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<v Robyn McDermott>Good morning everyone, that's better.

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<v Robyn McDermott>Thanks for braving the weather on Saturday morning, it was briefly okay.

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<v Robyn McDermott>My name's Robin McDermott, I'm from the University of South Australia,

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<v Robyn McDermott>we're one of the partners in this festival.

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<v Robyn McDermott>It's my first time doing this and I've got to say what a pleasure it is.

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<v Robyn McDermott>And it's also a pleasure to introduce Manny Noakes,

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<v Robyn McDermott>who's put CSIRO on the map with the bestseller, not one but two.

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<v Robyn McDermott>And continuing the food and obesity and sustainability theme of the festival,

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<v Robyn McDermott>I'll hand it over to Manny. Thank you.

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<v Manny Noakes>It's a pleasure to be here this morning.

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<v Manny Noakes>I must say this is really out of my comfort zone in terms of audiences to speak to

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<v Manny Noakes>and testimony to that is that I was insistent on having PowerPoint

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<v Manny Noakes>because my ideas are rather limited.

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<v Manny Noakes>I'm limited unless I've got technology behind me.

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<v Manny Noakes>I'm going to talk to you a little bit about some thoughts that I have around the obesity issue.

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<v Manny Noakes>And just in case some of my ramblings don't make sense,

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<v Manny Noakes>I'll state at the outset that my basic framework and my basic thoughts are

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<v Manny Noakes>that to a large extent obesity is economically driven.

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<v Manny Noakes>We tend to focus very much on how much food is consumed

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<v Manny Noakes>and how much exercise we do.

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<v Manny Noakes>But I think sometimes we miss the real point of the complex system that we're in.

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<v Manny Noakes>And because it's economically driven and because the economy is also related

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<v Manny Noakes>to our health in other ways, we have to think of new ways

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<v Manny Noakes>that we can make food economically acceptable to us

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<v Manny Noakes>without necessarily having an impact on our health.

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<v Manny Noakes>And I think that's a challenge that we're going to face in the future.

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<v Manny Noakes>I also think that the notion of climate change,

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<v Manny Noakes>is really in the same ilk of the obesity issue.

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<v Manny Noakes>They're both related to overconsumption

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<v Manny Noakes>and they both have similarities in how we've got to where we've got.

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<v Manny Noakes>Okay, the title of my talk was Going for Growth

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<v Manny Noakes>because going for growth is really the common catchphrase

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<v Manny Noakes>in a lot of economic documents.

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<v Manny Noakes>It's also something that a lot of companies obviously strive for

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<v Manny Noakes>and it is the nature of economic development.

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<v Manny Noakes>Of course, this picture, which you actually can see,

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<v Manny Noakes>comes from one of those documents, is clearly just a metaphor.

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<v Manny Noakes>And it's an unusual one because in fact this is what we might think is important

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<v Manny Noakes>and going for growth, but in fact from an industry perspective,

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<v Manny Noakes>it's a rather different picture.

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<v Manny Noakes>And what's happened as we have gone for growth is

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<v Manny Noakes>that eating has become an activity that is not compartmentalised,

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<v Manny Noakes>is not at a particular level.

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<v Manny Noakes>It's at a particular time of day or place.

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<v Manny Noakes>And you can eat food anywhere, anytime, in any part of the world.

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<v Manny Noakes>And certainly eating a lot of it is important.

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<v Manny Noakes>And I suspect that we've gotten here because in the drive for innovation,

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<v Manny Noakes>industry has needed to look at ways that people can eat at more convenient times.

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<v Manny Noakes>And that to some extent has resulted in a culture of overeating.

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<v Manny Noakes>So I think that some of where we've gotten to has been a result of that drive for growth,

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<v Manny Noakes>that drive for innovation in food.

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<v Manny Noakes>And these are some more pictures of what is considered sometimes to be quite humorous,

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<v Manny Noakes>but in fact has become an issue as a major health problem.

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<v Manny Noakes>So obesity is the consequence of going for growth in my opinion.

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<v Manny Noakes>And certainly our eating patterns have evolved.

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<v Manny Noakes>They've evolved from old cultures and traditions.

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<v Manny Noakes>And they are now a part of new cultures and traditions that are fuelled by the economy.

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<v Manny Noakes>They're fuelled by technological change.

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<v Manny Noakes>And basically we eat too much.

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<v Manny Noakes>And I like to think that science can provide some solutions.

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<v Manny Noakes>But I think that science is only one very, very small part of that.

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<v Manny Noakes>I think pointing out the situation as we have it and pointing

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<v Manny Noakes>to some solutions may help.

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<v Manny Noakes>Obesity is really a pervasive issue.

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<v Manny Noakes>And I talk about obesity.

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<v Manny Noakes>But in fact when we talk about obesity people tend to think that's not me.

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<v Manny Noakes>It's not.

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<v Manny Noakes>It's someone else.

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<v Manny Noakes>And in fact considering that 60% of us fit into the category of overweight and obesity,

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<v Manny Noakes>it affects a large proportion of us.

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<v Manny Noakes>But it's quite easy to detach ourselves from the problem.

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<v Manny Noakes>It's also pervasive when it comes to our pets.

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<v Manny Noakes>And clearly it can't be just a problem.

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<v Manny Noakes>It's a genetic issue because our pets are also suffering from the changes in the way

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<v Manny Noakes>that we live.

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<v Manny Noakes>And again we tend to think that this is quite funny.

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<v Manny Noakes>But in fact I'm sure that those pets are probably no less healthy or no more healthy than we

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<v Manny Noakes>are at those sorts of weights.

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<v Manny Noakes>Well we're looking at ideas for the future.

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<v Manny Noakes>And what's going to happen as we move towards the future?

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<v Manny Noakes>Well.

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<v Manny Noakes>We know from projections that coronary heart disease is going to be a major problem as

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<v Manny Noakes>we move forward.

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<v Manny Noakes>And not just in developed countries but in the developing countries.

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<v Manny Noakes>And that will be fuelled by an increasing weight.

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<v Manny Noakes>And also the consequences of that is diabetes.

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<v Manny Noakes>And diabetes is growing at an alarming rate.

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<v Manny Noakes>But depression is also going to be a major issue.

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<v Manny Noakes>And it's interesting to speculate on why that might be.

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<v Manny Noakes>Traffic accidents and strokes.

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<v Manny Noakes>So we're going to have to look at that.

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<v Manny Noakes>But the things that are likely to cause us the most disability are probably the things

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<v Manny Noakes>that relate to some extent to obesity to a large degree.

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<v Manny Noakes>How big a problem is it in Australia?

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<v Manny Noakes>Well essentially people who are a healthy weight are the minority.

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<v Manny Noakes>And people who are overweight or obese are the majority.

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<v Manny Noakes>So you can see that almost five million are overweight.

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<v Manny Noakes>These are adults.

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<v Manny Noakes>It doesn't include children.

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<v Manny Noakes>And about a quarter of them are obese.

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<v Manny Noakes>And about two and a half million are obese.

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<v Manny Noakes>And when we talk about children, about one in four children are overweight and obese.

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<v Manny Noakes>And the same applies to younger people.

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<v Manny Noakes>And the rate of change in that group is what's most alarming.

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<v Manny Noakes>So it's the change that's really important.

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<v Manny Noakes>It's really happened over the last decade or two at a very fast rate.

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<v Manny Noakes>Well this is a document as I did my Google on going for growth.

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<v Manny Noakes>And this is the OECD economic policy report.

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<v Manny Noakes>And it was joined by Secretary Ross Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And it was joined by Secretary Harrold.

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<v Manny Noakes>And we think of, obviously, different disciplines think of things in different ways.

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<v Manny Noakes>And the state of the economy is often thought to be, and obviously clearly is, a way of measuring well-being in a particular area of the world.

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<v Manny Noakes>And, of course, as nutritionists, we've always thought it was something else.

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<v Manny Noakes>It was what we eat and how much we exercise and our state of mind.

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<v Manny Noakes>So, obviously, we've got a lot to learn when we thought that we'd actually cornered the market.

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<v Manny Noakes>Obviously, not the case.

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<v Manny Noakes>All right.

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<v Manny Noakes>A bit more bad news.

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<v Manny Noakes>And diabetes in Australia is increasing, again, at an alarming rate.

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<v Manny Noakes>The amazing fact, though, that is hardly ever promoted is the fact that a four-kilogram weight loss, if it's sustained over four years, can prevent the development of type 2 diabetes.

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<v Manny Noakes>Now, when?

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<v Manny Noakes>When studies were published that demonstrated this, it was really, for those of us in the nutrition area, it was really quite, it was great news.

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<v Manny Noakes>It legitimized the role of dietary management and lifestyle change.

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<v Manny Noakes>But the consequences of this in translating it into programs for the community, funding activities, really has stalled considerably.

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<v Manny Noakes>And it's only recently.

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<v Manny Noakes>That government is putting more money into lifestyle programs to assist people to prevent the onset of a very, very debilitating disease.

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<v Manny Noakes>And part of the reason is that it's thought that lifestyle changes are not sustainable and that people, you know, won't eat differently for a sustained period of time.

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<v Manny Noakes>But at the same time, when it comes to pharmaceutical management, if we look at the data, we know that a large number of people stopped taking their medication, too.

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<v Manny Noakes>And yet we don't see the same sort of skepticism about taking pharmaceuticals as we do about following a particular plan of eating or exercise program.

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<v Manny Noakes>And so the pharmaceutical industry in general, obviously because they've got something to sell, have become, you know, the quick fix for many things in modern society to the detriment of the less expensive,

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<v Manny Noakes>the less.

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<v Manny Noakes>The less technologically sophisticated approaches to lifestyle change.

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<v Manny Noakes>So we really need to start to look at how we can make lifestyle change easier for people.

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<v Manny Noakes>It is something that we have to work towards because, as we know for all of us, the environment around us makes it very difficult.

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<v Manny Noakes>And in fact, you cannot get away from food no matter where you turn.

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<v Manny Noakes>I go to work in the morning sometimes.

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<v Manny Noakes>I unfortunately.

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<v Manny Noakes>Well, not unfortunately.

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<v Manny Noakes>I'm still of the old school that drives.

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<v Manny Noakes>Some of my colleagues do cycle to work.

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<v Manny Noakes>But when I go and get my petrol, I'm surrounded by food on three flanks.

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<v Manny Noakes>If I go to many other places, food is there.

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<v Manny Noakes>So it is difficult to maintain a sensible pattern of eating, even for someone like me who knows it all.

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<v Manny Noakes>It is extremely difficult.

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<v Manny Noakes>All right.

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<v Manny Noakes>What is the consequence of not addressing these sorts of issues?

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<v Manny Noakes>Well, I think that the government is looking at the issues around lifestyle management now and looking at ways that we can change our environment and change the culture of eating so that it will make our future far rosier than it is at the moment.

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<v Manny Noakes>What will happen is that the amount of money that's been spent on keeping us well is going to increase astronomically.

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<v Manny Noakes>And essentially, if we want the government to fund it.

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<v Manny Noakes>It will be passed on to us as taxpayers.

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<v Manny Noakes>And there will be a limit to how much we as taxpayers will be able to meet those needs.

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<v Manny Noakes>And we're already seeing evidence of that.

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<v Manny Noakes>And essentially, a larger share will be passed on to us.

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<v Manny Noakes>So I see the development of a lot of activities in the community, a lot of businesses that will, in fact, provide people with health maintenance, health improvement programs.

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<v Manny Noakes>And that's probably a good thing.

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<v Manny Noakes>Because unless the number of goods.

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<v Manny Noakes>services that are important for health outweigh the number of goods and services that are detrimental to health, we really are not going to make much progress in this area.

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<v Manny Noakes>And we're going to be a very unwell nation.

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<v Manny Noakes>And in fact, as a baby boomer, no doubt it's possible that my children will be more debilitated than I will be as we move through over the next few decades.

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<v Manny Noakes>Well, what is this?

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<v Manny Noakes>That food environment?

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<v Manny Noakes>And what is it that is growing and is growing to the detriment of our health?

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<v Manny Noakes>And it's always easy to point the finger at one thing.

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<v Manny Noakes>And it never is that.

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<v Manny Noakes>And although I'm focusing here on things like soft drinks, this is really just the most evident and the one area where we know that there is quite a significant link between caloric beverage consumption and weight gain.

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<v Manny Noakes>And again, here we see the industry as such.

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<v Manny Noakes>In other words, the soft drink industry is an industry where there is increasing employment.

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<v Manny Noakes>It has increased profits, lots of turnover, high profit margins, largest sector value added, highest value added per employee, highest growth in exports.

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<v Manny Noakes>So if you're a government, obviously you're going to be receiving quite a lot of tax dollars from this industry.

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<v Manny Noakes>And you don't necessarily want to completely collapse an industry.

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<v Manny Noakes>And that's why we're here today.

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<v Manny Noakes>Because obviously people will be out of work, out of jobs, and the economy is also going to falter.

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<v Manny Noakes>So the challenge that we have, and many companies are facing this now, is how do we morph these products into products that are potentially of greater benefit to one's health?

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<v Manny Noakes>And the various ways that we meet those challenges is going to be important.

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<v Manny Noakes>Because there may well be ways that might seem to be on the surface quite a sensible strategy.

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<v Manny Noakes>But in reality, will probably make no difference.

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<v Manny Noakes>For example, if all of these drinks were replaced with juice, we would absolutely see no real difference.

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<v Manny Noakes>And the impact on health will be very much the same.

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<v Manny Noakes>And so we have to think fairly carefully about how this happens.

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<v Manny Noakes>And one of the areas that I'm involved in through the organization that I work for is at least talking to industry, working with them in ways that we believe.

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<v Manny Noakes>And that is to be able to tell people that they're going to be impacted by health outcomes.

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<v Manny Noakes>And that is to be able to tell people that they're going to be impacted by health outcomes.

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<v Manny Noakes>And that is to be able to tell people that they're going to be impacted by health outcomes.

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<v Manny Noakes>And that is to be able to tell people that they're going to be impacted by health outcomes.

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<v Manny Noakes>And that is to be able to tell people that they're going to be impacted by health outcomes.

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<v Manny Noakes>And that is to be able to tell people that they're going to be impacted by health outcomes.

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<v Manny Noakes>And that is to be able to tell people that they're going to be impacted by health outcomes.

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<v Manny Noakes>And that is to be able to tell people that they're going to be impacted by health outcomes.

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<v Manny Noakes>And that is to be able to tell people that they're going to be impacted by health outcomes.

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<v Manny Noakes>And that is to be able to tell people that they're going to be impacted by health outcomes.

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<v Manny Noakes>and that it's an economy that we've got to shift from one set of goods and services to another

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<v Manny Noakes>rather than completely squashing one part of the economy.

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<v Manny Noakes>I think that it makes more sense to try and work with industry to be part of the solution.

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<v Manny Noakes>This is the same thing in Australia.

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<v Manny Noakes>Our top-selling items are certainly soft drinks.

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<v Manny Noakes>And, of course, although we're involved in national nutrition surveys at the moment,

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<v Manny Noakes>you can really tell what consumers are eating by what's in the supermarket.

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<v Manny Noakes>And, by and large, the variety of foods has increased dramatically

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<v Manny Noakes>and the number of aisles that are devoted to foods that are probably indulgence foods

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<v Manny Noakes>far exceeds the number of areas where foods are more nutritious.

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<v Manny Noakes>And, in fact, they're expanding.

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<v Manny Noakes>The way that you can sell more is to have more of these popular products in more lanes.

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<v Manny Noakes>And so, obviously,

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<v Manny Noakes>the science of marketing is fairly clever in being able to position these products

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<v Manny Noakes>knowing that, in doing so, more can be sold.

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<v Manny Noakes>How can we use this information to promote healthier products, I think, is challenging.

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<v Manny Noakes>And, indeed, industry is not going to be able to do it alone without consumer push,

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<v Manny Noakes>and that is that there needs to be a demand that is also fuelled by us as consumers

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<v Manny Noakes>before any change can occur.

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<v Manny Noakes>So, getting back to the things that being overweight can contribute to,

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<v Manny Noakes>I mentioned the effect on the health system.

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<v Manny Noakes>It really is very, very many things.

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<v Manny Noakes>We tend to underestimate how much extra body weight really does contribute to our health.

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<v Manny Noakes>And sometimes we tend to think of being overweight as just an aesthetic issue

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<v Manny Noakes>and something that is not a major problem.

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<v Manny Noakes>But the impact, particularly as we get older,

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<v Manny Noakes>on things like weight gain,

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<v Manny Noakes>like osteoarthritis,

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<v Manny Noakes>on sleep apnea,

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<v Manny Noakes>even cancer, which we tend not to necessarily link with obesity,

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<v Manny Noakes>they are certainly related.

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<v Manny Noakes>They may not be responsible for all of the health problems,

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<v Manny Noakes>but they certainly make many, many health problems worse.

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<v Manny Noakes>And so, having programs where these particular diseases,

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<v Manny Noakes>when people present with these problems,

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<v Manny Noakes>having lifestyle programs that accompany whatever management is required

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<v Manny Noakes>for these sorts of problems is important.

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<v Manny Noakes>And so, we need to think about how we can help people

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<v Manny Noakes>as well as programs that might assist in preventing some of these problems in the first place.

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<v Manny Noakes>Getting back to food, growth in food retailing,

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<v Manny Noakes>are we really eating more?

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<v Manny Noakes>And some people might be sceptical and say,

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<v Manny Noakes>well, you know, we're just exercising less.

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<v Manny Noakes>But if you look at how much has happened in the growth of food retailing,

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<v Manny Noakes>obviously this is just a dollar value,

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<v Manny Noakes>so it doesn't necessarily represent calories consumed,

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<v Manny Noakes>but certainly there is evidence from surveys that we are in fact eating more,

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<v Manny Noakes>and we are eating more food.

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<v Manny Noakes>So, we have to accept that.

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<v Manny Noakes>We have to accept that we're eating more foods away from home.

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<v Manny Noakes>That's an obvious trend, and that's a trend that is not going to go away,

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<v Manny Noakes>and we have to accept that.

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<v Manny Noakes>So, Australian food and liquor retailing, $88.7 billion.

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<v Manny Noakes>That is a lot of money, and it's an area that obviously we can't necessarily bury our head in the sand

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<v Manny Noakes>and think that's all going to go away.

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<v Manny Noakes>62% is spent in supermarkets, 13% in cafes and restaurants,

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<v Manny Noakes>10% in takeaway food outlets,

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<v Manny Noakes>6% in liquor retailing,

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<v Manny Noakes>and 10% in retailing.

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<v Manny Noakes>So, that figure is no doubt going to change.

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<v Manny Noakes>Probably the amount that is spent in cafes and restaurants is likely to increase,

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<v Manny Noakes>and we have to think of creative ways of dealing with this

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<v Manny Noakes>and making sure that foods and healthier foods are available.

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<v Manny Noakes>I left work fairly late one night last week

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<v Manny Noakes>and was in a situation where I had to buy something that was a takeaway food,

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<v Manny Noakes>and I struggled to find something that was vaguely healthy.

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<v Manny Noakes>When I did eventually,

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<v Manny Noakes>find something that I thought was reasonable,

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<v Manny Noakes>it really wasn't quite what met my nutritional expectations.

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<v Manny Noakes>So, there are many, many more opportunities,

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<v Manny Noakes>and I think the lunchtime segment is well catered for,

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<v Manny Noakes>but evening meals for many people are probably not particularly well catered for.

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<v Manny Noakes>Food products, $71.8 billion worth of food products sold in retail outlets in Australia.

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<v Manny Noakes>Ten years.

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<v Manny Noakes>In the last ten years,

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<v Manny Noakes>the food retail sector has grown at an average of 5.8% per annum.

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<v Manny Noakes>And these sorts of growth figures are not inconsistent

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<v Manny Noakes>with some of the rising rates in our weight over time as well.

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<v Manny Noakes>So, are we eating more?

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<v Manny Noakes>The answer to that is most definitely yes.

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<v Manny Noakes>And why are we eating more?

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<v Manny Noakes>Well, apart from the fact that positioning of food

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<v Manny Noakes>and marketing of food may assist us,

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<v Manny Noakes>although that's clearly been challenged,

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<v Manny Noakes>what we do know from some of the science that's been conducted,

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<v Manny Noakes>on food intake,

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<v Manny Noakes>is that the more variety there is in food,

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<v Manny Noakes>exposure to food,

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<v Manny Noakes>the more foods you're going to eat.

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<v Manny Noakes>You will eat more at a smorgasbord

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<v Manny Noakes>than you will eat at an a la carte restaurant,

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<v Manny Noakes>just by the fact that the sheer variety is more.

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<v Manny Noakes>And if there is one thing that has really changed

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<v Manny Noakes>over the last few decades,

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<v Manny Noakes>is the sheer diversity of food,

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<v Manny Noakes>not just healthy food,

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<v Manny Noakes>but many, many foods that don't necessarily provide a lot of nourishment.

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<v Manny Noakes>And whilst I don't think those foods need to be,

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<v Manny Noakes>you know,

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<v Manny Noakes>be avoided at all costs,

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<v Manny Noakes>it is the proportion that's important.

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<v Manny Noakes>The proportion and the portion are both important.

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<v Manny Noakes>And I think that, you know,

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<v Manny Noakes>this is something that, again,

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<v Manny Noakes>is driven by the going for growth mentality.

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<v Manny Noakes>Flicking back again to overweight in this country,

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<v Manny Noakes>and that is that, do we really think,

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<v Manny Noakes>I sometimes think that I'm talking to people who already know it all,

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<v Manny Noakes>and I'm sure that that's probably true

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<v Manny Noakes>for this audience.

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<v Manny Noakes>But what is really interesting is that you would think most people

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<v Manny Noakes>would have a reasonable level of awareness,

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<v Manny Noakes>even though they may not do something,

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<v Manny Noakes>or they may not be at that point where they want to change now,

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<v Manny Noakes>you would think most people would have a fair idea

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<v Manny Noakes>if they're overweight or not.

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<v Manny Noakes>But in fact, what we see is that 40% of men

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<v Manny Noakes>who are overweight or obese think that their weight is fine,

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<v Manny Noakes>and 13% of women think that their weight is fine,

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<v Manny Noakes>even though they're overweight or obese.

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<v Manny Noakes>So there is that sense of we do bury our heads in the sand quite a bit.

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<v Manny Noakes>We don't necessarily appreciate what our state of health is.

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<v Manny Noakes>And how can we get people to that point

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<v Manny Noakes>without increasing anxiety levels to the point where they do nothing?

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<v Manny Noakes>And I suspect that we probably have been pussyfooting around quite a bit

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<v Manny Noakes>around weight issues,

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<v Manny Noakes>and I think that the confrontation issue

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<v Manny Noakes>is really quite an important step towards making a change in balance.

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<v Manny Noakes>Now, this is not really meant to be a sexist cartoon,

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<v Manny Noakes>but it kind of reinforces in part

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<v Manny Noakes>what we said in the previous slide,

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<v Manny Noakes>that generally men think that their weight is fine,

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<v Manny Noakes>even though they're overweight,

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<v Manny Noakes>and women generally have a better appreciation of their weight.

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<v Manny Noakes>Probably the point that I'd like to make about this

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<v Manny Noakes>is not the fact that there is a difference so much

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<v Manny Noakes>between men and women.

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<v Manny Noakes>men and women and how they perceive their weight,

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<v Manny Noakes>but the fact that women in the next few decades

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<v Manny Noakes>present a massive opportunity

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<v Manny Noakes>to develop new ideas in the food sector

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<v Manny Noakes>because they will be in a position

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<v Manny Noakes>through the role of the internet

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<v Manny Noakes>to develop new businesses, products and services

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<v Manny Noakes>from a base of having a very grassroots understanding

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<v Manny Noakes>of some of the real needs

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<v Manny Noakes>that may assist parents and families improve eating habits.

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<v Manny Noakes>So I think that, in general,

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<v Manny Noakes>we will see an increase in the role of women

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<v Manny Noakes>and their involvement with food

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<v Manny Noakes>at a level where they have more control than they do at the moment

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<v Manny Noakes>because, to a large extent,

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<v Manny Noakes>the food industry is driven by the male sector

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<v Manny Noakes>and I think that a greater involvement of women in the food area

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<v Manny Noakes>is going to make...

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<v Manny Noakes>..a very...

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<v Manny Noakes>..a very, very large difference.

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<v Manny Noakes>Now, everybody has got their own ideas

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<v Manny Noakes>about what constitutes healthy eating

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<v Manny Noakes>and no doubt many of you will have your own personal beliefs as well.

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<v Manny Noakes>And coming from a science background, I suppose,

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<v Manny Noakes>I do like to be objective,

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<v Manny Noakes>as much as we can be objective, of course.

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<v Manny Noakes>We all have our own particular biases.

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<v Manny Noakes>But in the area of nutrition, so much is personal belief

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<v Manny Noakes>and it is always challenging

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<v Manny Noakes>in speaking to people about their personal beliefs.

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<v Manny Noakes>And so I think that's a very important thing

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<v Manny Noakes>to a wide variety of people,

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<v Manny Noakes>trying to appreciate those different perspectives

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<v Manny Noakes>and trying to present the science perspective.

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<v Manny Noakes>And I'm not suggesting that people's own perspectives are irrelevant.

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<v Manny Noakes>They are not.

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<v Manny Noakes>But I guess what I'm saying to you is my perspective

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<v Manny Noakes>is one that is driven by looking at the data

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<v Manny Noakes>and seeing what we know

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<v Manny Noakes>and at least seeing what we know at this point in time

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<v Manny Noakes>because we certainly don't know everything.

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<v Manny Noakes>From the point of view of what constitutes healthy eating,

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<v Manny Noakes>I think one is...

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<v Manny Noakes>An example of that might be described by these slides,

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<v Manny Noakes>which represents the eating plan

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<v Manny Noakes>that is depicted in the CSIRO Total Wellbeing Diet,

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<v Manny Noakes>which is essentially for weight management.

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<v Manny Noakes>Clearly, it's not the only approach to weight management.

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<v Manny Noakes>It's certainly one that we've done quite a lot of research in.

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<v Manny Noakes>But there are a variety of ways.

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<v Manny Noakes>And this is an approach that is probably somewhat consistent

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<v Manny Noakes>with Australian eating culture,

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<v Manny Noakes>at least not too far from it,

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<v Manny Noakes>but at least far enough away from what it is presently

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<v Manny Noakes>to improve health.

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<v Manny Noakes>Obviously, eating breakfast is important.

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<v Manny Noakes>We know that people who eat breakfast

398
00:24:42.780 --> 00:24:45.460
<v Manny Noakes>are less likely to become overweight.

399
00:24:45.720 --> 00:24:49.660
<v Manny Noakes>And so it appears that having some sort of structured approach to eating

400
00:24:49.660 --> 00:24:52.740
<v Manny Noakes>can help maintain weight loss over the long term.

401
00:24:52.860 --> 00:24:55.200
<v Manny Noakes>And that's interesting to note,

402
00:24:55.400 --> 00:24:57.960
<v Manny Noakes>particularly when our eating styles in our younger people

403
00:24:57.960 --> 00:25:03.200
<v Manny Noakes>are becoming less structured over time.

404
00:25:04.000 --> 00:25:06.340
<v Manny Noakes>Whole-grain foods are important.

405
00:25:06.340 --> 00:25:09.720
<v Manny Noakes>In Australia, we see a reasonable distribution

406
00:25:09.720 --> 00:25:12.260
<v Manny Noakes>of whole-grain foods in this country

407
00:25:12.260 --> 00:25:13.800
<v Manny Noakes>compared to countries like the US,

408
00:25:14.020 --> 00:25:17.880
<v Manny Noakes>where the average fibre intake is something like 15 grams a day,

409
00:25:18.000 --> 00:25:19.900
<v Manny Noakes>which is extraordinary that the entire nation

410
00:25:19.900 --> 00:25:21.280
<v Manny Noakes>actually isn't constipated.

411
00:25:23.440 --> 00:25:26.600
<v Manny Noakes>In Australia, whole-grain products are on the increase.

412
00:25:27.000 --> 00:25:28.940
<v Manny Noakes>And if you look at supermarket shelves,

413
00:25:29.060 --> 00:25:30.720
<v Manny Noakes>you'll see a great proliferation.

414
00:25:31.040 --> 00:25:33.240
<v Manny Noakes>So it certainly suggests that at the moment,

415
00:25:33.280 --> 00:25:35.600
<v Manny Noakes>in this country, we're much more,

416
00:25:35.600 --> 00:25:40.900
<v Manny Noakes>both aware and we are seeing a development of new products.

417
00:25:41.040 --> 00:25:42.320
<v Manny Noakes>And we're seeing an acceptance

418
00:25:42.320 --> 00:25:45.960
<v Manny Noakes>of those newer, healthier foods quite consistently.

419
00:25:46.120 --> 00:25:49.720
<v Manny Noakes>So I think Australians are really in a good position

420
00:25:49.720 --> 00:25:52.400
<v Manny Noakes>to see some real changes in their health and wellbeing

421
00:25:52.400 --> 00:25:53.560
<v Manny Noakes>over the next few years.

422
00:25:54.320 --> 00:25:56.200
<v Manny Noakes>Snacking is something that, again,

423
00:25:56.220 --> 00:26:01.140
<v Manny Noakes>has been driven by the need for greater food to be consumed.

424
00:26:01.260 --> 00:26:02.260
<v Manny Noakes>It's an eating opportunity.

425
00:26:02.860 --> 00:26:05.480
<v Manny Noakes>And certainly, there's nothing wrong

426
00:26:05.480 --> 00:26:05.980
<v Manny Noakes>with that.

427
00:26:06.060 --> 00:26:08.740
<v Manny Noakes>It is a question of how big the serve size is

428
00:26:08.740 --> 00:26:11.940
<v Manny Noakes>and the type of food consumed.

429
00:26:12.120 --> 00:26:13.600
<v Manny Noakes>And I think that there are plenty of opportunities

430
00:26:13.600 --> 00:26:16.600
<v Manny Noakes>to develop foods that are not incredibly high in calories

431
00:26:16.600 --> 00:26:19.880
<v Manny Noakes>or kilojoules and still provide both pleasure

432
00:26:19.880 --> 00:26:23.560
<v Manny Noakes>and some sustenance in between those meal times.

433
00:26:24.000 --> 00:26:26.360
<v Manny Noakes>And dinner, it can be this approach,

434
00:26:26.500 --> 00:26:29.180
<v Manny Noakes>which is more protein and lots of vegetables,

435
00:26:29.360 --> 00:26:32.460
<v Manny Noakes>or it can be the more traditional approach,

436
00:26:32.660 --> 00:26:35.420
<v Manny Noakes>which is less protein and lots more carbohydrates.

437
00:26:35.480 --> 00:26:38.180
<v Manny Noakes>And both of those approaches are consistent with good health.

438
00:26:38.540 --> 00:26:41.840
<v Manny Noakes>We see things like fish as an important food

439
00:26:41.840 --> 00:26:44.640
<v Manny Noakes>because the nutrients they contain

440
00:26:44.640 --> 00:26:48.280
<v Manny Noakes>have a vital importance on our brain function,

441
00:26:48.440 --> 00:26:49.240
<v Manny Noakes>our heart rhythm.

442
00:26:49.440 --> 00:26:52.780
<v Manny Noakes>But of course, if we ate all the fish that is recommended,

443
00:26:53.120 --> 00:26:55.340
<v Manny Noakes>we wouldn't have any fish stocks left.

444
00:26:55.520 --> 00:26:57.800
<v Manny Noakes>So scientists need to look at ways

445
00:26:57.800 --> 00:27:00.520
<v Manny Noakes>that we can consume enough of these kinds of nutrients

446
00:27:00.520 --> 00:27:03.960
<v Manny Noakes>from other ways that can maintain good health.

447
00:27:04.020 --> 00:27:04.980
<v Manny Noakes>So we are seeing,

448
00:27:04.980 --> 00:27:05.460
<v Manny Noakes>we are seeing,

449
00:27:05.480 --> 00:27:07.360
<v Manny Noakes>new innovation in nutrition

450
00:27:07.360 --> 00:27:09.940
<v Manny Noakes>as we understand what's important.

451
00:27:10.160 --> 00:27:11.320
<v Manny Noakes>And these are some of the products.

452
00:27:12.140 --> 00:27:13.440
<v Manny Noakes>Fats are, of course, important.

453
00:27:13.640 --> 00:27:15.500
<v Manny Noakes>You can see functional foods

454
00:27:15.500 --> 00:27:18.040
<v Manny Noakes>where foods have been,

455
00:27:18.080 --> 00:27:19.240
<v Manny Noakes>components have been added

456
00:27:19.240 --> 00:27:21.000
<v Manny Noakes>that might assist in cholesterol reduction.

457
00:27:22.280 --> 00:27:24.600
<v Manny Noakes>All right, just very quickly as I finish off,

458
00:27:24.720 --> 00:27:25.820
<v Manny Noakes>our current eating culture

459
00:27:25.820 --> 00:27:29.280
<v Manny Noakes>is probably one of overeating and eating quickly

460
00:27:29.280 --> 00:27:32.780
<v Manny Noakes>and considering that as the social norm.

461
00:27:32.920 --> 00:27:34.360
<v Manny Noakes>That drives the economy,

462
00:27:34.360 --> 00:27:37.200
<v Manny Noakes>but the economy will not be able to sustain

463
00:27:37.200 --> 00:27:38.880
<v Manny Noakes>the consequences of that

464
00:27:38.880 --> 00:27:41.040
<v Manny Noakes>from the point of view of the healthcare system.

465
00:27:41.380 --> 00:27:43.000
<v Manny Noakes>The real challenge for industry

466
00:27:43.000 --> 00:27:46.940
<v Manny Noakes>is how can we profitably converge or convert

467
00:27:46.940 --> 00:27:48.860
<v Manny Noakes>what we're currently eating

468
00:27:48.860 --> 00:27:52.360
<v Manny Noakes>to foods and services that are much healthier.

469
00:27:52.520 --> 00:27:53.980
<v Manny Noakes>And I think that is a major challenge.

470
00:27:54.100 --> 00:27:57.980
<v Manny Noakes>And I think that all industries need to start to consider

471
00:27:57.980 --> 00:28:00.140
<v Manny Noakes>how eating culture can change.

472
00:28:00.460 --> 00:28:03.600
<v Manny Noakes>And if you've ever tried to question

473
00:28:03.600 --> 00:28:06.840
<v Manny Noakes>the need for a soft drink machine in your workplace

474
00:28:06.840 --> 00:28:12.500
<v Manny Noakes>and note the amount of debate that it sparks,

475
00:28:12.940 --> 00:28:15.900
<v Manny Noakes>you will find that it's an illustration

476
00:28:15.900 --> 00:28:18.280
<v Manny Noakes>of how far we have to go

477
00:28:18.280 --> 00:28:20.760
<v Manny Noakes>in our appreciation of eating culture

478
00:28:20.760 --> 00:28:24.980
<v Manny Noakes>before we can really get to a new steady state.

479
00:28:25.460 --> 00:28:27.820
<v Manny Noakes>So climate change is one thing

480
00:28:27.820 --> 00:28:30.660
<v Manny Noakes>and I would argue that overeating

481
00:28:30.660 --> 00:28:33.580
<v Manny Noakes>is also an issue.

482
00:28:33.600 --> 00:28:34.740
<v Manny Noakes>And I think that the issue of overconsumption

483
00:28:34.740 --> 00:28:36.520
<v Manny Noakes>and our kilojoule footprint,

484
00:28:36.840 --> 00:28:38.240
<v Manny Noakes>how much we eat,

485
00:28:38.260 --> 00:28:43.220
<v Manny Noakes>obviously also drives consumption of fuels and so on.

486
00:28:43.360 --> 00:28:47.220
<v Manny Noakes>And so should we be thinking about not overeating

487
00:28:47.220 --> 00:28:48.700
<v Manny Noakes>as the new social norm,

488
00:28:48.820 --> 00:28:53.480
<v Manny Noakes>eating foods in a way that I would argue

489
00:28:53.480 --> 00:28:56.880
<v Manny Noakes>is both responsible and in a way that is guided

490
00:28:56.880 --> 00:29:00.840
<v Manny Noakes>by an appreciation of that food rather than the volume,

491
00:29:01.040 --> 00:29:02.880
<v Manny Noakes>the quality rather than the quantity.

492
00:29:03.940 --> 00:29:06.100
<v Manny Noakes>And hopefully we won't continue

493
00:29:06.100 --> 00:29:08.480
<v Manny Noakes>to bury our heads in the sand in future

494
00:29:08.480 --> 00:29:11.620
<v Manny Noakes>and take action to improve our health in the future.

495
00:29:12.160 --> 00:29:13.260
<v Manny Noakes>Thank you very much.

496
00:29:13.260 --> 00:29:15.460
<v Manny Noakes>I'm happy to answer any questions and take comments.

497
00:29:22.140 --> 00:29:22.700
<v Manny Noakes>Yes.

498
00:29:27.100 --> 00:29:30.480
<v Audience>How does obesity relate to problems with anesthesia?

499
00:29:31.540 --> 00:29:32.100
<v Manny Noakes>Um...

500
00:29:32.100 --> 00:29:32.600
<v Manny Noakes>Ha!

501
00:29:33.600 --> 00:29:35.080
<v Manny Noakes>You're asking me a medical question,

502
00:29:35.160 --> 00:29:37.360
<v Manny Noakes>but there's no doubt that if you're obese,

503
00:29:37.480 --> 00:29:39.680
<v Manny Noakes>you're more likely to have problems with anesthesia.

504
00:29:39.760 --> 00:29:41.460
<v Manny Noakes>I can't explain to you in detail

505
00:29:41.460 --> 00:29:44.160
<v Manny Noakes>the precise physiological mechanisms,

506
00:29:44.220 --> 00:29:45.900
<v Manny Noakes>but certainly it is a problem.

507
00:29:46.200 --> 00:29:48.200
<v Manny Noakes>And also in surgery in general,

508
00:29:48.200 --> 00:29:50.740
<v Manny Noakes>recovery times after surgery are also increased

509
00:29:50.740 --> 00:29:51.720
<v Manny Noakes>if one is overweight.

510
00:29:52.260 --> 00:29:55.440
<v Manny Noakes>So the health risks are much greater in that scenario.

511
00:29:57.420 --> 00:29:57.940
<v Manny Noakes>Yes.

512
00:30:04.480 --> 00:30:08.600
<v Audience>But how do you build out that the injury is very strict?

513
00:30:08.820 --> 00:30:11.140
<v Audience>A lot of these injuries are due to processing

514
00:30:11.940 --> 00:30:15.220
<v Audience>and she will be able to go back to normal

515
00:30:15.220 --> 00:30:18.460
<v Audience>or original state of food rather than the end of the year.

516
00:30:19.060 --> 00:30:21.460
<v Manny Noakes>Yeah, look, that's a really...

517
00:30:21.460 --> 00:30:22.920
<v Manny Noakes>It's a good question.

518
00:30:23.100 --> 00:30:25.120
<v Manny Noakes>And, look, I think you're right in some ways.

519
00:30:25.160 --> 00:30:27.960
<v Manny Noakes>It seems crazy that we spend enormous amounts of resources

520
00:30:27.960 --> 00:30:30.020
<v Manny Noakes>stripping things out and then putting them back in.

521
00:30:30.240 --> 00:30:33.440
<v Manny Noakes>I think that that is being looked at, and to some extent,

522
00:30:33.440 --> 00:30:37.000
<v Manny Noakes>the cost of energy is going to limit that to a certain extent.

523
00:30:37.560 --> 00:30:40.420
<v Manny Noakes>However, I do think that there is a legitimate reason

524
00:30:40.420 --> 00:30:42.060
<v Manny Noakes>to put things back...

525
00:30:42.060 --> 00:30:44.620
<v Manny Noakes>Well, not back, but to add things in greater amounts

526
00:30:44.620 --> 00:30:47.680
<v Manny Noakes>when we know that people aren't eating enough of them.

527
00:30:47.740 --> 00:30:49.660
<v Manny Noakes>And sometimes we have to take a practical approach

528
00:30:49.660 --> 00:30:54.180
<v Manny Noakes>knowing that not everyone is going to eat raw, unprocessed foods.

529
00:30:54.300 --> 00:30:58.000
<v Manny Noakes>It just isn't going to happen in the short to medium term.

530
00:30:58.140 --> 00:31:01.180
<v Manny Noakes>So if nutrient addition can be demonstrated

531
00:31:01.180 --> 00:31:02.860
<v Manny Noakes>to have some health benefit,

532
00:31:02.920 --> 00:31:03.420
<v Manny Noakes>there's a good reason to do that.

533
00:31:03.440 --> 00:31:04.420
<v Manny Noakes>And then I'd say that was OK.

534
00:31:04.680 --> 00:31:07.140
<v Manny Noakes>So folate fortification might be an example of that.

535
00:31:07.420 --> 00:31:09.400
<v Manny Noakes>On the other hand, just nutrient addition,

536
00:31:09.600 --> 00:31:11.700
<v Manny Noakes>for the sake of a marketing exercise,

537
00:31:12.200 --> 00:31:15.180
<v Manny Noakes>I probably would argue that that may not necessarily

538
00:31:15.180 --> 00:31:16.740
<v Manny Noakes>be a particular health benefit.

539
00:31:16.940 --> 00:31:19.840
<v Manny Noakes>So I think that we need to be careful about using nutrition

540
00:31:20.440 --> 00:31:24.220
<v Manny Noakes>as a marketing tool and, you know, helping people understand

541
00:31:24.220 --> 00:31:25.900
<v Manny Noakes>when it's really going to make a difference

542
00:31:25.900 --> 00:31:29.060
<v Manny Noakes>and when it's just there just as a way of making it look like

543
00:31:29.060 --> 00:31:31.320
<v Manny Noakes>it could be useful but may well not be.

544
00:31:32.460 --> 00:31:37.660
<v Audience>I've been looking at high protein food

545
00:31:37.660 --> 00:31:40.420
<v Audience>as a way of losing weight, as you see I need to.

546
00:31:41.540 --> 00:31:49.180
<v Audience>But I'm getting confused between the call for eating high levels

547
00:31:49.180 --> 00:31:54.680
<v Audience>of protein and the arguments of Marian Nestle and Peter Singer

548
00:31:54.680 --> 00:32:00.100
<v Audience>regarding the environmental burden of producing

549
00:32:00.100 --> 00:32:04.580
<v Audience>this protein and also the animal welfare.

550
00:32:04.900 --> 00:32:11.300
<v Audience>Now, can you tell me how you reconcile those issues for yourself?

551
00:32:11.840 --> 00:32:12.620
<v Manny Noakes>Yeah, thank you.

552
00:32:12.700 --> 00:32:17.400
<v Manny Noakes>That is a good question and it's something that comes up a lot

553
00:32:17.400 --> 00:32:19.520
<v Manny Noakes>and it's certainly something that I grapple with too.

554
00:32:19.700 --> 00:32:25.540
<v Manny Noakes>My argument would be that eating too much is not environmentally sustainable

555
00:32:26.100 --> 00:32:30.080
<v Manny Noakes>and therefore if eating more protein can assist us,

556
00:32:30.080 --> 00:32:33.680
<v Manny Noakes>to eat less, then that's useful for the environment.

557
00:32:34.600 --> 00:32:38.840
<v Manny Noakes>The issue of what's environmentally sustainable,

558
00:32:39.100 --> 00:32:43.760
<v Manny Noakes>I think one extreme is what you see in, let's say,

559
00:32:43.800 --> 00:32:48.120
<v Manny Noakes>the Conservation Foundation's website that says the best thing to do

560
00:32:48.120 --> 00:32:50.200
<v Manny Noakes>is just to avoid eating all meat and all dairy products.

561
00:32:50.620 --> 00:32:52.980
<v Manny Noakes>Now, that's not consistent with good health.

562
00:32:53.140 --> 00:32:58.440
<v Manny Noakes>So we have to strike a balance in the argument around sustainability,

563
00:32:58.560 --> 00:33:00.060
<v Manny Noakes>climate change, et cetera.

564
00:33:00.060 --> 00:33:02.800
<v Manny Noakes>Between what is reasonable for good health

565
00:33:02.800 --> 00:33:05.320
<v Manny Noakes>and what is important for the environment.

566
00:33:05.520 --> 00:33:10.200
<v Manny Noakes>And I think that I would argue that the benefit that animal foods provide

567
00:33:11.320 --> 00:33:15.280
<v Manny Noakes>would outweigh some of the adverse effects that you might see

568
00:33:15.280 --> 00:33:17.240
<v Manny Noakes>in terms of CO2 production.

569
00:33:17.420 --> 00:33:21.120
<v Manny Noakes>I think we have to be fairly careful about how we raise our animals.

570
00:33:21.160 --> 00:33:25.680
<v Manny Noakes>Obviously in Australia most of our beef are grass-fed,

571
00:33:25.820 --> 00:33:28.140
<v Manny Noakes>whereas in the US, lot feeding.

572
00:33:28.280 --> 00:33:29.980
<v Manny Noakes>So it's a very different kind of system.

573
00:33:30.060 --> 00:33:31.360
<v Manny Noakes>Very different energy costs.

574
00:33:31.980 --> 00:33:35.040
<v Manny Noakes>But I guess the bottom line to your question is,

575
00:33:35.160 --> 00:33:37.500
<v Manny Noakes>if we can get people to eat less,

576
00:33:37.620 --> 00:33:41.780
<v Manny Noakes>then to a certain extent that's going to benefit the environment.

577
00:33:42.080 --> 00:33:45.260
<v Manny Noakes>And there may well be things that are more important to do,

578
00:33:45.340 --> 00:33:48.060
<v Manny Noakes>such as eating food that's grown locally,

579
00:33:48.200 --> 00:33:49.700
<v Manny Noakes>avoiding highly packaged foods.

580
00:33:49.960 --> 00:33:51.920
<v Manny Noakes>All of those things can also contribute.

581
00:33:52.400 --> 00:33:55.560
<v Manny Noakes>What some of our colleagues at CSIRO are doing

582
00:33:55.560 --> 00:33:59.800
<v Manny Noakes>in the sustainable ecosystems area is trying to quantify the different impacts

583
00:33:59.800 --> 00:34:01.780
<v Manny Noakes>of those dietary components

584
00:34:01.780 --> 00:34:04.620
<v Manny Noakes>and to do a more sophisticated modelling

585
00:34:04.620 --> 00:34:10.120
<v Manny Noakes>to try and answer that question in a more appropriate way.

586
00:34:10.260 --> 00:34:15.260
<v Manny Noakes>Because I think at the moment the argument has been one that is very simplistic.

587
00:34:16.320 --> 00:34:20.340
<v Manny Noakes>On the issue of animal liberation and animal welfare,

588
00:34:20.660 --> 00:34:22.760
<v Manny Noakes>look, I really do take that point

589
00:34:22.760 --> 00:34:26.920
<v Manny Noakes>and I do think we need to be careful about obviously how animals are treated.

590
00:34:27.140 --> 00:34:29.780
<v Manny Noakes>I also think that there's a role for new food development,

591
00:34:29.800 --> 00:34:32.600
<v Manny Noakes>that might have the same kind of nutritional characteristics

592
00:34:32.600 --> 00:34:34.820
<v Manny Noakes>that animal foods do now.

593
00:34:35.000 --> 00:34:38.220
<v Manny Noakes>And look at ways that we might be able to produce those in future

594
00:34:38.220 --> 00:34:39.640
<v Manny Noakes>that might not require animals.

595
00:34:39.760 --> 00:34:43.280
<v Manny Noakes>So I think that we need to think about food very much as a moving feast.

596
00:34:43.500 --> 00:34:47.820
<v Manny Noakes>And perhaps in future we may not necessarily require animals

597
00:34:47.820 --> 00:34:50.920
<v Manny Noakes>to produce the sort of food that we know is nutritious for us.

598
00:34:50.980 --> 00:34:52.820
<v Manny Noakes>We might be able to manufacture it in other ways.

599
00:34:55.140 --> 00:34:56.340
<v Audience>Excuse my hearing.

600
00:34:57.640 --> 00:34:58.660
<v Audience>Look at this side.

601
00:34:58.780 --> 00:34:59.420
<v Audience>I need to recall.

602
00:34:59.800 --> 00:35:02.440
<v Audience>Excuse my hearing.

603
00:35:03.380 --> 00:35:06.980
<v Audience>The feminist argument for well eating,

604
00:35:07.780 --> 00:35:13.200
<v Audience>I just require a comment about in many diet books...

605
00:35:13.200 --> 00:35:16.900
<v Manny Noakes>Can you just stay closer to the microphone so that I can hear you?

606
00:35:16.920 --> 00:35:17.860
<v Audience>Yeah, sorry about that.

607
00:35:17.940 --> 00:35:26.920
<v Audience>In many diet books there is the image of a 35 or 40-year-old woman,

608
00:35:27.060 --> 00:35:29.780
<v Audience>but there isn't an image of a woman

609
00:35:29.780 --> 00:35:36.400
<v Audience>of men at 65 that are to lose weight.

610
00:35:36.620 --> 00:35:39.740
<v Audience>If women are to control this eating revolution,

611
00:35:40.480 --> 00:35:43.120
<v Audience>do you believe men will be left behind?

612
00:35:44.500 --> 00:35:49.760
<v Audience>I believe that men have a role to play too.

613
00:35:49.880 --> 00:35:57.020
<v Audience>Now, I am not sure that the image of the 35 or 40-year-old woman

614
00:35:57.020 --> 00:35:58.160
<v Audience>that is looking beautiful

615
00:35:58.160 --> 00:36:01.200
<v Audience>is going to save me in the self-image mode.

616
00:36:01.380 --> 00:36:03.480
<v Audience>Has psychology anything to do with it?

617
00:36:03.620 --> 00:36:04.000
<v Audience>Thank you.

618
00:36:04.240 --> 00:36:04.940
<v Manny Noakes>Thank you.

619
00:36:04.960 --> 00:36:05.280
<v Manny Noakes>Yes.

620
00:36:06.100 --> 00:36:08.340
<v Manny Noakes>Look, that's really a fair point.

621
00:36:08.580 --> 00:36:11.740
<v Manny Noakes>And because women are the ones that buy most of the books,

622
00:36:11.800 --> 00:36:13.300
<v Manny Noakes>obviously they're targeted to women,

623
00:36:13.420 --> 00:36:18.160
<v Manny Noakes>and women also influence the behaviour of the men in their lives.

624
00:36:18.220 --> 00:36:20.760
<v Manny Noakes>So that's the reason why that is the case.

625
00:36:20.940 --> 00:36:25.040
<v Manny Noakes>What we know from data and also from male psychology

626
00:36:25.040 --> 00:36:28.140
<v Manny Noakes>is that the notion of men

627
00:36:28.140 --> 00:36:29.460
<v Manny Noakes>losing weight for men

628
00:36:30.140 --> 00:36:34.860
<v Manny Noakes>is culturally an uncomfortable activity.

629
00:36:35.240 --> 00:36:39.300
<v Manny Noakes>And I think men need a good reason to lose weight

630
00:36:39.300 --> 00:36:41.500
<v Manny Noakes>that isn't just about getting smaller,

631
00:36:41.720 --> 00:36:44.720
<v Manny Noakes>but that can achieve a particular health benefit.

632
00:36:44.960 --> 00:36:46.620
<v Manny Noakes>And so I think we need to find ways

633
00:36:47.140 --> 00:36:49.460
<v Manny Noakes>to talk about weight management to men

634
00:36:49.460 --> 00:36:51.640
<v Manny Noakes>that is different to women.

635
00:36:51.900 --> 00:36:53.000
<v Manny Noakes>Having said that,

636
00:36:53.100 --> 00:36:57.040
<v Manny Noakes>studies that we've conducted at CSIRO for men and weight management,

637
00:36:57.040 --> 00:36:58.800
<v Manny Noakes>they're incredibly...

638
00:36:58.800 --> 00:37:00.960
<v Manny Noakes>Once they've decided to do something,

639
00:37:01.120 --> 00:37:03.780
<v Manny Noakes>they're very focused, they're very task-driven,

640
00:37:03.920 --> 00:37:06.120
<v Manny Noakes>and they can be very, very successful.

641
00:37:06.880 --> 00:37:09.480
<v Manny Noakes>But I do think men also need to be supported,

642
00:37:09.560 --> 00:37:12.920
<v Manny Noakes>and understanding how they can be supported is important

643
00:37:12.920 --> 00:37:17.040
<v Manny Noakes>because often when they go back to their peer group,

644
00:37:17.440 --> 00:37:19.060
<v Manny Noakes>it can be...

645
00:37:19.060 --> 00:37:21.980
<v Manny Noakes>You know, the notion that you're on some sort of eating plan

646
00:37:21.980 --> 00:37:25.200
<v Manny Noakes>or lifestyle program may not be considered culturally acceptable.

647
00:37:25.200 --> 00:37:27.000
<v Manny Noakes>So I think that that male...

648
00:37:27.000 --> 00:37:28.660
<v Manny Noakes>That male psyche has got a lot to do with it.

649
00:37:28.820 --> 00:37:31.240
<v Manny Noakes>I'm not saying men are out of the equation altogether.

650
00:37:31.780 --> 00:37:34.720
<v Manny Noakes>I think men already are involved in food production

651
00:37:34.720 --> 00:37:36.160
<v Manny Noakes>and products and services.

652
00:37:36.300 --> 00:37:38.780
<v Manny Noakes>I guess what I'm saying is that there's a big role for women

653
00:37:38.780 --> 00:37:42.140
<v Manny Noakes>to also get into that area as well.

654
00:37:44.740 --> 00:37:47.380
<v Audience>There was a recent study that showed

655
00:37:47.380 --> 00:37:52.140
<v Audience>that adding iodine to bread in Tasmania

656
00:37:52.140 --> 00:37:53.540
<v Audience>didn't make much difference

657
00:37:53.540 --> 00:37:55.140
<v Audience>to the incredible...

658
00:37:57.000 --> 00:37:58.560
<v Audience>..the thyroid and iodine deficiency

659
00:37:58.560 --> 00:38:01.120
<v Audience>that is occurring in Australia.

660
00:38:01.620 --> 00:38:05.020
<v Audience>I wonder if you, with your contacts in industry,

661
00:38:05.240 --> 00:38:07.600
<v Audience>can explain to me why there's this huge resistance

662
00:38:07.600 --> 00:38:10.160
<v Audience>to putting iodine in all salt.

663
00:38:11.780 --> 00:38:13.120
<v Audience>Iodine in all salt?

664
00:38:13.400 --> 00:38:16.220
<v Audience>Yeah. Why aren't we putting iodine in all salt?

665
00:38:16.320 --> 00:38:18.200
<v Audience>It seems to me a very simple thing to do

666
00:38:18.200 --> 00:38:19.840
<v Audience>and surely it's not going to cost much.

667
00:38:20.300 --> 00:38:20.820
<v Manny Noakes>Yeah.

668
00:38:22.120 --> 00:38:26.220
<v Manny Noakes>It's... Sometimes things that sound simple are not so simple.

669
00:38:26.280 --> 00:38:26.820
<v Manny Noakes>I don't know.

670
00:38:27.000 --> 00:38:28.640
<v Manny Noakes>I don't know in particular why that might be the case.

671
00:38:28.840 --> 00:38:33.840
<v Manny Noakes>But there's also a nutritional argument that you'll find...

672
00:38:33.840 --> 00:38:36.000
<v Manny Noakes>Some nutritionist's perspective

673
00:38:36.000 --> 00:38:38.380
<v Manny Noakes>is that we're trying to encourage people to eat less salt

674
00:38:39.000 --> 00:38:40.960
<v Manny Noakes>and that, therefore, putting iodine in salt

675
00:38:40.960 --> 00:38:42.320
<v Manny Noakes>encourages salt consumption.

676
00:38:42.600 --> 00:38:44.100
<v Manny Noakes>So there's that argument as well.

677
00:38:44.240 --> 00:38:45.800
<v Manny Noakes>I don't necessarily buy that

678
00:38:45.800 --> 00:38:49.100
<v Manny Noakes>because we all do have salt in our food in some way.

679
00:38:49.160 --> 00:38:50.400
<v Manny Noakes>We're not going to cut it out altogether.

680
00:38:52.420 --> 00:38:55.920
<v Manny Noakes>But, yeah, I think that that's an interesting debate

681
00:38:55.920 --> 00:38:59.900
<v Manny Noakes>and clearly a case where, you know,

682
00:38:59.900 --> 00:39:02.200
<v Manny Noakes>clearly one nutrient can make a big difference

683
00:39:02.200 --> 00:39:05.960
<v Manny Noakes>and things like bread are not something that everybody consumes,

684
00:39:06.020 --> 00:39:08.620
<v Manny Noakes>so you have to find some alternative way of doing it.

685
00:39:09.160 --> 00:39:12.420
<v Manny Noakes>So in answer to your question, I haven't got the answer.

686
00:39:12.500 --> 00:39:13.020
<v Manny Noakes>I'm sorry.

687
00:39:14.940 --> 00:39:17.980
<v Audience>Hi. Yesterday, Marianne Nestle mentioned a couple of times

688
00:39:17.980 --> 00:39:19.660
<v Audience>that in the American example,

689
00:39:19.880 --> 00:39:22.820
<v Audience>they've got something like 3,700 calories per day per person.

690
00:39:23.380 --> 00:39:25.420
<v Audience>Is there any equivalent data for Australia?

691
00:39:25.420 --> 00:39:27.740
<v Audience>I know there's a lot of difference in dietary information.

692
00:39:27.960 --> 00:39:29.900
<v Audience>A lot of our information we get is American-based

693
00:39:29.900 --> 00:39:32.300
<v Audience>and it doesn't necessarily relate to Australian conditions.

694
00:39:32.780 --> 00:39:35.420
<v Audience>And also, just on the theme of the festival this year,

695
00:39:35.480 --> 00:39:36.320
<v Audience>the weight of the future,

696
00:39:36.380 --> 00:39:37.740
<v Audience>I wonder if you could maybe make some comments

697
00:39:37.740 --> 00:39:41.340
<v Audience>on the role you see for education, nutrition education in schools,

698
00:39:41.420 --> 00:39:44.900
<v Audience>so children start out learning the right sort of techniques.

699
00:39:45.560 --> 00:39:47.780
<v Manny Noakes>The first question I didn't hear quite.

700
00:39:47.980 --> 00:39:50.180
<v Manny Noakes>Were you talking about calorie consumption in Australia?

701
00:39:50.560 --> 00:39:53.720
<v Audience>Yeah. Marianne made a point yesterday that in America

702
00:39:53.720 --> 00:39:55.340
<v Audience>that there's enough food

703
00:39:55.420 --> 00:39:59.020
<v Audience>available for 3,700 calories per person per day in America,

704
00:39:59.020 --> 00:40:00.700
<v Audience>which is far too much, and that's what they have available.

705
00:40:00.920 --> 00:40:03.680
<v Audience>And that can tend to lead into a culture of overeating

706
00:40:03.680 --> 00:40:04.600
<v Audience>because there's so much available.

707
00:40:04.900 --> 00:40:06.960
<v Manny Noakes>I'm not sure that we have that data in Australia.

708
00:40:07.240 --> 00:40:10.660
<v Manny Noakes>Parent consumption data is probably a bit old now.

709
00:40:11.100 --> 00:40:14.420
<v Manny Noakes>But look, there's no doubt that the actual available calories

710
00:40:15.020 --> 00:40:15.920
<v Manny Noakes>to the population,

711
00:40:17.280 --> 00:40:19.900
<v Manny Noakes>even when we consider food that is exported,

712
00:40:21.280 --> 00:40:23.360
<v Manny Noakes>is vastly more than we actually need.

713
00:40:23.500 --> 00:40:25.260
<v Manny Noakes>There's absolutely no doubt about that.

714
00:40:26.340 --> 00:40:28.420
<v Manny Noakes>Education, yes, absolutely.

715
00:40:28.540 --> 00:40:31.620
<v Manny Noakes>But unless that education is relevant,

716
00:40:31.760 --> 00:40:32.800
<v Manny Noakes>I think it'll go nowhere.

717
00:40:33.180 --> 00:40:38.900
<v Manny Noakes>I was contacted by a home-ec teacher from a school yesterday

718
00:40:39.420 --> 00:40:41.280
<v Manny Noakes>who said, look, we've been given a grant

719
00:40:41.280 --> 00:40:44.300
<v Manny Noakes>to develop an eating program for our school,

720
00:40:44.340 --> 00:40:45.180
<v Manny Noakes>healthy eating program.

721
00:40:45.400 --> 00:40:46.960
<v Manny Noakes>We've got no idea what to do.

722
00:40:47.060 --> 00:40:49.480
<v Manny Noakes>The materials that we've got are not helpful.

723
00:40:49.660 --> 00:40:51.580
<v Manny Noakes>And, you know, where to from here?

724
00:40:51.740 --> 00:40:54.640
<v Manny Noakes>So you can have the education and the information

725
00:40:54.640 --> 00:40:57.100
<v Manny Noakes>without necessarily knowing what to do.

726
00:40:57.240 --> 00:40:59.860
<v Manny Noakes>And I think that the kind of work that needs to happen

727
00:40:59.860 --> 00:41:01.800
<v Manny Noakes>is to look at that, you know,

728
00:41:01.820 --> 00:41:03.840
<v Manny Noakes>what does this actually mean in practice?

729
00:41:04.080 --> 00:41:06.380
<v Manny Noakes>We need much more practical information

730
00:41:06.380 --> 00:41:11.160
<v Manny Noakes>rather than documents that only state, you know,

731
00:41:11.160 --> 00:41:14.520
<v Manny Noakes>things in percentage of energy and protein and vitamins and minerals.

732
00:41:15.180 --> 00:41:17.880
<v Manny Noakes>And I think we'll see a lot more of that at the moment.

733
00:41:18.240 --> 00:41:20.100
<v Manny Noakes>Currently, we're engaged in a project

734
00:41:20.100 --> 00:41:23.240
<v Manny Noakes>that is attempting to do that in the area of kids

735
00:41:23.240 --> 00:41:24.620
<v Manny Noakes>and really trying to do that.

736
00:41:24.620 --> 00:41:27.760
<v Manny Noakes>And to understand why is it that in schools there aren't,

737
00:41:27.840 --> 00:41:30.880
<v Manny Noakes>you know, how should policies be developed and so on.

738
00:41:30.920 --> 00:41:32.540
<v Manny Noakes>But even with the best will,

739
00:41:32.700 --> 00:41:36.400
<v Manny Noakes>there are also people that feel that personal choice is everything

740
00:41:36.400 --> 00:41:40.500
<v Manny Noakes>and it's very, very hard to change a particular perspective.

741
00:41:40.700 --> 00:41:42.140
<v Manny Noakes>But I think it's getting better.

742
00:41:42.740 --> 00:41:43.340
<v Manny Noakes>Yes.

743
00:41:44.360 --> 00:41:47.180
<v Audience>I get most of my protein from fish

744
00:41:47.180 --> 00:41:52.780
<v Audience>and I thought that was a good way of receiving it.

745
00:41:53.140 --> 00:41:54.240
<v Audience>But increasingly,

746
00:41:54.380 --> 00:41:54.600
<v Audience>I've been getting more and more protein

747
00:41:54.620 --> 00:42:01.180
<v Audience>and I'm hearing worrying stories about the components

748
00:42:01.180 --> 00:42:04.240
<v Audience>in some of the fish that I could be eating,

749
00:42:05.460 --> 00:42:07.820
<v Audience>such as excess antibiotics,

750
00:42:08.200 --> 00:42:12.020
<v Audience>particularly fish that are brought up in fish farming

751
00:42:12.620 --> 00:42:14.200
<v Audience>and from overseas.

752
00:42:15.620 --> 00:42:22.600
<v Audience>And I'm just wondering how I can get more data on this.

753
00:42:22.720 --> 00:42:24.600
<v Audience>Should I be asking my fish vendors,

754
00:42:24.600 --> 00:42:26.240
<v Audience>or fish and chip shop,

755
00:42:26.340 --> 00:42:29.660
<v Audience>where they get their fish and what they were fed on?

756
00:42:31.160 --> 00:42:35.360
<v Manny Noakes>Probably they're going to be unlikely to provide you

757
00:42:35.360 --> 00:42:36.680
<v Manny Noakes>with the information that you need.

758
00:42:37.060 --> 00:42:40.560
<v Manny Noakes>The group that should be able to provide you with that information

759
00:42:40.560 --> 00:42:44.160
<v Manny Noakes>is the Food Standards Regulatory Group, FASANCE,

760
00:42:44.780 --> 00:42:46.440
<v Manny Noakes>and they have a website

761
00:42:46.440 --> 00:42:51.600
<v Manny Noakes>and you could probably contact Food Standards Australia New Zealand

762
00:42:51.600 --> 00:42:52.700
<v Manny Noakes>in that regard

763
00:42:52.700 --> 00:42:54.580
<v Manny Noakes>and they could provide you with some data.

764
00:42:54.580 --> 00:42:54.860
<v Manny Noakes>So, I think that's a good direction.

765
00:42:55.100 --> 00:42:59.040
<v Manny Noakes>In general, I would say that the risks of eating fish

766
00:42:59.040 --> 00:43:03.000
<v Manny Noakes>are very small compared to the benefits

767
00:43:03.000 --> 00:43:05.600
<v Manny Noakes>that will accrue from fish.

768
00:43:05.820 --> 00:43:09.080
<v Manny Noakes>And obviously things like mercury have been considered an issue.

769
00:43:09.300 --> 00:43:13.200
<v Manny Noakes>Unless you're having vast amounts of fish like swordfish

770
00:43:13.200 --> 00:43:15.060
<v Manny Noakes>on a daily basis,

771
00:43:15.080 --> 00:43:16.940
<v Manny Noakes>it's unlikely to be a huge problem.

772
00:43:17.560 --> 00:43:20.080
<v Manny Noakes>The National Heart Foundation are about to release

773
00:43:20.080 --> 00:43:22.660
<v Manny Noakes>a very, very good position paper on fish

774
00:43:22.660 --> 00:43:27.440
<v Manny Noakes>that takes into account some of the contaminant issues

775
00:43:27.440 --> 00:43:30.780
<v Manny Noakes>and that should be available in the next few months.

776
00:43:30.920 --> 00:43:33.540
<v Manny Noakes>So, again, National Heart Foundation will be a good resource as well.

777
00:43:34.680 --> 00:43:36.040
<v Audience>I've got a question.

778
00:43:36.560 --> 00:43:39.600
<v Audience>What's going to drive business and industry

779
00:43:39.600 --> 00:43:43.260
<v Audience>to change the practice of making foods?

780
00:43:44.260 --> 00:43:47.260
<v Manny Noakes>What's going to drive business and industry in their practice

781
00:43:47.260 --> 00:43:50.160
<v Manny Noakes>will be both consumer demand

782
00:43:50.160 --> 00:43:54.540
<v Manny Noakes>and possibly some small amount of regulation.

783
00:43:54.700 --> 00:43:58.680
<v Manny Noakes>I'm not against having some regulation

784
00:43:58.680 --> 00:44:01.820
<v Manny Noakes>that at least pushes things in a particular direction,

785
00:44:01.980 --> 00:44:03.800
<v Manny Noakes>but unless there's consumer demand

786
00:44:03.800 --> 00:44:05.980
<v Manny Noakes>for healthier products and services,

787
00:44:06.160 --> 00:44:07.040
<v Manny Noakes>nothing will happen.

788
00:44:07.380 --> 00:44:09.600
<v Audience>I don't think it's going to come quickly.

789
00:44:14.260 --> 00:44:15.520
<v Audience>One more question.

790
00:44:16.760 --> 00:44:19.220
<v Audience>Yesterday, Norman Swan suggested

791
00:44:19.220 --> 00:44:22.380
<v Audience>that the best way to prolong life

792
00:44:22.380 --> 00:44:25.240
<v Audience>was to educate the women in the society.

793
00:44:25.900 --> 00:44:32.400
<v Audience>And I wondered if the same sort of thing applies to obesity

794
00:44:32.400 --> 00:44:35.320
<v Audience>or whether there's any mysterious factor

795
00:44:36.220 --> 00:44:38.520
<v Audience>that comes from left field

796
00:44:39.220 --> 00:44:41.940
<v Audience>that might relate to obesity as well.

797
00:44:42.360 --> 00:44:44.260
<v Manny Noakes>Well, I think education's important,

798
00:44:44.500 --> 00:44:46.220
<v Manny Noakes>but I think empowerment is the issue.

799
00:44:46.340 --> 00:44:48.600
<v Manny Noakes>And I think as women are more involved

800
00:44:48.600 --> 00:44:51.460
<v Manny Noakes>in higher level positions and levels of influence,

801
00:44:51.660 --> 00:44:53.180
<v Manny Noakes>they can make a difference.

802
00:44:53.340 --> 00:44:55.840
<v Manny Noakes>I think that often food and nutrition issues

803
00:44:55.840 --> 00:44:57.460
<v Manny Noakes>are not considered to be that important

804
00:44:57.460 --> 00:45:00.640
<v Manny Noakes>compared to lots of other so-called high business issues.

805
00:45:00.820 --> 00:45:04.920
<v Manny Noakes>And I think that we'll start to see those shifting somewhat more.

806
00:45:05.100 --> 00:45:07.240
<v Manny Noakes>So whilst education is important,

807
00:45:07.420 --> 00:45:09.860
<v Manny Noakes>and that's absolutely critical in underdeveloped countries,

808
00:45:10.040 --> 00:45:12.860
<v Manny Noakes>in developed countries,

809
00:45:13.000 --> 00:45:15.180
<v Manny Noakes>I think that it's not just education,

810
00:45:15.420 --> 00:45:17.220
<v Manny Noakes>it's really empowerment of women,

811
00:45:17.340 --> 00:45:18.580
<v Manny Noakes>more women getting involved,

812
00:45:18.580 --> 00:45:19.380
<v Manny Noakes>more women getting involved on boards

813
00:45:19.380 --> 00:45:21.460
<v Manny Noakes>and those sorts of things that can make a huge difference.

814
00:45:22.440 --> 00:45:24.000
<v Manny Noakes>OK, very last question.

815
00:45:24.400 --> 00:45:28.060
<v Audience>I just wondered if you were able to be really specific

816
00:45:28.060 --> 00:45:31.580
<v Audience>about the amount of protein per day

817
00:45:31.580 --> 00:45:35.400
<v Audience>for average women and men

818
00:45:35.400 --> 00:45:37.660
<v Audience>and how it varies perhaps for those

819
00:45:37.660 --> 00:45:41.140
<v Audience>that might be considered overweight or obese.

820
00:45:41.900 --> 00:45:44.080
<v Audience>The amount of protein per day.

821
00:45:44.080 --> 00:45:47.040
<v Manny Noakes>Yeah, the amount of protein for the average person

822
00:45:47.040 --> 00:45:52.160
<v Manny Noakes>who's not overweight is considered to be about 0.8 to 1 gram

823
00:45:53.040 --> 00:45:55.040
<v Manny Noakes>per kilogram body weight.

824
00:45:55.340 --> 00:45:58.060
<v Manny Noakes>If you're overweight and you need to lose weight,

825
00:45:59.040 --> 00:46:01.600
<v Manny Noakes>the protein needs potentially are slightly increased

826
00:46:01.600 --> 00:46:04.820
<v Manny Noakes>because when you lose weight, you actually also excrete protein.

827
00:46:05.140 --> 00:46:07.520
<v Manny Noakes>So there are some scientists that suggest

828
00:46:07.520 --> 00:46:11.980
<v Manny Noakes>that probably about 1.4 grams per kilo ideal body weight.

829
00:46:12.200 --> 00:46:15.220
<v Manny Noakes>So what that means is if you're an 80 kilogram person,

830
00:46:15.960 --> 00:46:17.020
<v Manny Noakes>roughly 80 kilograms,

831
00:46:17.040 --> 00:46:19.820
<v Manny Noakes>80 grams of protein just to maintain your weight is OK.

832
00:46:20.280 --> 00:46:23.880
<v Manny Noakes>The average Australian woman would eat about 80 grams a day.

833
00:46:24.020 --> 00:46:26.000
<v Manny Noakes>The average Australian man roughly 100.

834
00:46:27.040 --> 00:46:30.280
<v Manny Noakes>If you're trying to lose weight on a higher protein diet,

835
00:46:30.460 --> 00:46:34.400
<v Manny Noakes>roughly 100 to 120 grams of protein,

836
00:46:34.520 --> 00:46:36.100
<v Manny Noakes>depending on whether you're male or female,

837
00:46:36.300 --> 00:46:40.220
<v Manny Noakes>is not unreasonable as a reasonable approach

838
00:46:40.220 --> 00:46:43.080
<v Manny Noakes>if you choose to do that with a higher protein pattern.

839
00:46:43.300 --> 00:46:45.360
<v Manny Noakes>And I do think that for weight management,

840
00:46:45.360 --> 00:46:50.400
<v Manny Noakes>probably a higher protein diet is one of the best approaches

841
00:46:50.400 --> 00:46:52.980
<v Manny Noakes>for weight control, not only because of the protein

842
00:46:52.980 --> 00:46:54.540
<v Manny Noakes>and its effect on lean mass,

843
00:46:54.760 --> 00:46:57.660
<v Manny Noakes>but also because protein foods are very nutrient rich,

844
00:46:57.820 --> 00:46:59.580
<v Manny Noakes>and therefore when you're eating less,

845
00:46:59.740 --> 00:47:01.780
<v Manny Noakes>having a lot of nutrient rich foods are important.

846
00:47:02.860 --> 00:47:03.740
<v Manny Noakes>OK, thank you.

847
00:47:03.760 --> 00:47:04.740
<v Manny Noakes>You've been a wonderful audience,

848
00:47:04.780 --> 00:47:07.520
<v Manny Noakes>and I really appreciate your time today.

