Abstract

The Bellagio Report on Healthy Agriculture, Healthy Nutrition, Healthy People is the result of the meeting held at the Rockefeller Foundation Bellagio Center in Lake Como, Italy 30 October-1 November, 2012. The meeting was science-based but policy-oriented. The role and amount of healthy and unhealthy fats, with attention to the relative content of omega-3 and omega-6 fatty acids, sugar, and particularly fructose in foods that may underlie the epidemics of non-communicable diseases (NCDs) worldwide were extensively discussed. The report concludes that sugar consumption, especially in the form of high energy fructose in soft drinks, poses a major and insidious health threat, especially in children, and most diets, although with regional differences, are deficient in omega-3 fatty acids and too high in omega-6 fatty acids. Gene-nutrient interactions in growth and development and in disease prevention are fundamental to health, therefore regional Centers on Genetics, Nutrition and Fitness for Health should be established worldwide. Heads of state and government must elevate, as a matter of urgency, nutrition as a national priority, that access to a healthy diet should be considered a human right and that the lead responsibility for nutrition should be placed in Ministries of Health rather than agriculture so that the health requirements drive agricultural priorities, not vice versa. Nutritional security should be given the same priority as food security.

Highlights

  • The meeting on Healthy Agriculture, Healthy Nutrition, Healthy People took place at the Rockefeller Foundation Bellagio Center in Italy, 30 October–1 November 2012

  • The focus of the meeting was the Implementation of the Action Plan on Healthy Agriculture, Healthy Nutrition, Healthy People, which had been developed at the meeting on Healthy Agriculture, Healthy Nutrition, Healthy People, held at Ancient Olympia, Greece 5–8 October 2010

  • Fructose is a monosaccharide found in honey, ripened fruits and vegetables

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Summary

INTRODUCTION

The meeting on Healthy Agriculture, Healthy Nutrition, Healthy People took place at the Rockefeller Foundation Bellagio Center in Italy, 30 October–1 November 2012. Over the past 10 years there have been many reports on diet and chronic diseases, obesity, global health, and noncommunicable diseases (NCDs) issued by WHO-FAO, national governments, scientific institutions, medical associations and foundations. Participants were asked to consider the complexities for government adoption of policy, including regional considerations, leadership issues (academic institutions, medical school education, industry, including agribusiness); management; economic issues (which was discussed in detail by Dr Ole Faergeman of Denmark); and nutritional determinants of health. Specific attention was given to commercial considerations with attention to developing policies without unnecessary negative impact on the food industry It was agreed government must not be influenced by industry to pursue policies contrary to the health and nutrition needs of its people. Johnson (USA) reviewed the evidence that the worldwide increase in added sugars containing fructose may underlie the epidemics of obesity and diabetes

General conclusions
Fructose from added sugars
Fatty acids
All calories are not the same
Nutrition is part of a larger picture
The Brazilian model
Findings
The Thai model

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