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Sharon Egan
Public Health, Responsibility
Deal Policy Lead,
Department of Health
Obesity: Tipping Back the Scales of the Nation Event
19th April 2017
The Childhood Obesity Plan: Prevention
and Early Intervention
Sharon Egan
Childhood Obesity Programme
Department of Health
Obesity affects too many of our children
We are becoming obese
EARLIER
and staying obese for
LONGER
Prevalence of excess weight among
children
4
Child overweight (including obesity)/ excess weight: BMI ≥ 85th centile of the UK90 growth reference
One in five children in Reception is
overweight or obese
One in three children in Year 6 is
overweight or obese
25.0%
24.2%
22.7%
21.2%
19.3%
17.8%
16.0%
15.0%
13.7%
11.5%12.0%
11.2%
10.3% 9.7%
9.0%
8.3% 7.6% 7.0% 6.8%
5.7%
0%
5%
10%
15%
20%
25%
30%
Most
deprived
Least
deprived
Obesityprevalence
Index of Multiple Deprivation 2010 decile
Year 6
Reception
Scale of the challenge
Obesity prevalence by
deprivation decile
Source: IPSOS MORI
A problem, but not my problem?
Tackling such a complex issue
8
Breaking the cycle of obesity
©2014 by American Physiological Society
The policy challenge
• Epigenetics
• Gut microbiota
• Packaging
and Portion
size
• Technological
development
• Family and
friends
• Social networks
Being overweight is ‘normal’
We eat much more than
we think….
Source: Behavioral Insights
Team 2016
…we snack more too
Our food environment influences what and how much we eat
Children’s sugar consumption
We lead increasingly sedentary lifestyles
• Less than a quarter of children aged 5-15 are achieving recommended
amounts of physical activity per day.
• Physical activity levels have decreased over the last decade.
• However, increasing the amount of exercise children do is not the silver
bullet – a 34kg 8-10 year old would need to run for 45 mins to burn off a
500ml bottle of sugary fizzy drink.
A World-Leading Plan
• Published August 2016
• Set of over 20 ambitious
actions, focusing on:
– Schools
– Healthier environment
– Working together
• Built on the best evidence
• Sets out a challenge for the
whole system
17
•
The government childhood obesity plan includes a range of measures …
tackling the environment, behaviour, lifestyles and awareness.
Sugar levy NPM
Reformulation Food labelling
Schools
We will make schools healthier
Around two in ten children aged 5-15 years meet the
government recommendations* for physical activity (boys
23%, girls 20%)
*Child recommendations for physical activity in CMO report 2011 – one hour moderate activity per day
Source: Health Survey England 2015
We will support early years
settings
• Revising menus for early years
settings to form part of updated
guidelines on meeting dietary
recommendations
• Raising awareness of the guidelines
amongst early years providers
• Updated Early Years Foundation
Stage framework to reference
physical activity guidelines
Childhood Obesity Plan- Early Years
• “Make Every Contact Count”
• Nutrition, physical activity, healthy weight
messaging and weaning advice
• Sugar reduction in foods targeted at babies
and young children
• Revised menus for early years settings
• Re-committing to the Healthy Start scheme
• The start of a conversation
The Keystone of a Wider
Programme
Childhood
Obesity
Programme
Local
Authorities
NHS
FamiliesIndustry
Schools
• Whole Systems Approach
• The start of a conversation
• Everyone has a role:
what’s yours?

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Obesity- Tipping Back the Scales of the Nation 19th April, 2017

  • 1. Sharon Egan Public Health, Responsibility Deal Policy Lead, Department of Health
  • 2. Obesity: Tipping Back the Scales of the Nation Event 19th April 2017 The Childhood Obesity Plan: Prevention and Early Intervention Sharon Egan Childhood Obesity Programme Department of Health
  • 3. Obesity affects too many of our children We are becoming obese EARLIER and staying obese for LONGER
  • 4. Prevalence of excess weight among children 4 Child overweight (including obesity)/ excess weight: BMI ≥ 85th centile of the UK90 growth reference One in five children in Reception is overweight or obese One in three children in Year 6 is overweight or obese 25.0% 24.2% 22.7% 21.2% 19.3% 17.8% 16.0% 15.0% 13.7% 11.5%12.0% 11.2% 10.3% 9.7% 9.0% 8.3% 7.6% 7.0% 6.8% 5.7% 0% 5% 10% 15% 20% 25% 30% Most deprived Least deprived Obesityprevalence Index of Multiple Deprivation 2010 decile Year 6 Reception Scale of the challenge Obesity prevalence by deprivation decile
  • 5. Source: IPSOS MORI A problem, but not my problem?
  • 6.
  • 7.
  • 8. Tackling such a complex issue 8
  • 9.
  • 10. Breaking the cycle of obesity ©2014 by American Physiological Society
  • 11. The policy challenge • Epigenetics • Gut microbiota • Packaging and Portion size • Technological development • Family and friends • Social networks
  • 12. Being overweight is ‘normal’
  • 13. We eat much more than we think…. Source: Behavioral Insights Team 2016 …we snack more too Our food environment influences what and how much we eat
  • 15. We lead increasingly sedentary lifestyles • Less than a quarter of children aged 5-15 are achieving recommended amounts of physical activity per day. • Physical activity levels have decreased over the last decade. • However, increasing the amount of exercise children do is not the silver bullet – a 34kg 8-10 year old would need to run for 45 mins to burn off a 500ml bottle of sugary fizzy drink.
  • 16. A World-Leading Plan • Published August 2016 • Set of over 20 ambitious actions, focusing on: – Schools – Healthier environment – Working together • Built on the best evidence • Sets out a challenge for the whole system
  • 17. 17 • The government childhood obesity plan includes a range of measures … tackling the environment, behaviour, lifestyles and awareness. Sugar levy NPM Reformulation Food labelling Schools
  • 18. We will make schools healthier Around two in ten children aged 5-15 years meet the government recommendations* for physical activity (boys 23%, girls 20%) *Child recommendations for physical activity in CMO report 2011 – one hour moderate activity per day Source: Health Survey England 2015
  • 19. We will support early years settings • Revising menus for early years settings to form part of updated guidelines on meeting dietary recommendations • Raising awareness of the guidelines amongst early years providers • Updated Early Years Foundation Stage framework to reference physical activity guidelines
  • 20. Childhood Obesity Plan- Early Years • “Make Every Contact Count” • Nutrition, physical activity, healthy weight messaging and weaning advice • Sugar reduction in foods targeted at babies and young children • Revised menus for early years settings • Re-committing to the Healthy Start scheme • The start of a conversation
  • 21. The Keystone of a Wider Programme Childhood Obesity Programme Local Authorities NHS FamiliesIndustry Schools • Whole Systems Approach • The start of a conversation • Everyone has a role: what’s yours?