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What do we want to achieve?
• We want to reverse the current trend of inactivity
• Our vision is to make more people, more active, more often.
• In Liverpool we want to exceed national Physical Activity Targets
• Our target is to increase by 1% per year the proportion of the population who are active enough to benefit their health.
• This will mean that every year an additional 6,000 children and 4,000 adults will be more active.
• Combat the health inequalities associated with obesity and obesity related disease!
• Approximately 76,000 adults and 13,000 children in Liverpool are obese
• Obesity can shorten life expectancy by up to nine years
• Increases the risk of diseases such as diabetes, heart disease and cancers
• Responsible for approximately 30,000 deaths in UK per year
• Causing huge financial burden upon the NHS and the City’s wider economy
• The health of the people in Liverpool is generally worse than the English Average
• “Active People Survey 1” 2005/06
• 18% of Liverpool adults active enough to positively influence their health.
• We know that increasing levels of Physical Activity can positively
impact upon Health Inequalities.
Liz Lamb
Principal Health & Physical Activity Officer
Liverpool City Council
Strategies
Active City
Liverpool Children Plan 2011
Healthy Schools
SportsLinxSchool Partnerships
Neighbourhoods Local Area Agreements
Smoke Free
Liverpool
Taste for Health
Liverpool First for Health
Liverpool Sport &
Recreation Strategy
& Business Plan
National Indicators
NI 57 Enhance quality of life Increase sport participation
NI 55 (Improve poor health - reduce child obesity) % Obesity in reception age
NI 56 (Improve poor health - reduce child obesity)% Obesity in year 6 children.
Contributes towards extended schools targets and the five hour PE and the sports, cultural offer.
What is
•Is the largest health & fitness Study in Europe
•Provides the most comprehensive dataset on children in children in the UK. See reports
overweight and obesity, health and skill related fitnesslifestyles and dietary behaviour
•Multi-faceted project, encompassing a whole range of added initiatives targeting 0-19 years.
- Early Years -Active Play - Future Lifestyles, Active Families- Child Care Provision, Grassroots Activity
What is
•Nutrition - Fruit Tasters , After School Clubs, Pack Lunch
Road Shows , Healthy School Weeks, Community Health Festivals
•Training Coach Education - NGB, Early years, Fitness – Nutrition
•Obesity Referral for FamiliesG.O.A.L.S Getting Our Active Lifestyles Started.
•Talent ID - Fast streaming talented youngsters •Development of Resources
- Active Play, Food & Fitness, Active families,
The Team
Health & physical Activity officer
Early Years Team
Research
G.O.A.L.S
Out School Hours
Fitness Team
Nutrition Team
1x Manager + 6 x Fitness Officers
1x Manager + 4x Activity Officers + 1 Nutrition
1x Manager + 2 Nutrition Officers
1 x Manger + 5 Coaches
1 x Manger + 3 x Activity officers + P/T officers
In-kind Expertise•Prof Gareth Stratton: •Dr Alan Hackett: •Prof Tim Cable: •Ian Beattie, •Tom Fletcher: •Dr Shirley Judd, •Ruth Haig Ferguson •Gill Williams •Joanne Hitchmohe •Dr De Soysa Ruwan, •Dr Jamuna Acharya,
SportsLinx Data• Up to 2007-2009, a total of 53,754 children have
been through the SportsLinx fitness fun days since 1998-1999.– 38,524 9-10 year old children.– 15,230 11-12 year old children.
• Data collected annually: Consent Form Fitness Fun Day Lifestyles Survey
Sex Endurance/aerobic fitness
Food & beverage intake
Date of Birth Strength Portions of Fruit and Vegetables
Postcode Agility Sedentary behaviours
Ethnicity Explosive power Sport Participation
Medical conditions
Flexibility Parental activity
Twin (y/n) Co-ordination Perception of neighbourhood safety
Referral consent Growth & development Access to equipment & facilities
Body composition Self-perceptions of fitness, healthiness, body mass.
Maturation (offset) Smoking habits
Obesity & Overweight in Liverpool: 9-10 year olds, 1998-2008
5%
7%
9%
11%
13%
15%
17%
19%
21%
23%
25%
27%
29%
31%
33%
35%
37%
1998-1999
1999-2000
2000-2001
2001-2002
2002-2003
2003-2004
2004-2005
2005-2006
2006-2007
2007-2008
Pre
vale
nce
of O
verw
eigh
t and
Obe
sity
(C
ole
et a
l., 2
000)
Year Boys Girls
10%
12%
14%
16%
18%
20%
22%
24%
26%
28%
30%
32%
34%
36%
38%
1998-1999
1999-2000
2000-2001
2001-2002
2002-2003
2003-2004
2004-2005
2005-2006
2006-2007
2007-2008
Pre
vale
nce
of O
verw
eig
ht a
nd
Ob
esit
y (C
hin
n &
Ro
na,
200
4)
YearBoys Girls
Prevalence of Obesity and Overweight: 1998-2008 using the Cole et al. (2000) obesity definition
Prevalence of Obesity and Overweight: 1998-2008 according to the Chinn and Rona (2004) obesity definition
Using either of these two definitions of obesity the plateau in prevalence is apparent.
Skinfolds
Similar trends to BMI.
Reliability Testing• SportsLinx has recently presented some test/re-test reliability data for
the field-based measures. (Boddy LM, Stratton G, Hackett AF. The test/re-test reliability of a field-based fitness test battery in 9-10 year old schoolchildren. Oral Communication, Pediatric Work Physiology European Congress, Le Touquet, France, September, 2009).
• The study found that all anthropometric measures e.g. Height, weight, BMI, and skinfolds showed high levels of test/re-test reliability.
– ICC and Chronbach’s alpha reliability ratings between 0.97-0.99.
– Other markers of health related fitness, including the 20mMST (bleep test) also showed high reliability values.
• Therefore, we are confident our methods are reliable.
• In terms of the reported prevalence of obesity and overweight coverage impacts significantly.– This may explain the jump in prevalence observed between 2006-2007
and 2007-2008 using the NCMP data & differences between the SportsLinx and NCMP data in the screening programme’s earlier cohorts.
Interventions
Programmes & Resources funded by Active city & Other Key partners
6 stage Intervention Offered FREE to all schools
Active play
A Partnership between Early Years, Nurseries, Children Centres, Sure Start and Key Stage 1
Increase activity levels in children between the ages of 0-5.
A 6 week programme works alongside Foundation stage, Children and parents for
Development of Active Play Resource Pack
Families were offered a 4 week practical course, received a fantastic physical activity resource,key file and a £50 bag free equipment.
Liverpool Little Stars
In partnership with Liverpool’s 26 Sure Start Children Centres
We’ve recorded a CD and Action Song book
The CD holds 25 songs all of which are combination of new songs, familiar songs and nursery rhymes.
The main aim of the Liverpool Little Stars is to support & encourage , increase activities between the ages of 0-5 years.
This involves working with practitioners, parents, children and other agencies to provide play in a stimulating fun environment.
Liverpool Football club have supported the project Every 3 – 5 year olds will receive a copy
Rise & Shine
•Rise & shine is a group activity the whole school can take on board. It is accessible to children of all ages and abilities.
•Rise & shine involves the whole school in dance activity. Infants and juniors go on the yard with a number of dance routines each day. Its fun energetic and energizes the children & staff to kick start their school day.
28’000 Children Annually
Resources
Conclusion
•Increasing the number of 9 & 10 year olds regularly participating in Sport via talent ID and signposting
•Largest programme of its kind in Europe
•Actively encouraging Children, Parents and Grandparents to be more physically Active
•Free access to Leisure Facilities for <17’s and > 60’s
•Through strong partnership links we are engaging with schools and providing pupils with easy to understand health & nutritional information.
•2010 is Liverpool’s Year of Health & Wellbeing.
Thank you!
Mark JonesHead of Liverpool Active City
Liz LambPrincipal Health and Physical Activity Officer
