Hannah Phaesant - iBehave presentation - c3 collaborating for health

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Hannah Phaesant - iBehave presentation - c3 collaborating for health

  1. 1. Obesity  in  Tower  Hamlets  Hannah  Pheasant  Manager  of  Tower  Hamlets  Weight  Management  Service  at  Barts  Health  NHS  Trust    
  2. 2. The  Obesity  Crisis      •  Sta=s=cs  on  obesity,  physical  ac=vity  and  diet,  England  2013  •  25%  of  adults  are  obese  •  31%  boys  +  28%  girls  overweight  or  obese  •  22%  of  men  and  19%  of  women  at  increased  risk  of  health  problems  
  3. 3. Tower  Hamlets  demography  •  Tower  Hamlets  is  a  diverse  Borough  in  East  London  •  BME  communi=es  make  up  55%  of  the  popula=on  •  A  young  popula=on  –  one  fiPh  aged  under  14  years  •  82%  of  under  14s  from  BME  communi=es  –  the  largest  group  are  Bangladeshi  (61%)    
  4. 4. Challenges  •  55%  of  under  16s  in  Tower  Hamlets  are  living  in  poverty  –  the  highest  in  England  (this  rises  to  69%  in  some  wards)  •  33%  of  families  live  on  an  annual  income  of  less  than  £20,000  •  52%  of  children  en=tled  to  free  school  meals  –  the  highest  level  in  the  country  •   Rapid  popula=on  growth  –  9%  between  2009  and  2014  Source:  www.towerhamlets.gov.uk  Child  Poverty  JSNA  2012  and  Tower  Hamlets  Annual  Public  Health  Report  2010  
  5. 5. •  High  levels  of  child  poverty  •  High  density  of  fast  food  outlets  •  Lack  of  availability  of  affordable  healthy  foods  •  Loss  of  cooking  skills  and  family  meal  =mes  •  Low  consump=on  of  fruit  and  vegetables  Challenges  
  6. 6. •  5th  most  densely  populated  Borough  in  England  •  High  volume  of  traffic  and  conges=on  •  Low  ra=o  of  open  space,  including  gardens  •  Fear  of  crime  •  Low  use  of  some  exis=ng  facili=es  •  Low  par=cipa=on  in  physical  ac=vity  Challenges  
  7. 7. •  Busy  and  =me  poor  •  Fast  food  is  cheap  and  convenient  and  plen=ful!  •  Poor  food  shopper/cook  •  Unlikely  to  be  ea=ng  and  playing  together  as  a  family  •  Low  understanding  of  por=on  sizes,  key  foods,  suitable  snacking,  etc.  •  May  not  be  English  speaking/  children  ac=ng  as  interpreters  Mums  and  Dads  
  8. 8. •  Boy aged 7•  Lives in an urban area of higher deprivation•  Family access limited to local amenities withpoor access to fresh food•  Poor diet, with high intake of fizzy drinks, snacksand convenience food•  Likes to play ‘Super Mario’ on the computer afterschool•  Local area has low access to green space andthe park is poorly lit at night•  Sport and leisure facilities are the other side oftown and are expensive•  Parents have a poor understanding of nutritionand healthy food options• Struggles with concentration at schoolOutlook:    high  risk  of  obesity,  increased  risk  of  type  2  diabetes,  low  educa=onal  adainment,  service  user  and  co-­‐morbidi=es  later  in  life.  Recognise  me?  
  9. 9. Prevalence  of  obesity  in  Recep@on  (4-­‐5  year  olds)  
  10. 10. Prevalence  of  obesity  in  Year  6  (10-­‐11  year  olds)  
  11. 11.  Pre-­‐birth  and  being  born  Vitamin  D    Maternal  obesity    Diabetes  in  pregnancy  Low  Birth  Weight  Breasheeding  ini=a=on            Early  years  Breasheeding  Weaning  Dental  Decay  Physical  Ac=vity  and  Ac=ve  Play    High  obesity  in  4-­‐5  year  olds          Growing  up  High  obesity  in  10-­‐11  year  olds    Boys  at  higher  risk  Low  par=cipa=on  in  physical  ac=vity  Low  consump=on  of  fruit  and  veg            Adulthood  Obesity  increasing  Higher  risk  for  diabetes  ,    CVD  and  cancers  Low  par=cipa=on  in  physical  ac=vity  Low  consump=on  of  fruit  and  veg                  Growing  older  Physical  ac=vity  key  for  independence  and  wellbeing  Under  nutri=on  Osteoporosis                  Physical Environment: Open Spaces, Congested roads, Community SafetyFood Environment: Fast Food Outlets, Shops, Schools, Leisure Centres,HospitalsThe  local  picture  –  needs  and  priori@es  
  12. 12.    Pre-­‐birth  and  being  born  Antenatal  paren=ng  classes  Healthy  Start  Vitamins  Iden=fica=on  of  high  risk  families  during  pregnancy  Baby  Friendly  Ini=a=ve              Early  years  Early  Years  Accredita=on  Scheme    Ac=ve  Play  and  Healthy  Ea=ng  Cook4Life  Par=cipatory  Appraisal  training  Breasheeding  welcome  standard  Weight  management          Growing  up  Healthy  Schools  Healthy  Breakfast  Clubs  &  School  Meals  Healthy  Lives  Champions  Healthy  Families  and  Parent  Ambassadors  Ac=ve  Play  Bike  It!  &  Cycle  Training  Weight  management    Ac=ve    Play  Adulthood  My  Weigh  Jump  Start  Cycling  on  Prescrip=on  Women  &  Girls  Swimming  Can  Do  Grants  All  Ability  Cycle  Club  Ability  Bow  Health  Trainers            Growing  older  Link  Age  Plus  Young  at  Heart  (over  50s)  Lunch  Clubs                      Physical Environment: LDF, Green Grid, Road Safety Plan HIA, Walking & Cycling strategiesFood Environment: LDF, Food4Health Awards, Food Growing, Portas Bid, Food PolicyThe  local  picture  –  services  and  interven@ons  ‘Whole  systems  approach  through  the  life  course’  

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