Your health is what you eat: the role of nutrition in health

Your health is what you eat: the role of nutrition in health

This Thought for Food from Professor and researcher in Health Economics at the University of Sao Paulo, Flavia Mori Sarti, focuses on the importance of healthy diets based on regular intake of fruit and vegetables to maintain health and prevent the onset of noncommunicable diseases (NCDs), alongside the potential impacts on health care costs.

In recent decades, advances in nutrition research have been showing the role of diet in promoting health and preventing diseases. A balanced food consumption pattern that includes diverse types of staples, fruits, vegetables, and protein sources provides the energy, macro- and micronutrients to support healthy lifestyles. The consumption of other bioactive compounds may also help prevent certain chronic NCDs such as type 2 diabetes, dyslipidemias, and cardiovascular diseases.

However, the food consumption patterns of many populations around the world have been changing away from more traditional patterns towards modern diets marked by excessive intake of industrialized foods with high content of sugar, trans-fats and salt. The nutrition transition refers to the process of substitution of foods in natura with industrialized foods in different populations. This is often accompanied by a decrease in physical activities during transport, work and leisure, and an increase in sedentary activities.

The importance of consuming fruits and vegetables

Agriculture remains one of the most important economic activities, generating employment and income for billions of individuals worldwide. There are approximately 250,000 edible plant species known; however, only around 120 species are cultivated for human consumption. In addition, 12 plants and five animal species are responsible for approximately 75% of world food. Yet, plant food sources represent the main source of energy and nutrients, and are the sole contributors to fiber intake in the human diet.

Many health authorities recommend food consumption patterns with increased consumption of fresh fruits and vegetables to ensure sufficient intake of fiber, micronutrients, trace elements and bioactive compounds, also known as phytochemicals.

Dietary guidelines referring to the daily intake of fresh fruits and vegetables seek to promote the supply of nutrients through healthy diets, optimizing body functions and maintaining an individual’s health. Considering variations in cultural habits, several countries and regions publish and update national dietary guidelines based on current nutrition knowledge adapted for their populations (for example, Australia, Brazil, European Union, India, Japan, New Zealand, and the United States).

Nutritional deficiencies, such as a lack of specific vitamins and minerals found at high concentrations in plants, may be prevented through inclusion of diverse fruits and vegetables in daily meals. There is significant evidence that the high consumption of fiber reduces cholesterol and reduces the risk of cardiovascular diseases, diabetes and certain types of cancer. In addition, research on the numerous bioactive compounds that have been identified in plant foods show their contribution to the reduction of risk of NCDs in diverse population groups.

However, not all fruits and vegetables are of equal benefit. The 5-a-day mantra, adopted by authorities in many countries to increase fruit and vegetable consumption, can give the impression that all forms of fruit and vegetables deliver equally positive health consequences. While increased fruit and vegetable consumption is linked to multiple positive health outcomes, it is important to acknowledge the varied nutritional contents of these foods.

For example, there has been much debate on whether fruit juices should count towards achieving intake targets. While fruit juices contain many important micronutrients, they are also a source of sugar while lacking fiber. In developed nations, dietary fruit and vegetable variety is poor, with starchy vegetables making a disproportionately high contribution to vegetable intakes. These foods deliver a high energy intake with low nutrient diversity compared to other vegetables, such as leafy greens. The most desirable increases in fruit and vegetable consumption would be those that deliver high concentrations of micronutrients and fiber without contributing to macronutrient excesses.

Diet-health nexus for reduction of health care costs

Although there is substantial evidence on the protective effects of healthy diets, the consumption of diverse fruits and vegetables in daily diets is usually lower than recommendations in many countries.

The World Health Organization recommendation regarding consumption of fruits and vegetables is to include at least 400 grams per capita per day in the diet. However, according to data from the Food and Agriculture Organization (FAO), only 101 out of 174 countries had sufficient food supply to achieve this recommendation in 2018. Accounting for food waste (approximately 15% to 30% of food supply, depending on the country), the proportion of countries that fulfill the WHO recommendation reduces to approximately 60 out of 174 countries.

On the other hand, 169 out of 174 countries had a food energy supply greater than 2,000 calories per capita per day. Even accounting for food waste, approximately 120 countries still provide excess daily calories for adult individuals with sedentary lifestyles.

Therefore, modern lifestyles lead to a higher prevalence of obesity and related morbidities in many countries. The recent Global Burden of Disease Study 2019 indicated the greatest recorded increase in populations’ exposure to obesity and diabetes was between 1990 and 2019, among other risk factors for early mortality linked with modifiable behaviors. Simultaneously, the low diversity in food consumption patterns provide low intakes of micronutrients and bioactive compounds, characterizing the double burden of diseases, marked by coexistence of undernutrition and obesity related to NCD.

In Brazil, direct costs due to outpatient and inpatient care for treatment of 14 overweight- and obesity-related diseases has been estimated to total US$ 2.1 billion per year between 2008 and 2010. Other estimates pointed to expenditures of approximately 3.45 billion reais (US$ 908 million), attributable to outpatient, inpatient and medication for treatment of hypertension, diabetes and obesity on the national health system in 2018.

A systematic review of literature showed estimates of substantial direct health care costs of obesity and related diseases in 17 studies from developed countries and 6 studies from developing countries. They found that the medical costs associated with obesity and its knock-on effects had been increasing across both the developed and developing world. A previous review indicated that obesity was responsible for approximately 0.7% to 2.8% national health care expenditures in developed and developing countries worldwide. Additionally, individuals diagnosed with obesity usually presented costs 30% higher in comparison with healthy weight individuals due to occurrence of obesity-related NCD.

Conclusion

The reversion of negative nutrition transition trends worldwide depends on changes at individual, social, and policy level: these include gradual modifications of dietary patterns towards greater inclusion of nutrient-dense fruits and vegetables; increased physical activity levels, particularly during transportation and leisure; regulation of food marketing directed at children; adoption of nutrition education strategies; and health promotion actions within primary health care.

The cost-effectiveness of numerous strategies targeting obesity among children, adolescents and adults was assessed through economic evaluation studies in Australia, showing higher effectiveness of actions focusing on lifestyle changes among younger individuals, especially tackling consumption of industrialized foods and beverages, promoting physical activity and encouraging regular consumption of nutritious foods. Primary health care strategies addressing healthy lifestyles through family-based visits and surgical interventions showed reasonable cost-effectiveness.

Besides reducing costs in national health systems, incremental changes in diet associated with adjustments in physical activity level may prevent the onset of diverse NCD and reduce early mortality in different population groups worldwide, thus prolonging healthy life years and maintaining quality of life of individuals. In sum, following dietary guidelines will be a win-win situation for individuals and governments.

The Thought for Food was written by Flavia Mori Sarti, professor and researcher in Health Economics from the University of Sao Paulo, Brazil.

Glossary

Photo courtesy of Flavia Mori Sarti.



Professor Warren McNabb
Warren McNabb is a Professor of Nutritional Science at the Riddet Institute; one of New Zealand’s Centres of Research Excellence (CoRE), hosted by Massey University. He leads SNi® and his research interests include digestive physiology and metabolism, nutrition for health, and sustainable nutrition.
Project Leader | W.McNabb@massey.ac.nz
Professor Warren McNabb
Warren McNabb is a Professor of Nutritional Science at the Riddet Institute; one of New Zealand’s Centres of Research Excellence (CoRE), hosted by Massey University. He leads SNi® and his research interests include digestive physiology and metabolism, nutrition for health, and sustainable nutrition.
Project Leader | W.McNabb@massey.ac.nz
Dr Nick Smith
Nick works as a mathematical modeller on the Riddet Institute SNi®. He is responsible for a wide range of SNi's work and the continued development of the SNi models like the DELTA Model®. This is a tool for investigating how global food production meets global nutritional requirements as part of a sustainable food system.
Research Officer
Dr Nick Smith
Nick works as a mathematical modeller on the Riddet Institute SNi®. He is responsible for a wide range of SNi's work and the continued development of the SNi models like the DELTA Model®. This is a tool for investigating how global food production meets global nutritional requirements as part of a sustainable food system.
Research Officer
Dr Andrew Fletcher
Andrew is a Chemical Engineer with a PhD in process control and modelling. Andrew is a Honorary Fellow at the Riddet Institute and has been involved with SNi® since the outset. He is based at the Fonterra Research and Development Centre in Palmerston North and is involved in a range of research, management and strategy roles.
Honorary Fellow
Dr Andrew Fletcher
Andrew is a Chemical Engineer with a PhD in process control and modelling. Andrew is a Honorary Fellow at the Riddet Institute and has been involved with SNi® since the outset. He is based at the Fonterra Research and Development Centre in Palmerston North and is involved in a range of research, management and strategy roles.
Honorary Fellow
Professor Jeremy Hill
Professor Jeremy Hill has played a major role in developing SNi®. He has also been involved in developing strategic partnerships between Fonterra and the Riddet Institute. For example, the establishment of three Professorial Chairs in Food Material Science, Nutrition, and Consumer and Sensory Science. Jeremy is the Chief Science and Technology Officer at Fonterra.
Adjunct Professor
Professor Jeremy Hill
Professor Jeremy Hill has played a major role in developing SNi®. He has also been involved in developing strategic partnerships between Fonterra and the Riddet Institute. For example, the establishment of three Professorial Chairs in Food Material Science, Nutrition, and Consumer and Sensory Science. Jeremy is the Chief Science and Technology Officer at Fonterra.
Adjunct Professor
Dr Mahya Tavan
Mahya is a postdoctoral research fellow working on the development of the iOTA model. iOTA is a dietary optimisation tool for designing sustainable diets that are nutritious, acceptable and affordable. Prior to joining SNi®, Mahya held a research role at the University of Melbourne, Australia where she carried out various research projects on sustainable food production, resource use efficiency and biofortification of fresh food.
Postdoctoral Research Fellow
Dr Mahya Tavan
Mahya is a postdoctoral research fellow working on the development of the iOTA model. iOTA is a dietary optimisation tool for designing sustainable diets that are nutritious, acceptable and affordable. Prior to joining SNi®, Mahya held a research role at the University of Melbourne, Australia where she carried out various research projects on sustainable food production, resource use efficiency and biofortification of fresh food.
Postdoctoral Research Fellow
Raquel Lozano
Raquel is a postdoctoral research fellow creating models for national food systems. Her PhD research focused on helping design horticultural packaging systems to minimise the environmental impact. Raquel was awarded the International Society of Horticultural Sciences Young Minds Award in 2023, and is keen to use mathematical modelling to provide holistic information to decision-makers in the area of sustainable nutrition.
Postdoctoral Research Fellow
Raquel Lozano
Raquel is a Postdoctoral Research Fellow creating models for national food systems. Her PhD research focused on helping design horticultural packaging systems to minimise the environmental impact. Raquel was awarded the International Society of Horticultural Sciences Young Minds Award in 2023, and is keen to use mathematical modelling to provide holistic information to decision-makers in the area of sustainable nutrition.
Postdoctoral Research Fellow
Patricia Soh
Prior to her current PhD, Patricia attained a Master of Science in Human Nutrition at Massey University, Albany. The current focus of her PhD is investigating nutritional concerns within vegan diets.
PhD Student
Patricia Soh
Prior to her current PhD, Patricia attained a Master of Science in Human Nutrition at Massey University, Albany. The current focus of her PhD is investigating nutritional concerns within vegan diets.
PhD Student
Ejovi Abafe
Prior to his current PhD, Ejovi obtained a Master’s and a Bachelor’s degree in Agricultural Economics from the University of South Africa (UNISA) and Delta State University, Nigeria. The current focus of his PhD at the Riddet Institute is Global land use for the delivery of nutrition.
PhD Student
Ejovi Abafe
Prior to his current PhD, Ejovi obtained a Master’s and a Bachelor’s degree in Agricultural Economics from the University of South Africa (UNISA) and Delta State University, Nigeria. The current focus of his PhD at the Riddet Institute is Global land use for the delivery of nutrition.
PhD Student
Justine Coomson
Prior to her current PhD, Justine obtained a Masters degree in Population, Family and Reproductive Health and a Bachelor's degree in Dietetics from the University of Ghana. Justine has worked as a research assistant and a clinical dietician in Ghana before coming to New Zealand. The current focus on her PhD is the impact of biofortification and supplementation to diets.
PhD Student
Justine Coomson
Prior to her current PhD, Justine obtained a Masters degree in Population, Family and Reproductive Health and a Bachelor's degree in Dietetics from the University of Ghana. Justine has worked as a research assistant and a clinical dietician in Ghana before coming to New Zealand. The current focus on her PhD is the impact of biofortification and supplementation to diets.
PhD Student
Hannah Ramsay
Hannah is the Project Manager for SNi®. She started her career in the Riddet Institute when she first came to New Zealand and has since done project and event work across various educational institutes. The opportunity to return to Project Management at the Riddet Institute was very welcome, especially given the fascinating research and mahi conducted as part of SNi®.
Project Manager | H.Ramsay@massey.ac.nz
Hannah Ramsay
Hannah is the Project Manager for SNi®. She started her career in the Riddet Institute when she first came to New Zealand and has since done project and event work across various educational institutes. The opportunity to return to Project Management at the Riddet Institute was very welcome, especially given the fascinating research and mahi conducted as part of SNi®.
Project Manager | H.Ramsay@massey.ac.nz
Amelia Barker
Amelia is a Communications Officer at the Riddet Institute. She has many years experience in digital media communications at various organisations. Amelia is passionate about research and enjoys promoting the fantastic mahi (work) that SNi® does.
Communications Officer
Amelia Barker
Amelia is a Communications Officer at the Riddet Institute. She has many years experience in digital media communications at various organisations. Amelia is passionate about research and enjoys promoting the fantastic mahi (work) that SNi® does.
Communications Officer
Rangimarie Hunia
Rangimarie Hunia was appointed an alternate director of Te Ohu Kaimoana at the beginning of 2015 before being appointed a full director in November 2015, and Chair in July 2019. The first wahine (woman) Chair in the history of Te Ohu Kaimoana. In 2017, she was appointed a Chair of Te Pūtea Whakatupu Trust. In 2016, she was appointed Chief Executive of Ngāti Whātua Ōrakei Whai Maia. Whai Maia is responsible for the well-being of its 5,000 tribal members and focuses on education, health, employment and environmental areas. She played an active role as a member of the Iwi Working Group that was established to facilitate understanding and iwi decision making in response to the 11-year Review of Māori Fisheries Settlement entities. Rangimarie is also a member of Global Women and was a finalist in the Westpac Women of Influence Awards 2014.
Ngāti Whātua Chair of the SNi® International Advisory Group Chief Executive of Ngāti Whātua Ōrakei Whai Maia
Rangimarie Hunia
Rangimarie Hunia was appointed an alternate director of Te Ohu Kaimoana at the beginning of 2015 before being appointed a full director in November 2015, and Chair in July 2019. The first wahine (woman) Chair in the history of Te Ohu Kaimoana. In 2017, she was appointed a Chair of Te Pūtea Whakatupu Trust. In 2016, she was appointed Chief Executive of Ngāti Whātua Ōrakei Whai Maia. Whai Maia is responsible for the well-being of its 5,000 tribal members and focuses on education, health, employment and environmental areas. She played an active role as a member of the Iwi Working Group that was established to facilitate understanding and iwi decision making in response to the 11-year Review of Māori Fisheries Settlement entities. Rangimarie is also a member of Global Women and was a finalist in the Westpac Women of Influence Awards 2014.
Ngāti Whātua Chair of SNi® International Advisory Group Chief Executive of Ngāti Whātua Ōrakei Whai Maia
Jeroen Dijkman
Dr. Jeroen Dijkman is the founding head of the Nestlé Institute of Agricultural Sciences at Nestlé Research. The Institute aims to translate novel agricultural science into concrete applications and to identify and develop the most promising regenerative agriculture technologies. Headquartered in Lausanne, Switzerland, the organization has a decentralized structure and incorporates Nestlé’s existing plant sciences research facilities in France, as well as numerous research and reference farms around the world. The Institute has three focus areas: plant sciences, dairy-livestock sciences and agricultural system sciences. Jeroen has worked for over 30 years, in all major regions of the world, with bi- and multi-lateral donors, i-NGOs, international and national research centres, the World Bank, UN agencies and the private sector on finding ways to use research and innovation to transition agri-food systems towards more productive but also more sustainable and socially inclusive pathways. In his last two assignments prior to taking up his current position, Jeroen combined the roles of Director (International) of the New Zealand Agricultural Greenhouse Gas Research Centre and the Senior Technical Adviser of the UN Environment, Climate and Clean Air Coalition agriculture initiative. Subsequently, he was the Managing Director of the Animal Sciences Group, Wageningen University and Research. The Animal Sciences Group consists of the Department of Animal Sciences of Wageningen University and three Wageningen Research institutes: Wageningen Bio-veterinary Research, Wageningen Livestock Research and Wageningen Marine Research.
Head of Nestlé Institute of Agricultural Sciences
Jeroen Dijkman
Dr. Jeroen Dijkman is the founding head of the Nestlé Institute of Agricultural Sciences at Nestlé Research. The Institute aims to translate novel agricultural science into concrete applications and to identify and develop the most promising regenerative agriculture technologies. Headquartered in Lausanne, Switzerland, the organization has a decentralized structure and incorporates Nestlé’s existing plant sciences research facilities in France, as well as numerous research and reference farms around the world. The Institute has three focus areas: plant sciences, dairy-livestock sciences and agricultural system sciences. Jeroen has worked for over 30 years, in all major regions of the world, with bi- and multi-lateral donors, i-NGOs, international and national research centres, the World Bank, UN agencies and the private sector on finding ways to use research and innovation to transition agri-food systems towards more productive but also more sustainable and socially inclusive pathways. In his last two assignments prior to taking up his current position, Jeroen combined the roles of Director (International) of the New Zealand Agricultural Greenhouse Gas Research Centre and the Senior Technical Adviser of the UN Environment, Climate and Clean Air Coalition agriculture initiative. Subsequently, he was the Managing Director of the Animal Sciences Group, Wageningen University and Research. The Animal Sciences Group consists of the Department of Animal Sciences of Wageningen University and three Wageningen Research institutes: Wageningen Bio-veterinary Research, Wageningen Livestock Research and Wageningen Marine Research.
Head of Nestlé Institute of Agricultural Sciences
Berry Marttin
Berry Marttin was born and raised in Brazil. Over the course of his career at Rabobank, he gained extensive experience as an international banker in both wholesale and retail banking, working in various senior executive positions in Australia, Indonesia, Hong Kong, Curacao and Brazil. Mr Marttin moved to the Netherlands in 2004 to become Chairman of the Board of Directors of Rabobank Amsterdam. In 2009, he joined the Managing Board with special focus on Rabobank’s international Wholesale and Rural banking activities and further responsibilities including Leasing (DLL), Rabo Carbon Bank and RaboResearch. His principal other activities outside Rabobank include serving as President of the EACB (European Association of Co-operative Banks) and Member of the Board of Neumann Foundation. Moreover, Mr Marttin serves as the first Chairman of the Global Steering Committee of the Food Action Alliance, where World Economic Forum together with IFAD, WBCSD, CIAT, AfDB and Rabobank and over 20 global leaders unite to deploy large scale action through game changing initiatives for food systems transformation. In 2021, he was invited to join the UN Food Systems Summit Champions network, a network encompassing leadership from a broad range of constituencies, in all parts of the world, who are championing food systems and food systems transformation.
Former Member of the Managing Board Rabobank Group
Berry Marttin
Berry Marttin was born and raised in Brazil. Over the course of his career at Rabobank, he has gained extensive experience as an international banker in both wholesale and retail banking, working in various senior executive positions in Australia, Indonesia, Hong Kong, Curacao and Brazil. Mr Marttin moved to the Netherlands in 2004 to become Chairman of the Board of Directors of Rabobank Amsterdam. In 2009, he joined the Managing Board with special focus on Rabobank’s international Wholesale and Rural banking activities and further responsibilities including Leasing (DLL), Rabo Carbon Bank and RaboResearch. His principal other activities outside Rabobank include serving as President of the EACB (European Association of Co-operative Banks) and Member of the Board of Neumann Foundation. Moreover, Mr Marttin serves as the first Chairman of the Global Steering Committee of the Food Action Alliance, where World Economic Forum together with IFAD, WBCSD, CIAT, AfDB and Rabobank and over 20 global leaders unite to deploy large scale action through game changing initiatives for food systems transformation. In 2021, he was invited to join the UN Food Systems Summit Champions network, a network encompassing leadership from a broad range of constituencies, in all parts of the world, who are championing food systems and food systems transformation.
Member of the Managing Board Rabobank Group
Dr Jason Clay
Jason Clay is the Senior Vice President for Markets and Executive Director of the Markets Institute at WWF, which was created to identify and address emerging global issues, trends, and tools impacting conservation in more timely, cost-effective, and scalable ways. His career has ranged from working on a family farm and for the US Department of Agriculture. He taught at Harvard and Yale and spent more than 35 years with human rights and environmental NGOs. In 1988, Clay founded Rainforest Marketing, set up a trading company within an NGO, helped Indigenous people and local communities access global markets, and launched Ben & Jerry’s Rainforest Crunch, plus more than 200 other products with sales of $100 million. From 1999 to 2003, he co-directed a WWF, the World Bank, UN FAO, and NACA consortium to identify the most significant environmental and social impacts of shrimp aquaculture, as well as practices to reduce them. From 2004 to 2012, he convened multistakeholder roundtables to create performance-based standards for commodities including salmon, soy, sugarcane, cotton, and beef. He developed WWF’s Market Transformation program in 2006 to work on agriculture, aquaculture, livestock, and corporate engagement. Clay continues to lead WWF-US efforts to improve private sector supply chain management and help their producers address the most significant impacts. In 2008, he created the Carbon and Commodities program to address supply chain GHG emissions. He has helped whole sectors improve their sustainability performance (e.g., the Global Salmon Initiative). He is now working with the global leather industry to support a DCF leather fund and is testing support for a 1% environmental performance payments to support the transition costs and incentives to finance what producers need to do to become legal and deforestation and conversion free. He is launching a two-year proof of concept for Codex Planetarius, a set of minimum global standards to reduce the key impacts of food and commodities traded internationally. Clay has authored 18 books and 500 articles, and has given more than 1,500 invited presentations. He studied anthropology and agriculture at Harvard, the London School of Economics, and Cornell (PhD).
Senior Vice President, Markets at World Wildlife Fund (WWF)
Dr Jason Clay
Jason Clay is the Senior Vice President for Markets and Executive Director of the Markets Institute at WWF, which was created to identify and address emerging global issues, trends, and tools impacting conservation in more timely, cost-effective, and scalable ways. His career has ranged from working on a family farm and for the US Department of Agriculture. He taught at Harvard and Yale and spent more than 35 years with human rights and environmental NGOs. In 1988, Clay founded Rainforest Marketing, set up a trading company within an NGO, helped Indigenous people and local communities access global markets, and launched Ben & Jerry’s Rainforest Crunch, plus more than 200 other products with sales of $100 million. From 1999 to 2003, he co-directed a WWF, the World Bank, UN FAO, and NACA consortium to identify the most significant environmental and social impacts of shrimp aquaculture, as well as practices to reduce them. From 2004 to 2012, he convened multistakeholder roundtables to create performance-based standards for commodities including salmon, soy, sugarcane, cotton, and beef. He developed WWF’s Market Transformation program in 2006 to work on agriculture, aquaculture, livestock, and corporate engagement. Clay continues to lead WWF-US efforts to improve private sector supply chain management and help their producers address the most significant impacts. In 2008, he created the Carbon and Commodities program to address supply chain GHG emissions. He has helped whole sectors improve their sustainability performance (e.g., the Global Salmon Initiative). He is now working with the global leather industry to support a DCF leather fund and is testing support for a 1% environmental performance payments to support the transition costs and incentives to finance what producers need to do to become legal and deforestation and conversion free. He is launching a two-year proof of concept for Codex Planetarius, a set of minimum global standards to reduce the key impacts of food and commodities traded internationally. Clay has authored 18 books and 500 articles, and has given more than 1,500 invited presentations. He studied anthropology and agriculture at Harvard, the London School of Economics, and Cornell (PhD).
Senior Vice President, Markets at World Wildlife Fund (WWF)
Professor Manny Noakes
Professor Manny Noakes has a PhD in nutrition as well as having trained as a dietitian in her earlier years. She is more recently a graduate of the Australian Institute of Company Directors. Prof Noakes is a former Director and Senior Principal Research Scientist, Nutrition and Health at CSIRO, Australia. She currently runs her own nutrition consultancy and is also a non-executive Director for Meat and Livestock Australia. She is considered a key opinion leader and advisor in nutrition and health, has extensive media and public speaking experience. She has over 25 years’ experience in many fields of nutrition and health, and has undertaken numerous clinical dietary intervention trials in weight management, functional foods and cardiovascular health. She has also undertaken research on diet and sustainability and redefined the environmental agenda from a food and health perspective. Prof Noakes has authored more than 200 peer-reviewed publications which have been cited more than 9000 times and has an H index of 52. She was instrumental in the development and release of five editions of the CSIRO Total Wellbeing Diet, which was launched in 2004 and has been translated into 17 languages and sold over one million copies in Australia. The Total Wellbeing Diet has been further commercialised to a successful online programme. Prof Noakes is the recipient of three CSIRO Medals, is a Distinguished Alumni of Flinders University, holds a research excellence award from the University of Adelaide and is a recipient of the Zonta Club Woman of International Achievement award.
Nutrition Consultant
Professor Manny Noakes
Professor Manny Noakes has a PhD in nutrition as well as having trained as a dietitian in her earlier years. She is more recently a graduate of the Australian Institute of Company Directors. Prof Noakes is a former Director and Senior Principal Research Scientist, Nutrition and Health at CSIRO, Australia. She currently runs her own nutrition consultancy and is also a non-executive Director for Meat and Livestock Australia. She is considered a key opinion leader and advisor in nutrition and health, has extensive media and public speaking experience. She has over 25 years’ experience in many fields of nutrition and health, and has undertaken numerous clinical dietary intervention trials in weight management, functional foods and cardiovascular health. She has also undertaken research on diet and sustainability and redefined the environmental agenda from a food and health perspective. Prof Noakes has authored more than 200 peer-reviewed publications which have been cited more than 9000 times and has an H index of 52. She was instrumental in the development and release of five editions of the CSIRO Total Wellbeing Diet, which was launched in 2004 and has been translated into 17 languages and sold over one million copies in Australia. The Total Wellbeing Diet has been further commercialised to a successful online programme. Prof Noakes is the recipient of three CSIRO Medals, is a Distinguished Alumni of Flinders University, holds a research excellence award from the University of Adelaide and is a recipient of the Zonta Club Woman of International Achievement award.
Nutrition Consultant
Lain Jager
Lain Jager is best known for his time with the hugely successful kiwifruit marketer Zespri where he was CEO from 2008 to 2017. During his tenure as CEO, Zespri grew strongly through the impact and recovery from the bacterial vine disease Psa, grower returns doubled, and the share price grew from $1.00 to $8.00. Today, Lain is involved in a range of investment projects in Tourism and Agribusiness, serves as a Director on several Boards, was the Chairman of the Primary Sector Council that produced the Fit for a Better World Report focused on the New Zealand Food and Fibre Sector, and is the Co-Chair of Te Puna Whakaaronui – a Food and Fibre think tank. Lain and his wife Debra live on a lifestyle block in Tauranga, New Zealand.
Chair of the Thought Leaders Group for Te Puna Whakaaronui Food and Fibre Think Tank
Lain Jager
Lain Jager is best known for his time with the hugely successful kiwifruit marketer Zespri where he was CEO from 2008 to 2017. During his tenure as CEO, Zespri grew strongly through the impact and recovery from the bacterial vine disease Psa, grower returns doubled, and the share price grew from $1.00 to $8.00. Today, Lain is involved in a range of investment projects in Tourism and Agribusiness, serves as a Director on several Boards, was the Chairman of the Primary Sector Council that produced the Fit for a Better World Report focused on the New Zealand Food and Fibre Sector, and is the Co-Chair of Te Puna Whakaaronui – a Food and Fibre think tank. Lain and his wife Debra live on a lifestyle block in Tauranga, New Zealand.
Chair of the Thought Leaders Group for Te Puna Whakaaronui Food and Fibre Think Tank
Samuel Thevasagayam
Samuel Thevasagayam is the Director of Livestock and Aquaculture within the Agriculture Development Program at the Bill & Melinda Gates Foundation, where he oversees the implementation of foundation’s strategy in animal health, animal production, animal nutrition, animal systems and livestock off-take markets in sub-Saharan Africa and South Asia. Samuel started his career as a small animal clinician and lecturer at the University of Peradeniya, Sri Lanka. He then moved to work in academic research, Pharmaceutical R&D (veterinary and human), Business Development and the not-for profit sector, living/working in four continents before joining the Gates Foundation in 2012. Samuel graduated from the faculty of Veterinary Medicine and Animal Sciences of the University of Peradeniya, Sri Lanka. Gained his PhD in veterinary virology from the University of Hertfordshire for his research on foot-and-mouth disease virus at the Pirbright Institute and holds an MBA from the University of Oxford. He is a Fellow of the Royal Society of Biology.
Director of Livestock and Aquaculture within the Agriculture Development Program, Bill & Melinda Gates Foundation
Samuel Thevasagayam
Samuel Thevasagayam is the Director of Livestock and Aquaculture within the Agriculture Development Program at the Bill & Melinda Gates Foundation, where he oversees the implementation of foundation’s strategy in animal health, animal production, animal nutrition, animal systems and livestock off-take markets in sub-Saharan Africa and South Asia. Samuel started his career as a small animal clinician and lecturer at the University of Peradeniya, Sri Lanka. He then moved to work in academic research, Pharmaceutical R&D (veterinary and human), Business Development and the not-for profit sector, living/working in four continents before joining the Gates Foundation in 2012. Samuel graduated from the faculty of Veterinary Medicine and Animal Sciences of the University of Peradeniya, Sri Lanka. Gained his PhD in veterinary virology from the University of Hertfordshire for his research on foot-and-mouth disease virus at the Pirbright Institute and holds an MBA from the University of Oxford. He is a Fellow of the Royal Society of Biology.
Director of Livestock and Aquaculture within the Agriculture Development Program, Bill & Melinda Gates Foundation
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