Obesity and Overweight in
Ireland
A multidisciplinary approach to a
multifaceted public health problem.

Patricia Kearney, Janas Harrington, Sheena McHugh, Jamie Madden, Xia
Lee, Darren Dahly, Christina Dillon, Eimear Keane
Source: Growing up in Ireland, 9 Year Old Males, 2007-2008
Source: Growing up in Ireland, 9 Year Old Females, 2007-2008
Source: WHO, 2008 - SLAN 2007, Obese Adults
Source: WHO, 2008 - SLAN 2007, Obese and Overweight Adults
Source:Egger G, Swinburn B. An ecological approach to the obesity pandemic.
BMJ. 1997; 315: 477-480.
Source: Gillman MW. A lifecourse approach to obesity. From A lifecourse
approach to chronic disease epidemiology.
Source: Tackling Obesities: Future Choices. Foresight, 2010.
Lifestyle Transitions and Trajectories:
Enhancing capacity in Irish cohort and
cross-sectional studies
Interdisciplinary Capacity
Enhancement (ICE) Award
Building capacity in population health
and health services research
Funded by the Health Research Board
Aims
• To describe how behavioural risk factors for
obesity, CVD, and diabetes unfold over the life
course in Ireland.
• To relate these life course patterns to health
outcomes and health care utilization.
• To maximize the use of data from 9 Irish
observational studies that collectively span
the life course.
Team Investigators
Dr Xia Lee - Biostatistics
Dr Darren Dahly – Nutritional Epidemiology
Dr Sheena McHugh – Health Services Research
http://www.ucc.ie/en/epid/people/
Data Sources
The Irish Longitudinal Study on Aging
Cork and Kerry Diabetes and Heart Disease Study
Mitchelstown Cohort
National Survey of Lifestyles, Attitudes and Nutrition
SCOPE
Growing up in Ireland
Cork Children’s Lifestyle Study
BASELINE
Pregnancy Risk Assessment Monitoring System

(age 50+ years, 2010)
(50-69, 1998-2008)
(50-59, 2010)
(18+, 2007)
(Mothers, 2008-2012)
(9m and 9y, 2007-2009)
(9y, 2012-2013)
(Birth to 2y, 2009-2012)
(2 to 6m, 2012)
Four Areas of Expertise
Primary Investigators of the Studies
Methodologists – Biostatistics, Epidemiology,
Health Services
Clinicians
Policy and Practice
Primary Investigators
Dr. Tony Fitzgerald, UCC
Prof. Joe Eustace, CRF/UCC
Dr. Patricia Kearney, UCC
Prof. Louise Kenny, UCC
Prof. John Browne, UCC
Prof. Ciaran O'Neill, NUIG

Biostatistics
Clinical Epidemiology
Epidemiology
Obstetrics
Health Services Research
Health Economics
External Collaborators
Prof. Zhenming Chen
Prof. Sharon Friel
Dr. Graham Law
Dr. Kathleen Bennett
Dr. Ellen Nolte
Prof. Richard Layte
Prof. Amy Herring

University of Oxford
Australian National University
University of Leeds
Trinity College Dublin
RAND
ESRI
University of North Carolina
HEALTH SERVICES RESEARCH

WORK PACKAGE 1
To investigate the past and
present determinants of health
service utilisation across the life
course
BIOSTATISTICS

WORK PACKAGE 2
Develop statistical methods for
analyzing accelerometer data, and
relate these to subsequent health
outcomes.
NUTRITIONAL EPIDEMIOLOGY

WORK PACKAGE 3
Relate dietary and physical
activity data to NCD risk across
Irish observational studies.
http://xkcd.com/882/
ddahly@ucc.ie

Iph ddahly

  • 1.
    Obesity and Overweightin Ireland A multidisciplinary approach to a multifaceted public health problem. Patricia Kearney, Janas Harrington, Sheena McHugh, Jamie Madden, Xia Lee, Darren Dahly, Christina Dillon, Eimear Keane
  • 3.
    Source: Growing upin Ireland, 9 Year Old Males, 2007-2008
  • 4.
    Source: Growing upin Ireland, 9 Year Old Females, 2007-2008
  • 5.
    Source: WHO, 2008- SLAN 2007, Obese Adults
  • 6.
    Source: WHO, 2008- SLAN 2007, Obese and Overweight Adults
  • 9.
    Source:Egger G, SwinburnB. An ecological approach to the obesity pandemic. BMJ. 1997; 315: 477-480.
  • 10.
    Source: Gillman MW.A lifecourse approach to obesity. From A lifecourse approach to chronic disease epidemiology.
  • 11.
    Source: Tackling Obesities:Future Choices. Foresight, 2010.
  • 13.
    Lifestyle Transitions andTrajectories: Enhancing capacity in Irish cohort and cross-sectional studies
  • 14.
    Interdisciplinary Capacity Enhancement (ICE)Award Building capacity in population health and health services research Funded by the Health Research Board
  • 15.
    Aims • To describehow behavioural risk factors for obesity, CVD, and diabetes unfold over the life course in Ireland. • To relate these life course patterns to health outcomes and health care utilization. • To maximize the use of data from 9 Irish observational studies that collectively span the life course.
  • 16.
    Team Investigators Dr XiaLee - Biostatistics Dr Darren Dahly – Nutritional Epidemiology Dr Sheena McHugh – Health Services Research http://www.ucc.ie/en/epid/people/
  • 17.
    Data Sources The IrishLongitudinal Study on Aging Cork and Kerry Diabetes and Heart Disease Study Mitchelstown Cohort National Survey of Lifestyles, Attitudes and Nutrition SCOPE Growing up in Ireland Cork Children’s Lifestyle Study BASELINE Pregnancy Risk Assessment Monitoring System (age 50+ years, 2010) (50-69, 1998-2008) (50-59, 2010) (18+, 2007) (Mothers, 2008-2012) (9m and 9y, 2007-2009) (9y, 2012-2013) (Birth to 2y, 2009-2012) (2 to 6m, 2012)
  • 18.
    Four Areas ofExpertise Primary Investigators of the Studies Methodologists – Biostatistics, Epidemiology, Health Services Clinicians Policy and Practice
  • 19.
    Primary Investigators Dr. TonyFitzgerald, UCC Prof. Joe Eustace, CRF/UCC Dr. Patricia Kearney, UCC Prof. Louise Kenny, UCC Prof. John Browne, UCC Prof. Ciaran O'Neill, NUIG Biostatistics Clinical Epidemiology Epidemiology Obstetrics Health Services Research Health Economics
  • 20.
    External Collaborators Prof. ZhenmingChen Prof. Sharon Friel Dr. Graham Law Dr. Kathleen Bennett Dr. Ellen Nolte Prof. Richard Layte Prof. Amy Herring University of Oxford Australian National University University of Leeds Trinity College Dublin RAND ESRI University of North Carolina
  • 21.
    HEALTH SERVICES RESEARCH WORKPACKAGE 1 To investigate the past and present determinants of health service utilisation across the life course
  • 23.
    BIOSTATISTICS WORK PACKAGE 2 Developstatistical methods for analyzing accelerometer data, and relate these to subsequent health outcomes.
  • 27.
    NUTRITIONAL EPIDEMIOLOGY WORK PACKAGE3 Relate dietary and physical activity data to NCD risk across Irish observational studies.
  • 30.
  • 33.

Editor's Notes

  • #8 “High body mass index (BMI) was another major contributor to DALYs in 2010 andwas the sixth leading risk factor. High BMI is typically used as an indicator of overweightand obesity. It increased by a dramatic 82% over the period 1990 to 2010.High BMI is a leading risk factor for cardiovascular and circulatory diseases as wellas diabetes. It is striking that high BMI was a more important cause of poor healthworldwide than childhood underweight in 2010, whereas childhood underweightwas a much more prominent risk factor than high BMI in 1990.”