Upload
jim-mcmanus
View
427
Download
1
Embed Size (px)
DESCRIPTION
The presentation for the summit on Obesity in Broxbourne. Broxbourne is our whole area obesity Pilot for Hertfordshire
Citation preview
The whys and wherefores ofhealthy weight
Broxbourne Obesity Summit, 22 October 2013
Jim McManus
Director of Public Health
Key points
• Keeping a healthy weight is difficult
• We are failing as a Country and a County
• Broxbourne Significantly Worse than Herts
• There are multiple reasons why so many people struggle
• We need a multifaceted solution
• The Broxbourne pilot gives us perhaps our best chance at achieving this
• Many strands of scientific debate and argument
Health Profiles 2013 indicators
MeasureEng
Average Herts Broxb Watford
9 Obese children (Year 6) % 19.2 14.1 17.8 19.1
13 Increasing and higher risk drinking % 22.3 22.9 22.1 22.5
14 Healthy eating adults % 28.7 32.7 27.2 32.2
15 Physically active adults % 56.0 58.2 55.4 58.9
16 Obese adults % 24.2 21.4 26.4 17.3
26 Life expectancy - male years 78.9 80.2 80.8 79.2
27 Life expectancy - female years 82.9 83.8 85.1 82.5
30 Early deaths: heart disease & stroke per 100,000 60.9 51.8 53.6 58.7
Green: Significantly better than Hertfordshire average
Amber : Not significantly different from Hertfordshire average
Red: Significantly worse than Hertfordshire average
Health Profiles for England 2013
Broxbourne Wards
Reception Year (aged 4-5)
MSOA/ Ward Excess Weight Obese
Rosedale 45.7% 27.1%
Goffs Oak 44.6% 18.9%
Bury Green 39.4% 16.9%
Flamstead End 38.6% 15.7%
Wormley & Turnford 37.1% 18.1%
Year 6 (aged 10-11)
MSOA/ Ward Excess Weight Obese
Wormley & Turnford 50.0% 24.2%
Flamstead End 44.7% 23.5%
Bury Green 41.2% 17.6%
Rosedale 40.4% 25.0%
Rye Park 38.1% 15.9%
Obesity is growing at an alarming rate, with a significant impact
UK Foresight report: By 2050, 60% of men and 50% of women could be clinically obese
Health Impacts
• Health impact of obesity:– 58% type-2 diabetes– 21% of heart disease– 10% of non-smoking related cancers– 9,000 premature deaths a year in England– Reduces life expectancy by, on average, 9 years.
• Costs of obesity:– National Health Service - £4.2bn– Wider economy - £15.8bn– Foresight estimate costs to economy of £50bn by 2050
The Science
• Biology – “hormonal” response to foods
• Medicine – treatment regimes of various levels
• Psychology – intra and interpersonal
• Built Environment – mitigates for being overweight
• Social Sciences – family and social influences, advertising
THERE IS NO ONE ANSWER – THE ISSUE IS BUILDING A WHOLE SYSTEM APPROACH
Multiple causesMultiple challenges
PhysicalActivityis not theanswer toObesity, but it is apart of ananswer
Active Living is Seen as Essential to Good Health, but it is ONE part, not the whole solution
Why maintaining a healthy weight is so complex1) Human biology - genetics plays a part but
does not pre-destine us to be obese
2) Culture/Individual psychology - it is difficult to break habituated unhealthy eating patterns, especially when common to those around us
3) The food environment - there has also been a huge increase in the quantity of quick convenience foods, which tend to be high in saturated fat, salt and sugar.
4) The physical environment - our lives have become increasingly sedentary. For example, the last 2 decades have seen a 10% drop in children walking to school
• Levels of public health action needed
• Social• Biological• Environmental• Behavioural• Legislative• Structural
Systems thinking on getting to healthy weight
The wider determinants of Health and Local Government functions (Must adopt a Lifecourse approach!)
The Lives people lead and whether LA functions help or hinder healthy lifestyles (policy, service quality, access, behavioural economics, behavioural sciences)
The services people access such as primary care (high quality, easy access, good follow up, behavioural and lifestyle pathways wrap around)
Prevalence of obese children by parental obesity
it is particularly important to engage parents
0
5
10
15
20
25
30
No obese parents One parent obese Both parentsobese
% o
f O
be
se
Ch
ildre
n
Boys
Girls
Average BMI
Underweight
Healthy weight
Overweight
Obese
Average BMI
Underweight
Healthy weight
Overweight
Obese
Fewer overweight Fewer obese
Reduce average BMI
Fewer underweight
Maximise proportion at a healthy weight
Minimise proportion at an unhealthy
weight
a new approach is needed, focus on shifting weight distribution in the population
Make more people a healthy weight, not just fewer people obese
We all have a role to play
What we’re doing currently
• Children’s Centres promoting healthy weight in under-5s
• Healthy Schools Programme, with subsidy to encourage local schools to take part
• Exercise on Referral Scheme Pilot with Council leisure centres and 4 GP practices
• Weight Management pilot (WeightWatchers and Slimming World)
• PlayRangers active play sessions for children, targeted in locations where children most at risk
• HealthWalks programme
www.hertsdirect.org
Some Key Priorities for Broxbourne and Hertfordshire
1. Every child should start and grow up with a healthy weight
2. Our food environment should make healthy choices easy
3. Regular physical activity to maintaining healthy weight
4. Good education for all about what keeps us a healthy weight
5. Our physical environment needs to support maintaining a healthy weight
• Remember those levels of action? We need them all
• Social
• Biological
• Behavioural
• Environmental
• Legislative
• Structural