Overweight and Obesity in Saudi Arabia

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Overweight and Obesity in Saudi Arabia

diabetes, 20,400 fewer strokes and heart attacks, 18,900 fewer deaths, and US$983 million saved in Mexico (Sánchez-Romero et al. 2016). Based on the first-year reduction in sugary drink consumption in Mexico, it is estimated that 10 years after implementation, Mexico’s sugary drink tax will result in an average 2.5 percent reduction in obesity prevalence (with the largest reductions for lowest-income groups) (Barrientos-Gutierrez et al. 2017). Following the success of Mexico’s taxes, front-of-package labeling (FOPL) was viewed as a critical initiative to address obesity and NCDs in Mexico (Barrientos-Gutierrez et al. 2017). Building on regulatory designs from Chile (described in a following case study), studies conducted in Mexico laid the groundwork for establishing the need for easy-to-understand FOPL using “black seals” that could inform consumers across all economic and educational levels about products that contain excessive amounts of nutrients of concern, as well as whether they contain caffeine or artificial sweeteners, which are not recommended for children in Mexico (figure 8A.2). Mass media campaigns and lobbying (on both sides of the issue) followed, resulting in the nearly unanimous passage of the new FOPL law (Crosbie, Carriedo, and Schmidt 2020; NOM-051-SCFI/SSA1-2010 2010) in October 2019 (photo 8A.3). Industry countered by threatening legal suits citing international laws and guidelines, including the World Trade Organization, Codex Alimentarius, and the North American Free Trade Agreement and its successor the United States–Mexico–Canada Agreement, despite past failures to do so in Chile. The new FOPL law has been in effect since October 2020 and will be evaluatd. Continued educational campaigns to inform consumers on how to use these black seals are ongoing. Some new messages encourage consumers to choose healthier alternatives without black seals that better support or strengthen immunity, particularly in light of the COVID-19 pandemic. Also in 2020, two states in Mexico (Tabasco and Oaxaca) passed and implemented bans on the distribution, donation, gift, sale, and supply of sugary beverages and high-calorie packaged foods in stores and schools to children and adolescents (Mexico News

FIGURE 8A.2

Complete set of black seal labels that might be applied on front-of-package labeling for Mexico based on product characteristics

Source: White and Barquera 2020. Note: Column headings in English, left to right: excess calories, excess sugars, excess sodium, excess saturated fats, excess trans fats, and contains artificial sweeteners; avoid for children.


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8A.5 Example of UK multiple traffic light front-of-package labeling

5min
pages 177-178

Annex 8A: Case studies of countries with integrated and systems-based strategies Annex 8B: Examples of applied or recommended nutrient

2min
page 172

8.7 Stage 2: Increase the intake of healthy foods in Saudi Arabia 8A.2 Complete set of black seal labels that might be applied on front-of-package

7min
pages 168-170

8A.3 Example of campaign among public health advocates in support of Mexico’s front-of-package labeling regulation 8A.4 Example of cereal before (left) and after (right) Chile’s food labeling and

1min
page 175

labeling for Mexico based on product characteristics

1min
page 174

marketing law

1min
page 176

8A.1 Example of campaign material by advocates for the sugar-sweetened beverages tax to fund drinking fountains in schools

1min
page 173

Applying a Saudi-specific NPM for transforming the food system

2min
page 166

8.6 Stage 1: Reduce the intake of unhealthy foods in Saudi Arabia

2min
page 167

approaches

4min
pages 161-162

in Saudi Arabia and Chile

5min
pages 159-160

References

22min
pages 142-150

healthy diets

2min
page 152

per capita per day), 2010–19

1min
page 154

products

2min
page 153

Conclusions

2min
page 139

reformulation in Saudi Arabia

7min
pages 134-136

7.5 Saudi Arabia’s voluntary traffic light label, 2018

4min
pages 132-133

7A.2 Examples of different tax designs and evidence on their effectiveness

2min
page 141

Key lessons learned from global experiences

2min
page 138

7.3 Trends in carbonated drink volume per capita sales (liters), 2010–18

4min
pages 127-128

Obesity-prevention policies and their effectiveness evidence

2min
page 124

References

17min
pages 114-120

of COVID-19

9min
pages 109-112

Conclusions

2min
page 113

Summary and conclusions

3min
pages 95-96

The impact of obesity on COVID-19

2min
page 102

References

5min
pages 98-100

Estimating the economic burden using the economic growth approach method

2min
page 94

Estimating the economic burden using the value-of-a-statistical-life method

5min
pages 92-93

obesity

5min
pages 90-91

method

2min
page 87

Annex 4B: Supplementary details for intervention assumptions

2min
page 78

5.2 Direct medical costs attributable to overweight

1min
page 88

Key messages

1min
page 85

Results

2min
page 60

risk factors

5min
pages 57-58

Methods

2min
page 55

References

7min
pages 50-52

and obesity

2min
page 44

References

5min
pages 37-38

Socioeconomic and cultural influences

4min
pages 47-48

Dietary behaviors contributing to overweight and obesity Physical inactivity as a risk factor in the development of overweight

8min
pages 41-43

ages 5–9 years, by sex, 1975–2016

1min
page 30

2 Engagement of men and women in sufficient physical activity in

2min
page 23
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