The Salford Healthy Weight Strategy

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• The Salford Healthy Weight Strategy
• Headline issues and key recommendations

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UK Foresight report By 2050, 60 of men and 50
of women could be clinically obese

• Health impact of obesity
• 58 type-2 diabetes
• 21 of heart disease
• 10 of non-smoking related cancers
• 9,000 premature deaths a year in England
• Reduces life expectancy by 9-11 years.
• Costs of obesity
• National Health Service - 4.2bn
• Wider economy - 15.8bn
• Foresight estimate costs to economy of 50bn by
  2050

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Obesity rates in Salford 2006
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Obesity in Primary School ages
OVERALL OVERALL CHILDREN IN RECEPTION CLASS (4-5 YEARS OLD) CHILDREN IN RECEPTION CLASS (4-5 YEARS OLD) CHILDREN IN YEAR 6 (AGED 10-11 YEARS) CHILDREN IN YEAR 6 (AGED 10-11 YEARS)
Obese Overweight Obese Overweight Obese Overweight
14.5 15 10.2 14.6 18.6 15.3
29.5 29.5 24.8 24.8 33.9 33.9
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• It is estimated that in Salford there are
  currently
• 39,000 obese adults,
• 68,000 overweight adults,
• 5,500 obese children and
• 5,700 overweight children

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• 24.7 of reception children
• 33.9 of year six children were overweight or
  obese.
• Rates are continuing to rise
• Rates more than doubled eg for obesity in year 6
  from 8.9 to 18.9 in space of only five years
  (2000 2006)

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The economic costs
England Salford
Population 51,000,000 216,400
Treating obesity 47,500,000 201,549
Treating the consequences of obesity 1,010,000,000 4,285,569
Sickness absence 1,375,000,000 5,834,314
Disability benefit 8,000,000 33,945
Office for National Statistics mid-year
population estimates, 2004
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Insight on the role of family
While parents acknowledge childhood obesity is a
problem they do not think of it as their
problem.
Parents underestimate the amount they and their
children eat and over estimate the amount of
activity their family does.
A host of unhealthy behaviours have no
perceived health risks to parents e.g. sedentary
behaviour, snacking, portion sizes.
Healthy Living is perceived to be a middle
class aspiration which at risk families believe
is undesirable and/or unattainable
Parents prioritise their childrens immediate
happiness over their long-term health.
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Key Recommendations

• Local Authorities
• Use policy and planning
• Promote active travel, physical activity, healthy
  foods
• Support community programmes to improve diet and
  activity levels
• Local authority workplaces
• Early Years
• Improve physical activity levels,
• Promote healthy balanced diet,
• Involve parents and carers

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• School
• policies and school environment
• Staff training
• Links with relevant organisations and
  professionals
• Activity and nutrition Interventions
• Workplaces
• Building design
• Policies and working practices
• Physical activity food provision
• Education and promotion
• Health checks

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• Each additional kilometre walked per day
• is associated with a 4.8 reduction in
• likelihood of obesity, whereas each
• additional hour spent in a car per day
• associated with a 6 increase in
• likelihood of obesity.
• Frank, L., et al (2004) Obesity relationships
  with community design, physical activity, and
  time spent in cars, American Journal of
  Preventive Medicine, 27(2) 87-96.