Haringey Haringey Public Health performance update CCG Governing - - PowerPoint PPT Presentation
Take away FRIES Childhood obesity in Haringey Haringey Public Health performance update CCG Governing Body meeting 4 June 2014 Prevalence of childhood obesity In Haringey, a higher proportion of children are obese and overweight by year 6
Take away
Haringey Public Health performance update CCG Governing Body meeting 4 June 2014
FRIES
In Haringey, a higher proportion of children are obese and overweight by year 6 than in reception year
Source: Public Health England
Nearly
children are overweight or obese in reception year
(2013)
Over
children are overweight or obese
in year 6
(2013)
20% 40% 2007 2008 2009 2010 2011 2012 2013 % of children
Haringey London England
20% 30% 2007 2008 2009 2010 2011 2012 2013 % of children
Reception children Year 6 children
% obese and overweight in Haringey 2013 % obese and overweight in Haringey 2013 Source: Public Health England
Most recent trends show obesity and overweight in reception going down and rising in year 6
Source: Public Health England
22% 25% 38% 43%
0% 50%
Female Male
Prevalence (%)
Reception Year 6
A higher proportion of boys are
Obesity and overweight by gender
% obese and overweight in Haringey 2013
29% 20% 22% 35% 22% 25% 21% 26% 29% 15% 23% 11% 16% 20% 19% 25% 23%
53%
50% 48% 48% 48% 46% 44% 43% 38% 34% 31% 30%
21%
20% 7% 50% 52%
0% 10% 20% 30% 40% 50% 60%
Black - Any Other Black Asian - Pakistani Black - Black Caribbean Black - Black African Asian - Bangladeshi Mixed - Any Other Mixed Mixed - White and Black Caribbean White - Any Other White Mixed - White and Black African Asian - Indian White - White Irish Mixed - White and Asian White - White British Asian - Any Other Asian Chinese Any Other Ethnic Group Not known
Reception Year 6
Source: Public Health England
Around half of some black and minority ethnic groups are
compared to 1 in 5 white British children
Obesity and overweight by ethnicity
% obese and overweight in Haringey 2013
6
Prevalence of overweight or obesity in year 6 by ward, 2013
Not all equal: more childhood obesity and
east, especially South Tottenham.
Source: London Borough of Haringey
Wider influences:
Obesogenic environment and food industry influence Culture and norms
Urban environment & planning, access to green spaces Deprivation and social inequalities Health policy
Early life influences:
Household poverty, maternal nutrition, low birthweight - newborn over feeding increase risk of obesity, role models, breast feeding
environment: Access to green spaces, density of fastfood outlets etc.
Schools
PE & after school activities/healthy schools approach to healthy eating and physical activity
Household
circumstances: Income, diet
home etc.
Source: Haringey JSNA, Childhood Obesity (2013)
Affordability Access & availability Acceptability
Source: City University (2013) Children’s food choices on the streets around schools in Haringey: A wall of crisps and other food choices
Concentration of
schools.
Percentage of year 6 children who are obese (2011)
Source: City University (2013) Children’s food choices on the streets around schools in Haringey: A wall of crisps and other food choices
Planning A proposal for a 400m exclusion zone for fast food outlets around schools was consulted on in March 2013. This is being further considered in light of consultation responses and the growing body of evidence Working with schools
Food Plan
school food Environmental Health
introducing the Healthier Catering Commitment (HCC)
training to learn more about the HCC
Increased risk of adult Obesity (BMI >30) CVD Diabetes Some cancers
Source: Haringey JSNA, Childhood Obesity (2013)
High blood pressure Long standing illness Mental health
(inc. low self esteem)
from school
limitations
apnoea
increased risk of low self-regard and impaired quality of life in obese individuals
Wijga et al, 2010; Egan et al 2013; Narang, Mathew, 2012
Strongly promoting early intervention and prevention strategies through breastfeeding developments and the HENRY (Health Exercise Nutrition for the Really Young) programme, which helps families with very young children develop skills around healthy eating and leading an active lifestyle. Making every contact count – and ensuring that the Brief Intervention Training – Raising the Issue of Weight - is well attended by a variety of local professionals Strengthening our Healthy Schools Programme to help support schools in becoming natural hubs of health & wellbeing, including targeting evidence-based interventions in schools where they are most needed. To help tackle these issues we are working closely with early years settings and schools:
The Governing Body are asked to: Ensure commissioning plans address the risks of child obesity and related disorders including diabetes Include maternal obesity within service specification for commissioning of maternity services Actively promote the brief intervention training for families, to enable GPs and other health professionals to raise the issue of weight and offer brief interventions, ensuring that every contact counts. Promote the forthcoming childhood obesity pathway