Key Benefits:
Draft Resolution No. 398 /X
" Recommends the Government for the free distribution of fruits and vegetables in schools and
other measures directed at the prevention and combating of childhood obesity. "
EXHIBITION OF REASONS
I-The strategy for Europe in relation to health problems linked to the
nutrition, overweight and obesity.
On May 30, 2007, the European Commission set out a strategy in respect of
health problems linked to nutrition, overweight and obesity, which includes
targeted information and education campaigns aimed at vulnerable audiences,
in cooperation with Member States. In the last three decades, the levels of
overweight and obesity in the EU population increased drastically,
especially in children.
This trend, according to the White Paper on a Strategy for Europe in matter
of Health Problems linked to Nutrition, indicates a worsening of malnutrition and
of the reduction of physical activity in the population of the EU, which predisposes to the increase in
incidence of various chronic diseases, such as cardiovascular diseases, the
hypertension, type 2 diabetes, the cerebral vascular accidents, certain cancers,
musculoskeletal disorders and even mental disorders. In the long term, this will have a
negative impact on life expectancy and will mean for many, a quality of life
lower.
The European Commission presented on July 8, 2008 a proposal for the
setting up of a programme, on the scale of the EU, intended to distribute, free of charge,
fruit and vegetables to children from the schools of the 1-cycle of basic education. With this
initiative, the European Commission aims to promote, together with the school population,
healthy eating habits that, according to the studies carried out, will have
tendency to keep up throughout life.
The programme provides for the provision of EUR 90 million annually (
from 50%, and from 75% to the convergence regions), to cover about 26 million
of children in the 27 Member States of the European Union already in the next school year
(2009/2010).
In the EU, it is estimated that there are about 22 million overweight children,
of which more than 5 million are obese. According to the report approved by the
Committee on the Environment, Public Health and Food Safety of Parliament
European, on September 25, it is anticipated that up to 2010 more than 1.3 million children
go on to be overweight or become obese.
Improvement of food can play an important role in the fight against this
problem, which the World Health Organization of the United Nations considers as a
of the most serious public health challenges in the Twenty-First Century, and whose prevention should
constitute a priority in public policies.
The Common Agricultural Policy (CAP) constitutes, in turn, an instrument of the Commission
with regard to the achievement of the public health objectives, through the
Reform of the Common Market Organization (CMO) in the fruit and product sector
vegetables. In this reform, the Commission has committed itself to encouraging the distribution of the
surplus production to public education establishments and holiday centres
for children. On the other hand, the Commission understood to still use other instruments of
to encourage healthier eating in Europe through the promotion of the
consumption of fruits and vegetables, such as the achievement of awareness campaigns and
information aimed at young consumers, as well as the creation of a project
that encourages the consumption of fruit in school, with community co-financing.
II-Obesity as a major public health problem
Obesity is a huge public health problem, by the high prevalence,
chronicity, morbidity and mortality from which it accompanies, as well as by the
difficulty and complexity of its treatment, as presented in the Plan
National of Health 2004-2010.
Obesity is a growing problem in Europe. It is estimated that its prevalence
in the various countries is located between 20 and 35%, particularly worrying trend
among children from the most disadvantaged socio-economic strata.
Portugal is one of the EU countries with the highest prevalence of overt children
weight, possessing an estimated rate in the 34%, i.e. one in three children
Portuguese has excessive weight and one in ten is obese.
The numbers of this scourge have been tripling in many of the European countries, since
1980. The rate of growth of this disease in Europe has followed a trend such that
annually get together more 400000 children to the number of the 14,000,000 who have weight
excessive, of which 3,000,000 are obese. The Mediterranean countries present the most
high prevalence rates of obesity, with emphasis for Italy (37% of the
child population).
Childhood obesity is reaching more and more young Portuguese children and young people. A
European study, with origin in Denmark, reveals that Portuguese adolescents
are among the most obese in Europe, with the consequent disorders
cardiovascular, respiratory, orthopedics and others. Alarming is also the
appearance of children with type II diabetes, syndrome until there is little exclusive of the
adults.
The Faculty of Nutrition of Porto, following a study conducted on the
juvenile obesity in Europe (European project "Pro Children"), recommended to the
Government to withdraw from school bars and canteens the products likely to
contribute to the rise in obesity in children and young people, as is the case with
sugar-sweetened and non-fruit soft drinks, the fries and other salted fried foods and
sugar-sweetened.
Studies directed at schools of the public network and privately held network conclude that if
eat poorly in the lunchrooms, but eat even worse in the buffs and bars of the same
schools. The school food supply has shown to be essentially repetitive, poor at
fruits and vegetables and rich in sugary and salty foods. These data are from large
relevance because they demonstrate that the food made available to children and to the
teenagers in Portuguese schools presents huge nutritious caries and a
significant excess caloric.
In short, a broad set of factors are being referenced that are at the base of the
alarming increase in obesity numbers-the epidemic of the Twenty-First Century, as
considers the World Health Organization.
According to the ultimo Report on World Health 2002, food is direct
or indirectly related to hypertension, cholesterol, obesity and excess
by weight, and consequently with insulin resistance, diabetes and diverse
incapacitating chronic pathologies, compromising quality and life expectancy.
III-The fruit-fruit trees in the food
Fruits and vegetables are indispensable food in the Mediterranean diet, so lauded
by the nutritionists. In addition to an important role in the digestive process
functional, fruit and vegetables have a relevant and proven role in the prevention of
various types of cancer along the whole digestive tube. From the nutritional point of view,
are low-caloric foods, rich in fibers, vitamins, minerals and antioxidants. Is
derived from the polyphenols, compounds that have an extraordinary capacity of
function as antioxidants, or be it to pick up oxygen-free radicals, which
these foods protect the cells against oxidation and aging, and so
countering the development of atherosclerosis and cardiovascular diseases.
The changing food habits of Portuguese families, with an abandonment
progressive of the Mediterranean diet to which we have been watching for the past few years, has
triggered a lower consumption of cereals, fruits and vegetables. Portugal, currently,
records a low consumption of fruit hortofruit, especially in the age ranges more
young people (second data from the European project "Pro Children", only 23.2% of girls
and 18.1% of the boys aged 15 refer to consuming vegetables daily).
In fact, our country presents a decrease in the consumption of fruit-fruit.
It is estimated that the consumption of these foods in Portugal will cite at 312 g/person/day
(175 g/person/day of fruit and 147g/pessoa/dia vegetables, the soup being the main
source of horticultural consumption), a value below the daily minimum consumption
recommended by OMS/FAO-400 g/person/day.
Healthy eating is the first step to preventing obesity,
specifically childhood obesity that is currently the most common child disease
in Europe. It is with this premise that the Assembly of Republica welcomes the initiative
community in the fight against childhood obesity, in a broader framework of policies
preventive public health on overweight, obesity and chronic diseases.
Children and adolescents with overweight or obesity are the ones who practice
less physical activity and have less correct eating habits (several hours without
eat, little fruit and vegetables, poor food in fibers). A healthy food
reinforces the potential for learning and the well-being of children and adolescents.
In that context, the National Health Plan 2010 provides for the adoption of a program of
health driven to overweight and obesity, in a multidisciplinary approach and
intersectoral. Children and adolescents need special attention in the fight
against obesity and the promotion of healthy living habits, until because one considers
which is at work with these age ranges that will be able to get bigger gains in
health correlated with that pathology.
Stemming from the Global Food Strategy, Physical Activity and approved Health
by the World Health Assembly in May 2004, a partnership was held in the
scope of the United Nations between the World Health Organization (WHO) and the
United Nations Food and Agriculture Organization (FAO), concretized
in the "Initiative for the Promotion of Fruits and Vegetables". This global initiative aims to
raising the awareness of the importance of the benefits of the appropriate consumption of the
hortofruticulture, specifically in the prevention of " Noncommunicable chronic diseases
(cardiovascular diseases, gastrointestinal cancers, type II diabetes, and obesity) ".
IV-The hort-fruit row in Portuguese agriculture
The fruit and vegetable sector is a very much a component
important from national agriculture. The weight of the value of horticultural production increased from
significant form in the fortnight 2001-05, corresponding to 13.6% of the production
national agricultural. Already the fruit production evidenced a slight decrease in equal
period, by passing from 13.0% to 12.1%.
The national fruit production is dominated by the pear, which accounts for 42% of the production of the
sector, following apple (29%) and citrus fruits (14%). Vegetables are
dominated by tomato for the industry, following the melon (21%), the carrots (15%),
couves (12%), peppers (10%) and tomato in fresh (5%), the data most
recent from the National Institute of Statistics-Agricultural Statistics 2007.
The concentration of the offer and the preparation for the sale of the fresh fruit and vegetables, are
carried out in fruity plants with significant size, in parallel with other
smaller facilities. Its commercial distribution, in fresh condition,
refrigerated or processed, has been recording very significant changes,
translated into the enhancement of the role of the large distribution, in parallel with the changes in the
patterns of consumption. At the same time, we are witning the reduction of market shares of the
traditional retail establishments and business establishments
specialized.
Fruit consumption has doubled in the last twenty years, but such as products
horticultural, it has had great swings. A moderate increase until the middle of the decade
of 90, a steep growth in the years 1995 a to 1999, and a decrease from
2000.
Price developments have been far more pronounced in the consumer that in the producer, the
which constitutes, incidentally, a relevant aspect with reflections in the consumption habits of the
Portuguese. At present, it is seen to be a greater stratification of purchasing power,
with a demanding segment of consumers available to purchase products from
better quality or with some differentiation, on par with a segment
quantitatively much more representative where, the price continues to be the element
main in the purchasing decision.
In the framework of the Reform of the Common Market Organization (CMO) of fruit and
vegetables, the Portuguese Government, in July last submitted to the services of the
European Commission the National Strategy for this sector so that, in a way
supplementary to other supporting instruments, namely the Programme of
Rural Development (PRODER 2007-2013), be possible, at the end of your period of
effective, present a positive balance sheet in innovation and professionalization and induction
of gains in competitiveness in the fruit and vegetable sector.
The hort-fruit row is prioritised in Portugal and considered strategic in PRODER.
It has a lot of growth potential given the edu-climatic conditions, and may
come to achieve a good level of competitiveness in international markets, and so
relevant importance in the agricultural sector and the national economy.
In addition to the majorities of the investment that that program contemplates, the
row benefits still from interesting aids in the framework of the Agro-Ambiental Measures
of the CAP. With these aids, the producer adheres to the Mode of Biological Production or the
Integrated Production Mode, pledging to use child-friendly cultivation practices
of the environment, and still to use non-aggressive phytoarmaces for ecosystems and not
producers of toxic waste in those foods.
This accession of the farmers to those aids, and the growing environmental awareness of the
producers, allows to create an end product-fruit-fruit of the highest quality and with
greater safety for human consumption. On the other hand, taking into consideration that if
locates in the film (bark) and in the pulp subpellates a good portion of the vitamins and the
polyphenols existing in the fruit, it makes perfect sense to opt for the fruits resulting from the
organic production or integrated production and promote the intake of fruit "à dentada",
practical and healthy method of consumption of these foods.
The programme proposed by the European Commission for distribution, free of charge, fruit and
vegetables to children from the schools of the 1 Cycle Degree of Basic Education can contribute in a way
positive for the valorisation of the productions and local markets and in this way potentiate
the increase in the consumption of domestic products. The promotion of eating habits
healthy in school is a determining factor in achieving sustainable results
in the long term in the fight against obesity. In Portugal, the 1. Cycle Degree of Basic Education
covers a universe of 480,000 children.
V-The education for healthy eating
Health education, within the educational community-school and family, is a
critical factor for the success of the fight against obesity, in the perspective of promoting the
balanced feeding and healthy living habits. In fact, the National Programme
of School Health, inserted in the National Health Plan 2010, contemplates, among others
aspects, the promotion and protection of health and the prevention of disease within the
educational community.
The monitoring of the nutritional quality of the amendments in schools or the ban on sale in the
food and beverage schools with high content of fat, salt or sugar, as is
proposed in the recently passed report in the European Parliament, concerning the Book
White on the health problems linked to nutrition, overweight and the
obesity, constitute some of the important measures for the pursuit of that
objective. It is to be said that these measures are already a reality in schools in Belgium,
Norway and England.
Children and adolescents should be the priority of education policies
for healthy eating. In that prism, the free distribution of fruits and vegetables
in schools appears to be an important measure, not least in a context more
broad of the pedagogical training on food and health.
The School can make a decisive contribution to the adoption of behaviours more
healthy, finding themselves by this in an ideal position to promote such actions of
sensitization and information either from the educational community or from the
engaging community. As is emphasized in the said National Programme of
School Health, " the School competes, too, to educate for the values, promote health,
the training and civic participation of pupils, in a process of acquiring a
competencies that support lifelong learnings and promote the
autonomy. "
In that particular aspect, the fulfillment of the guiding principles of the " European Network
of Health Promoters of Health ", which aim to ensure interaction
school/family/middle, in a partnership between the health and education sectors, of which the
edition of the guide " Food education in school medium-a benchmark for an offer
food healthy " by the Ministry of Education, fruit of institutional cooperation
between the Directorate General for Health and the Directorate-General for Innovation and Development
Curricular is a good example.
In Portugal, there are some recent pedagogical projects in this field that
deserve our highlight, such as the project "A School and Peras" intended for the
students in preschool education and 1º cycle of the basic teaching of the Óbidos County
(partnership Town Hall of Óbidos and Granfer company-Fruit Producers, CRL,
which offers two pieces of fruit per week) and the project "Healthy School", which results
of a partnership between the Association of Apple Producers of Alcobaça (APMA) and the
Civil Government of Leiria and runs until the end of this academic year in 19 schools of that
district. Within this initiative a skillet will be made available to the bar of the
schools with products of Apple of Alcobaça and training classes are going to be held
civic, awareness raising actions with health professionals and study visits to
orchards and markets.
Still within that scope of the pedagogical projects, it deserves special reference the important
a dynamic role that the Ministry of Health, through the Platform Against the
Obesity, can play either from the school medium or by the population
Portuguese. It is a strategic measure, taken politically at the level
national, established in 2007 and which aims to develop cross-sectoral synergies, at the level
government and civil society.
In the OI (Childhood Obesity) project, the Platform Against Obesity proposes a
multifaceted strategy where epidemiological knowledge through the realization of
research that allows to know the prevalence of childhood obesity and the
food and other behaviours of children, as well as prevention in the environment
school assume maximum expression, with the aim of stabilizing the growth of
epidemic over the next 4-5 years and reverse the current trend of growth until 2015.
In turn the authorities, very dynamic agents, who progressively have been coming to
take on important responsibilities in the educational area, specifically at the level of the
preschool and the 1-cycle of basic education, deserve a particular emphasis. The
authorities currently run more than 6000 schools and in that perspective constitute
indispensable partners in the operationalization of preventive health programs
directed at the school population.
In short, in our view it is critical to ensure a political commitment,
primarily among the sectors of health, agriculture and education, in the promotion of
increased consumption of fruits and vegetables by the Portuguese population and in
particular by the school population. Urge to find integrated, multi-sector responses and
lasting in the fight against the epidemic of the twenty-first century-obesity. You need to act
how much before with actions and concrete measures for the resolution of this serious problem of
public health!
In these terms, and by the exposed, the Assembly of the Republic, pursuant to paragraph (b) of the
article 156 of the Constitution of the Portuguese Republic, deliberates to recommend to the Government:
1) The membership of the Community Free distribution programme of fruits and vegetables in the
schools, having at attention that.
a. That the school population covered by this free distribution is that of the
compulsory education.
b. That the hortofrutteric products to be distributed, have preferentially
national, and are resulting from the Mode of Biological Production or the Way of
Integrated Production.
2) The preparation of a National Consumption Promotion Program of
Hortofruit, according to the guidelines of OMS/FAO, of multi-sector cariz
(agriculture, health and education), which involves civil society, parents and in charge of
education, the authorities, public institutions and the private sector, and that it is synergistic
with existing national policies;
3) The operationalization of a multidisciplinary observatory for the monitoring of the
fruit and vegetable distribution programme in schools, of their goals and objectives
national, as well as their impacts on the health of the school population, in the sector
hortofrutery, and in the eating habits of the Portuguese, specifically of the groups
socio-economic most disadvantaged.
4) The withdrawal from the sale of hypersaline and hypercaloric food from schools.
5) The pursuit and enhancement of the Food Education Programme in the Middle School, with
an effective mobilization of the educational community in that important desicration-Educate
for healthy lifestyles.
Palace of S. Bento, November 6, 2008
THE DEPUTIES