Moving towards a healthier city – active travel and health Harry Rutter | Director, National Obesity Observatory
Trend in adult obesity prevalence (%) Health Survey for England 1993 to 2009 © NOO 2011 Three year averages shown, middle ...
Child obesity prevalence aged 2-15 years (%) Health Survey for England Three year averages shown, middle year displayed on...
Adult prevalence by BMI status (%) Health Survey for England  (2007-2009 average) Adult (aged 16+) BMI thresholds Underwei...
Adult obesity prevalence by equivalised household income quintile  Health Survey for England 2004-2008 © NOO 2011 Adult (a...
© NOO 2011 Prevalence of obesity by deprivation decile  Children in Reception and Year 6 (National Child Measurement Progr...
Passenger transport by mode in GB Source::  http://www.dft.gov.uk/stellent/groups/dft_transstats/documents/page/dft_transs...
Abundance
Convenience
Choice
Distance travelled per person per year in GB by household income quintile and mode Source: 1999-2001 data - http://www.tra...
Income and car ownership in GB http://www.dft.gov.uk/stellent/groups/dft_transstats/documents/page/dft_transstats_508295.pdf
Speed and risk of killing http://www.dft.gov.uk/stellent/groups/dft_transstats/documents/downloadable/dft_transstats_50834...
Child deaths by socioeconomic group Source: Edwards et al, BMJ 2006;333:119-121
Pedestrian casualty rates by age Source: Road Casualties Great Britain, 2004, DfT, URL:  http://www.dft.gov.uk/stellent/gr...
Safety in numbers Jacobsen PL. Injury Prevention 2003;9:205-209
Health costs of transport interventions Based on an original idea from Prof Tord Kjellstrom Deaths and injuries Air pollut...
Environmental quality of city streets Source:  Appleyard D, Lintell M. The environmental quality of city streets: The resi...
Getting the balance right… Traffic  zone / fast world Social zone / slow world Single purpose Uniform Regulated Impersonal...
Complicated v Complex
 
 
Levers
Reduction in relative risk of death for regular cyclists Adapted from:  Paffenbarger et al. Physical activity, all-cause m...
 
 
http://www.abc.net.au/catalyst/oilcrunch/
Abundance
 
Convenience
 
Choice
 
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Movement for Liveable London Street Talks - Harry Rutter 4th May 2011

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May 2011 Street Talk by Harry Rutter, Director, National Obesity Observatory. Brought to you by Movement for Liveable London -
movementforliveablelondon.com

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  • This does include the most recent (2009) data – three year average is shown The rise in prevalence appears to be slowing for both sexes. Obesity prevalence remains higher for women, but the gap appears to have narrowed over time.
  • Obesity prevalence for children has also ‘levelled off’ – if not started to decrease. Note: healthy weight not published by the HSE – until recently there was no accepted thresholds for underweight when producing prevalence figures.
  • Current prevalence (2007-2009) prevalence across all BMI categories. Shows the difference in HW prevalence between the sexes is primarily due to differences in the % overweight
  • The relationship between obesity prevalence and socioeconomic status differs by sex. Obesity prevalence among females shows a linear increase with increasing deprivation and decreasing household income. This pattern is not the same for males, where there is no apparent relationship with equivalised household income and obesity prevalence, results differ for males between different indicators of socioeconomic status. More information and analysis is available in the Adult Obesity and Socioeconomic Status Data Briefing, available to download at http://www.noo.org.uk/NOO_pub/Key_data
  • Appleyard D, Lintell M. The environmental quality of city streets: The residents' viewpoint. American Inst of Planners Journal 1972;38:84-101
  • From Paffenbarger 1986 – see www.modalshift.org
  • Movement for Liveable London Street Talks - Harry Rutter 4th May 2011

    1. 1. Moving towards a healthier city – active travel and health Harry Rutter | Director, National Obesity Observatory
    2. 2. Trend in adult obesity prevalence (%) Health Survey for England 1993 to 2009 © NOO 2011 Three year averages shown, middle year displayed on chart Adult (aged 16+) obesity: BMI ≥ 30kg/m 2
    3. 3. Child obesity prevalence aged 2-15 years (%) Health Survey for England Three year averages shown, middle year displayed on chart Child obesity: BMI ≥ 95 th centile of the UK90 growth reference © NOO 2011
    4. 4. Adult prevalence by BMI status (%) Health Survey for England (2007-2009 average) Adult (aged 16+) BMI thresholds Underweight: <18.5kg/m 2 Healthy weight: 18.5 to <25kg/m 2 Overweight: 25 to <30kg/m 2 Obese: ≥30kg/m 2 © NOO 2011
    5. 5. Adult obesity prevalence by equivalised household income quintile Health Survey for England 2004-2008 © NOO 2011 Adult (aged 16+) obesity: BMI ≥ 30kg/m 2
    6. 6. © NOO 2011 Prevalence of obesity by deprivation decile Children in Reception and Year 6 (National Child Measurement Programme 2009/10) Child obesity: BMI ≥95 th centile of the UK90 growth reference Reception Year 6
    7. 7. Passenger transport by mode in GB Source:: http://www.dft.gov.uk/stellent/groups/dft_transstats/documents/page/dft_transstats_031609.xls
    8. 8. Abundance
    9. 9. Convenience
    10. 10. Choice
    11. 11. Distance travelled per person per year in GB by household income quintile and mode Source: 1999-2001 data - http://www.transtat.dft.gov.uk/tables/2002/nts/pdf/section5.pdf
    12. 12. Income and car ownership in GB http://www.dft.gov.uk/stellent/groups/dft_transstats/documents/page/dft_transstats_508295.pdf
    13. 13. Speed and risk of killing http://www.dft.gov.uk/stellent/groups/dft_transstats/documents/downloadable/dft_transstats_508344.pdf Proctor S. Accident reduction through area-wide traffic schemes. Traffic Engineering and  Control 1991; 32(12): 566-573.
    14. 14. Child deaths by socioeconomic group Source: Edwards et al, BMJ 2006;333:119-121
    15. 15. Pedestrian casualty rates by age Source: Road Casualties Great Britain, 2004, DfT, URL: http://www.dft.gov.uk/stellent/groups/dft_transstats/documents/page/dft_transstats_041303.hcsp
    16. 16. Safety in numbers Jacobsen PL. Injury Prevention 2003;9:205-209
    17. 17. Health costs of transport interventions Based on an original idea from Prof Tord Kjellstrom Deaths and injuries Air pollution Noise pollution Physical activity Social impacts Climate change Improved fuel quality - + - - - - Increased vehicle efficiency - + - - - + Reduced travel demand + + + - - + More public transport, walking and cycling + + + + + +
    18. 18. Environmental quality of city streets Source: Appleyard D, Lintell M. The environmental quality of city streets: The residents' viewpoint. Am Inst Plan J 1972;38:84-101
    19. 19. Getting the balance right… Traffic zone / fast world Social zone / slow world Single purpose Uniform Regulated Impersonal Anonymous Predictable Vehicle oriented Multi-functional Diverse Culturally defined Personal Eye contact Unpredictable Human oriented From Hans Monderman - http://www.transformscotland.org.uk/conferences/homezones2004/HansMonderman.htm
    20. 20. Complicated v Complex
    21. 23. Levers
    22. 24. Reduction in relative risk of death for regular cyclists Adapted from: Paffenbarger et al. Physical activity, all-cause mortality, and longevity of college alumni. NEJM 1986;314:605-13 Andersen et al – RR 0.72 for 3 hours/week
    23. 27. http://www.abc.net.au/catalyst/oilcrunch/
    24. 28. Abundance
    25. 30. Convenience
    26. 32. Choice

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