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Healthy weight – addressing the challenges of childhood and adult obesity

Healthy weight – addressing the challenges of childhood and adult obesity. Dr SJ Louise Smith Deputy Director of Public Health. Introduction. What is obesity? Causes? Why does it matter? Size of the issue? So what can we do?. “Being fat” “Very overweight”

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Healthy weight – addressing the challenges of childhood and adult obesity

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  1. Healthy weight – addressing thechallenges of childhood and adult obesity Dr SJ Louise Smith Deputy Director of Public Health

  2. Introduction • What is obesity? • Causes? • Why does it matter? • Size of the issue? • So what can we do?

  3. “Being fat” “Very overweight” “More than just a few extra pounds” “Weight 20% above normal” BMI >30 “A major problem in today’s society” “Multifaceted highly complex medical condition” “Accumulation of fat to the extent it may have adverse effects on health” What is obesity?

  4. Causes When energy intake in the form of food and drink… …is greater than energy expenditure

  5. Causes • Lack of exercise • Poor diet • It develops gradually: poor diet & lifestyle choices • Increased access to poor food

  6. Causes • Too much sugar • The introduction of mass production of high-fructose corn syrup

  7. Foresight 2007 • Complex web of societal and biological factors… • …over 100 variables that directly or indirectly influence..

  8. Why does it matter? Compared with a non-obese man, an obese man is: • 5 x more likely to develop type 2 diabetes • 3 x more likely to develop cancer of the colon • 2 ½ x more likely to develop high blood pressure

  9. Micro Lives • Life expectancy for 22 yr man = 79 • 20,800 days • 500,000 hours • 1 million half hours • 1 Micro Lives = 30 min • 1 day = 48 Micro Lives

  10. Micro Lives • Bodies age faster when we do bad things to them • So micro lives can also be allocated to risk • 1 Cigarette shortens life by 15 min • 1 Micro Life • 2 Cigarettes • 2 Pints Strong Beer

  11. 1 Micro Life Healthy waist size man = 37 inches • 1 Extra inch on your waist line [every day] • 39 - 40 inch waist = 2.3years = 76.7 life expectancy

  12. Why does it matter: Children? • Short term • emotional & psychological effects • low self-esteem; anxiety & depression • Type 2 diabetes • Once established, notoriously difficult to treat: long term: • higher risk of morbidity, disability & premature mortality in adulthood

  13. Adult obesity

  14. Hertfordshire adult obesity

  15. Children’s Obesity

  16. Hertfordshire Children’s Obesity

  17. What does it cost? • Costs direct and indirect • NHS 2.5% total spend [£1,000m] • Hertfordshire → £30 million • Lost earnings £2.5bn • Hertfordshire → £45 million • NICE reduce no obese by 1% → £51m • Hertfordshire → £1 million

  18. Healthy weight – addressing thechallenges of childhood and adult obesity Sue Beck

  19. Discussion • Is it worth it? – Can society turn obesity around? • What works and what doesn’t work? • What else could we do?

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