Translating Policy Into Action Dr. Nazih EldinHead of Health Promotion HSE Dublin North East & HSE Lead for Obesity
Incidence• 38% of Irish adults were overweight and 23% were obese (SLAN 2007) - Men 18< 45yrs 42% of men were overweight and 16% were obese - Men 45 < 65yrs 50% were overweight and 33% were obese - Men 65+yrs 45% were overweight and 27% were obese• 37.35% of Irish adults are overweight and 23.55% are obese (NANS 2011) - Men 18 < 50 yrs 44.2% are overweight and 23.5% are obese - Men 51 – 64 yrs 44.4% are overweight and 42.1% are obese• Among 7 year olds - 13% of boys were overweight & 5% were obese (WHO-European Obesity Surveillance Initiative:Ireland 2008) - In WHO 2010 initial results look like this has remained stable.• Among 5-12year olds - 11% of boys were overweight& 9% were obese (IUNA National Children’s Food Survey, 2005)• Among 13 – 17 yrs - 19% of boys ( 13% 1990) were overweight or obese (IUNA 2007)
The Risk of Childhood Obesity Tracking Into AdulthoodSource:GuoSS,WuW, Chumlea WC. American Journal of Clinical Nutrition 2002; 76:653-658 Age in Years Risk in Boys Risk in Girls < 8 yrs 1 in 5 1 in 3 8 – 13 yrs 1 in 3 > 1 in 2 > 13 yrs 1 in 2 2 in 3
The Full Obesity System Map with Thematic ClustersSource: Foresight Tackling Obesities: Future Choice – Obesity System Atlas U.K. Government Office for Science.
HSE Priorities• To halt and reverse the trend of obesity• Develop multi sectoral forum for health to address determinants of obesity• Develop integrated multidisciplinary approach at all levels of healthcare system• Target populations in settings i.e. schools, communities, workplace, prisons & homes
2011 Target Groups1. Children 0-13yrs2. Men 35-65yrs3. Women of childbearing years
HSE Framework for Action on Obesity 2008 – 2012HSE national Working Group on Obesity translated the recommendationsof the Taskforce Report into a 5 yr action plan with the following strategicpriorities :-1. To enhance the effectiveness in surveillance, research, monitoring and evaluation of obesity.2. To develop a quality uniform approach to the detection and management of obesity.3. To develop our capacity in preventing overweight and obesity and to promote health.4. To communicate our messages on obesity effectively.5. To proactively engage and support the work of other sectors in addressing the determinants of obesity and the obesogenic environment.
HSE Action PlanTo Combat Overweight & ObesitySTRATEGIC PRIORITY NUMBER 1: To enhance effectiveness in surveillance, research, monitoring and evaluation of obesity. Surveillance – WHO- European Childhood Obesity Surveillance Initiative :Ireland Research – SLAN, HBSC, IUNA, Lifeways Intergenerational Study, P.A. Audit + links to Universities Monitoring & Evaluation - National BMI Data Base for Adults & Children, training to staff re anthropometric measurement, evaluation of funded projects & agencies
STRATEGIC PRIORITY NUMBER 2: To develop a quality uniform approach to the detection and management of obesity. Detection – WHO-European Childhood Obesity Surveillance in 7 & 9 year olds, SLAN, HBSC Treatment/Management – 4 Adult Tertiary Hospital Services Planned (2 operating now) + 1 National Paediatric Hospital Service (Crumlin & Tallaght providing a limited service now). - Overweight realistic Lifestyle Actions (ORLA) programme is being piloted in Galway. This programme is adapted from the diabetic DESMOND programme. - Weight management Treatment Algorithms for Adults & Children (for Primary Care)
STRATEGIC PRIORITY NUMBER 3: To develop our capacity in preventing overweight and obesity and to promote health. Slí na Slainte Routes PALs Go For Life HSE-Titans Bounce – Built to Move (9-12 yr olds) Settings approach to H.P. programmes – preschool, primary & secondary schools, out of school settings, community programmes etc. Farmers Have Hearts Ballymun Men’s Project
STRATEGIC PRIORITY NUMBER 4: To communicate our message on obesity effectively Development of a research repository - relevant education materials, research & guidelines targeted at the ongoing education of health professionals – NNSC www.littlesteps.eu targeted at parents www.getirelandactive.ie targeted at adults, teenagers & children who wish to become more physically active through participation and sport. www.healthpromotion.ie - Provision of Health Promotion resources to the public The Knowledge Hub – IPH – www.obesityhub.info
STRATEGIC PRIORITY NUMBER 5: To proactively engage and support the work of other sectors addressing the determinants of obesity and the obesogenic environment. National Steering Group on Physical Activity – HSE, ISC, IHF, 3rd level Academic Colleges Weight Management Subcommittee – HSE + ICGP, NNSC, DOHC HSE Community Games – HSE + Community Games www.communitygames.ie Get Ireland Active Working Group – HSE, DOT, Multiagency group All Island Obesity Forum – North-South Multiagency group Healthy Food For All – HSE + Crosscare Food poverty programme Cooperation & Working Together (CAWT) For Health Gain & Social Wellbeing in Border Areas – HSE (ROI) + Health & Social Care Board, the Southern & Western Health & Social Care Trusts (N.I.)