Non-communicable disease prevention, nutrition and aging

Main Article Content

Manfred Ruthsatz
Vanessa Candeias


Nutrition, Prevention, Regulatory, Non-Communicable Disease (NCD), Aging, Multi-stakeholder, Longevity, Treatment, Patient-centric, Food for Special Medical Purposes (FSMP)


Nutrition plays a decisive role across geographies and societal groups in contributing to human health, strengthening resilience and extending the period of being free from non-communicable diseases (NCD) and increasing the quality of life. The objective of this review article is to shed some light on the multiple, often interconnected facets of the increased healthy longevity of populations, one of the greatest success stories humanity has achieved over the last century. Multiple stakeholders need to align to overcome some of the protective ‘hurdles’ established over decades that focus on treating diseases rather than preventing them whenever possible, and to create coherent policies and incentives with respect to individuals and healthcare systems in order to enable healthier populations.



Download data is not yet available.


Metrics Loading ...
Abstract 48 | PDF Downloads 33


1. Abolishing Ageing. How to live forever. The Economist. Science and technology. 2008; January 5, 64-66
2. WHO - Decade of Healthy Ageing (2020-2030).
3. International Longevity Centre - UK (ILC) Never too late: Prevention in an ageing world. 2019;
4. World Economy Forum (WEF) White Paper: Human-Centric Health: Behaviour Change and the Prevention of Non-Communicable Diseases. 2017;
5. Marsman·D, Belsky DW,·Gregori·D, et al. Healthy ageing: the natural consequences of good nutrition - a conference report. European Journal of Nutrition. Supplement. 2018;
6. World Health Organization (WHO). Noncommunicable diseases (NCD)
7. World Health Organization (WHO). Saving lives, spending less: a strategic response to noncommunicable diseases. Geneva, Switzerland. 2018 (WHO/NMH/NVI/18.8)
8. World Economy Forum (WEF). Maximizing Healthy Life Years. 2015;
9. Fineberg HV. The Paradox of Disease Prevention: Celebrated in Principle, Resisted in Practice. JAMA. 2013; Jul 3;310(1): pp. 85-90
10. European Society for Clinical Nutrition and Metabolism (ESPEN) Guidelines
11. Cuerda C, Muscaritoli M, Donini LM, et al. Nutrition education in medical schools (NEMS). An ESPEN position paper – Clinical Nutrition 2019; 38: 969-974
12. Shao A, Drewnowski A, Willcox DC, et al. Optimal nutrition and the ever‑changing dietary landscape: a conference report. Eur J Nutr. Supplement 2017 published online 05 May. DOI 10.1007/s00394-017-1460-9
13. European Food Information Council (EUFIC). Make sense of dietary guidelines. 2020; Brussels.
14. Schneeman BO. Impact of Changing Scientific Recommendations on Nutrition Policies. Regulatory Focus. July 2018. Regulatory Affairs Professionals Society (RAPS).
15. Kiefte-de Jong JC, Mathers JC, Franco OH. Nutrition and healthy ageing: The key ingredients. Proc Nutr Soc 2014; 73(02):1-11 February.
16. Food and Nutrition Board; Health and Medicine Division; National Academies of Sciences, Engineering, and Medicine (NASEM). Meeting the Dietary Needs of Older Adults. Exploring the Impact of the Physical, Social, and Cultural Environment: Workshop Summary. Washington (DC): 2016 Jul 13. ISBN-13: 978-0-309-44227-5ISBN-10: 0-309-44227-3.
17. Magni P, Bier DM, Pecorelli S, et al. Perspective: Improving Nutritional Guidelines for Sustainable Health Policies: Current Status and Perspectives. Adv Nutr 2017; 8, 532–545. doi: 10.3945/an.116.014738
18. Schneeman BO. Does nutrition have a role in disease management? Regulatory Focus. October 2017. Regulatory Affairs Professionals Society (RAPS).
19. Medical Nutrition International Industry (MNI). Better care through better nutrition: Value and effects of Medical Nutrition. A summary of the evidence base. 4th ed., 2018
20. Richardson DP. Nutrition, Healthy Ageing and Public Policy. International Alliance of Dietary/Food Supplement Associations (IADSA): (2007)
21. Kalache A, de Hoogh I, Howlett SE, et al.. Nutrition interventions for healthy ageing across the lifespan: a conference report. Eur J Nutr. Supplement . 2019;
22. Bushell C, Ruthsatz M. Revising the EU FSMP Regulatory Framework: Laying the Foundation for Future Nutritional Patient Care. Regulatory Focus. July 2018. Regulatory Affairs Professionals Society (RAPS).
23. Ruthsatz M. Role of Nutritional Therapy in Healthcare Innovation: The Need for Reshaping Regulatory Paradigms. In: Réalités Industrielles - a series of Annales des Mines. 2017; 80-85.
24. Kaput J, Draper C, Descombes P, Rezzi S, Kussmann M. Targeted (Personalized) Nutrition. Regulatory Focus, August 2016, Regulatory Affairs Professionals Society (RAPS)
25. D’Hondt K, Kaput J, Ruthsatz M. Personalized nutrition for better health - targeting the human microbiome. Regulatory Focus. June 2019, RAPS, US.
26. Organisation for Economic Co-operation and Development (OECD). Emerging Trends in Biomedicine and Health Technology Innovation: Addressing the Global Challenge of Alzheimer’s, OECD Science, Technology and Industry Policy Papers, 2013; No. 6, OECD Publishing
27. Hall G. Editorial to ‘Nutrition in Health and Disease Management’. Regulatory Focus (RF). July 2019, Regulatory Affairs Professionals Society (RAPS)
28. Organisation for Economic Co-operation and Development (OECD). The Microbiome, Diet and Health. Towards a Science and Innovation Agenda. OECD Science, Technology and Innovation Policy Papers. September 2017; No. 42.
29. Ruthsatz M, Morck T. Medical Food/Food for Special Medical Purposes: Global Regulatory Challenges and Opportunities. Regulatory Focus, August 2016, Regulatory Affairs Professionals Society (RAPS)
30. EU Commission Notice on the Classification of Food for Special Medical Purposes (2017/C 401/01), Official Journal of the European Union.
31. EPF, EGAN and ENHA. Patient Perspectives on Nutrition. 2013;
32. Optimal Nutrition Care for All (ONCA) Campaign
33. De Man F, Smit C, Ruthsatz M. Innovating patient driven nutritional care in Europe: The Optimal Nutrition Care for All (ONCA) multi-stakeholder initiative. Regulatory Focus. October 2017, Regulatory Affairs Professionals Society (RAPS);
34. Elia M, Normand C, Laviano A, Norman K., A Systematic Review of the Cost and Cost Effectiveness of Using Standard Oral Nutritional Supplements in Community and Care Home Settings. Clin Nutr 2016; 35, 125-137.
35. Elia M, Normand C, Norman K, Laviano A. A Systematic Review of the Cost and Cost Effectiveness of Using Standard Oral Nutritional Supplements in the Hospital Setting. Clin Nutr 2016; 35, 370-380.
36. World Economic Forum, The Pan American Health Organization, In collaboration with Bain & Company. Multistakeholder Collaboration for Healthy Living. Toolkit for Joint Action (March 2013).
37. European Innovation Partnership (EIP) on Active and Healthy Ageing (AHA)
38. Ning Mak T, Caldeira S. The Role of Nutrition in Active and Healthy Ageing. For prevention and treatment of age-related diseases: evidence so far. EU Commission. JRC Science and Policy Reports. 2014;
39. EIP AHA Action Group A3. Lifespan Health Promotion & Prevention of Age Related Frailty and Disease.
40. Joint Programming Initiative (JPI). A Healthy Diet for a Healthy Life (HDHL)
41. World Health Action Plan for the Prevention and Control of Noncommunicable Diseases in the WHO European Region (2016-2025).
42. All Party Parliamentary Group (UK) for Longevity. The Health of the Nation. A Strategy for Healthier Longer Lives. 2020;
43. The Notice by the General Office of the State Council on Printing and Distributing National Nutrition Plan (Year 2017-2030). China. 2017;
44. Fondation Mérieux. 5th Better Foods for Better Health interviews (2015)
Websites accessed on March 11, 2020