Poster presentation m borg buentempo


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  • ECOSI European child growth surveillance initiative
  • Poster presentation m borg buentempo

    1. 1. A Healthy Weight for Life Mariella Borg Buontempo
    2. 2. Aim <ul><li>Background to challenge of excess weight in Malta </li></ul><ul><li>Overview of draft national strategy </li></ul><ul><li>Public health campaign </li></ul><ul><li>Services </li></ul><ul><li>Evaluation </li></ul><ul><li>Next steps </li></ul>
    3. 3. <ul><li>1: European Health Interview Survey, Health Information and Research Directorate, 2008 </li></ul><ul><li>2. Grech V, Farrugia Sant’Angelo V. Body mass index estimation in a school-entry aged cohort in Malta. Int. Journal of Ped. Obesity, 2009;4:126-128. </li></ul>BMI more than or equal to 25kg/m 2 (IOTF criteria in children) Men (aged 15 and over) 69% self-reported 1 Women (aged 15 and over) 49.1% self-reported 1 Boys aged 9 yrs 44.4% measured 2 Girls aged 9 yrs 39.6% measured 2
    4. 4. Percentage of adult Maltese population by gender and BMI group European Health Interview Survey 2008
    5. 5. Percentage of Maltese adult population by BMI category and highest level of education completed. European Health Interview Survey 2008
    6. 6. Comparison of overweight and obesity in the same total national cohort of children (6 year olds in 2008 and 2010) Grech & Farrugia Saint’Angelo
    7. 7. Food intake in adults <ul><li>Household Budgetary Survey </li></ul><ul><li>Malta Standards Authority-survey of food consumption patterns in adults using 5-day diary </li></ul>
    8. 8. <ul><li>Time allocated to PA per week in primary schools in Malta (ECOSI Malta 2008) </li></ul>9% 50% 29% 46% 50% 9% 62% 45% 0% 20% 40% 60% 80% 100% Independent Church Public Schools (%) <= 60 minutes 61-120 minutes > 120 minutes
    9. 9. Around 55% of 13 year old participate in some exercise twice or more weekly. 14% never undertake any exercise (HBSC 2006)
    10. 10. A Healthy Weight for Life <ul><li>Intersectoral approach </li></ul><ul><li>Healthy public policy (e.g. green procurement, use of open spaces, active transport) </li></ul><ul><li>Marketing restrictions </li></ul><ul><li>Maintaining public awareness on healthy choices </li></ul><ul><li>Community development initiatives on nutrition and physical activity </li></ul><ul><li>Specific education and skills with different groups e.g. pregnant women, young families, workplace </li></ul><ul><li>Review of National Food and Nutrition Policy </li></ul><ul><li>Reformulation of food products </li></ul>
    11. 11. <ul><li>Improved and specific continuing education for health professionals </li></ul><ul><li>Increased and improved weight management and aerobics classes </li></ul><ul><li>Multi-disciplinary clinics for adults and children </li></ul><ul><li>Studies looking at fiscal measures and initiatives addressing food availability and food prices </li></ul>
    12. 12. National Campaign: Piż tajjeb għal Ħajtek! <ul><li>commenced in May 2010 with the following key messages: </li></ul><ul><li>Make healthy choices with regards to food intake </li></ul><ul><li>Prepare and enjoy nutritious foods as a family </li></ul><ul><li>Eat in moderation </li></ul><ul><li>Increase physical activity </li></ul>
    13. 13. Campaign <ul><li>Informative website </li></ul><ul><li>Interactive presence on social media </li></ul><ul><li>Banners on local papers and government website </li></ul>
    14. 14. <ul><li>Several pamphlets and posters on the 4 key messages </li></ul><ul><li>Health centres, private clinics, local councils, pharmacies, hospitals </li></ul>
    15. 15. <ul><li>Television and radio advertisements based on each of these messages </li></ul><ul><li>Dedicated television series ‘ Hekk Aħjar !’ running for 13 weeks, including the preparation of a healthy meal and a corner to interest and motivate viewers on physical activity </li></ul>
    16. 16. <ul><li>Aerobics classes (free of charge) </li></ul><ul><li>Weight management classes (free of charge) </li></ul>
    17. 17. Weight management programme <ul><li>Aim: to empower overweight and obese adults to manage their weight through lifestyle and behaviour change </li></ul><ul><li>Target groups: (1) 18 -39 years old (2) 40+ for more age-specific health, nutrition and physical activity advice </li></ul><ul><li>Self-referral and referral by family doctors </li></ul><ul><li>Groups with less than 18 participants </li></ul><ul><li>Focuses mainly on behaviour change to improve poor eating and physical activity habits </li></ul>
    18. 18. <ul><li>8 (two-hour) sessions with 1 follow-up session </li></ul><ul><li>Run by specifically trained health professionals </li></ul><ul><li>Programme run in partnership with Primary Care Department and Local Councils </li></ul><ul><li>Location: Health Centre or Local Council premises </li></ul><ul><li>533 individuals have participated up to present time </li></ul><ul><li>A review in early 2011 identified difficulties in maintaining motivation and resulted in a reduction of duration of programme, without changing the number of sessions </li></ul><ul><li>Evaluation will be carried out as an on-going process </li></ul>
    19. 19. Evaluation of media campaign <ul><li>Telephone interview to a randomly selected age-stratified sample of 200 adults taken from the National Register </li></ul><ul><li>44% had heard of campaign against obesity </li></ul><ul><li>89% recall of television promo </li></ul><ul><li>59% radio promo </li></ul><ul><li>54% newspaper promo Confirmed importance of local television as a medium to promote messages related to healthy choices </li></ul>
    20. 20. Next Steps <ul><li>National strategy “A Healthy Weight for Life” out for consultation with stakeholders </li></ul><ul><li>Detailed action plan will follow and will include resources required </li></ul><ul><li>As this is a national priority issue, MHEC is seeking its endorsement by Parliament </li></ul><ul><li>Ring-fenced budget </li></ul>
    21. 21. Acknowledgements <ul><li>Health Promotion and Disease Prevention Directorate especially Dr Charmaine Gauci and Ms Lucienne Pace </li></ul><ul><li>Dr Ray Busuttil </li></ul><ul><li>Intersectoral Committee on Counteracting Obesity (ICCO) </li></ul>