Toward a roadmap for addressing today's health dilemma – The 101-statement consensus report

Wirnitzer, Katharina C. and Motevalli, Mohamad and Tanous, Derrick R. and Drenowatz, Clemens and Moser, Maximilian and Cramer, Holger and Rosemann, Thomas and Wagner, Karl-Heinz and Michalsen, Andreas and Knechtle, Beat and Fras, Zlatko and Ritskes-Hoitinga, Merel and Marques, Adilson and Mis, Nataša Fidler and Stanford, Fatima C. and Schubert, Christian and Goswami, Nandu and Leitzmann, Claus and Fredriksen, Per Morten and Ruedl, Gerhard and Wilflingseder, Doris and Lima, Rodrigo A. and Kessler, Christian and Jeitler, Michael and Khan, Naim A. and Joulaei, Hassan and Fatemi, Maryam and Knight, Andrew and Kratky, Karl W. and Palmer, Kara K. and Perpék, Éva and Haditsch, Bernd and Jakse, Bostjan and Kofler, Walter and Pfeiffer, Tomas and Cordova-Pozo, Kathya and Tortella, Patrizia and Straub, Simon and Lynch, Heidi and Schätzer, Manuel and Krishnan, Anupama and Shahnaz, Fathima A. and Gatterer, Lukas and Kriwan, Fabian and Abhishek, Mittal and Nandgaonkar, Hemant and Nandgaonkar, Shalaka and Adedara, Abiola O. and Haro, Josep M. and Gericke, Corina and Neumann, Gaby and Akhtar, Aysha and Rashidlamir, Amir and Thangavelu, Madan and Ngoumou, Gonza B. and Klaper, Michael and Bhattacharya, Bhaswati and Kirschner, Werner and Bessems, Kathelijne M. H. H. and Jones, Peter and Peoples, Gregory and Bescos, Raul and Duftner, Christina and Seifert, Georg (2025) Toward a roadmap for addressing today's health dilemma – The 101-statement consensus report. FRONTIERS IN NUTRITION, 12. pp. 1-34. ISSN 2296-861X

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Abstract

Importance: In recent decades there has been an expansion in the quantity and quality of scientific findings and guidelines on different health topics to promote individual and public health status. Reports also indicate that there has been a simultaneous increase in the financial burden of disease, including trillions spent on healthcare resources by governments worldwide (predominantly in developing countries) to address health concerns. At the same time, personal health behavior is well-known as efficient and cost-free, holding four times the potential to prevent early death compared to health care. Despite this knowledge, data show that the increasing prevalence of unhealthy lifestyles and the associated chronic diseases, especially in Western societies, still need to be controlled. This circumstance exemplifies today‘s global health dilemma, which alarms the inadequacy of ongoing efforts to address the existing health concerns worldwide. Setting, insights, and observations: Three international, multidisciplinary, and inter-university events (two scientific conferences and one tertiary education symposium) were held in Austria (Innsbruck) between 2020 and 2022 to discourse, discuss, and debate these concerns. Two hundred eighty-four experts from 76 universities, organizations, and stakeholders spanning 31 nations and five continents participated in this international research and knowledge exchange to address today’s global health dilemma. The latest scientific findings were discussed to develop practical strategies for improving lifestyle behavior and focus on the dual “Healthy Eating & Active Living” approach as a minimum recommendation for sustainable lifelong health and care. The expert panel debated crucial research priorities and future policies, identified gaps and untapped potential in basic health approaches that have been grossly neglected, and approved the evidence-based 101 consensus statements presented. Conclusions and relevance: These endeavors aim to develop novel and effective interventions that address the needs of individuals and communities and promote optimal health status.

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