Choosing Health Obesity

1
Choosing HealthObesity

• Tracey Polak
• Nurse Consultant Public Health

2
Acknowledgements

• Dr James Mather
• Tracey Sweet Strategic Health Authority
• Julia Verne SWPHO
• Choosing Health

3
What is Obesity?

• Body Mass Index (BMI) Classification
• lt18.5 underweight
• 18.5 24.9 normal healthy weight
• 25 29.9 overweight
• 30 39.9 obese (I II)
• 40 morbidly obese
• 50 super obese
• BMI weight in KG / height in metres2

4
Basic Maths

• CALORIES IN CALORIES USED FAT STORED
• 100Kcals excess per day will lead to 4kg weight
  gain a year (over half a stone)

5
Size of the Problem

• Prevalence of obesity has tripled since 1980
• Prevalence is linked to age, gender (female),
  certain ethnic groups, lower socio-economic
  groups
• In 2000 1 in 5 adults were obese

6
Complications

• Disease women men
• Type 2 diabetes 12.7 5.2
• Hypertension 4.2 2.6
• Myocardial Infarction 3.2 1.5
• Colon cancer 2.7 3
• Stroke 1.3 1.3

7
How has it happened?

• Sedentary lifestyle
• Increased energy intake (eating more)
• Lack of regular exercise

8
Childhood Obesity

• Up to 75 of obese children become obese adults
• Tripled in 20 years in 6-17 year olds
• Increase in central fat deposition
• Todays children may have a lower life expectancy
  than their parents
• Obesity reduces life expectancy by av 9years

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Reducing Obesity

• Target at risk motivated patients
• Identify local needs and resources
• Multi-disciplinary approach
• Addressing the BIG WINS

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BIG WINS

• Simple labelling of packaged food
• National obesity awareness campaign
• Helping people who want to lose weight
• Food promotion to children
• Healthy schools
• Encouraging activity
• High quality family and early years support

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National Target

• Halt the year-on-year rise in obesity under 11 by
  2010 (from the 2002-04 baseline) in the context
  of a broader strategy to tackle obesity in the
  population as a whole

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Choosing Health Committments

• Developing a comprehensive care pathway for
  obesity
• All 4-6 year old children in LEA maintained
  infant, primary and special schools eligible for
  a free piece of fruit or vegetable every school
  day
• By 2010 all schools in England having active
  travel plans
• Health professionals to use pedometers in
  clinical practice by the end of 2006

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3 year local plans

• Dietary improvement e.g 5 a day
• Increasing physical activity e.g pedometers,
  exercise on referral
• Provision of services around obesity care
  pathways and support services for adults and
  children