staying healthy for success - commonwealth nurses · 2016-05-02 · •ranada: ‘biggest loser’...
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Staying healthy for successChristine Hancock, C3 Collaborating for Health
April 2011
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The 3FOUR50 message
• 3 risk factors cause four chronic diseases (cardiovascular disease, type 2 diabetes, many cancers and chronic lung disease) that cause over 50% of deaths worldwide.
• The risk factors are:
Tobacco use
Lack of physical activity
Unhealthy diet
Slide 2C3 presentation to Commonwealth nurses
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Global burden of disease
Communicable
diseases
Chronic
disease
Injuries
1990 2020
Source: Harvard School of Public Health
Slide 3C3 presentation to Commonwealth nurses
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Global deaths by cause (2005)
Slide 4
Source: WHO report, Preventing Chronic Disease: A Vital Investment, October 2005.
Selected disease mortality
(millions), all ages
HIV/AIDSTBMalaria CVDCancerChronic
respiratoryDiabetes
1.1
4.1
7.6
17.5
0.9
1.6
2.6
TOTAL
30.3
5.1
35.4
C3 presentation to Commonwealth nurses
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• Globally, about 1.3 billion people smoke• 84% of smokers live in developing/transition economies.
• Regional and gender variations• Men: 35% in developed countries and 50% in developing
countries smoke.
• Women: 22% in developed countries and 9% in developing countries smoke.
• 5 million people die prematurely from tobacco use each year • By 2020, this figure could increase to 10 million.
Source: The Tobacco Atlas and WHO.
Tobacco
Slide 5C3 presentation to Commonwealth nurses
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Sources:
* H.-C. Hung 2005 (J Nat Cancer Ins)
** F.B. Hu 2001 (New Eng J Med)
*** WHO 2003
Five servings of fruit and vegetables each day reduces the risk of:
• Cardiovascular disease by 28%*
• Type 2 diabetes by 24%**
• Some gastrointestinal cancers by 20%***
Slide 6
Benefits of a healthy diet
C3 presentation to Commonwealth nurses
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• Adults (18–65) should undertake moderate-intensity physical activity (e.g. brisk walking) for a minimum of 30 minutes on five days each week or vigorous-intensity activity (e.g. jogging) for a minimum of 20 minutes on three days each week, or a combination.
• Lower goals may be necessary for older people who have physical impairments or functional limitations, and older adults should also do balance exercises.
• Children should do at least an hour of physical activity every day.
Slide 7
Physical activity recommendations
C3 presentation to Commonwealth nurses
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The impact of physical activity
Slide 8
Physical activity reduces the risk of:
• breast cancer by approximately 20–40% among those who do vigorous physical activity for 30–60 minutes on 5 days each week;
• colon cancer: the most active people are at 30% lower risk than the least fit;
• stroke by 25–30% among active individuals;
• coronary heart disease: physically inactive people can have as much as twice the risk;
• diabetes by 30–50%;
• plus benefits for musculoskeletal and mental health.
C3 presentation to Commonwealth nurses
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• Obesity and type 2 diabetes
• Study of 84,941 nurses with 16-year follow up
• Clear that the risk of developing type 2 diabetes increasesdramatically, relative to BMI
0
5
10
15
20
25
30
35
40
Re
lati
ve
ris
k
<23 to 25 to 30 to 35 >35
Body Mass Index
RR for type 2 diabetes
Obesity’s impact on health
Slide 9C3 presentation to Commonwealth nurses
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Action in the Commonwealth
• Smoking-cessation among disadvantaged pregnant women in Cape Town, S. Africa
• Midwives gave help and advice to pregnant women, around half of whom smoked and half of whom drank during pregnancy
• The quit rate was 15x higher than in the non-intervention group.
Slide 10C3 presentation to Commonwealth nurses
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• Football and peace-building in N. Uganda
• 400 boys and girls took part in a season of football in an area where up to 1/3 of boys and 1/6 of girls had been abducted during the conflict
• Before or after each game there were peace-building/conflict resolution activities (poetry, debate etc.) and health awareness andmonitoring
Slide 11C3 presentation to Commonwealth nurses
Action in the Commonwealth
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• Caribbean Wellness Day – a regional effort to raise awareness about health and wellbeing, and make a year-round difference, e.g.:
• Granada: ‘biggest loser’ weight-loss competition for employees
• Bermuda theme of ‘Love your body: portions count!’
• Barbados launched ‘TaskForce on Physical Activity’
Slide 12C3 presentation to Commonwealth nurses
Action in the Commonwealth
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It’s not rocket scienceSO:
why don’t we “do the right thing”?
Slide 13C3 presentation to Commonwealth nurses
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Slide 14
Negative consequences are distant
C3 presentation to Commonwealth nurses
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Slide 15
Cut fat
Diet
There is confusion and mixed messages
C3 presentation to Commonwealth nurses
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Slide 16
Health ‘nanny’ messages are problematic
C3 presentation to Commonwealth nurses
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C3 Collaborating for Health
C3 Collaborating for Health is a policy and advocacy organisation: www.c3health.org
C3 believes that only by working together can we make it easier to be healthy.
C3 works with many different people and organisations to promote 3 behaviour changes:
stopping smoking, eating a better diet and increasing physical activity.
Slide 17C3 presentation to Commonwealth nurses
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Who do we work with?
• To find solutions to the problem of making it easier to be healthy, C3 brings together experts from many disciplines from around the world, including:
• Health professionals (including nurses), government, urban planners, food companies, employers, schools, consumer organisations, academics, nutritionists, non-governmental organisations...
• C3 works globally – 80 per cent of deaths from chronic diseases occur in developing countries.
Slide 18C3 presentation to Commonwealth nurses
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Healthcare settings as workplaces
• Hospitals and healthcare centres are major employers
• There are opportunities to make it easier for staff to make healthy choices – and to take a health lead themselves.
C3 presentation to Commonwealth nurses Slide 19
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• Number of smokers in the workforce
• Numbers of smokers who quit each year
• Average BMI (measure of obesity) of the workforce
• Change in BMI of employees
• Number of employees who daily eat five portions of fruit and vegetables
• Number of employees who take 30 minutes of exercise five days a week
Key indicators include...
Slide 20C3 presentation to Commonwealth nurses
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• For employers:
• Sickness absence costs UK businesses nearly £14 billion a year
• The healthiest 25% of the workforce is naturally 18% more productive at work than the least healthy 25%
• For the government:
• Improved workplace health could save the government over £60 billion
The benefits are very clear
Sources: Vielife,’Health and Performance Research Study’ (2005) and Bupa
C3 presentation to Commonwealth nurses Slide 21
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Why nurses?
If the millions of nurses in a thousand different places articulate the same ideas and convictions.....
and come together as one force
they could act as a powerhouse for change.
Dr Haefden Mahler, WHO Director General (1985)
C3 presentation to Commonwealth nurses Slide 22
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Global Nursing Initiative
• Origins: meeting in Durban, South Africa in 2007, with DENOSA, ICN and others. In one hospital, following this initial meeting:
• 72 nurses together lost a total of 360 kg over three years
• 5 nurses stopped smoking completely
• 17 nurses have gone off tablets, decreasing care costs
• Now, C3 and other partners are working together to explore a range of nurse-led options and interventions in chronic disease in six countries.
• Contact [email protected] for more info.
Slide 23C3 presentation to Commonwealth nurses
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A further initiative
• Early Origins of Health (EOH)
• C3 is coordinating a multi-sector partnership that will lead to a blueprint for change enabling midwives to work with women to have a healthy pregnancy and for their children to have a healthy start in life
• EOH is a great opportunity to link chronic disease and child health
Slide 24C3 presentation to Commonwealth nurses
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Using new technologies: Web 2.0
• 3 risk factors; four chronic diseases; over 50% of deaths in the world:
www.3four50.com
• An opportunity for people from different target audiences to connect and collaborate to create a healthier future.
• Online network (400+ people), discussions, photos, video footage from events, ‘showcases’ of interesting projects, twitter feed of news, a competition...
• C3’s own website also includes news stories, documents and other information
Slide 25C3 presentation to Commonwealth nurses
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The UN High-level Meeting
• September 2011: The UN is holding a High-level Meeting on NCDs – only the second that it has ever held on a health issue (HIV/AIDS in 2001)
• Lobby now for your head of state/government to attend this ‘once-in-a-generation opportunity’
• Work to ensure that nurses’ priorities on preventing/managing NCDs are included in the Outcomes Document
• More information on www.c3health.org/un-summit-2011/ and www.ncdalliance.org
Slide 26C3 presentation to Commonwealth nurses
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Slide 27
www.twitter.com/c3health
C3 presentation to Commonwealth nurses