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Welcome!. Weight Management Brief Interventions Training Friday 12 th July 2013. Aims of Training. Background to obesity Local and National Facts Obesity and Health Raising the issue of obesity Brief Intervention Training: Obesity Next steps. Foresight Report 2007.

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Welcome!

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  1. Welcome!

  2. Weight Management Brief Interventions Training Friday 12th July 2013

  3. Aims of Training • Background to obesity • Local and National Facts • Obesity and Health • Raising the issue of obesity • Brief Intervention Training: Obesity • Next steps

  4. Foresight Report 2007

  5. The key findings include: • Most adults in the UK are already overweight. Modern living ensures every generation is heavier than the last – `Passive Obesity’. • By 2050 60% of men and 50% of women could be clinically obese. Without action, obesity-related diseases will cost an extra £45.5 billion per year. • Preventing obesity is a societal challenge, similar to climate change. It requires partnership between government, science, business and civil society.

  6. Stages of Obesity

  7. Body Mass Index

  8. Adult BMI Ranges • If your BMI is between 25 and 29, you would be considered overweight • If your BMI is between 30 and 40, you would be considered obese • If your BMI is over 40, you would be considered very obese (known as ‘morbidly obese’)

  9. Adult waist circumference risk by ethnicity

  10. Prevalence of overweight and obesity in adults Health Survey for England - 2011

  11. Percentage of the adult population assessed as obese in a selection of countries

  12. Children’s BMI • Children’s Growth Charts • Separate ones for Girls and Boys • Use height and weight to plot • 91st Centile for overweight • 98th Centile for obese

  13. Children’s BMI Centile Range

  14. Prevalence of overweight and obesity in children Government’s National Child Measurement Programme (NCMP) for England, 2006/07 and 2011/12 school year

  15. Sheffield Data

  16. Consequences of Obesity Conditions highlighted in blue are noticeable in children; • Reproductive Problems and earlier onset of Puberty • Raised Cholesterol • Depression and low self esteem • Cancers Women - Uterus, Gallbladder, Cervix, Ovary, Breast, Colon. Men – Prostate, Colon, Rectum. • High Blood Pressure • Fatty Liver • Back and Joint Pain • Osteoarthritis • Gout • Respiratory Problems • Gallbladder Disease • Type II Diabetes • Heart Disease • Gastric Reflux • Stroke

  17. Stages of Change

  18. Stages of Change

  19. Brief Intervention What do you think it is?

  20. Brief Intervention 1. Offered by “professionals/appropriately trained staff” in a variety of settings; 2. Opportunistic in nature; 3. Targeting individuals, families or groups; 4. Limited duration and frequency (e.g. vary from 1 session to 4); 5. Identify health issue and assess individual’s motivation and stage of behaviour change; 6. Negotiate goals via: • provision of advice, counselling, information, or referral as appropriate and; • follow-up and reinforcement, as appropriate.

  21. What can YOU do? • 1st step in helping people to lose weight is having the ‘conversation’. • Studies show that a short 3 to 5 minute conversation can contribute to behaviour change. • Talk • Non-offensive language • Advice they can use

  22. Behaviour Change • Self Monitoring of behaviour change- log book/apps • Goal Setting- SMART • Social Support – do it with others/groups • Relapse Prevention • Strategies to deal with weight gain

  23. Tips • Discuss primary issue for coming to you 2.Open the discussion Link reason for attending to weight management discussion.

  24. Tips 3.Ready Willing and Able? • Important b. Confident ‘Is this the right time to be focusing on weight loss?’’ ‘What are your goals regarding your weight? ‘Are there any changes you think you could make to your eating habits?’

  25. Tips 4.Set a goal • 1-2 pounds for adults, per week is a safe rate of weight loss. • 5-10% reduction in body weight over 6 months • Goal around weight maintenance • Offer people printed info. 5.Follow Up: Praise, discuss setbacks and how to overcome these

  26. NHS Sheffield Commissioned Services

  27. Zest for Health NHS Sheffield Commissioned Referral Criteria: Children aged: 7-15 Overweight or Obese (91st Centile and above) Parents must attend 60% of sessions Commitment to 12 week programme

  28. One to One support Group Sessions Family Session Activity Session Health Line form parents and professionals Mon, Tue, Wed 10am-12pm (0114 2702045) Community Work Business Work Health Checks Workshops Exhibitions Training Strand Zest for Health

  29. Weigh Ahead – Referral Criteria • Age 15+ registered with a Sheffield GP • BMI > 35 (BMI 32+ South Asian) with co-morbidities • BMI 40+ with no co-morbidities • All patients for consideration of Bariatric surgery must complete Weigh Ahead Referral from GP or health care professional

  30. Treatment Options • Come to a 60 minute assessment at the Wicker – agree treatment pathway • 10 treatment appointments booked with interim (3 months) and final assessment (6 months) • All ten weeks with team member – either a combination of therapies or one therapist throughout • Psychologist • Physiotherapist • Dietetics – could include psychological and behavioural techniques • Personal guide • One to one, telephone, e-mail or text • Patient group – diet or physiotherapy group • Groups for pregnant women

  31. Thank you

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