Men’s Health Forum Programme Evaluation

Professor Paul GatelyLeeds Beckett University

MoreLife

State of Men’s Health

Overweight and obesity among adultsHealth Survey for England 2012 to 2014 (three-year average)

3 Patterns and trends in adult obesity

Adult (aged 16+) overweight and obesity: BMI ≥ 25kg/m2

Almost 7 out of 10 men are overweight or obese (66.4%)

Almost 6 out of 10 women are overweight or obese (57.5%)

Obesity among adultsHealth Survey for England 2012 to 2014 (three-year average)

4 Patterns and trends in adult obesity

Adult (aged 16+) obesity: BMI ≥ 30kg/m2

One out of four men is obese (24.9%)

One out of four women is obese (25.2%)

Prevalence of severe obesity (BMI >40 kg.m2 ) among adults aged 16+ years: Health Survey for England 1993-2010

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5%

4.0%

4.5%

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Prev

alen

ce o

f mor

bid

obes

ity

Year of measurement

Men Women

Are men getting support?

Women Men0%10%20%30%40%50%60%70%80%90%

100%

88%

12%

Attendance at slimming clubs

Attendance at slimming clubs

Jebb (2011)

A changing landscape

Patchy services particularly for Men

Methods

Context• Implementation of the How to

Guide…• Cornwall• Hounslow• North Somerset

• Primary aim• Increase the availability of high

quality weight loss support and services for men.

• Objectives: achieve:• Significant and successful increase

in male uptake of weight loss programmes in target authorities and to capture lessons learnt from the implementation in local areas.

Data capture• Provided guidance to local teams to capture • Attendance and Anthropometric data• Questionnaires

• Problematic Eating Behaviours• Quality of Life• Self Esteem• Physical Activity

• Qualitative• Focus groups with programme participants• Interviews with delivery teams and local stakeholders• Interview with Men’s Health Forum team

Results

Results: Attendance & Anthropometrics

NORTH SOMERSET (N=45) CORNWALL (N=2) HOUNSLOW (N=14)

NA 83% 58%

  WEIGHT (KG) M (±SD) BMI (KG.M-2) M (±SD)% 5 % weight

loss

WAIST CIRCUMFERENCE (CM) M (±SD)

NORTH SOMERSET

PRE (N=44) POST (N=42) PRE (N=44) POST (N=42) PRE (N=44) POST (N=42)

 112.46 (31.13)

111.86 (32.60)

37.01 (9.83)

36.80 (10.21)

7121.67 (18.78)

116.25** (15.77)

CORNWALL n=14 n=14 n=14 n=14 n=14 n=14

 117.01 (32.11)

114.28 (31.88)**

38.11 (9.60)

37.22 (9.57)**

7123.61 (19.26)

120.22 (19.37)**

HOUNSLOW n=18 n=12 n=18 n=12 n=18 n=0

 94.03

(17.45)89.95** (5.22)

31.84 (4.62)

30.34** (4.91)

23108.11 (12.37)

Findings•Local differences

• Different use of resources and support• Different stages

• Strengths• Support of the Men’s Health Forum team

• Networking• Marketing• Strategic support

• Committed teams• Partnerships• User Rapport• Social media

Findings•Weaknesses

• Follow on support• Partnerships

• Challenges• Guidance on weight management practices• Recruitment & Retention

• Lessons learnt• Incentives• Timing

Discussion•Local differences•Capability and capacity

• Evaluation• Data quality

• Marketing• Programme quality

• Theoretic framework? – Behaviour change? – Evidence based? Immature? Lack of clarity on pathways? Training?

• Guidance•Future?

Summary• Overweight & obesity remain a major issue for

men.• Limited local support available.• Men can be engaged and can lose weight.• Lack of infrastructure to effectively tackle

weight problems in men.• Future is challenging with little confidence in

teams that they can sustain services.• Longer terms developmental programmes are

required.

Thank youProfessor Paul Gately

pgately@leedsbeckett.ac.uk