Evidence into action: Public Health England support at national and local level to tackle obesity
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1 Evidence into action: Public Health England support at national and local level to tackle obesity Jamie Blackshaw, Team Leader: Obesity and Healthy Weight, Health and Wellbeing, Public Health England
2 2 Food Matters Live Tackling such a complex issue
3 Scale of the challenge Global Burden of Disease: Changes in health in England Newton JN et al., (2015) Changes in health in England, with analysis by English regions and areas of deprivation, : a systematic analysis for the Global Burden of Disease Study Lancet. S (15) Food Matters Live
4 UK diet compared with recommendations Nutrient Children Teenagers Adults (% food energy) Target 4-10 yrs yrs yrs Total fat 35% Saturated fat 11% Trans fat 2% Total carbohydrate 50% Sugars* 5% Fibre (g/day) ** 18g Salt (g/day) Fruit & veg 6g *** **** * Non milk extrinsic sugars including added sugars and sugars released from cell structure e.g. fruit juice * Current recommendation 5% of food energy previously 11% of food energy ** Fibre recommendations relate to adults only *** Mean salt intake children 4-6 yrs 3.7g (recommendation 3g); children 7-10 yrs 5.0g (recommendation 5g) **** Portions not presented for children under 11 years as 80g portion not appropriate for this age group = more than or equal to; = less than or equal to Sources: National Diet and Nutrition Survey (NDNS) years 5 & 6 (2012/ /14) Salt intakes: adults: NDNS: salt intakes in adults years in England 2014; children: NDNS: years 1-4 (2008/ /12) Food Matters Live 4 Food Matters Live
5 Prevalence of severe obesity Trend in Severe Obesity among Adults Health Survey for England 1993 to 2014 (three-year average) 4.0% 3.5% Women Men 3.0% 2.5% 2.0% 1.5% 1.0% 0.5% 0.0% Adult (aged 16+) severe obesity: BMI 40kg/m 2 5 Policy Food Forum Matters for Live London
6 Scale of the Challenge Prevalence of obese children in year 6 for the least and most deprived areas (2007/ /16) Tooth decay 25% of 5-year old children had tooth decay in 2015 Severity of decay relates to deprivation area Source: NCMP 2015/16 Deprivation based on postcode of the school Correlation between number of dentally decayed, missing (due to decay) and filled teeth among 5-year old children and IMD 2015 score. (Source: oral health survey of 5-year old children in 2015) 6 Food Matters Live
7 Life course approach Preconceptual & maternal Early years School aged children Working age adults Older adults 6.1 bn 7 Obesity and Healthy Weight
8 Evidence into action Evidence Engage the population 8 Healthy Eating Workshop: NHSE Medical Directorate away day
9 A framework to categorize obesity determinants and solutions Evidence base Public/media/political discourse Political mandate Swinburn et al, Lancet Food Matters Live
10 10 Sugar landmarks
11 HM Government Childhood Obesity A Plan for Action PHE-led deliverables Taking out 20% of sugar in products, achieving salt targets (calories from 2017, & saturated fat considered post SACN) Updating the nutrient profile model Supporting early years settings Harnessing the best new technology Food Matters Live 11 Food Matters Live
12 PHE s programme of work to support local weight management services National Mapping of Services Insights into weight management across England to inform commissioning specifications Insight research with practitioners and users of services Evidence Review: Scoping tier 3 obesity approaches for children and adults Weight Management commissioning specifications Evidence Review: What works for; early years and primary school aged children in tier 2 services? NICE Guidance Evidence Review: What works for adults in tier 2 services 12 Food Matters Live
13 Obesogenic Environment Healthy places healthier choices Out of home food and drink 13 Food Food Matters Live Live
14 System Wide Prevention Approaches Whole systems obesity programme Realising what the Foresight Tackling Obesities report set-out, across the local system. With local authorities at the heart of the programme Co-production of approaches with four pilot local authorities: County Durham, Lewisham, Gloucestershire and North Kesteven. Community of Learning set up to share experience and good practice Aim to develop a transferable roadmap of approaches to support local authorities across the country. Website for more information: 14 Food Food Matters Matters Live Live
15 Thank you - any questions? Jamie.blackshaw@phe.gov.uk
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