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FAO/ WHO Multi-stakeholder Policy Workshop: Leveraging food systems to combat obesity in the Near East and North Africa region. Draft report

23-24 September 2019, Cairo, Egypt









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    Food policies and their implications on overweight and obesity trends in selected countries in the Near East and North Africa region
    Regional Program Working Paper No. 30
    2020
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    Regional and global trends in body weight show that the Near East and North Africa (NENA) region countries, especially the Gulf Cooperation Council (GCC) member countries, have the highest average body mass index and highest rates of overweight and obesity in the world. There exist several explanations that expound the high rates of overweight and obesity in most NENA countries, including the nutrition transition, urbanization, changes in lifestyle, and consequent reduction of physical activities. This study examines the implication of food policies, mainly trade and government food subsidies, on evolving nutritional transitions and associated body weight outcomes. We examine the evolution of trade (food) policies, food systems, and body weight outcomes across selected countries in the NENA region – Egypt, Jordan, and Iraq. In particular, we investigate the implications of important trade (food) policies in shaping diets and food systems as well as their implications on public health outcomes, mainly the rising levels of overweight and obesity in the NENA region. We provide a simple conceptual framework through which trade policies (tariff rates) and domestic government food policies (subsidies) may affect food systems and nutritional outcomes. An important and innovative feature of this study is that it compiles several macro- and micro-level datasets that allow both macro and micro-level analyses of the evolution of trade (food) policies and associated obesity trends. This approach helps to at least partly overcome the data scarcity that complicates rigorous policy research in the NENA region. Overweight and obesity rates have almost doubled between 1975 and 2016, with varying rates and trends across regions. For instance, whereas body weight in the NENA region was comparable with that found in high-income countries in the early years, after the 1990s regional overweight and obesity rates became much higher than those in high-income countries. Specifically, while most high-income countries are experiencing a relative slowing of increases in overweight rates, the trend for the NENA region continues to increase at higher rates. The evolution of overweight rates for the GCC countries are even more concerning. These trends are likely to contribute to the already high burden of non-communicable diseases in the NENA region. Contrary to the conventional view that overweight and obesity rates are urban problems, our findings show that rural body weight has been rising over the past few decades, sometimes at higher rates than in urban areas.
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    Regional Overview of Food Security and Nutrition in the Near East and North Africa 2019 - Rethinking food systems for healthy diets and improved nutrition 2020
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    The past few decades have seen dramatic improvements in the region in access to food, reduction in stunting rates, in premature death and disability caused by communicable, maternal, neonatal, and nutritional diseases. However, the gains in the fight against hunger and malnutrition have reversed in the wake of conflicts and violence that have spread in many parts of the region in the last decade. Today, nearly 55 million people in the Arab States, 13.2 percent of the population, are hungry and the situation is particularly worrying in countries affected by conflicts and violence: Iraq, Libya, Somalia, Syria, the Sudan, and Yemen. Displacements and forced migration are widespread in the region, especially among the growing youth population segment. Many countries carry a double burden of malnutrition, including overweight and obesity and undernutrition. A high or very high prevalence of stunting in children under the age of five persists in nearly half of the Arab States, while anaemia is a severe public health issue in certain countries. The trends of overweight and obesity continue to worsen for children and adults. Beyond these numbers, the report explores food systems in the Arab States and the policies that support them. It also explores how the latter have contributed to poor nutritional outcomes by failing to make safe and diversified healthy diets available to all. While there has been significant progress in policies designed to reduce caloric deficiencies in the population, the policy reaction to address existing malnutrition problems, particularly in relation to overweight and obesity,
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    Near East and North Africa – Regional Overview of Food Security and Nutrition 2024
    Financing the transformation of agrifood systems
    2024
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    Hunger in the Arab region worsened amid deepening crises in 2023. The Near East and North Africa Regional Overview of Food Security and Nutrition warns that the Arab region remains off-track to meet the food security and nutrition targets of the Sustainable Development Goals by 2030.In 2023, 66.1 million people, approximately 14 percent of the population in the Arab region, faced hunger. The report highlights that access to adequate food remains elusive for millions. Around 186.5 million people – 39.4 percent of the population – faced moderate or severe food insecurity, an increase of 1.1 percentage points from the previous year. Alarmingly, 72.7 million people experienced severe food insecurity.

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