Our vision is a world where we all live fitter, healthier and happier lives.

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2 Our vision is a world where we all live fitter, healthier and happier lives. We empower children and adults to become fitter, healthier and happier and to reach or maintain a healthier weight.

3 MEND seeks to enable a significant, measurable and sustained reduction in global overweight and obesity

4 ...by delivering programmes that change lifestyles, tackle obesity and prevent chronic diseases like diabetes.

5 Our portfolio of clinically-effective programmes to address obesity Core offering MUMS Piloting Open to all Targeted towards overweight and obese children Wellness and weight management

6 these include...

7 Healthy behaviour change

8 Fun exercise sessions

9 Practical nutrition education

10 Each programme has full equipment and resources to support delivery

11 The format and delivery requirements vary by programme Programme name MEND 2-4 Weeks Frequency Sessions Session duration Families Delivery team 10 Weekly 10 1 hr 30 mins MEND Weekly 10 1 hr 45 mins MEND 7-13 More Active Health (Wellness) 10 Twice weekly 20 2 hours Weekly mins Individual 1 Adult weight management 12 Weekly 12 1 hour ~20 1 MEND Mums 8 Weekly 8 1 hour

12 Excellent programme attendance, retention and BMI change Feasibility RCT UK roll-out Number ,361 Mean attendance 78% 86% 79% Retention 91% 97% 89% 90% of children reduce their BMI z-score after MEND 7-13

13 Our programmes deliver major reductions in unhealthy outcomes BMI Waist circumference Psychological difficulties Sedentary behaviours Diabetes and CVD risk

14 ...and big improvements in health outcomes: Blood pressure Self-esteem Fitness Diet

15 Excellent programme attendance, retention and BMI change Feasibility RCT UK roll-out Number ,361 Mean attendance 78% 86% 79% Retention 91% 97% 89% 90% of children reduce their BMI z-score after MEND 7-13

16 RCT: Three-month outcomes improved at six months; maintained at 12 months Sacher et al, Obesity, 2010

17 Our programmes for adults...

18 Post natal weight management support A programme to support recent mothers with post natal weight management and ensure a healthy start for their new children. Prevents gestational diabetes in subsequent pregnancies.

19 Supporting adults to adopt healthy, active, lifestyles An engaging, flexible, low-cost resource which supports individuals to reduce sedentary behaviours, increase activity levels and improve eating habits. Approved by the Department of Health Cross Government Obesity Unit, United Kingdom. Increasingly used by companies to improve employee wellness.

20 We train non-specialists based in communities to deliver evidence-based programmes and to measure outcomes

21 We dispatch equipment to all project teams using large-scale fulfilment, warehousing and logistics.

22 And provide operational support to all project teams...

23 ...With ISO 9001 quality assurance and ISO data management accreditation

24 Our Continuous improvement process Using data, feedback from leaders and families, research and guidelines Improve Improved versions New programmes

25 Data is rigorously monitored and evaluated using our secure, web-based operations management portal (OMMS)

26 This comprehensive central support enables rapid scaling of delivery Programme development and research Partnership development teams Operational and QA support Media and communications Logistics and fulfillment Training non-specialist to deliver By using a cost-effective central support team to deliver turnkey solutions which are locally customised with an online measurement and monitoring system we are at reasonable scale in UK, with international presence.

27 Strong local partners are key Academia and research Private sector Third sector Government Regional and national Public sector

28 Extensive clinical trials and evidence Feasibility study (UK) M7-13 RCT (UK) M2-4 RCT (Australia) Scale-up (Canada) Pilot (UK) Rollout (UK) Ongoing M7-13 Long-term (UK) Whole system RCT (US) published peer-reviewed articles and abstracts the largest evidence base of its kind

29 Conducted by world-leading institutions such as: Great Ormond Street Hospital, London UCL Institute of Child Health, London Baylor College of Medicine, Houston University of Texas, Austin National Children s Medical Center, DC Deakin University, Melbourne

30 MIRG: MEND International Research Group MIRG is an independent group, established to guide MEND s research strategy and conduct independent research MIRG members * Nancy Butte Diane Finegood Eric Finkelstein Deanna Hoelscher Peter Hovmand Terry Huang Kristine Madsen Kim Raine Harry Rutter Atul Singhal John Spence Boyd Swinburn Nicholas Townsend Baylor College of Medicine (US) Simon Fraser University (Canada) Duke University (Singapore) University of Texas (US) Washington University (US) University of Nebraska (US) University of California (US) University of Alberta (Canada) National Obesity Observatory (UK) University College London (UK) University of Alberta (Canada) Deakin University (Aus) University of Oxford (UK)

31 Summary of how we effect behaviourchange at scale to improve health Multidisciplinary programme development Systems and technology Operational know-how Participant database Continuous improvement and ISO 9001 processes Established partnerships delivery, policy, credibility MEND Central Data management and interrogation ISO Strongly supported evidence base Benchmarking Community involvement and partnerships MEND brand and marketing Large, permanent research team

32 Key elements of our model Effective, scalable weight management in community settings Research & programme development inc adaptation Training delivery teams online & in person Kit & resources sourcing & logistics Sales & marketing media & communications Ongoing support to delivery teams Monitoring & evaluation OMMS Quality assurance site visits

33 Partner with MEND to improve health in the Muslim world

34

35 The market

36 Options for delivering services MEND s programmes can be offered from: Leisure Centres and Health Clubs Shopping Malls Hotels & Spas Hospitals, Clinics, & Medical Centres Schools (or as kids holiday camp). Clients can be supported with individual coaching or by attending group sessions.

37 Delivering significant brand value Responding to a major public health challenge. Addressing obesity related diseases effectively. Demonstrating a commitment to family wellbeing. Displaying leadership across the GCC States. Supporting a vibrant, happier, Muslim community.

38 The opportunity is ripe...

39 to halt the devastating epidemic of obesity related disease...

40 ..by improving the health of all adults, children and families.

41 Contact us: Dr. Gordon MacMillan PhD. Partnership Development, Strategic Projects MEND Central Unit 21 Tower Workshops 58 Riley Road London SE1 3DG M: +44(0) Tel: +44(0) Fax: mendcentral.org

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