obesity hna

24
Karen Jackson Public Health 2012

Upload: anthony-stark

Post on 03-Jan-2016

54 views

Category:

Documents


0 download

DESCRIPTION

OBESITY HNA. Karen Jackson Public Health 2012. AN OVERVIEW. Why HNA?- aim Headlines from obesity HNA Adults & children with learning disabilities Revised obesity strategy ‘framework for action’ Way forward for learning disabilities. THE CHANGING CONTEXT. -2005-2010. - PowerPoint PPT Presentation

TRANSCRIPT

Page 1: OBESITY HNA

Karen JacksonPublic Health

2012

Page 2: OBESITY HNA

Why HNA?- aim Headlines from obesity HNA Adults & children with learning disabilities Revised obesity strategy ‘framework for

action’ Way forward for learning disabilities

Page 3: OBESITY HNA

• Tackling Obesity Strategy

• Uses evidence – based interventions to produce a

framework for action

• Monitoring via 6 monthly Task Group meetings and annual report to LSP, PCT Board, LA Corporate Board and Cabinet

• All areas contribute to demand management

Targeted interventions

at the overweight and obese

Primary Prevention through encouraging healthy lifestyle

Targeted interventions

at the overweight and obese

Primary Prevention through encouraging healthy lifestyle

Action on the obeseogenic environmentand health inequalities

-2005-2010

-Halt the rise in obesity

Page 4: OBESITY HNA

To inform refresh of Dudley’s obesity strategy

Includes reviews of: national and local data –obesity & lifestyles services and interventions currently in

place evidence on emerging interventions stakeholder views, progress of 2005-10 strategy

Makes recommendations, Proposes a revised framework for

action, strategic objectives, monitoring and outcomes measures

Page 5: OBESITY HNA
Page 6: OBESITY HNA

51,317 People Obese138,532 People Overweight and obese

Page 7: OBESITY HNA

All of current increase due to obese category At current rates: 24.9% obese by 2016 Halt the rise by 2016- balance of 9400 less people moving into the obese category

YEARLY RATES OF INCREASE

2004 2009

Obese: 0.7 0.8Overweight: 0.3 0.0Overweight & obese: 1.0 0.8

Page 8: OBESITY HNA
Page 9: OBESITY HNA

2006/07(%)

2007/08(%)

2008/09 (%)

2009/10 (%)

2010/11 (%)

% point av yrly change

Dudley 11.4% 11.4% 9% 10.2% 10.7% -0.18

W.Mids 10.4% 10.0% 10.1% 10.5% _ +0.03

England 9.9% 9.6% 9.6% 9.8% _ -0.03

2006/07(%)

2007/08(%)

2008/09 (%)

2009/10 (%)

2010/11 (%)

% point av yrly change

Dudley 23.4% 20.1% 21.0% 23.8% 22.4% -0.25W Mids 19.1% 19.6% 19.8% 20.5% _ +0.47England 17.5% 18.3% 18.3% 18.7% _ +0.4

Reception Year Obesity Prevalence

Year 6 Obesity Prevalence

Page 10: OBESITY HNA

Adults: Increase in physical activity-46% to 49% (2004 to 2009,)- but more so in the least deprived than the most deprived areas. BME, women and girls, older people and overweight and obese people - lower activity levels.

Children: 70 % of year 5/6 year olds get enough exercise nationally, which declines to 62% by years 8/10 - more so for girls Less children cycle or walk to school than in previous years.

Adults:5 a day F&V intake -remained constant at 25.6% (2009), -increased in deprived areas. Males, BME and deprived areas have a lower 5-day levels. 86.9% of the population eat a less than healthy diet

Children: 5 a day F&V intake -increased slightly for children since 2004. Declines between school years 5/6 and 8/10. Children are consuming high levels of fatty and sugary snacks on a daily basis.

Breast feeding: Initiation and duration rates are falling and lower than W.Mids and England . Year 8/10 children – 2/3rds would not consider breast-feeding

Page 11: OBESITY HNA

There are specific groups that are more at risk of developing obesity-

Children from low income families Children from families where at least one

parent is obese Looked after children Young parents- <21 Adults- unemployed or in routine/semi routine

jobs Older people People of Asian origin Ethnic groups with higher than average

prevalence People with physical and learning difficulties People with mental health conditions

Page 12: OBESITY HNA
Page 13: OBESITY HNA
Page 14: OBESITY HNA
Page 15: OBESITY HNA
Page 16: OBESITY HNA

Robust initiatives and services in place, but impact on public health outcomes not yet realised. Interventions - not yet at full implementation takes longer than 5 years for the impacts of public

health programmes to come to fruition Some programmes have limited resources and are

achieving only a small ‘reach’ New action plan - build on these

interventions 2005 obesity strategy delivery framework still

valid –to add life-course & at-risk population groups

Page 17: OBESITY HNA

Progressive universalism- universal and targeted in each section

Page 18: OBESITY HNA

Tier 1: Tackling the Obeseogenic Environment: Expand reach and impact of programmes

increasing access to healthy food , active travel, urban design and planning

Tier 2: Lifestyles: Attitudes, Knowledge and

Skills: Public health campaign to raise the public’s

consciousness Early years & primary school age, breast-feeding &

healthy workplace programmes Tier 3: Treatment Pathways for Adults and

Children: Increase referrals, Improve long-term weight loss

outcomes

Page 19: OBESITY HNA

Higher prevalence of overweight and obesity than the average population: 1 in 3 obese V 1in 5

Less than 10% of adults with learning disabilities in supported accommodation eat a balanced diet, & sufficient intake of F&V

Carers generally have a poor knowledge about healthy diet

80% of adults with learning disabilities not taking enough exercise

More likely than the general population to have avoidable, diet related ill health and a shortened life expectancy – type 2 diabetes is double

Page 20: OBESITY HNA

National prevalence rates: 25/1000 with mild and moderate learning difficulties, 3-4/1000 with severe learning disabilities

Locally: Ω 6023 adults- mild/moderate LD , 2008 obese Ω 722-963 adults – severed LD, 241-321 obese

QOF data: (Sept 2011) 53/54 practices 1250 adults – mild/moderate & severe LD 984 adults- on LD register (moderate/severe),

805 (81.8%) also on obesity register 59% male, 41% female Obesity most prevalent for 35-54 year olds- as

general population

Schools Health Behaviour Data: suggestion of less healthy lifestyle for children with LD

Page 21: OBESITY HNA

Environmental changes are universal and will benefit all- healthy towns, food for health award

Many universal interventions will support people with learning difficulties (but need carer support or involvement, or need to be aimed at carers)

Targeted services also in existence- for weight management Adults: slimmer’s kitchen for LD, Children: Seekers (ages 8 to 18 with LD)

Data shortage Systematic measurement and referral of

children with learning disabilities is patchy Outcomes from initiatives can be lower for LD

clients:

Page 22: OBESITY HNA

Referral Status Number %

% Universal services

Total referrals 16Did not attend (DNA) 1 6%

Dropped out 1 6%Completed course 14 88%Weight loss 0-2.5%

(completers) 8 57%Weight loss 2.5-4.9% 4 29%

Weight loss 5%+ 1 7% 27%-55%No weight loss/gained 1 7%

Page 23: OBESITY HNA

2009/10 Seekers (8-18 YRS)

ALL PROGRAMMES*

Accepted a place 8 261Attended (rate %) 8 (100%) 245 (67%)DNA rate % 0 87 (33%)Completed (rate %) 6 (75%) 145 (83%)Drop out rate% 2 (25%) 29 (17%)% maintained or reduced BMI

1/8 (17%) 84 (71%)

% reduced/maintained waist size

3(50%) 67/80 (84%)

Programmes 1 31* where monitoring data available

Page 24: OBESITY HNA

Making reducing obesity a priority for all- at both strategic and delivery levels - implementation of the learning disability obesity charter

Development and delivery of an obesity action plan for people with learning difficulties

Monitoring data