Southwark Primary Schools Heights and Weights Survey 2006

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Southwark Primary Schools Heights and Weights
Survey 2006

• Nayanika Basu
• F2 Public Health
• 13 Oct 2006

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Background

• Rising trends in childhood obesity
• Commitments Choosing Health PSA
• Aim to halt the rise in obesity amongst age
  group under elevens by 2010
• Nationwide initiative 2005 - 2006
• Collect baseline heights and weights at points
  of entry and exit at primary school level for
  analysis (DH guidance)
• Repeat annually
• Direct pre-emptive, interventional and supportive
  measures appropriately

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Overview

• 4753 pupils from years R and 6 of 72 schools
• Male Female 11
• Mildly higher proportion of Reception pupils
  (50.98)
• Ethnicity spread
• 33 black 21 white 6.5 mixed 4.5 Asian
  or Chinese and 3 other
• 31 had no ethnicity recorded
• 12 Overweight, 18 Obesity
• 30 overweight including obese
• Greater problem in Year 6 (23.5 vs 13.6 obese)

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Local Delivery Plan Lines
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Compared to National Trends
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PCT Level Analysis

• Only PCT of SE London to submit data
• Highest rate of obesity amongst all London PCTs
  that submitted data

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Residential Postcode Analysis
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Overview
Community Learning Network Analysis
Based on eight Community Council
Areas Everyones problem!!
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School Level Analysis
Pie Charts Depict Percentage of Children in each
Category by Schools Greater problem in the
middle and north west areas likely ethnicity
and IMD related.
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Schools continued

• Over 51 of schools had rates gt local average
  18.4
• Generally, obesity and overweight rates
  corresponded.
• Larger Schools with high obesity
• Southwark Park, Peckham Park, John Donne, English
  Martyrs RC, Crawford
• Larger Schools with high obesity overweight
• Peckham Park, John Ruskin, St Francis, John
  Donne, Brunswick
• Low Obesity rates
• Dulwich Hamlet Junior, Cathedral School of St.
  Saviour St. Mary, Dulwich Village CE Infant

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Healthy Schools16 out of 27 had gt local average
rates(DH figures analysed)
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Gender Analysis

• (Local analysis using IOTF cut-offs)
• Gender Overweight percentage Obese percentage
• Female 18.1 9.1
• Male 17.2 7.6
• Girls tend to be more overweight and obese than
  boys although this result was not statistically
  significant

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Age Analysis

• (DH figures)
• School Year Overweight Obese
• 6 14.1 23.5
• R 11.0 13.6
• Total 12.5 18.4
• Children were slimmer at the point of entry but
  rates increased in Year 6

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Ethnicity Analysis ( IOTF cut offs)

• Ethnicity Overweight Obese
• White 15.7 8.8
• Black 20.7 9.7
• Mixed 18 5.7
• Other 20.2 9.1
• Unknown 15.1 6.9

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Significant challenges ahead

• Bringing about change
• Role of Healthy Schools, MEND programmes, GP?
• Improving attitudes
• Improving accessibility
• Service provision
• Data collection and Inputting
• Standardise process
• Maximise Data quality

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References

• Sproston K, Primatesta P (eds). Health Survey for
  England 2002. Volume 1 The health of children
  and young people. The Stationery Office, London,
  2003
• Department of Health. Choosing Health making
  healthy choices easier p. 43,HMSO, London, 2004
• Department of Health PSA targets
• TJ Cole, JV Freeman and MA Preece (1990) UK 1990
  Body mass index reference curves for the UK
• Cole T J, Bellizzi M C, Flegal K M, Dietz W H Z
  (2000). International Obesity Taskforce
  Establishing a standard international definition
  for child overweight and obesity worldwide
• Stata 9.2 For local level analysis
• Stata Pedobesity.do file, developed in Childrens
  Hospital of Philadelphia, University of
  Pennsylvania School of Medicine. (available at
  http//stokes.chop.edu/web/setter)