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Supporting people to manage their weight

Public Health Manager Verena Thompson from NHS North Central London Islington aims to prevent and manage obesity by promoting healthier behaviors. With evidence-based strategies, the program targets adults and children in Islington to address sedentary lifestyles and poor diets, focusing on group or individual interventions and long-term support. The initiative expects weight loss outcomes and sustainability, with evaluations measuring changes in eating habits, physical activity, and quality of life. Challenges include reaching diverse demographics and motivating behavior change effectively.

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Supporting people to manage their weight

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  1. Supporting people to manage their weight Verena Thompson Public Health Manager: Behaviour Change NHS North Central London: Islington Public Health E: verena.thompson@nclondon.nhs.uk T: 020 7527 1247 www.ncl.nhs.uk

  2. Why are we doing this? • Prevent & manage obesity, adopting healthier behaviours • 91% Islington Adults do not exercise regularly 2010/11 29% (5500) C&YP • 64% Islington Adults do not eat a healthy diet 2006-8 • 18% Islington Adults are obese 2006-8 1% (188) Reception 22% (349) Year 6 www.ncl.nhs.uk

  3. Obesity costsindividual & local economy • 23% (42,273) registered patients are overweight GP dataset 2011 • 14% (24,982) registered patients are obese GP dataset 2011 • 9 wards higher prevalence, 3 wards lower than Islington average • 22:38 practices ratio of obese adults • 5 practices > 1000 obese patients www.ncl.nhs.uk

  4. What works?Evidence base • BMI overweight ≥25 / ≥27.5; Obese ≥30 • Multi component • Behaviour change theory application • Prevent, Promote, Minimise • 8-12 weeks duration (ideally 12m continued support) • Group or 1:1 intervention www.ncl.nhs.uk

  5. Adult Obesity Care pathway www.ncl.nhs.uk

  6. What do we expect?outcomes Provider has to achieve • ≥ 550 participants per year • 5-10% weight loss over 6 months • 30% maintain weight & prevent weight gain @ 3 & 6months www.ncl.nhs.uk

  7. Measuring successevaluation & service improvement • Demonstrate improvements in eating behaviours, PA levels, Levels of sedentary behaviour & quality of life • Benchmarking, Midpoint, Completion, 3 & 6m followup www.ncl.nhs.uk

  8. The Challenge facedhow to reach who we need to reach ?how do we motivate people to change – 5 x 30mins a day • Age • Gender • Ethnicity • Disabilities • Cultural sensitivities • Socioeconomic status Equalities Dimensions www.ncl.nhs.uk

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