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11/26/15
1
What%works%for%obesity?
Harry%Rutter%%@harryrutter
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Source:%The%Lancet, Volume%378,%Issue%9798,% Pages% 1202% I 1203,%1%October%2011
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Evidence.trajectories
Time
Hunch:based
Level.o
f.activity
Evidence:based
All%possible%interventionsEvidence%of%costIeffectiveness
Evidence%of%effectiveness
The.dangerous.olive.of.evidence…
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Source:%Swinburn et%al,%Lancet%2011
Evidence.base
Public/media/political.discourse
Political.mandate
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Source:%Swinburn et%al,%Lancet%2011
Evidence.base
Public/media/political.discourse
Political.mandate
Conclusions
• Obesities,.plural
• Structural,.societal.drivers:.obesogenic environment
• Avoid.excessive.focus.on.individual. level.behaviour
• Evidence.base.is.limited.and.skewed
• Conceptualise as.a.complex.system.problem
• “Does.it.contribute,.if.so.how?”.not.“Does.it.work?”
• Jigsaw.puzzle,.not.just.single.pieces
• Local.level.action.essential,.but.can’t.succeed.alone