3. Overweight and obesity among adults
Health Survey for England 2012 to 2014 (three-year average)
3 Patterns and trends in adult obesity
Adult (aged 16+) overweight and obesity: BMI ≥ 25kg/m2
Almost 7 out of 10 men are overweight or obese (66.4%)
Almost 6 out of 10 women are overweight or obese (57.5%)
4. Obesity among adults
Health Survey for England 2012 to 2014 (three-year average)
4 Patterns and trends in adult obesity
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
One out of four men is obese
(24.9%)
One out of four women is obese
(25.2%)
5. Prevalence of severe obesity (BMI >40 kg.m2 ) among
adults aged 16+ years: Health Survey for England 1993-2010
0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
3.0%
3.5%
4.0%
4.5%
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Prevalenceofmorbidobesity
Year of measurement
Men Women
6. Are men getting support?
88%
12%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Women Men
Attendance at slimming clubs
Attendance at slimming clubs
Jebb (2011)
10. Context
• Implementation of the How to
Guide…
• Cornwall
• Hounslow
• North Somerset
• Primary aim
• Increase the availability of high
quality weight loss support and
services for men.
• Objectives: achieve:
• Significant and successful increase
in male uptake of weight loss
programmes in target authorities
and to capture lessons learnt from
the implementation in local areas.
11. Data capture
• Provided guidance to local teams to capture
• Attendance and Anthropometric data
• Questionnaires
• Problematic Eating Behaviours
• Quality of Life
• Self Esteem
• Physical Activity
• Qualitative
• Focus groups with programme participants
• Interviews with delivery teams and local stakeholders
• Interview with Men’s Health Forum team
13. Results: Attendance & Anthropometrics
NORTH SOMERSET (N=45) CORNWALL (N=2) HOUNSLOW (N=14)
NA 83% 58%
WEIGHT (KG) M (±SD) BMI (KG.M-2) M (±SD)
% 5 %
weight loss
WAIST CIRCUMFERENCE (CM) M
(±SD)
NORTH
SOMERSET
PRE (N=44) POST (N=42) PRE (N=44) POST (N=42) PRE (N=44) POST (N=42)
112.46 (31.13) 111.86 (32.60) 37.01 (9.83) 36.80 (10.21) 7 121.67 (18.78) 116.25** (15.77)
CORNWALL n=14 n=14 n=14 n=14 n=14 n=14
117.01 (32.11) 114.28 (31.88)** 38.11 (9.60) 37.22 (9.57)** 7 123.61 (19.26) 120.22 (19.37)**
HOUNSLOW n=18 n=12 n=18 n=12 n=18 n=0
94.03 (17.45) 89.95** (5.22) 31.84 (4.62) 30.34** (4.91) 23 108.11 (12.37)
14. Findings
•Local differences
• Different use of resources and support
• Different stages
• Strengths
• Support of the Men’s Health Forum team
• Networking
• Marketing
• Strategic support
• Committed teams
• Partnerships
• User Rapport
• Social media
15. Findings
•Weaknesses
• Follow on support
• Partnerships
• Challenges
• Guidance on weight management practices
• Recruitment & Retention
• Lessons learnt
• Incentives
• Timing
16. Discussion
•Local differences
•Capability and capacity
• Evaluation
• Data quality
• Marketing
• Programme quality
• Theoretic framework? – Behaviour change? – Evidence based?
Immature? Lack of clarity on pathways? Training?
• Guidance
•Future?
17. Summary
• Overweight & obesity remain a major issue for men.
• Limited local support available.
• Men can be engaged and can lose weight.
• Lack of infrastructure to effectively tackle weight
problems in men.
• Future is challenging with little confidence in teams
that they can sustain services.
• Longer terms developmental programmes are
required.
Prevalence of overweight and obesity among adults, Health Survey for England 2012 to 2014 (three-year average)
The published Health Survey for England data used to produce this graphic are available from: http://www.hscic.gov.uk/catalogue/PUB19295
Prevalence of obesity among adults, Health Survey for England 2012 to 2014 (three-year average)
The published Health Survey for England data used to produce this graphic are available from: http://www.hscic.gov.uk/catalogue/PUB19295
This chart shows a trend of increasing morbid obesity for both men and women.
Its worrying that the fastest growth in obesity is in the severe obesity group.