tackling child obesity in hertfordshire anka johnston children's healthy weight manager public...
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Tackling Child ObesityTackling Child Obesityin Hertfordshirein Hertfordshire
Anka JohnstonChildren's Healthy Weight Manager
Public HealthNHS Hertfordshire
anka.johnston@hertfordshire.nhs.uk25/04/2012
Main Health Consequences Main Health Consequences of Childhood Obesityof Childhood Obesity
Short-term (for obese children) Increased risk of poor
psychosocial health Reduced quality of life Presence of
cardiovascular/ metabolic risk factors
Asthma exacerbations
Long-term (for adults obese as children)
Persistence of obesity Poor long-term educational
and economic attainment Increased risk of premature
mortality
Public Health Outcome Indicator - Excess Weight in 4-5 &10-11 yr old
Excess weight = Overweight and Obesity
“New National Ambition” Sustained downward trend in the level of
excess weight in children by 2020
National Child Measurement ProgrammeNational Child Measurement Programme
NCMP Results Hertfordshire 2010/11NCMP Results Hertfordshire 2010/11
Excess Weight in Children Excess Weight in Children Starting Primary SchoolStarting Primary School
Excess Weight in Children Excess Weight in Children Leaving Primary SchoolLeaving Primary School
Increase in Excess Weight Increase in Excess Weight during Primary Schoolduring Primary School
6.8% increase
Reception Results by DistrictsReception Results by Districts
Year 6 Results by DistrictYear 6 Results by District
A Very Complex ProblemA Very Complex Problem
Calculating Future Costs of Excess Weight to Hertfordshire 2015 2025
(£ million /year)
Total NHS costs of all related diseases
£ 413 £ 456
NHS costs attributable to excess weight
£ 134 £ 176
NHS costs attributable to obesity alone
£ 83 £ 112
Estimated wider total costs of excess weight
£ 572 £ 789
Source: Foresight report Tackling Obesities: Future Choices Method: cost scaled by 2.12%; the Hertfordshire proportion of the England population
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Healthy Lives, Healthy People: Healthy Lives, Healthy People: A call to action on obesity in EnglandA call to action on obesity in England
“A new level of ambition” A life course approach tackling excess
weight in all age groups
Increasing physical activity is important but eating less is key to weight loss
Treatment will be increasingly important alongside prevention
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A New Integrated ApproachA New Integrated Approach
Child poverty
Lack of awareness re appropriate weights for children
Parental beliefs “healthy lifestyles too challenging”
Developing a whole community approach targeting families
Limited staff/ resources for prevention and treatment work
ChallengesChallenges
Effective Prevention as part of aEffective Prevention as part of a‘Whole Family Approach’‘Whole Family Approach’
Under 5’sMore support
Pregnancy Breast feeding Healthy Introduction of
Solid Food Group programmes on
healthy lifestyle/ cooking sessions
Primary school children
More support Healthy School
Programmes Parent Champions After-school
programmes
Tailored to the target population
How can we make a How can we make a differencedifference
Partnership working
Focus on key priority groups
Supporting social marketing campaigns
Brief intervention skills for all frontline staff
Transforming the workplace
Combining teaching life skills with healthy weight promotion
Becoming role model
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