overweight and obesity prevention strategy 2017 to 2020 · pdf fileadult obesity rates are 39%...

The challenge of reducing overweight and obesity is a global problem. Many factors increase

the likelihood of people gaining and retaining too much weight.1 Our sedentary environments

and modern lifestyles have resulted in lower rates of physical activity and higher intake of high-

energy foods.1

Encouragingly, in recent years there has been gradual societal change. This includes a greater

awareness of overweight and obesity than a decade ago.2

After decades of increases, obesity rates for Queensland children and adults are beginning to

slow.2 Furthermore the food industry is beginning to respond to community demand for and

expectation of healthy food choices, and the fitness industry is flourishing.3,4 This is progress;

however, obesity remains a major health and societal issue.

Overweight and obesity burden

Being overweight or obese can impair a person’s wellbeing, quality of life, ability to earn, and life

satisfaction.1

Poor diet, physical inactivity, overweight and obesity all significantly contribute to poor health,

chronic diseases and reduced life expectancy in Queenslanders.

Carrying excess weight places individuals at higher risk of cardiovascular disease, type 2

diabetes, high blood pressure, musculoskeletal conditions and some cancers. Children who are

overweight or obese have higher rates of asthma, bone and joint complaints, sleep disturbances

and early onset of diabetes.

The financial cost of obesity is high and was estimated in 2015 at $8.6 billion nationally (about

$1.72 billion in Queensland). 2 Of this, 44% was due to health system costs, 40% to tax

foregone, 12% to productivity losses including absenteeism, and 4% to government subsidies.

The impact of loss of wellbeing and premature death was assessed at $47.4 billion nationally

($9.5 billion in Queensland) taking the total cost of obesity in Queensland in 2015 to $11.2

billion.

Opportunity

Even a small degree of weight loss can bring health and societal benefits.

Multiplied across the Queensland population, these small benefits can have a large impact on

the community through reducing the overall cost of healthcare and lost productivity due to

illness, disability and premature death.

Overweight and Obesity Prevention Strategy 2017 to 2020

Overweight and Obesity Prevention Strategy - 2 -

The Overweight and Obesity Prevention Strategy is part of the Health and Wellbeing Strategic

Framework 2017 to 2026 which sets a prevention-focused pathway for:

creating healthier places where people live, work, learn and play

empowering people with the knowledge, positive attitudes, motivation and skills to live healthy lives.

Overweight and obesity is not the same for everyone2

Adult obesity rates are 76% higher in socioeconomically disadvantaged areas of Queensland compared to advantaged areas.

Compared to major cities, adult obesity rates are 22% higher in outer regional and 36% higher in remote and very remote areas. While disparities are not as evident among children, it is likely that family lifestyle choices over the longer term will put children at risk of weight gain.

Young adults (18–24 years) gain weight very rapidly as they transition through their twenties—on average about 1kg a year.

Adult obesity rates are 39% higher among Indigenous Queenslanders than non-Indigenous.

Of women that gave birth in Queensland in 2014, nearly half were overweight or obese.

Trend data

Latest trend data (pages 3 and 4) show that in Queensland the rate of childhood obesity has not

changed since 2007–08 and adult obesity since 2011.2 Of concern, however, is that 26% of

children and 64% of adults are overweight or obese in Queensland.

The vast majority of children do not eat enough vegetables, and 41% eat unhealthy food every

day. More than half of children are not meeting the recommended one hour of daily physical

activity.

These unhealthy trends—not enough vegetables, too much junk food and not enough physical

activity—are similar for adults.


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Indigenous Queenslanders high birthweight

Related risk factors

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Childhood overweight and obesity

sex age region socioeconomic status

59,000 obese in 2016

158,000 overweight in 201626% =of children were

measured overweight or obese

in 2014–15

5–7

8–11

12–15

16–17

No difference between advantaged and

disadvantaged areas

13% of Indigenous Queenslander children (5–17 years) were

obese by measurement in 2012–13

1.7% of infants born in Queensland in 2014

weighed 4500 grams or more

No difference between major cities and other

areas, and between HHSs

No change in childhood overweight and obesity (measured) between 2007–08 and 2014–15

18%

19%

7%

7%+

+

= 27%*

= 27%*

measured 2014–15

overweight/obeseproxy report 2016

overweight/obeseproxy report 2016 proxy report 2016

30%DID NOT

meet recommendations for fruit consumption

96%DID NOT

meet recommendations for vegetable consumption

55%DID NOT

meet recommended daily activity levels

Boys more likely to NOT meet

recommendations than girls

Older children more likely to NOT meet

recommendations than younger

41%of ENERGY INTAKE was

sourced from discretionary foods

(2011–12)

38%EXCEEDEDmaximum

recommended screen time

Peak consumption was in teenagers

More boys than girls, and more older

children than younger children exceeded the maximum screen time

recommendations

Younger children more likely to be active

every day than older children

*may not sum due to rounding

Queensland overweight and obesity rates (measured) did not differ from national rates in 2014–15

Queensland was ranked 5th highest of jurisdictions


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Related risk factors

pregnant mothersIndigenous Queenslanders

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Adult overweight and obesity

sex age region socioeconomic status

1.1 million obese in 2016

1.2 million overweight in 201664% =of adults were

measured overweight or obese

in 2014–15

18–2425–3435–4445–5455–6465–74

75+

Obesity was 76% ↑ in disadvantaged areas

compared to advantaged areas.

40% of Indigenous Queenslander adults were obese by

measurement in 2012–13

39% more likely to be obese (measured) than non-

Indigenous Queenslander adults in 2012–13

Of women that gave birth in Queensland in 2014:

49% were overweight or obese

27% were overweight

22% were obese

No change in self reported adult overweight and obesity since 2011From 2004–2011, self reported obesity ↑ by 3.1% p.a.

38%

29%

32%

28%+

+

= 57%*

= 71%*

Proportion meeting recommended daily fruit

serves ↑ for 18-44 year olds by 2.1% p.a.

Proportion meeting recommended daily vegetable serves:

↓ for 45+ year olds by 2.8% p.a.↓ for disadvantaged by 3.1% p.a.

Prevalence of sufficient physical activity is plateauing:

↑ by 6.2% p.a. 2004–2009, slowing to ↑1.9% p.a. 2010–2016

SES gap narrowing for males: advantaged ↑ 1.3% p.a., disadvantaged ↑ 4.5% p.a.

measured 2014–15

overweight/obeseself report 2016

overweight/obeseself report 2016 self report 2016

43%DID NOT

meet recommendations for fruit consumption

93%DID NOT

meet recommendations for vegetable consumption

39%DID NOT

meet recommendations for physical activity

Males ↑ than females

Disadvantaged ↑ than advantaged

Males ↑ than females


Females ↑ than males


36%of ENERGY INTAKE was

from discretionary foods (2011–12)

Compared to major cities, obesity prevalence was 22% ↑ in outer regional and 36%

↑ in remote and very remote areas

5 HHSs had ↑ prevalence of overweight and obesity

than Queensland - on average 14% higher

Queensland overweight and obesity rates (measured) did not differ from national rates in 2014–15

Queensland was ranked 5th highest of jurisdictions

*may not sum due to rounding


Our approach

A multi-strategy approach can significantly contribute to the achievement of overweight and

obesity prevention objectives and targets. The six integrated strategies below are informed by

evidence-based recommendations for influencing broad and sustainable health improvements.

Shared commitment and partnerships

Actions to be implemented by the Prevention Division under this Strategy are part of a growing

movement led by the health sector and increasing in the non-health sector to improve health

and wellbeing. Examples of other agencies and sectors involved in obesity prevention include:

Health promotion commission—once established under Queensland legislation, this independent statutory body will bring new insights and innovative ways of working to improve health

Queensland Government departments and agencies, particularly Department of National Parks, Sport and Racing; Department of Transport and Main Roads; Department of Education and Training; Workplace Health and Safety Queensland; Department of Infrastructure, Local Government and Planning; Department of Agriculture and Fisheries; Department of Aboriginal and Torres Strait Islander Partnerships; and Public Service Commission

Australian Government departments and agencies, particularly Department of Health; Department of Human Services; Department of Infrastructure and Regional Development; Department of Industry, Innovation and Science; Australian Sports Commission; and Australian Bureau of Statistics

Local Government and the Local Government Association of Queensland

Hospital and Health Services (HHSs)

Aboriginal community-controlled health services

Primary Health Networks

health research networks

non-government organisations

academia, education and training sectors

industry and businesses.

Public policy and legislation

creating environments that make it easier to

lead healthy lives

Personal skills development

empowering people

with the knowledge and skills to make healthy

choices

Social marketing

raising awareness, motivating and

influencing healthy behaviours

Health surveillance and research

providing timely and robust information to

inform policy and practice

Risk assessment, early intervention

and counselling

identifying and helping people at greater risk to

take early action to improve their health

Sector development

supporting health and non-health sectors to

integrate prevention into their core business and

initiatives


Monitoring performance

A Performance Measurement Strategy has also been developed to monitor and report on the

outputs, impacts and outcomes of the Health and Wellbeing Strategic Framework 2017 to 2026

and the Overweight and Obesity Prevention Strategy.

Specific childhood and adult targets to be achieved by 2020 have been set for overweight and

obesity prevalence as well as key behavioural improvements. These targets are ambitious but

essential for achieving improved health and wellbeing in Queensland.

2020 Targets Numbers needed to reach

2020 Targets*

Ch

ildre

n

Reduced overweight and

obesity

23% overweight or obese

(2014: 24%)

47,000 fewer overweight or

obese children

Improved physical activity 43% children active every day

(2014: 39%)

154,000 more children active

every day

Increased fruit

consumption

74% eating recommended fruit

serves daily

(2014: 67%)

265,000 more children eating

recommended fruit serves daily

Increased vegetable

consumption

7% eating recommended

vegetable serves daily

(2014: 6%)

25,000 more children eating

recommended vegetable serves

daily

Ad

ult

s

Reduced overweight and

obesity

55% overweight or obese

(2014: 58%)

114,000 fewer overweight or

obese adults

Improved physical activity 65% physically active

(2014: 60%)

217,000 more adults becoming

active

Increased fruit

consumption

64% eating recommended fruit

serves daily

(2014: 58%)

231,000 more adults eating

recommended fruit serves daily

Increased vegetable

consumption

11% eating recommended

vegetable serves daily

(2014: 10%)

41,000 more adults eating

recommended vegetable serves

daily

* Than there would have been if no behaviour change had occurred since 2014 baseline.


Key achievements undertaken or funded by the Department of Health (2015-16)

New legislation introduced requiring fast-food chains to display the kilojoule content for food and drinks on their menus. This is helping Queenslanders to make healthier food choices at the point-of-sale.

Prevention integrated into workplace policies and programs through a new tri-partite arrangement between Queensland Health, Workplace Health and Safety Queensland and WorkCover Queensland to fund strategic engagement with peak industry groups and member organisations. This included Healthier.Happier.Workplaces which provided assistance and recognition for workplaces improving worker health. More than 500 new workplaces were registered (total of 2,489 workplaces since 2011).

Tuckshop and canteen convenors at primary and secondary schools, and community sporting clubs, received telephone advice, guidelines, and menu planning training to increase the supply of healthier food and drinks options (and less junk food) for children.

900 early childcare services and 3,255 early childcare staff received training in practical ways to provide healthier food and drinks, and enjoyable physical activity, for children.

64 primary schools (nearly one third) in Darling Downs South West region participated in a pilot program to incorporate more physical activity into the school day (classroom and outdoors) to achieve better student learning and engagement.

920 hospital clinicians, maternal and child health workers, Indigenous health workers and GPs commenced online training to increase their skills and confidence in conducting brief interventions to support patients’ healthy eating and increased physical activity.

Maternal and child health clinicians provided with access to a suite of resource reviews and e-learning directories, research seminars, new breastfeeding website, Healthcare for a Healthy Weight web portal, and an updated Pregnancy Health Record to help them provide advice on healthy weight and nutrition during pregnancy.

Evaluation shows recent social marketing activities are helping change behaviour. The Colour Wheel fruit and vegetable campaign resulted in 66% of audiences reporting either having increased or intending to increase fruit and vegetable consumption. Other positive changes included how they cooked/prepared fruit and vegetables (57%) and trying new fruit and vegetables (56%). Evaluation of the Straight Answers campaign showed that people who had seen the campaign were more likely to have eaten fruit (64% vs 51%), vegetables (44% vs 36%), as well as taken part in physical activity (58% vs 45%).

The Healthier. Happier. website continues to be a popular source of nutrition and physical activity information, with 500,000 visits during 2015–16. The Straight Answers section of the website was particularly engaging with more than 85,000 page views.

Formative research was undertaken for kilojoule menu labelling legislation campaign.

30 new community-based walking groups established and 1,079 new walkers were recruited to the Heart Foundation Walking program. Furthermore, 11,357 adults, 180

Public policy and legislation

Sector development

Social marketing

Personal skills development


workplaces and 21 communities across Queensland registered for the 10,000 Steps walking program.

6,023 Queenslanders participated in a Jamie’s Ministry of Food cooking course, demonstration or event learning new skills about food preparation, healthy meal planning and budgeting. Courses were provided through a centre at Ipswich and a mobile food truck that travelled to Cherbourg, Carina, Kelvin Grove, Logan, Townsville and Mosman Gorge to provide 2x5-week courses.

414 people participated in cooking and nutrition workshops at Mermaid Beach, Imbil, Chinchilla, Jandowae, Kingaroy, Calliope, Blackwater and Clermont, and 653 people participated in foodie showcases at Beerwah, Kingaroy, Warwick, Cloncurry, Maroochydore, Brisbane, Longreach and Alligator Creek, provided by the Queensland Country Women’s Association ‘Country Kitchens’ program.

366 school students in grades 7 to 10 at state and non-state secondary schools, with a priority focus on socioeconomically disadvantaged areas and Aboriginal and Torres Strait Islander students, participated in cooking skills programs conducted after school or in school holidays.

1,100 Maori and Pacific Islander children and families in Cairns and South-East Queensland participated in community and school culturally-tailored healthy lifestyle programs delivered by the Good Start team based at Children’s Health Queensland.

269 people from South Sea and Pacific Islander, Arabic, Sri-Lankan, Sudanese, Somali and Vietnamese communities participated in group-based healthy lifestyle and health education programs provided in Townsville, Rockhampton, Mackay, Cairns and South-East Queensland.

138,133 pre-school, primary and secondary school students attended the Life Education extra-curricular school-based health education program comprising a mobile classroom and specially trained educators.

Commencement of the ‘My health for life’ diabetes and chronic disease prevention program. Health risk assessments will be provided to identify adults at high risk of developing type 2 diabetes, cardiovascular disease and specific cancers that have known links with obesity. Lifestyle modification programs will be delivered via telephone health coaching or group based programs and online support tools.

1,122 children and 919 families were supported to eat healthy and be more active through the PEACH (Parenting, Eating, Activity, Child Health) program since September 2013. The PEACH Online program was launched in February 2016 with 248 children enrolled by 30 June 2016.

260 Queenslanders adopted improved physical activity and healthy eating habits in response to coaching and information support provided by the telephone-based ‘Get Healthy Service’.

29,500 Queenslanders were surveyed about their eating habits and levels of physical activity. There was online release of overweight and obesity prevalence data at the levels of state-wide, Hospital and Health Service, Primary Health Network and local government area.

Launch of an interactive online tool to visualise state-wide trends, risk factor trends and historic regional data.

Risk assessment, early intervention and counselling



Key achievements by other government agencies (2015-16)

Australian Government

Launch of the ‘Health Star Rating’ which is a front-of-pack labelling system that rates the overall nutritional profile of packaged food and assigns it a rating from half a star to 5 stars. It provides a quick, easy, standard way to compare similar packaged foods.

Development of the Health Star Rating system was jointly funded by Australian, state and territory governments. It is being implemented on a voluntary basis by the food industry over five years, with a review of progress after two years and a formal review at five years. More than 115 food companies are now displaying stars on more than 5,500 food products and participation is growing rapidly.

Department of National Parks, Sport and Racing

‘Join the Movement campaign’ is a Queensland Government campaign that is designed to encourage and inspire Queensland women and girls to be more active. The goal is to increase women and girls’ participation in sport and active recreation across their lifespan.

Department of Transport and Main Roads

Funding to build cycle ways is available through the Cycle Network Local Government Grants Program and the Transport Infrastructure Development Scheme. Both funding sources can be accessed by local governments to help people shift from car use to more active travel.

Department of Education and Training

Smart Choices—Healthy Food and Drink Supply Strategy for Queensland Schools was updated to provide students with healthier food and drink options. The three major changes include limiting drinks to plain water, milk (plain and flavoured) and 99–100% non-carbonated fruit or vegetable juices; classifying all potato crisps and similar snacks as ‘Red’ (i.e. available for no more than 2 occasions per school term); and classifying all products with added confectionary, icing and sweet fillings as ‘Red’.

Action Plans

Plans outlining universal and targeted actions for healthy eating and physical activity to be delivered under the multi-strategy approach have been developed for the period to 30 June 2020 (see over).

Preventive Health Branch, Prevention Division, is accountable for implementing the actions in these plans. This may be undertaken directly by the Branch, in partnership with others, or procured from non-government organisations. The action plans will be updated every two years.

Integrated Communication Branch, Corporate Services Division, is accountable for developing and delivering social marketing activities which contribute to the multi-strategy approach and achievement of overweight and obesity prevention targets.

Social marketing activities are informed by market research to understand needs, preferences, attitudes and behaviours of the target market, and may be subject to approval by the Minister for Health, Director-General, and the Queensland Government Advertising and Communication Committee.

http://healthstarrating.gov.au/internet/healthstarrating/publishing.nsf/Content/About-health-stars


Sources:

1. Butland B, Jebb S, Kopelman P, McPherson K, Thomas S, Mardell J, et al. Foresight. tackling obesities: future choices - project report. Second edition. UK: Government Office for Science; 2007 Available from: http://www.bis.gov.uk/assets/foresight/docs/obesity/17.pdf.

2. Queensland Health. The health of Queenslanders 2016: report of the Chief Health Officer Queensland. Queensland Government: Brisbane; 2016.

3. Australian Food and Grocery Council. Annual report: Sustaining Australia. AFGC: Canberra; 2015.

4. IBISWorld. Gyms and fitness centres in Australia: market research report. Available: http://www.ibisworld.com.au/industry/default.aspx?indid=658. Accessed 11 Apr 2016.

http://www.bis.gov.uk/assets/foresight/docs/obesity/17.pdf

http://www.ibisworld.com.au/industry/default.aspx?indid=658


Action Plan for 2016-17 and 2017-18

Public policy and legislation Sector development Social marketing Personal skills development Risk assessment, early intervention and counselling


Universal actions that can reach people living in cities, and regional and remote areas

1. Establish an independent health promotion Commission.

2. Implement and encourage industry compliance with new legislation requiring fast-food chains to display kilojoule content for food and drinks on their menus.

3. Incentivise healthcare and other State Government facilities to replace sugar-sweetened drinks with healthier options.

4. Influence the inclusion of ‘health and wellbeing’ as a priority in State Planning Policy.

5. Encourage the inclusion of more cycling as transport to school and work as part of consultation for updating the Queensland Cycling Strategy.

6. Develop policy and program options for improving physical activity and reducing sedentary behaviour, informed by research (including Actions 31 and 32).

7. Lead development of cross-jurisdictional reforms to limit the impact of unhealthy food and drinks on children under the direction of the Council of Australian Governments.

8. Engage with Hospital and Health Services (HHSs) to identify, promote and implement ways to increase healthy eating and physical activity.

9. Strengthen the capacity of clinicians to support patients to achieve and maintain a healthy weight by providing online training, guidelines and resources.

10. Encourage and support workplaces to establish on-going health promoting policies and programs through:

- tripartite agreement with Workplace Health and Safety Queensland and WorkCover

- partnership with Queensland Public Service Commission.

11. Identify new ways to increase physical activity in community settings through collaboration with the Department of National Parks, Sport and Racing.

12. Encourage the inclusion of more physical activity into the school day (classroom and outdoors) to achieve better student learning and engagement through a partnership with the Department of Education and Training.

13. Connect with a broader range of partners (e.g. P&Cs) to maintain and increase the availability of healthy food and drink options at state and non-state school tuckshops and amateur sporting clubs.

14. Increase the availability of healthier choices at restaurants and other food outlets through a national voluntary pledge scheme.

20. Provide prevalence and trend data to Integrated Communication Branch to support the development of marketing and communication activities that are focused on:

- increased physical activity - benefits of healthy eating

including fruit and vegetables - healthy food preparation and

cooking skills - consumer interpretation of

nutrition information - public understanding of energy

needs.

21. Provide expert nutritional and physical activity advice to Integrated Communication Branch to ensure social marketing activities are factually accurate and aligned to strategic direction.

22. Increase the knowledge and skills of pre-school, primary and secondary school students in making healthier food and drink choices, and being more active, through procuring an extra-curricular school-based health education program.

23. Improve access to walking programs for adults, families and workplaces through procuring services from non-government providers.

24. Undertake a review of programs that increase food literacy and improve cooking skills (linked to Action 25).

26. Provide a statewide health risk assessment and lifestyle modification program (My health for life) for Queensland adults at highest risk of developing a chronic disease by procuring services from non-government providers.

27. Increase the adoption of healthy eating habits and improve physical activity in response to coaching and information provided by procuring a telephone-based program from non-government service providers.

31. Profile behaviour, knowledge, attitudes and beliefs about physical activity for adults and children.

32. Investigate the characteristics and likely drivers of recent improvements in the levels of physical activity for adults living in disadvantaged areas of Queensland.

33. Obtain information on market and consumer trends to monitor broad factors that influence healthy behaviour.

34. Monitor food environments, including food and drinks supplied at schools, outside school hours care, and at sporting clubs.

35. Monitor prevalence, trends and impacts of eating habits, physical activity, overweight and obesity using:

- Queensland preventive health survey

- National measurement surveys - hospitalisations - deaths - burden of disease.

36. Assess changes in prevalence of overweight and obesity, physical activity and fruit and vegetable consumption by sociodemographic groups (sex, age, socioeconomic status, remoteness, and HHS) for adults and children.

Targeted actions for groups with higher overweight and obesity rates

15. Collaborate with HHSs and Primary Health Networks to deliver initiatives supporting healthy weight gain in pregnancy and nutrition in early life and childhood.

16. Increase clinicians’ access to online breastfeeding resources and tools; and contribute to the development and implementation of the Australian National Breastfeeding Strategy.

17. Make healthy lifestyle services more accessible to public housing tenants by linking with programs that connect people with their neighbourhoods and community, in partnership with the Department of Housing and Public Works; and Department of National Parks, Sport

25. Procure services from non-government providers to increase the food literacy and cooking skills of priority population groups, specifically:

- rural, remote and disadvantaged communities

- Indigenous adults and students - young people (12–29 years).

28. Increase access to telephone counselling support services for Indigenous clients, pregnant women and clients with Type 2 diabetes.

29. Trial and evaluate an integrated online model of service delivery of family focused weight management services for overweight and obese children.

30. Provide people from South Sea and Pacific Islander, Arabic, Sri-Lankan, Sudanese, Somali and Vietnamese communities with group-based healthy lifestyle and health education programs by procuring services of a non-




and Racing.

18. Increase capacity of Aboriginal and Torres Strait Islander health and community workers to support people to achieve and maintain a healthy weight by providing face-to-face and online training, guidelines and resources.

19. Strengthen capacity of Aboriginal and Torres Strait Islander Councils to create healthier food environments, including working with local food businesses to improve in-store healthy food promotions.

government provider.


Draft Action Plan 2018-19 and 2019-20



Universal actions that can reach people living in cities, and regional and remote areas

37. Enforce and review the effectiveness of legislation requiring fast-food chains to display kilojoule content for food and drinks on their menus.

38. Develop and implement a walking strategy in consultation with the Heart Foundation and other partners to extend the benefits of daily physical activity (linked to Action 23).

39. Incentivise healthcare and other State Government facilities to increase access to healthy food choices, and continue to offer healthy drink options.

40. Implement cross-jurisdictional reforms to limit the impact of unhealthy food and drinks on children.

41. Collaborate with the Department of National Parks, Sport and Racing and other partners to implement policy and programs for improving physical activity (linked to Actions 6 and 11).

42. Maintain a collaborative network to support HHSs to deliver ongoing healthy eating and physical activity policies, programs and services.

43. Review the effectiveness of the agreement with Workplace Health and Safety Queensland and WorkCover to support workplaces in establishing health promoting policies and programs.

44. Maintain and enhance the capacity of clinicians to support patients to achieve and maintain a healthy weight by providing online training, guidelines and resources.

45. Strengthen engagement with new partners to maintain and increase the availability of healthy food and drink options at state and non-state school tuckshops and amateur sporting clubs (linked to Action 13).

50. Continue to provide prevalence and trend data to Integrated Communication Branch to support the development of marketing and communication activities that are focused on:

- increased physical activity - benefits of healthy eating

including fruit and vegetables - healthy food preparation and

cooking skills - consumer interpretation of

nutrition information - public understanding of energy

needs.

51. Provide expert nutritional and physical activity advice to Integrated Communication Branch to ensure social marketing activities are factually accurate and aligned to strategic direction.

52. Investigate and scope options for a travel behaviour change program to encourage people to change car trips to walking, cycling and public transport.

53. Implement the outcomes of the review into the effectiveness of programs to increase food literacy and improve cooking skills (linked to Action 24).

54. Implement the outcomes of a procurement strategy for the delivery of extra-curricular school-based health education programs (linked to Action 22).

55. Continue to provide a statewide health risk assessment and lifestyle modification program (My health for life) for Queensland adults at highest risk of developing a chronic disease through procuring services from non-government providers.

59. Monitor prevalence, trends and impacts of eating habits, physical activity, overweight and obesity using:

- Queensland preventive health survey

- National measurement surveys - hospitalisations - deaths - burden of disease.

60. Assess changes in prevalence of overweight and obesity, physical activity, healthy and unhealthy food consumption by sociodemographic groups (sex, age, socioeconomic status, remoteness, and HHS) for adults and children.

Targeted actions for groups with higher overweight and obesity rates

46. Continue collaboration with Primary Health Networks and HHSs to deliver initiatives supporting healthy weight gain in pregnancy and nutrition in early life and childhood.

47. Collaborate with Aboriginal and Torres Strait Islander health and community workers to reduce barriers to support people to achieve a healthy weight.

48. Continue to strengthen the capacity of Aboriginal and Torres Strait Islander Councils to create healthier food environments.

49. Identify new ways for empowering public housing tenants to achieve a healthy weight through ongoing collaboration with Department of Housing and Public Works; and Department of National Parks, Sport and Racing.

56. Integrate outcomes of the trial of an online model of service delivery of family focused weight management services for overweight and obese children (linked to Action 29).

57. Implement the outcomes of a procurement strategy for the delivery of health education programs for culturally and linguistically diverse communities (linked to Action 30).

58. Explore incentives for HHSs to use clinical pathways for the management of overweight and obesity in children and adolescents.

overweight and obesity prevention strategy 2017 to 2020 · pdf fileadult obesity rates are 39%...

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