The voice of European Dietetics 
Welcome to your quarterly EFAD Newsletter. Please share this important update with your colleagues and ask them to subscribe. 

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A message from your EFAD Honorary President
EFAD recently met three times in Berlin. Firstly with the Presidents of the member associations, then with the trustees of the European Foundation for Dietetics and Nutrition (EuFoDiN) and finally the Executive Committee (EC) met for the 159th time. The meetings allowed us to discuss common strategic goals across areas where we can work collaboratively. The meetings were incredibly successful and productive, so much so that we have decided to meet every year in the Spring.

The key issues identified by the Presidents meeting, included:
  • Sustainability
  • The lack of dietitians and growing the profession
  • Caring for the elderly
  • Nutrition in schools
  • Establishing the ‘right care in the right place’
  • The accreditation of expert dietitians according to EFAD criteria
  • Malnutrition
We heard reports of successful advocacy from across Europe, including the work of Ghita Parry who wrote directly to 800 politicians about the important role of dietitians in treating and preventing childhood obesity. She encouraged fellow dietitians to understand the important role politicians play if we wish to be successful.

With the presence of EuFoDiN, we established the next steps for the foundation. These steps include identifying product-market combinations, building projects and piloting the project when it is ready. EFAD will proudly be involved with each progression to help the foundation grow and develop further, with the aim to be completely established and running by September.

The meetings also allowed time to reflect on the successes of our committees and collaborations in the past. With such a successful record, we are hopeful and excited for the future ahead. 

This was highlighted by a joint collaboration between dietitians and dentists in the UK which found that the professions differ in their knowledge of the effects of snacks and snacking behaviours on dental health and also how they prioritise this in their clinical practice. Despite these differences, both professions show a willingness to work collaboratively to ensure consistent advice-giving and expertise-sharing.

The EC started to consider the next EFAD strategic plan (2021-2025), and concluded that EFAD must play a role in implementing the United Nations Sustainable Development Goals (SDGs) to avoid further damage to the planet and mass starvation. 

We look forward to meeting again at the 30th EFAD General Meeting in Berlin (31 October 2019) where we can discuss our progression and future plans further. We hope you can join us there.

Annemieke van Ginkel-Res, EFAD Honorary President 

tadhealthy - tip a day, project launches

We are working with, lead partner, the European Food Information Council (EUFIC), the European Association for the Study of Obesity(EASO), and the International Sport and Culture Association (ISCA) on the tadhealthy project.
The project uses Instagram to share accessible, appealing and actionable tips aimed at increasing nutrition and health related knowledge among the general public and encouraging people to take small steps towards healthier diet and lifestyle choices.

We're looking for academic input on the design of the intervention; to ensure that the tips integrate insights from behaviour change theory, and to develop and carry out an impact assessment on parameters of nutrition and health knowledge and behaviour change.

At the moment there is limited scientific evidence for the effectiveness of (low-cost) online interventions of this nature on increasing health literacy and behaviour change. We expect that the intervention's findings will be published in a peer-reviewed scientific journal and that the tadhealthy project will generate novel insights into the impact of online interventions on health literacy and behaviour change.
We would like to thank all of our European Specialist Dietetic Networks (ESDNs) that have already contributed tips to tadhealthy. As the project gets a member of EUFIC staff working on it full time in May, we encourage ESDNs to keep sending in tip proposals. This will give you and your specialism more visibility within the project and influence in public opinion as the project grows this year.
We have committed to help EUFIC with the scientific component of the project. The scientific project component is expected to be better defined in May when another call for tips will be sent to ESDNs, this call for tips will have additional requirements related to behavioural change methods being incorporated. We are looking forward to the increase in activity from tadhealthy that is expected in the second half of this year.

EFAD presents Sustainable Development Goals

EFAD recently attended the final SUSFANS workshop, represented by Dr Grigoris Risvas, Vice President of EFAD, who presented on Sustainable Development Goals: the European Approach. The presentation addressed the SDGs goals and while they do not explicitly reference improving diet-related ill health, they do seek to 'end malnutrition in all its forms'.
In order to achieve this, a change of direction is needed to place food systems onto a sustainable course, including; ensuring access to land, water and healthy soils, rebuilding climate resilient, healthy agro-ecosystems and putting trade in the service of sustainable development. See the full workshop programme, along with messages presented.

EFAD General Meeting 

At our recent meetings with EuFoDiN and EC, we were pleased to develop the agenda for our General Meeting taking place on 31 October 2019 in Berlin. The meeting will include:
  • Items for ratification
  • Treasurer report
  • Budget for 2020
  • Papers from committees for adoption
  • Projects report
  • EuFoDiN update
  • Extending EFAD membership region
  • EFAD Strategic plan
    • Update on current plan
    • Draft new plan 2021-2025 (for adoption 2020)
  • Elections – One Executive Committee member will be elected
Look out for more information on how you can get involved in the coming months. 
European Association Updates

GLIM Criteria for the Diagnosis of Malnutrition Launched

The ESPEN, ASPEN, FELANPE and PENSA jointly launched the GLIM Criteria for the Diagnosis of Malnutrition: A consensus report from the Global Clinical Nutrition Community last year. GLIM is focused on building a global consensus around core diagnostic criteria for malnutrition in adults in clinical settings. 
GLIM established a number of criteria for malnutrition and proposed that the diagnosis of malnutrition be based upon the presence of at least one phenotypic criterion and one etiologic criterion. The next steps planned by the GLIM Initiative are; to secure further collaboration and endorsements from leading nutrition professional societies (including EFAD), to identify overlaps with syndromes such as cachexia and sarcopenia and to promote dissemination, validation studies and feedback. 

Spain adopts Nutri-Score as the FOP nutrition labeling scheme

Spain announced last November that they will be adopting the Nutri-Score FOP system as mandatory, following comments from their Minister of Health. Nutri-Score is a system that takes 100g of food/product, then applies a colour scale ranging from red to green (best nutritional quality). The nutritional quality considers; energy, sugars, saturated fats, sodium, as well as fibre, proteins and fruit and vegetables.
Manuel Moñino, EFAD European Specialist Dietetic Network for Public Health Dietitians Lead and EFAD Delegate, suggested that while FOP schemes will help identify healthier packaged food products, the consumer should not forget that the healthiest option is always fresh produce such as fruits and vegetables, legumes and nuts. He advised against falling into the trap of focusing on consuming only green labelled foods. Read full report.

What can PEN offer your practice?

Being an online searchable database, PEN provides evidenced-based answers to your nutrition and dietetic questions at the click of a button. PEN reviews the evidence and translates it into practical information and recommendations.
Some of the recent questions answered on PEN include; PEN grades the evidence so you can be confident in using the recommendations on PEN. If you would like to know more about PEN, sign-up for a free 24-hour trial first. Or attend the free pre-conference workshop in Berlin on 31 October 2019. Remember, you get a discount for PEN subscriptions if you’re a member of a National Dietetic Association.
Other News

ISPOR reports on Medical Nutrition Terminology

ISPOR's Nutrition Economics Special Interest Group conducted a scoping review of scientific literature on European and US medical nutrition terminology and regulations published between January 2000 and August 2015, and pertinent professional and regulatory websites. The goal of this first publication was to educate in regards to nutrition. Within ISPOR, this publication will be used as a basic paper for terminology regarding clinical and medical nutrition. Read the paper.
The Horizon2020 PROMISS project tackles malnutrition with a specific focus on protein-energy malnutrition. Over 20 million older citizens are at risk of protein malnutrition in Europe, whose consequences on health are serious and often irreversible. PROMISS makes use of large-scale databases to understand the relationships between food intake, food characteristics, physical activity, the oral and gut microbiota, and poor appetite, malnutrition and poor health among older adults.
PROMISS will develop optimised, sustainable and evidence-based dietary and physical activity strategies, which are currently being tested in the Netherlands and Finland for effectiveness and cost-effectiveness in a long-term intervention study. Learn more about this project.
Call for abstracts

ICD 2020 call for abstracts

The International Congress of Dietetics (ICD) will be hosted in Cape Town (15-18 September 2020). Call for abstracts will open in late April 2019. To submit your abstract or to keep up to date with the event, visit the ICD website.

EFAD Conference 2019

EFAD Conference 2019, will be taking place in Berlin on 1 & 2 November. Registration for the event is now open! With early bird fees available before 1 May. To register for this event and to see the preliminary programme, visit the EFAD Conference website.

BDA Dietitians Week

The British Dietetic Association will launch Dietitians Week 2019 on 3 June. After their award winning week in 2018, they plan to educate the public and healthcare sector about the wide range of dietetic roles that exist. To get involved share the #WhatDietitiansDo on social media and let your followers know about the get role dietitian’s play. Find out more about the campaign.
We hope you have enjoyed your Quarterly EFAD Newsletter. Any feedback in regards to these communications, would be appreciated.
To help spread the Voice of European Dietetics across the continent, please share widely with your colleagues and ask them to subscribe. Please send any items you wish to be included in the next edition.
Join in with the conversation on social media and have your say on the advice, research and events that are taking place over Europe. Follow our social media platforms to get connected and involved.
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All images used are royalty free via Getty Images.

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European Federation of the Associations of Dietitians (EFAD) · Ziegeleiweg 4 · Emmerich 46446 · Germany

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