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Healthy Weight. Claire Spence. National and Local Drivers. Stockton on Tees objectives: Reduce excess weight in adults Reduce the obesity rate for Reception aged children Reduce the obesity rate for children in year 6 of primary school 1 in 3 children overweight or obese at 10 years old
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Healthy Weight Claire Spence
National and Local Drivers • Stockton on Tees objectives: • Reduce excess weight in adults • Reduce the obesity rate for Reception aged children • Reduce the obesity rate for children in year 6 of primary school • 1 in 3 children overweight or obese at 10 years old • 56,250 adults overweight • 39,150 adults obese
Who is at greater risk? • Adults who have fewer qualifications • Women living in areas of deprivation • Some minority ethnic groups, in particular those of South Asian origin • Adults and children with disabilities • Adults with limiting long term conditions • Young people and adults with poor mental health • Children and young people living in areas of deprivation
Causes of obesity Psychological drive for particular foods and consumption patterns, or physical activity patterns/preferences Influence of the media, education, peers or culture Influence of the environment on an individual’s activity behaviour Influence of the food environment on an individual’s food choices Type, frequency and intensity of activities Quality, quantity and frequency Genetics and ill health
Consequences of obesity • Children and Young People • Teasing and discrimination • Psychosocial risks/poor mental health • Raised blood pressure, fatty changes to the arterial linings, raised cholesterol, metabolic syndrome, Type 2 diabetes • Asthma and other respiratory problems • Musculoskeletal disorders • Adults • Psychological and social problems • Circulatory system • Type 2 diabetes and gestational diabetes • Cancers • Reproductive problems • Respiratory problems • Non-alcoholic fatty liver disease
What could the VCS organisations do? • Improve awareness amongst communities of the health risks • 47% of respondents with a BMI >30 said they thought they were healthy • Increase referrals to weight loss support services • 76% of all respondents wanted to lose weight • Provide support to improve confidence and self-esteem • Appearance (42%) and improve mood (33%) main reason triggers • Provide brief advice on lifestyle changes to improve diet and/or increase activity • 70% respondents didn’t use a service to lose weight • Provide longer term support for people who have accessed weight loss service • 55% have gained weight since losing weight • Improve recognition of obesity in children amongst parents • 32% of respondents with BMI >30 disagreed with the result
Potential measures of success • Increasing participants total physical activity levels • Increasing the proportion of participants eating five portions of fruit and vegetables per day • Changes in determinants of activity behaviours, such as improving attitudes to physical activity, • increasing knowledge about physical activity and exercise • Changes in determinants of eating behaviours, such as improved attitudes towards making changes to diet and increasing knowledge about healthy eating • Improving self-efficacy towards physical activity • Improving self-efficacy towards changing eating habits • Improving self-efficacy towards changing families eating habits and physical activity • Increased referrals to weight loss services • Reduction in weight • Helpful link • http://www.noo.org.uk/core/frameworks