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They will be permitted only if the labelling includes a statement indicating the amount of food and pattern of consumption needed to obtain the food's claimed benefits, and the importance of a healthy lifestyle and balanced diet. Where appropriate, a statement addressed to those who should avoid using the food will need to be included, as well as a warning not to exceed stated quantities. Woe betide any greengrocer who simply sticks a label on a bag of Granny Smiths claiming `An apple a day keeps the doctor away'. How will this work in practice? All health claims will require approval after scientific evaluation by the European Food Safety Authority. A list of well established claims will, however, be developed over three years based on proposals from member states, and these will be allowed as a transitional measure. DAVIES ARNOLD COOPER The ability to rely on implied health claims will also be restricted. Asserting vague, non-specific benefits for overall good health, such as `purifies the body' or `helps to keep your body feeling good' will not be permitted. Reference to psychological and behavioural functions, such as `improving memory', and slimming or weight control `come ons', will also be prohibited. Health claims for beverages containing more than 1.2 per cent alcohol will be banned. Endorsements by health professionals such as doctors, professional associations or charities will also become history. The ban on claims of prevention, treatment and cure of disease will remain, but claims about established reduction of disease risk factors will now be allowed. This does not, however, herald the ending of all dubious `feel good' food and drink claims. The European Commission has stated that the regulation will not prohibit advertising slogans such as `Red Bull gives you wings' or `Haribo [candy] makes children happy' as these are not health or nutrition claims. In addition to protecting consumers against being misled, the regulation's objectives are to harmonise the EU's rules on health and nutrition claims, reduce the obstacles to the free movement of foods within the EU and prevent unscrupulous producers engaging in unfair competition by promoting their products with inaccurate or deceptive claims. The regulation will have a big impact on food manufacturers who have relied on representing their products as healthy or nutritional. Although most food manufacturers welcome the changes, many are alarmed by what they see as needless bureaucracy disproportionate to the aims of the proposal. For example, it will be necessary for applicants to submit copies of the wording of proposed, for example, renova.

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Synopsis According to a report in Diabetes Care, regular exercise for the first time later in life reduces the development of metabolic risk factors for cardiovascular disease. Researchers examined the effect of chronic exercise training on the development of metabolic markers of cardiovascular disease in two cohorts of previously sedentary healthy adults aged between 55 and 75 years with similar baseline fitness. One group was initiated on regular supervised physical exercise training and the other acted as a sedentary control group. Patients were assessed for anthropometric, biochemical, and clinical markers of the metabolic syndrome and comorbidity over 10 years. Complete data were available for 161 active and 136 sedentary subjects. Withdrawal was mostly due to failure to adhere to the exercise programme in the active group and poor physical health in the sedentary group. The results were reported as follows: More metabolic abnormalities were exhibited in the sedentary group compared to the active group for one or two 64 vs. 36%, P 0.001 ; and three or more 35 vs. 22%, P 0.003 ; abnormalities, respectively. The active group demonstrated a 3.5% increase in fitness levels compared to a 13.8% decrease in the sedentary group. The sedentary group were more likely to have a positive exercise electrocardiogram or symptoms 32% ; than the active group 10% ; . The sedentary group also had more comorbidities Charlson Comorbidity Index score 0.9 vs. 0.4, P 0.01 ; . Overall, 11% of active group patients and 28% of sedentary group patients had the metabolic syndrome at 10 years. In the active group, those who moved from low to moderate to high fitness showed significantly fewer metabolic markers compared to those who remained at a low fitness levels or moved to a lower level.
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