34:02
oh healthcare provider seventeen information problem in consumers have an information problem
00:34:08
and we believe that information in fixing the information problem is at the
00:34:12
core of what will allow us to progress in a way
00:34:16
um that individuals have more clarity and companies have more clarity in science has more clarity
00:34:22
with um all of the new computing capabilities available we think that there's
00:34:26
really an important moment i had were information um if organised properly
00:34:32
can really make a difference and ultimately and finally understanding
00:34:36
um the complexities around nutrition musician sign it
00:34:40
and this is why at the ha um we've focused very much um on trying to fix this
00:34:45
problem in really looking to a convergence of partners at this idea of what is it
00:34:51
that causes an individual to transition from well this to disease
00:34:55
um you know in coronary heart disease for example so much 'cause then
00:35:00
study and what happens to a person after they have disease
00:35:04
and as matter fact after a person has disease in corner heart disease that most of the research has been conducted on
00:35:10
the cholesterol receptor which is all been very valuable research but
00:35:14
not much on this so you know what what happens
00:35:17
when a person is well and suddenly they are they start building plaque and
00:35:21
there are coronary arteries and so we've created um a convergence of partners
00:35:25
and really um fantastic team of scientists led by doctor cow mccrae cheaper
00:35:31
cardiology at the brigham and women's hospital in boston we're we're committed
00:35:35
to try to create a new biological pathway a more rigorous understanding of
00:35:39
the role of nutrition and other environmental variables in preventing coronary disease
00:35:44
lessons about how to create new human phenotype steers the information problem we're trying to fix
00:35:50
a new approach to diagnostics um and potential new consumer facing solutions
00:35:55
that can prevent um or treat heart disease more effectively
00:36:02
and as i said before we think come from uh information content in support deficit and this is what we're trying
00:36:07
to fix re one brave idea looking at genetics juno makes
00:36:11
clinical trials in redesign of karen people's life style
00:36:15
um because we recognise that few with any conditioning variables are ever
00:36:19
measured ultimately leading individuals to be confused about their health
00:36:24
and so the last thing i would say is really a call to action all of us and
00:36:28
i think this is a remarkable gathering of leaders um from nestle of course and it's board
00:36:34
i'm from the scientific community throughout the world from the public health community
00:36:40
um and from organisations like the american heart association we're all gonna have to work together
00:36:45
to fix these very complex problems that ultimately are rooted in access
00:36:51
and clarity of information and understanding so that individuals
00:36:56
i have a chance to live their best life possible and we certainly look forward to
00:36:59
working with all of you to help solve this puzzle thank you very much
00:37:10
i questions from m. c.
00:37:14
just uh oh oh oh oh
00:37:20
oh sure why
00:37:30
oh or interest
00:37:35
yeah i dropped it yeah yeah it's focus should
00:37:48
oh you should go well i agree if it if she oh wow why don't you
00:38:01
useful for sure sure yeah true true h. e.
00:38:09
i i want to say thank you are i mean really important point and
00:38:16
um you know i had to draw the line somewhere data we
00:38:18
have a lot of data and the pleasure of who i i would say the biggest thing that i would say is the problem
00:38:24
um uh are two things number one it really is this
00:38:29
um disparity that exists in the us and around the world on access
00:38:34
um to healthful foods that um are caused by a number of reasons
00:38:40
and that needs to be fixed because at the end of the day people need to make individual choices
00:38:45
um about what they choose to do but if you have no ability even if you want to be helpful even if you want to
00:38:52
um you know enjoy longer life without disease in risk which we know people want to if you have no way
00:38:58
um to make better your reality that is the single biggest
00:39:01
problem the information problem that i referenced is significant
00:39:06
we you know individuals have an information problem science has an information
00:39:10
problem you know uh you know you can look at any
00:39:13
um diet we've talked about dietary guidelines and
00:39:17
dietary recommendations ingredients versus dietary patterns
00:39:21
all of that is wonderful for gathering like this to talk about but when you know go plop yourself the and you
00:39:27
know the middle of any city in any country in the world and start talking to people about dietary patterns and
00:39:33
you know died during we can set you know way over their head what people need to know and understand is what is the best
00:39:39
guy for me to eat for example if i want to reduce
00:39:42
my risk of cardiovascular disease and white information is a problem
00:39:46
you know is it the mediterranean diet yes or no big question you're so who's gonna study
00:39:52
that and how are you gonna make sure that the information gathered is not just self
00:39:57
reported information you know way every time i do self reporting information and i try to
00:40:01
do it really well i've even you know a thousand calories and might be in
00:40:06
he is seventy you know so it's you know people are there's just this tendency of people
00:40:11
to exaggerate to the positive or negative it's human nature so with all this technology
00:40:16
how can we solve the information problem so that's why i focused on
00:40:20
those two but i completely agree with you the pleasure of meeting
00:40:23
the the social nature of eating with people that you care about those are also very important factors
00:40:30
with the question from times before we go to work yeah sure
00:40:34
oh oh oh oh
00:40:44
i first oh yes oh
00:40:54
that's all i i should
00:41:03
but for all action
00:41:10
yeah i'll draw a or a school well i oh well yes
00:41:24
oh of course thank you and you know i i probably didn't emphasise it enough but i certainly earlier
00:41:30
um did reference the that both i um obesity
00:41:34
and diabetes are risk factors for coronary disease
00:41:37
and i in the terms of this definition of ideal cardiovascular health and what we measure it the ha
00:41:43
you know um what sugar levels um body mass index healthy diet physical
00:41:48
activity are all part of the measurements of ideal cardiovascular health
00:41:52
and in addition those seven health factors in health behaviours
00:41:56
are all can also project your risk for cancer
00:41:59
so with all related um and certainly um we uh do you think a
00:42:04
lot in work a lot uh in the areas of obesity and diabetes
00:42:10
oh yes i
00:42:15
oh oh oh oh
00:42:22
so making indicate oh yeah oh
00:42:29
i i i shall
00:42:35
i i i i i i can i can were lined i completely agree with that

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Conference Program

Nutrition advocacy in action: the politics of sugar vs. fat
Marion Nestle, New York University, USA
Sept. 28, 2017 · 9:27 a.m.
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Fat and carbohydrate recommendations - Have they changed?
Barbara Schneeman, University of California, Davis, USA
Sept. 28, 2017 · 10:14 a.m.
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Promoting equitable health and wellbeing around the globe
Nancy Brown, American Heart Association, Dallas, USA
Sept. 28, 2017 · 11:30 a.m.
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Gut hormones and nutrition
Sir Stephen Bloom, Imperial College London, England
Sept. 28, 2017 · 1:38 p.m.
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Nutrition, metabolic health, cancer and NCDs
Elio Riboli, Imperial College London, England
Sept. 28, 2017 · 2:27 p.m.
562 views
Infant and child nutrition and cognitive development
Wendy Oddy, Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia
Sept. 28, 2017 · 3:51 p.m.
987 views
Microbes, metabolism and autoimmunity
Ramnik Xavier, Massachusetts General Hospital, Boston, USA
Sept. 29, 2017 · 9:06 a.m.
1946 views
Lipid metabolism in high fructose fed humans
Luc Tappy, University of Lausanne, Switzerland
Sept. 29, 2017 · 10:03 a.m.
1113 views
Food, health and disease: The evidence and reporting the evidence
Dennis Bier, Children's Nutrition Research Center, Baylor College of Medicine, Houston, USA
Sept. 29, 2017 · 11:11 a.m.
544 views
Deeper down the rabbit hole of data, analysis, and inference errors and suggestions for digging back out
David Allison, Indiana University School of Public Health, Bloomington, USA
Sept. 29, 2017 · 1 p.m.
500 views
Neural circuits of food intake - is it all about calories?
Harvey Grill, University of Pennsylvania, Philadelphia, USA
Sept. 29, 2017 · 1:55 p.m.
508 views

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