In this paper, we argue that EU institutions have demonstrated an interest in diet/nutrition for some time, but only in the last five years has obesity risen to the top of the agenda. How did the Commission and European parliament become involved in fighting obesity? It is not because national governments or societal interest groups or public health agencies pushed EU officials to reduce the body mass of European citizens. Rather, drawing on the literature on transnational policy actors, we show that the current attention to obesity is heavily influenced by WHO research reports. Moreover, the WHO's recommendations on obesity supply EU institutions with a new agenda, which in turn mobilizes pan-European groups and private sector interests. Obesity provides a further example of entrepreneurial Commission officials pursuing alliances with international institutions in order to take advantage of their scientific expertise and to carve out a new EU agenda.
Altenstetter, C. ( 2008) Medical Devices: European Union Policy Making and the Implementation of Patient Health and Safety in France. New Brunswick, NJ: Transaction Publishers.
2.
Berghöfer, A., Pischon, T., Reinhold, T., Apovian, C., Sharma, A., and Willich, S. et al. (2008) ‘Obesity prevalence from a European perspective: a systematic review’, BMC Public Health8: 200-10.
3.
Beyers, J. and Kerremans, B. ( 2007) ‘Critical Resource Dependencies and the Europeanization of domestic interest groups’, Journal of European Public Policy14: 460-81.
4.
Boin, A., Ekengren, M. and Rhinard, M. ( 2006) ‘Protecting the Union: Analysing an Emerging Policy Space’, Journal of European Integration28: 405-21.
5.
Brown, T., Cueto, M. and Fee, E. ( 2006) ‘The World Health Organization and the Transition from "International" to "Global" Public Health’, American Journal of Public Health96: 62-72.
6.
Buonanno, L. ( 2006) ‘The Creation of the European Food Safety Authority’ , in C. Ansell and D. Vogel (eds) What’s the Beef? The Contested Governance of European Food Safety. Cambridge, MA: MIT Press.
7.
Citi, M. and Rhodes, M. ( 2007) ‘New Modes of Governance in the EU: Common Objectives versus National Preferences’, European Governance Papers (EUROGOV), No. N-07-01. Available from www.connex-network.org/eurogov/pdf/egp-newgov-N-07-01.pdf (consulted 13 November 2010).
8.
Coen, D. ( 2007) ‘Empirical and Theoretical Studies in EU Lobbying’ , Journal of European Public Policy14: 333-45.
9.
Commission of the European Communities (2000 ) Draft Communication from the Commission to the Council, the European Parliament, the Economic and Social Committee and the Committee of the Regions on the Health Strategy of the European Community. 16 May 2000.
10.
Commission of the European Communities (2002 ) Status Report on the European Commission’s Work in the Field of Nutrition in Europe, October. Brussels: Commission of the European Communities.
11.
Commission of the European Communities (2005 ) Promoting Healthy Diets and Physical Activity: A European Dimension for the Prevention of Overweight, Obesity and Chronic Diseases. Brussels: Commission of the European Communities.
12.
Commission of the European Communities (2007 ) White Paper on a Strategy for Europe on Nutrition, Overweight and Obesity-related Health Issues. Brussels: Commission of the European Communities.
13.
Corbett, A. ( 2005) Universities and the Europe of Knowledge Ideas, Institutions and Policy Entrepreneurship in European Union Higher Education 1955-2005. Basingstoke: Palgrave Macmillan.
14.
Council of the European Union (2005) ‘Council Conclusions on Obesity, Nutrition and Physical Activity,’ 6 June 2005. Available at http://ec.europa.eu/health/ph-determinants/life_style/nutrition/documents/ev_20050602_en.pdf (accessed 30 August 2009).
15.
Cram, L. ( 2001) ‘Whither the Commission? Reform, Renewal and the Issue-attention Cycle’, Journal of European Public Policy8: 770-86.
16.
Dostal, J.M. ( 2004) ‘Campaigning on Expertise: How the OECD Framed EU Welfare and Labour Market Policies and Why Success Could Trigger Failure’ , Journal of European Public Policy11: 440-60.
17.
Eising, R. ( 2007) ‘Institutional Context, Organizational Resources and Strategic Choices’, European Union Politics8: 329-62.
18.
Ervik, R., Kildal, N. and Nilssen, E. (eds) ( 2009) The Role of International Organizations in Social Policy: Idea, Actors and Impact. Cheltenham: Edward Elgar.
19.
Eurobarometer (2008) Directorate-General for Communication. Eurobarometer 70/ 2008, p. 50.
20.
European Parliament (2008) ‘European Parliament Resolution of 25 September 2008 on the White Paper on Nutrition, Overweight and Obesity-related (2007/2285(INI))’. Available at www.europarl.europa.eu/sides/getDoc.do?type=TA&language (accessed 2 October 2009).
21.
European Public Health Alliance (2007) Meeting EU Platform on Diet, Physical Activity and Health, July 2007. Available at www.epha.org/a/2693 (accessed 12 July 2009).
22.
European Public Health Alliance (2009) Update: EPHA Position Paper on Food Labelling. Available at www.epha.org/a/2959 (accessed12 July 2009).
23.
Farrell, A.-M. ( 2005) ‘The Emergence of EU Governance in Public Health: The Case of Blood Policy and Regulation’, in M. Steffen (ed.) Health Governance in Europe: Issues, Challenges, and Theories. New York: Routledge , pp. 134-5.
24.
Ferro Luzzi, A. and James, W.P.T. ( 2001) ‘European Diet and Public Health: The Continuing Challenge’, Public Health Nutrition4(2a): 275-92.
25.
Ferro Luzzi, A., Gibney, M. and Sjöström, M. ( 2001) ‘Nutrition and Diet for Healthy Lifestyles in Europe: The Eurodiet Evidence’, Public Health Nutrition4: 437-8.
26.
Gilmore, A. and McKee, M. ( 2004) ‘Tobacco-control Policy in the European Union’ , in E. A. Feldman and R. Bayer (eds) Unfiltered: Conflicts over Tobacco Policy and Public Health. Cambridge, MA: Harvard University Press, pp. 219-54.
27.
Graham, I. ( 2004) ‘European Health Policy: Working Within a Paradox’ , Journal of Allied Health33: 139-43.
28.
Greer, S.L. ( 2006) ‘Uninvited Europeanization: Neofunctionalism, Health Services and the EU’, Journal of European Public Policy13: 134-52.
29.
Greer, S.L. ( 2008) ‘Choosing Paths in European Union Health Services Policy: A Political Analysis of a Critical Juncture’, Journal of European Social Policy18: 219-31.
30.
Greer, S.L. ( 2009a) The Politics of European Union Health Policies. New York: McGraw-Hill/Open University Press.
31.
Greer, S.L. ( 2009b) ‘The Changing World of European Health Lobbies’ , in D. Coen and J. Richardson (eds) Lobbying the European Union: Institutions, Actors, and Issues. New York: Oxford University Press, pp. 189-211.
32.
Guigner, S. ( 2006) ‘The EU’s role(s) in European Public Health: The Interdependence of Roles Within a Saturated Space of International Organizations’ , in O. Elgström and M. Smith (eds) The European Union’s Roles in International Politics. New York: Routledge, pp. 225-44.
33.
Guigner, S. ( 2009) ‘The EU and the Health Dimension of Globalization: Playing the WHO card’, in J. Orbie and L. Tortell (eds) TheEuropean Union and the Social Dimension of Globalization: How the EU Influences the World. New York: Routledge, pp. 131-47.
34.
Haas, E. ( 1958) The Uniting of Europe. Stanford: Stanford University Press.
35.
Hervey, T. ( 2008) ‘The European Union’s Governance of Health Care and the Welfare Modernization Agenda’, Regulation and Governance2: 103-20.
36.
Kickbusch, I. ( 2000) ‘The Development of International Health Policies - Accountability Intact?’, Social Science and Medicine51: 979-89.
37.
Kim, S. and Popkin, B.M. ( 2006) ‘Commentary: Understanding the Epidemiology of Overweight and Obesity - A Real Global Public Health Concern’, International Journal of Epidemiology35: 60-7.
38.
Knill, C. and Lenschow, A. ( 2003) ‘Modes of Regulation in the Governance of the European Union: Towards a Comprehensive Evaluation’, European Integration online Papers7: 2003-001.
39.
Koivusalo, M. and Ollila, E. ( 1997) Making a Healthy World: Agencies, Actors, and Policies in International Health. London: St. Martin’s Press.
40.
Kurzer, P. and Cooper, A. (n.d.) ‘Changing Times? NGOs, the EU Platform on Diet, and the Food Industry’ , Unpublished ms.
41.
Lamping, W. ( 2005) ‘European Integration and Health Policy: A Peculiar Relationship’, in M. Steffen (ed.) Health Governance in Europe: Issues, Challenges, and Theories. New York: Routledge, pp. 18-48.
42.
Lamping, W. and Steffen, M. (2009) ‘European Union and Health Policy: The "Chaordic" Dynamics of Integration’ , Social Science Quarterly90: 1361-79.
43.
Lang, T. and Rayner, G. ( 2005) ‘Obesity: A Growing Issue for European Policy?’, Journal of European Social Policy15: 301-27.
44.
Madelin, R. ( 2006) ‘There is a Business Case for Healthy Citizens’ , EurActiv (21 July 2006). Available at www.euractiv.com/en/health/robert-madelin-business-case-healthy-citizens/article-156857 (accessed 13 October 2009).
45.
Mahon, R. and McBride, S. (eds) (2008) The OECD and Transnational Governance. Vancouver: UBC Press .
46.
Martinsen, D.S. ( 2009) ‘Conflict and Conflict Management in the Cross-border Provision of Healthcare Services’, West European Politics32: 792-809.
47.
Nathanson, C. ( 2004) ‘Liberté, Egalité, Fumée: Smoking and Tobacco Control in France’, in E. A. Feldman and R. Bayer (eds) Unfiltered: Conflicts over Tobacco Policy and Public Health. Cambridge, MA: Harvard University Press.
48.
Niemann, A. ( 2006) Explaining Decisions in the European Union. New York: Cambridge University Press.
49.
Oberthür, S. and Gehring, T. ( 2006) Institutional Interaction in Global Environmental Governance: Synergy and Conflict Among International and EU Policies. Cambridge, MA: MIT Press.
50.
Orenstein, M.A. ( 2008) Privatizing Pensions: The Transnational Campaign for Social Security Reform. Princeton: Princeton University Press.
51.
Örnberg, J.C. ( 2009) ‘Escaping Deadlock: Alcohol Policy-making in the EU’, Journal of European Public Policy16: 755-73.
52.
Permanand, G. ( 2006) EU Pharmaceutical Regulation: The Politics of Policy-making . Manchester, UK: Manchester University Press.
53.
Piattoni, S. ( 2009) ‘A. Theoretical and Conceptual Analysis’, Journal of European Integration (Revue d’integration européenne)31: 163-80.
54.
Polini-Staudinger, L.M. ( 2008) ‘The Domestic Opportunity Structure and Supranational Activity: An Explanation of Environmental Group Activity at the European Union Level’, European Union Politics9: 531-58.
55.
Pollack, M. ( 2003) The Engines of European Integration. Oxford: Oxford University Press.
56.
Poskitt, E. and Edmunds, L. ( 2008) Management of Childhood Obesity. New York: Cambridge University Press.
57.
Princen, S. ( 2007) ‘Agenda-setting in the European Union: A Theoretical Exploration and Agenda for Research’, Journal of European Public Policy14: 21-38.
58.
Princen, S. ( 2009) Agenda-setting in the European Union. New York: Palgrave Macmillan.
59.
Ruzza, C. ( 2004) Europe and Civil Society: Movement Coalitions and European Governance. New York: Manchester University Press.
60.
Sopal, J. ( 1995) ‘The Medicalization and Demedicalization of Obesity’ , in D. Maurer and J. Sobal (eds) Eating Agendas: Food and Nutrition as Social Problems. New York: Aldine de Gruyter , pp. 67-90.
61.
Steffen, M. (ed.) (2005) Health Governance in Europe: Issues, Challenges, and Theories. New York: Routledge.
62.
Steffen, M., Lamping, W. and Lehto, J. ( 2005) ‘The Europeanization of Health Policies: An Introduction’ , in Monika Steffen (ed.) Health Governance in Europe: Issues, Challenges, and Theories. New York: Routledge, pp. 1-17.
63.
Studlar, D. ( 2006) ‘Tobacco Control Policy Instruments in a Shrinking World: How Much Policy Learning?’ International Journal of Public Administration29: 367-96.
64.
Tallberg, J. ( 2006) Leadership and Negotiations in the European Union. Cambridge: Cambridge University Press.
65.
Tanasescu, I. ( 2009) The European Commission and Interest Groups: Towards a Deliberative Interpretation of Stakeholder Involvement in EU Policy-Making . Brussels: VUB Press.
66.
Thatcher, M. ( 2002) ‘Delegation to Independent Regulatory Agencies: Pressures, Functions, and Contextual Mediation’, West European Politics25: 125-47.
67.
Tounian, P. and Amor, S. ( 2008) Obésité infantile: Pourquoi on fait fausse route. Paris: Bayard Centurion.
68.
Trubek, L., Nance, M. and Hervey, T. ( 2008) ‘In Construction of Healthier Europe: Lessons from the Fight against Cancer’, Wisconsin International Law Journal26: 804-43.
69.
Ugland, T. and Lucas, B. ( 2004) ‘Social Policy Formulation in a Dualistic Public Sphere: The European Union, the World Health Organization and the Alcohol Question’Conference, Erosion oder Transformation des Sozialstaats, University of Fribourg, Switzerland, 15 October 2004.
70.
Webb, J., Else, L., Bond, M. and Cohen, D. ( 2004) ‘Hungry for Change’, New Scientist2456 (17 July 2004): 42-5.
71.
World Health Organization (1990) Diet, Nutrition, and the Prevention of Chronic Diseases. Technical Report Series797. Geneva: WHO.
72.
World Health Organization (1998/ 2000) Obesity: Preventing and Managing the Global Epidemic. WHO Technical Report Series894. Geneva: WHO.
73.
World Health Organization (2002) The European Health Report. Geneva: WHO.
74.
World Health Organization (2003) Diet, Nutrition and the Prevention of Chronic Diseases: Report of a Joint WHO/FAO Expert Consultation. Geneva: WHO.
75.
World Health Organization (2004) Global Strategy on Diet, Physical Activity and Health. Geneva: WHO.
76.
World Health Organization/Europe (2004) Food and Health in Europe: A New Basis for Action. Regional Publications European Series, No. 96. Copenhagen: WHO, Regional Office for Europe.
77.
World Health Organization/Europe (2006a) WHO European Ministerial Conference on Counteracting Obesity: European Charter on Counteracting Obesity. Copenhagen: WHO, Regional Office for Europe.
78.
World Health Organization/Europe (2006b) Physical Activity and Health in Europe: Evidence for Action. Copenhagen: World Health Organization, Regional Office for Europe.
79.
World Health Organization/Europe (2008) European Action Plan on Food and Nutrition Policy 2007-2012. Copenhagen: WHO Regional Office for Europe Publications . Available at www.euro.who.int/Document/E91153.pdf (accessed 2 February 2010).
80.
World Health Organization/ International Diabetes Federation (2004) Diabetes Action Now: An Initiative of the World Health Organization and the International Diabetes Foundation. Geneva: WHO and IDF.
81.
World Health Organization/ Food and Agriculture Organization (2003) Diet, Nutrition and the Prevention of Chronic Diseases: Report of the Joint WHO/FAO Expert Consultation. WHO Technical Report Series no. 916. Geneva: WHO and FAO.
