Tiina Laatikainen, Preventing obesity in Finland through physical activity and healthy diet – children and families as key priority groups
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This document discusses obesity prevention efforts in Finland, with a focus on children and families. Key points include: - One of Finland's national aims is to influence obesity and diabetes rates through healthy nutrition and physical activity. Children and families are priority groups. - Coordinated efforts across multiple sectors like healthcare, education, daycare, non-profits, and business can help prevent obesity. Recommendations promote active lifestyles and healthy diets. - Initiatives aim to improve family health habits, limit unhealthy food marketing, create activity-friendly environments, and better manage childhood obesity in healthcare. - Case studies show comprehensive community programs that monitor obesity, educate the public, and encourage physical activity
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Tiina Laatikainen, Preventing obesity in Finland through physical activity and healthy diet – children and families as key priority groups
- 1. Preventing obesity in Finland through physical activity and healthy diet – children and families as key priority groups Professor Tiina Laatikainen 28.8.2017
- 2. 28.8.2017 2 Alcohol consumption, tobacco use and overweight and obesity remain major public health problems in the Region.
- 3. One of the WHO voluntary global targets is to halt the rise in diabetes and obesity 28.8.2017 3
- 4. Mean body mass index (BMI) in different areas of Finland, 1972-2012 28.8.2017 4 Lähde: Männistö S. ym. Suomen Lääkärilehti 2015;70(14-15):969-975
- 5. Mean body mass index by education, 25-64 year olds, 1997-2012 28.8.2017 5 Lähde: Männistö S. ym. Suomen Lääkärilehti 2015;70(14-15):969-975
- 6. 0 5 10 15 20 25 30 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 girls % 14 - 18 –year old girls and boys (age adjusted) Proportion of overweight Nuorten terveystapatutkimus 2015 boys Lähde: Nuorten terveystapatutkimus 2015, Kinnunen ym.
- 7. Overweight among Finnish children* (%, 95 % CI) by gender and age group, 2014-15 28.8.2017 7 * Mukana kunnat, joissa lasten pituus- ja painotietojen kattavuus oli 65 % tai enemmän. Lähde: Mäki P, Lehtinen-Jacks S, Vuorela N ym. Tietolähteenä Avohilmo-rekisteri Lasten ylipainon valtakunnallinen seuranta. Suomen Lääkärilehti 2017;4:209-213.
- 8. 28.8.2017 8 • Support the healthy growth of children so that they would not face obese adulthood • Less adults keep gaining weight during adulthood • Reduce the socioeconomic differences in obesity • Those being at high risk of obesity related morbidity would get all possible support in weight management
- 9. In Finland, the national aim is to influence on obesity and diabetes rates by healthy nutrition and physical activity 28.8.2017 9
- 10. The key principles of the programme 28.8.2017 10 • Health promotion is taken into account in all planning and decision making • Desicion makers have up to date information on situation • Living environment encourages physical activity • People have a possibility to make healthy food choices and get professional help and guidance to support those • Nutrition and physical activity recommendations as well as clinical guidelines are known by public and by professionals and are in active use • Health promotion including obesity prevention is included in the curricula of all professionals in health sector, education, nutrition and catering • Stakeholders in different sectors network and engage in health promotion
- 11. Key themes of the programme for years 2016-2018 • Increase collaboration between different stakeholders • Prevention of obesity of children and development of management in health care • Increase health equality 28.8.2017 11
- 12. Prevention of obesity of children and development of management in health care – aiming to improve health Aims: • Improvement of healthy lifestyles of the whole family • Healthy meals at child care, schools and secondary level education • Decrease in exposure to marketing and wide availability of unhealthy foods. Increase in healthy foods. • Living environment of children supports healthy lifestyles. Both physical activity and nutrition. Also other lifestyles such as sufficient sleep. • Improvement in management of childhood obesity in health care 28.8.2017 12
- 13. 28.8.2017 13 “Obesity prevention and treatment requires a whole-of-government approach in which policies across all sectors systematically take health into account, avoid harmful health impacts, and thus improve population health and health equity.”
- 14. Wide collaboration and intensive activities by different stakeholders needed 28.8.2017 14 Lähde: World Cancer Research Fund International
- 15. ”No single intervention can halt the rise of the growing obesity epidemic” 28.8.2017 15 Lähde: WHO, Ending childhood obesity, 2016
- 16. Stakeholders involved in Finland • Decision makers • Health care • Day care • Schools and other institutions providing education • Non-governmental organizations • Different sectors in municipalities • Defence forces • Employers and worksites • Industry • Business • Media
- 17. Promote decision makers to act – physical activity and healthy nutrition as key focus 28.8.2017 17 http://urn.fi/URN:ISBN:978-952-302-835-7 • Even though everyone makes themselves the last decision the society can have major impact on healthy choices • Let’s develope our living environment to support health • The basement of health and wellbeing is born in our everyday life, where all of us use a lot of services provided by the government and municipalities • Day care, education sector, physical activity and culture sector, town planning, construction and work to improve safety are all activities where we promote the health and wellbeing of population and prevent obesity.
- 18. Health promotion of children as a key priority 28.8.2017 18
- 19. Child and school health care • Follow-up of the healthy growth • Support and counselling for the whole family • Collaboration with day care, schools and other stakeholders working with families with children (eg. NGOs) 28.8.2017 19
- 20. Day care • Assessment and promotion of physical activity is included in the curriculum • Meals at day care follow the national recommendations • Children are involved in planning, making and serving the meals • Food and nutrition are key components in upbringing (SAPERE method in use) • Every day in day care is physically active avoiding unnecessary sedentary time • Wide collaboration between stakeholders • Also daycare can support children and their families in adopting physically active lifestyle and starting physically active hobbies 2028.8.2017
- 21. 28.8.2017 21 National Nutrition Council and National Institute for Health and Welfare: Nutrition recommendations for families with children. Juvenes Print – Suomen Yliopistopaino Oy. Tampere 2016. http://urn.fi/URN:ISBN:978-952-302-599-8
- 22. 28.8.2017 22Päivi Mäki Ilo kasvaa liikkuen. Varhaiskasvatuksen uusi liikkumisohjelma. Valo ry, yhteistyössä OKM, Valon julkaisusarja nro 1/2015. National programme to promote physical activity in day care. Iloa, leikkiä ja yhdessä tekemistä Varhaisvuosien fyysisen aktiivisuuden suositukset. Opetus- ja kulttuuriministeriön julkaisuja 2016:21 Physical activity recommendations for children. Ministry of culture and education.
- 23. Schools and other education institutions • Health promotion included in school curriculum • Wide collaboration with different stakeholders including health care • Meals and snacks follow the national nutrition recommendations • No vending machines selling soft drinks or sweets at schools • Schools follow the concrete practical recommendations of the Finnish Schools on the Move -project • Schools can provide possibility to take part to sport clubs or other activities promoting physical activity during and after school hours together with other stakeholders • Curricula of PA, health education and home economics include topics related to healthy lifestyles, nutrition and physical activity 23
- 24. 28.8.2017 24 National Nutrition Council, National Board of Education and THL: National nutrition recommendations for schools. Juvenes Print – Suomen Yliopistopaino Oy. Tampere 2017.
- 25. Finnish Schools on the Move 28.8.2017 25Päivi Mäki
- 30. Example: Prevention of obesity at Seinäjoki • Coordinated, intensive collaboration in whole municipality - engagement • Monitoring childhood obesity – reporting yearly in welfare plan • Clinical pathways in health care • Wise Families counselling method used in child and school health care • Physical activity and nutrition ”environment” at day care and schools – Heart Symbol - lunches – SAPERE –method at day care – NO sweets, soft drinks or energy drinks at day care or schools – Pupils and students involved in developing school meals – Schools on the Move in use – Development of school and day care yards – After school clubs, activities at day care • Education and training for whole personnel • Active information dissemination – professionals and public 28.8.2017 30
- 31. 28.8.2017 Esityksen nimi / Tekijä 31
- 33. Thank you ! 28.8.2017 33