The Health & Wellness Glossary

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The Health & Wellness GlossaryTo promote a shared understanding and common language onhealth and wellness terms for businesses, professionalorganisations and executives in the consumer goods industryBrought to you by the Health & Wellness Initiativeat The Consumer Goods Forum

Health & Wellness Initiative - GlossaryBetter Lives Through Better Business

Health & Wellness Initiative - GlossaryTable of ContentsPreface 3Purpose 3Vision 3Scope 4Health and Wellness Resolutions4Use of the Glossary 4Definitions6Terminology Section 12Sources 12Framework of Terminology 13Acknowledgements 15Acronyms16About The Consumer Goods Forum 17

Health & Wellness Initiative - GlossaryPrefaceThe Health and Wellness Initiative lies within the Safety and Health Pillar, one of the five strategic prioritiesof The Consumer Goods Form (CGF). The objective of the Initiative is to equip the industry with a thoughtleadership and collaboration platform on non-competitive health and wellness questions among manufacturers,retailers and their common stakeholders.The Health and Wellness Initiative is co-sponsored and co-chaired by Royal Ahold and Nestlé.The glossary project was developed to ensure that all of the Initiative’s work was shaped with a shared languageon health and wellness terms and definitions.PurposeTo equip professionals working in the consumer goods industry with a shared understanding and commonlanguage on health and wellness terms and definitions. We aim to enable professionals to bettercommunicate in order to work towards industry alignment and implementation of the Health and WellnessResolutions adopted and approved by The Consumer Goods Forum Board of Directors. To drive convergence,the CGF Health and Wellness Initiative built this glossary to describe best existing terms and definitions,upholding relevant International Standards - where these exist - and provide a common interpretation of healthand wellness terms.This glossary is a practical and easy-to-use guide to health and wellness terminology and vocabulary used inthe resolutions. While every effort has been made to present accurate and up-to-date definitions, this glossaryshould be used as a resource, not as an authority. The health and wellness landscape is a complex andrapidly changing area, and it would be impossible to include every applicable term. Users should refer tonational authorities for local references. The list of terms included is not intended to be either exhaustive orexclusive. This glossary is openly available for all to use. It will evolve over time as the Health and WellnessInitiative programme develops.VisionIn the context of the CGF, our understanding of health and wellness covers a broad range of aspects, fromhealthy diets and healthy lifestyles to personal care and hygiene, with the aim to contribute to the physical,emotional, spiritual, intellectual and sustainable well-being of consumers, employees, their families and thecommunities we serve.The Consumer Goods Forum, through its collaborative work on health and wellness, will: Enable its members in playing a leadership role in helping consumers and shoppers make informed productand lifestyle choices to reinforce their health and wellness; Contribute to a better life for all by encouraging a culture of prevention, thereby improving health as well ashelping to reduce overall healthcare costs; and Proactively and voluntarily support and contribute to government and civil society efforts in the area of healthand wellness.Through its wide base of representation (food, non-food, manufacturers, retailers and their commonstakeholders), contribute to the alignment of industry efforts to improve the health and wellness of the globalpopulation.Page 3

Health & Wellness Initiative - GlossaryScopeHealth and Wellness is increasingly important to consumers and businesses alike. The absence of a common,well-defined lexicon of health and wellness terms makes it difficult for professionals to speak a commonlanguage. The variety of terms, usages, and claims that are being applied in the consumer goods industry can robthose terms of meaning, making it difficult for businesses that are genuinely leading in this area to differentiatethemselves. The purpose of this Glossary is to begin to harmonise and clearly define the terms that businessesuse to describe their health and wellness efforts.Health & Wellness ResolutionsThe Consumer Goods Forum Health and Wellness Resolutions:“As Members of the Board of The Consumer Goods Forum (CGF), we believe that manufacturers and retailers,by working together, have a key role to play in improving the health and wellness of consumers, employees, theirfamilies and the communities we serve. We will provide consumers with choices and information that empower them to make decisions for a healthylife; We will further encourage a culture of prevention, promoting active, healthy living for all and engaging withother stakeholders to accelerate and increase the positive impact of our efforts; and We will monitor and learn from our efforts and will report on our progress;The resolutions are built upon and leverage existing industry initiatives. They encourage retailers; food andnon-food manufacturers to further develop and implement self-regulatory tools to support healthier diet andlifestyles”.The Health and Wellness Resolutions are based on three key areas: Access & Availability of Products and Services: We will offer consumers and shoppers a range of products andservices that supports the goals of healthier diets and lifestyles; Product Information and Responsible Marketing: We will provide transparent, fact-based information that willhelp consumers and shoppers make informed product choices and usages; and Communication and Education about Healthier Diets and Lifestyles: We will use communication andeducational programs to help raise consumer awareness on health & wellness and energy balance to inspirehealthier diets and lifestyles.Read more here: http://healthandwellness.mycgforum.comUse of the GlossaryThis Glossary represents an initial step in a process of harmonising health and wellness terms within theconsumer goods industry.The Glossary is intended to complement existing definitions. The success of the glossary is dependent onindividuals and companies using the terms and definitions in a consistent way. This Glossary will be publishedon The Consumer Goods Forum website and its members will be encouraged to either link to those terms orinclude them directly on their own health and wellness sites.Page 4

Health & Wellness Initiative - GlossaryDefinitionsTermBasic Health IndicatorSourceHEALTHWHOBasic Health Indicator is a characteristic of anhttp://www.who.int/kobe centre/ageing/ahp vol5individual, population or environment which isglossary.pdfsubjected to measurement and can be used to describeone or more aspects of the health of an individualor population (quality, quantity and time). A healthindex comprises a number of indicators.HealthWHOHealth LiteracyWHOHealth and WellnessCGF Health and Wellness Core Teamhttp://healthandwellness.mycgforum.comHealth is a state of complete physical, social andmental well-being, and not merely the absence ofdisease or infirmity.Health Literacy comprises of the cognitive and socialskills which determine the motivation and ability ofindividuals to gain access to, understand and useinformation in ways which promote and maintaingood health.In the context of the CGF, our understanding ofHealth and Wellness covers a broad range of topics,from healthy diets and active, healthy lifestyles topersonal care and hygiene, with the aim to contributeto the physical, emotional, spiritual, intellectual andsustainable well-being of consumers, employees, theirfamilies and the communities we serve.Ottawa Charter for Health Promotion. WHO,Geneva, /previous/ottawa/en/index.htmlCommunication, Education and Participation: AFramework and Guide to Action. WHO (AMRO/PAHO), Washington, 1996http://www.paho.org/NonCommunicable DiseasesWHONoncommunicable Diseases are a group of conditions /including cardiovascular diseases, cancers, diabetesand chronic lung diseases, which are responsible forthe majority of deaths caused by NCDs and are largelycaused by four shared behavioural risk factors thatare pervasive aspects of economic transition, rapidurbanisation and 21st-century lifestyles: tobacco use,unhealthy diet, insufficient physical activity and theharmful use of alcohol. The broader scope ofnoncommunicable conditions also includes healthproblems like gastrointestinal diseases, renal diseases,and neurological and mental health disorders. Theseconditions account for a substantial portion of theglobal burden of disease.Page 5

Health & Wellness Initiative - GlossaryDefinitions (cont.)TermCivil SocietySourceSTAKEHOLDERSWHOThere are a number of definitions on Civil Society.For the purpose of our glossary we understand civilsociety as a social sphere separate from both the stateand the market.For more information please see: x.htmlPublic HealthWHOPublic-Private PartnershipsWHOPublic Health refers to all organised measures(whether public or private) to prevent disease,promote health, and prolong life among thepopulation as a whole. Its activities aim to provideconditions in which people can be healthy and focuson entire populations, not on individual patients ordiseases. Thus, public health is concerned with thetotal system and not only the eradication of aparticular disease.Public-Private Partnerships comprises of a widevariety of ventures involving a diversity ofarrangements, varying with regard to participants,legal status, governance, management, policy-settingprerogatives, contributions and operational lossary/story077/en/index.htmlNUTRITIONWHO 2009Malnutrition is a general term for a condition of illhealth caused by an improper or inadequate diet.http://www.who.int/en/NutritionWHO 2009Nutritional DeficiencyMerriam WebsterPublic Health NutritionEuropean CommissionNutrition is the provision to cells and organisms ofthe materials necessary (in the form of food) tosupport life.Nutritional Deficiency is an inadequate supply ofessential nutrients (such as vitamins and minerals) inthe diet resulting in malnutrition or disease.Public Health Nutrition is the promotion of goodhealth and the prevention of illness in the populationthrough nutrition and physical webster.com/http://ec.europa.eu/health/archive/ph determinants/life style/nutrition/documents/nutrition reporten.pdfPage 6

Health & Wellness Initiative - GlossaryDefinitions (cont.)TermEnergy BalanceSourceENERGY AND NUTRIENTSU.S. Department of Health & Human ServicesEnergy Balance is the balance of calories consumedthrough eating and drinking compared to caloriesburned through physical activity and other activitiesby the body. What you eat and drink is ENERGY IN.What you burn through physical activity isENERGY OUT. You burn a certain number of calories just by breathing air and digesting food. You alsoburn a certain number of calories (ENERGY OUT)through your daily CarbohydrateProteinSodiumSugar(s)FatSaturated FatsMono-UnsaturatesPolyunsaturated Fatty AcidsTrans Fatty AcidsDietary FibreCODEXEnergy InformationPlease refer to Codex:http://www.codexalimentarius.org/PRODUCT INFORMATIONEUFICEnergy Information is expressed in kilocalories(calories) or is-energy/Front of Pack LabellingCGF Health and Wellness Core TeamIn the context of this glossary, there are two generaltypes of voluntary FOP nutrition labelling:(1) Labelling that consists of nutrient content claimsthat are not part of an organised industry system;and(2) Labelling as part of an organised industry systemthat provides nutrition information in a uniformmanner, and often could also be considered anutrient content claim. Both types of nutritionlabelling are typically regulated by nationalauthorities.Examples of these kinds of voluntary FOP systemsinclude:1. Nutrient-specific labelling schemes. There arenumerous examples of voluntary industry initiativesPage 7http://healthandwellness.mycgforum.com/

Health & Wellness Initiative - GlossaryDefinitions (cont.)TermSourceof this type. They include the “GDA” system in theU.K.; Facts Up Front in the U.S.; and interpretativeschemes such as Choices International, etc.Nutrient specific schemes sometimes include anexpression of the recommended daily amount foreach nutrient or of energy, based on nationalguidelines. Examples of recommended daily amountdenotations include “GDAs” or “Guideline DailyAmounts” (UK, EU); Reference Intake (EU); or % DVor Percent Daily Value (U.S., Canada). Nutrientspecific labelling schemes may also contain coloursdenoting whether a specific nutrient represents ahigh, medium or low percentage of the recommendeddaily amount – a variation often referred to as “trafficlights”. The interpretative schemes such as ChoicesInternational refers to a front-of-pack logo schemethat identifies foods as “responsible choice” based onnutrition profiles defined for a number of productgroups.2. Summary labelling schemes. These voluntaryschemes have tended to be sponsored by governmentsand/or public health groups (Swedish Keyhole) or byindividual companies (Guiding Stars, NuVal,Choices, Great for You). Two different types ofsummary schemes typically found are: Schemes based on nutrition criteria, certain foodswould bear a label/seal indicating that they are agood nutrition choice. This label would only appearon those foods that met the criteria. Schemes based on nutrition criteria, all foods wouldbear some kind of “rating” – a number or 1-3 starsor some other designation -- that providesconsumers with a comparative nutrition ranking ofall foods.Reference IntakeReference Intake is based on an average adult intakeof 8400 kj/2000 Kcal. Energy and nutrients may beexpressed as percentage of reference intake based onportion.EU Regulation iServ.do?uri OJ:L:2011:304:0018:0063:EN:PDFPage 8

Health & Wellness Initiative - GlossaryDefinitions (cont.)TermNutrition LabellingNutrition Labelling is a description intended toinform the consumer of nutritional properties of afood. Nutrition labelling consists of two .org/standards/list-ofstandards/en/?no cache 1(a) nutrient declaration; and(b) supplementary nutrition information.Nutrition ClaimNutrition Claim is any representation which states,suggests or implies that a food has particularnutritional properties including but not limited to theenergy value and to the content of protein, fat andcarbohydrates, as well as the content of vitamins standards/list-ofstandards/en/?no cache 1It is important to always check national regulationsfor specific requirements for nutrition labelling.Nutrient Content ClaimsUS National Library of MedicineA nutrient content claim is a word or phrase on a food e that makes a comment about thecle/002459.htmnutritional value of the food. The claim will meanthe same for every product. The following are someapproved nutrient claims. Low-calorie- 40 calories or less per serving Sugar-free- Less than 1/2 gram sugar per serving Low-fat- 3 grams fat or less per serving Cholesterol-free- Less than 2 milligrams cholesterol per servingand 2 grams or less saturated fat per serving. Sodium-free- Less than 5 milligrams sodium per serving Salt-free- Meets requirements for sodium-freeOn-Pack Nutritional InformationOn-Pack Nutritional Information provides nutritioninformation to consumers on the food and beveragepackage. The CGF resolution on nutritionlabelling provides for nutrition information on-packper portion for the key nutrients of public healthinterest, as modified by any national statutory orregulatory requirements.Page 9CGF Health and Wellness Core Teamhttp://healthandwellness.mycgforum.com/

Health & Wellness Initiative - GlossaryDefinitions (cont.)TermSourceDIETCGF Health and Wellness Core TeamHealthy Diet & LifestyleEncouraging people to move towards a diet and active http://healthandwellness.mycgforum.com/lifestyle, this is in line with the national guidelines.For example: USDA, Dietary Guidelines for AmeriExamples of national guidelines include:cans Aiming for fitness Building a healthy base Choosing sensiblyBody ImageBODY CAREMerriam WebsterBody image is a subjective picture of one’s ownphysical appearance established both by selfobservation and by noting the reactions of others.http://www.merriam-webster.comA positive body-image gives you self-confidence,Ezineself-awareness, self-acceptance and self-worth, whilst http://EzineArticles.com/3163274a negative body-image can lead to anxiety, depression,emotional distress, inferiority complex, low selfesteem and eating disorders.Dietary SupplementsDirective 2002/46/EC of the EuropeanGood HygieneEhowPersonal CarePersonal Care ProductsDietary Supplements - a preparation intended toParliament and of the Councilsupplement the diet and provide nutrients, such ashttp://en.wikipedia.org/wiki/Dietary supplementvitamins, minerals, fibre, fatty acids, or aminoacids, that may be missing or may not be consumed insufficient quantities in a person’s diet. Some countriesdefine dietary supplements as foods, while in othersthey are defined as drugs or natural health products.Good Hygiene involves properly caring for your body http://www.ehow.com/facts 5589780 definition-perby keeping it clean and healthy while allowing you to sonal-hygiene.html#ixzz2TQVExmLglook and feel your best. It is also a highly effective wayfor you to protect yourself from illness and infection.Products that consumers rely on to live better,healthier lives - from moisturisers, lipsticks andfragrances to sunscreens, soaps and anti-cavitytoothpastes. These products are essential to today’sconsumer lifestyles.http://www.personalcareproducts.orgPage 10

Health & Wellness Initiative - GlossaryDefinitions (cont.)TermSymptom Relief and TreatmentSymptom Relief and Treatment - symptomalleviation, cure of a condition and/or reductionof discomfort – from over the counter medicines(cough/cold/flu and digestive health products) tobandages, topical ointments and external pain relief.UV ProtectionUV Protection is helping protect people fromultraviolet 5UV) exposure – the leading preventablerisk factor of skin cancer. Sunscreen protects thedamaging effects of UV light in four ways – byreflecting UV, absorbing UV, decreasing UV anddecreasing antioxidant damage created by UV.SourceDirective 2002/46/EC of the EuropeanParliament and of the Councilhttp://en.wikipedia.org/wiki/Dietary supplementAmerican Academy of -better-sunscreens-HEALTH IN THE WORKPLACEEmployee Wellness ProgrammesCGF Health and Wellness Core TeamEmployee Wellness Programmes are encapsulated inthe CGF health and wellness /ADVERTISING TO CHILDRENAdvertising to Children Under 12IFBAWith respect to advertising to children under 12years, this means advertising in child-directedmedia where 35% or more of the audience is under12 years of age. This covers TV and print advertising,third-party internet and company-owned websites(including corporate and brand-owned websites)directed to children under 12 years of age.Page 11https://www.ifballiance.org/

Health & Wellness Initiative - GlossaryTerminology SectionHealth and Wellness is increasingly important to consumers andbusinesses alike. The absence of a common, well-defined lexicon ofhealth and wellness terms makes it difficult for professionals to speaka common language. The variety of terms, usages, and claims that arebeing applied in the consumer goods industry can rob those terms ofmeaning, making it difficult for businesses that are genuinely leadingin this area to differentiate themselves. The purpose of this Glossaryis to begin to harmonise and clearly define the terms that businessesuse to describe their health and wellness efforts.SourcesThe Health and Wellness Glossary is based on the following referenced sources. The sources were used in orderof research use. Global sources were used in priority. The list of terms included is not intended to be eitherexhaustive or exclusive.WHO (10 terms): http://www.who.int/ and http://apps.who.int/thelexicon/entry.phpThe Consumer Goods Forum Health and Wellness Core Team (5 pean Commission (4 terms): http://ec.europa.eu/health/Codex (3 terms): http://www.codexalimentarius.org/IFBA (1 term): https://www.ifballiance.org/Merriam Webster (2 terms): http://www.merriam-webster.com/U.S. Department of Health & Human Services (1 FIC (1 term): http://www.eufic.orgUS National Library of Medicine (1 term): http://www.nlm.nih.gov/Personal Care Products (1 term): http://www.personalcareproducts.org/Ehow (1 term): http://www.ehow.com/American Academy of Dermatology (1 term): http://www.aad.orgEzine (1 term): http://EzineArticles.com/3163274Page 12

Health & Wellness Initiative - GlossaryFramework of TerminologyTerminologyCGF ResolutionsAssociated TermsHEALTH Basic Health IndicatorHealthHealth LiteracyHealth and WellnessNonCommunicable Diseases STAKEHOLDERS Civil SocietyPublic HealthPublic-Private Partnerships for HealthNUTRITION MalnutritionNutritionNutritional DeficienciesPublic Health Nutrition ENERGY AND NUTRIENTS Energy ed FatsMono-unsaturatesPolyunsaturated fatty acidsTrans Fatty AcidsDietary Fibre PRODUCT INFORMATION Energy InformationFront of Pack LabellingReference IntakeNutritional LabelingNutrition ClaimNutrient Content ClaimOn-Pack Nutritional Information DIETHealthy Diet & LifestylePage 13

Health & Wellness Initiative - GlossaryFramework of Terminology (cont.)TerminologyCGF ResolutionsAssociated TermsBODY CAREBody ImageDietary SupplementsGood HygienePersonal CareSymptom Relief and TreatmentUV Protection HEALTH IN THE WORKPLACEEmployee Wellness Programme ADVERTISING TO CHILDRENAdvertising to Children Under 12 Page 14

Health & Wellness Initiative - GlossaryAcknowledgementsThe Consumer Goods Forum would like to thank the following individuals for their contribution to theGlossary Project:Retailer Co-Chair:Onno Franse, RoyalAholdHEALTH & WELLNESS CORE TEAMManufacturer Co-Chair:Jerry Black, Aeon Co., LtdJeff Berkowitz, WalgreensBritta Gallus, Metro GroupHervé Gomichon, Carrefour S.A.Megan Hellstedt, Delhaize GroupYasuo Masuda, Aeon Co., Ltd.Joe Quinn, Wal-Mart Stores Inc.Terry Scicluna, Alliance BootsJason Tutty, Sobeys Inc.Andrea Thomas, Wal-Mart Stores Inc.Karen Tonks, Tesco Stores Ltd.Sanjay Sehgal, Nestlé S.A.Aurora Adame, Grupo BimboSaliha Barlatey, Nestlé S.A.Richard Black, PepsiCo Inc.Paul Boykas, PepsiCo Inc.Robert Ciati, Barilla GroupSarah Delea, Mondeléz InternationalGisèle Fournier, Nestlé S.A.Alyson Greenhalgh, Kellogg CompanySharon Holubek-Bank, Johnson & JohnsonAnne Heughan, UnileverHideyo Nakamura, Kao CorporationJohn Reid, The Coca Cola CompanyFritz Schröder-Senker, Mars, IncorporatedMaha Tahiri, General Mills Inc.Enrico Toja, Johnson & JohnsonFD Wilder, Procter & Gamble CompanyTakuji Yasukawa, Kao CorporationMary Sophos, Grocery Manufacturers Association (GMA; Liaison Group Representative)HEALTH & WELLNESS STAKEHOLDER ENGAGEMENT TEAMChair: Saliha Barlatey, Nestlé S.A.Saskia Aalbers, Royal AholdLorena Cerdan, ConMéxicoBritta Gallus, Metro GroupSharon Holubek-Bank, Johnson & JohnsonDirk Jacobs, FoodDrinkEurope (FDE)Dennis Kredler, European Retail Round Table (ERRT)Derek Nighbor, Food and Consumer Products ofCanada (FCPC)Cathy Polley, Food Marketing Institute (FMI)Page 15Bev Postma, Food Industry Asia (FIA)Katrin Recke, AIM – European Brands AssociationFritz Schröder-Senker, Mars, IncorporatedSanjay Sehgal, Nestlé S.A.Mary Sophos, Grocery Manufacturers Association(GMA)Enrico Toja, Johnson & JohnsonMarina Valverde Lopez, Eurocommerce

Health & Wellness Initiative - GlossaryAcronymsThe Consumer Goods Forum would like to thank the following individuals for their contribution to theGlossary VOECDRIUNUVWEFWFAWHOBody Mass IndexThe Consumer Goods ForumEuropean CommissionEuropean UnionEuropean Food Information CouncilFood and Agriculture Organisation of the United NationsFront of PackGuideline Daily AmountInternational Chamber of CommerceInternational Food and Beverage AllianceInternational Labour OrganisationMarketing to KidsNonCommunicable DiseasesNutrient Reference ValuesOrganisation for Economic Co-operation and DevelopmentReference IntakeUnited NationsUltraviolet radiationWorld Economic ForumWorld Federation of AdvertisersWorld Health OrganisationPage 16

Health & Wellness Initiative - GlossaryAbout The Consumer Goods Forum The Consumer Goods Forum (CGF) is a global, parity-based industry network, driven by its members. Itbrings together the CEOs and senior management of over 400 retailers, manufacturers, service providers andother stakeholders across 70 countries and reflects the diversity of the industry in geography, size, productcategory and format. Forum member companies have combined sales of EUR 2.5 trillion. Their retailer andmanufacturer members directly employ nearly 10 million people with a further 90 million related jobsestimated along the value chain. The Consumer Goods Forum is governed by its Board of Directors, which includes 50 manufacturer andretailer CEOs and Chairmen. The Forum provides a unique global platform for knowledge exchange and initiatives around five strategicpriorities – Emerging Trends, Sustainability, Safety & Health, Operational Excellence and Knowledge Sharing& People Development – which are central to the advancement of today’s consumer goods industry. The Forum’s vision is: “Better lives through better business”. To fulfil this, its members have given The Foruma mandate to develop common positions on key strategic and operational issues affecting the consumer goodsbusiness, with a strong focus on non-competitively sensitive process improvement. The Forum’s success isdriven by the active participation of the key players in the sector, who together develop and lead theimplementation of best practices along the value chain. With its headquarters in Paris and its regional offices in Washington, D.C., and Tokyo, the CGF serves itsmembers throughout the world.For more information go to: www.theconsumergoodsforumm.com & http://healthandwellness.mycgforum.com.“The private sector can be a significant player in promoting healthy diets andphysical activity. The food industry, retailers, catering companies, sporting goodsmanufacturers, advertising and recreation businesses, insurance and bankinggroups, pharmaceutical companies and the media all have important parts to layas responsible employers and as advocated for healthy lifestyles”.WHO Global Strategy on Diet, Physical Activity and HealthPage 17

Health & Wellness Initiative - Glossary

This Glossary represents an initial step in a process of harmonising health and wellness terms within the consumer goods industry. The Glossary is intended to complement existing definitions. The success of the glossary is dependent on individuals and companies using the terms and definit

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