A weighty issue: Understanding and Action on Obesity and Health - - PowerPoint PPT Presentation

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A weighty issue: Understanding and Action on Obesity and Health - - PowerPoint PPT Presentation

A weighty issue: Understanding and Action on Obesity and Health #HealthyWeight @VHSComms Tackling our obesity epidemic Dr Drew Walker Director of public health NHS Tayside 21 February 2018 Medical Complications of Obesity Stroke Pulmonary


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A weighty issue: Understanding and Action

  • n Obesity and Health

#HealthyWeight @VHSComms

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Dr Drew Walker Director of public health NHS Tayside 21 February 2018

Tackling our obesity epidemic

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Medical Complications of Obesity

Phlebitis venous stasis Coronary heart disease Pulmonary disease abnormal function

  • bstructive sleep apnea

hypoventilation syndrome Gall bladder disease Gout Diabetes Osteoarthritis Nonalcoholic fatty liver disease steatosis steatohepatitis cirrhosis Hypertension Dyslipidemia Cataracts Skin Pancreatitis

Idiopathic intracranial hypertension

Cancer breast, uterus, kidney colon, esophagus, pancreas, gall bladder

Gynecologic abnormalities abnormal menses/ infertility polycystic ovarian syndrome Numerous pregnancy comps.

Stroke

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  • The NHS in Scotland spends 9% of

its total budget treating type 2 diabetes

  • Obese people are seven times more

likely to develop it than those with a healthy weight

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11.7% 14.2% 15.6% 16.4% 17.9% 19.3% 20.5% 22.2% 23.7% 24.3% 5.9% 6.9% 7.4% 7.9% 8.5% 9.2% 10.2% 10.4% 11.5% 11.9%

0% 5% 10% 15% 20% 25% Least deprived Most deprived Obesity prevalence Index of Multiple Deprivation 2010 decile

Year 6 Reception

Childhood obesity prevalence by deprivation 2012/13

Child obesity: BMI ≥ 95th centile of the UK90 growth reference

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Adult obesity prevalence by deprivation

Patterns and trends in adult obesity 9

The chart shows 95% confidence intervals Adult (aged 16+) obesity: BMI ≥ 30kg/m2

Deprivation measure is Index of Multiple Deprivation (IMD) 2010

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A Healthier Future

Action and Ambitions on Diet, Activity and Healthy Weight Scottish Government Consultation Document

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Lessons from the Obesity Route Map

  • Broad range of interventions needed
  • Personal responsibility not sufficient
  • Change needed to the wider environment
  • Making healthy choice the easy choice
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Transforming the food environment

  • Promotions
  • Advertising
  • Out of home sector
  • Planning system e.g. vicinity of schools
  • Labelling
  • Reformulation and innovation
  • Food and drink levies
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Living healthier and more active lives

  • Tackling health inequalities
  • Developing a positive relationship with food
  • Supported weight management
  • More people, more active, more often
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Leadership and exemplary practice

  • Public sector leadership
  • Food and drink industry leadership
  • Leading by example
  • Evidence-based improvement
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“People are the heart of the solution, not the problem”

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A weighty issue: Understanding and Action

  • n Obesity and Health

#HealthyWeight @VHSComms