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Health and Physical Activity

Health and Physical Activity. Craig Lister Public Health Manager Daniel Gill Senior Health Improvement Specialist. “It is evident from the structure of the body that exercise is not less necessary than food for the preservation of health” William Buchan, Domestic Medicine (1785).

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Health and Physical Activity

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  1. Health and Physical Activity Craig Lister Public Health Manager Daniel Gill Senior Health Improvement Specialist

  2. “It is evident from the structure of the body that exercise is not less necessary than food for the preservation of health” William Buchan, Domestic Medicine (1785)

  3. The UK’s #1 Killer • …and those [studies] of physical activity, represent a range of methodological rigour and have, with few exceptions, shown an inverse association between activity and coronary heart disease, which is testimony to the robustness of the relation. BMJ  2004;328:1089-1090 (8 May), doi:10.1136/bmj.328.7448.1089 • Exercise in the prevention of coronary heart disease: today’s best buy in public health.Morris JN. Med Sci Sports Exerc. 1994;26:807–814

  4. Coronary Artery Disease Poor blood lipid profile Stroke Poor Blood insulin profile High Blood Pressure Type 2 Diabetes Obstructive sleep apnoea Inactivity Obesity Premature Death (c. 9 years) Asthma Infertility Osteoarthritis Social Discrimination Cancers: Colon; Breast (post menopause); Endometrial; Kidney; Oesophagus; Gall Bladder; Ovaries, Pancreas Depression Common Health Issues

  5. Working Together Roles and Responsibilities

  6. The Social Health Model Social Capital describes the pattern and intensity of networks among people and the shared values which arise from those networks Social Determinants of Health Conceptual Framework Based on the Whitehead and Dahlgren (1991) diagram as amended by Barton and Grant (2006) and the UKPHA Strategic Interest Group (2006)

  7. Social Capital • Networks together with shared norms, values and understandings that facilitate co-operation with or among groups • Higher levels of social capital are associated with better health

  8. Joined up working Interactive8

  9. C4L Vision Our vision for Change4Life is that, from now on, whether you are a mum wanting to set up a walking bus to your kids to school or a cycling group campaigning for more cycle lanes or a family want special offers on healthy food at the supermarket – this national movement will be there to help you.

  10. Obesity Strategy Group • Quarterly cross organisational meetings • Opportunity to share good practice and ask for/offer assistance • Opportunity to learn and meet others • Interactive, everyone is expected to add to the session • People take tasks away

  11. What does success look like? • NI56 Childhood Obesity • NI120 AAACM • NI123 Smoking Cessation • Reducing Health Inequalities • All typically get worse during recession • Is this success though?

  12. Funding • Necessity is the mother of invention • Plato (427BC – 347BC) • We can see this as a challenge or an opportunity • Bedfordshire is small enough for us to work coherently and consistently towards a shared goal

  13. Questions?

  14. A task for you… • Given the continued increase in obesity levels and the obstinacy of inequalities what programmes or processes will enable long term change? • How will you ensure your programmes have wide ranging buy-in and become part of social capital • Networks together with shared norms, values and understandings that facilitate co-operation with or among groups

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