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Obesity- Tipping Back the Scales of the Nation 19th April, 2017
1. Evidence-Based Policies to Tackle Obesity
Robin Ireland
Director of Research, Food Active
“Tipping Back the Scales of the Nation”
Manchester, 19 April 2017
Credit for slides borrowed, stolen and gracefully provided from friends and colleagues. Particular thanks to Bill Bellew,
Emma Boyland and Simon Capewell. Interpretation is my own.
2. On the menu …
• Our obesogenic environment
• Do weight reduction classes work?
• What can be done nationally?
• A regional/local response
• Discussion
6. The problem in one town in North West England –
Do weight reduction programmes work?
Blackpool
• The total population of Blackpool is 142,568
• Of these, 74.5% of adults are overweight or obese
(84,751)
• In a 12-month period only 284 adults completed a
weight management programme …..
7. Back to the 80s. Has anything changed?
And yet we continue to ‘blame’ individuals for
making ‘unhealthy choices’
11. “Health policy can be slow to emerge even
when evidence is strong. The lobbying
opposition to intervention can be well-
rehearsed when commercial interests are at
stake”
-Academy of Royal Medical Colleges, 2013
12. What’s happening nationally?
• Public Health England: Sugar Reduction. The evidence
for action (October 2015)
• HM Government: Childhood Obesity. A Plan for Action
(August 2016)
• HM Revenue & Customs: Soft Drinks Industry Levy
(December 2016. Implementation April 2018)
• Public Health England: Sugar Reduction: Achieving the
20% (March 2017)
14. Food Active – a North West response
• A collaborative programme launched by the North West
Directors of Public Health in November 2013 to tackle
increasing levels of obesity.
• Focusing on population-level interventions which take steps to
address the social, environmental, economic and legislative
factors that affect people’s ability to change their behaviour.
15. So what are the policies that can be
implemented at municipal level?
• Children and adults should have access to healthy food in care
settings including hospitals, schools, nurseries, residential care.
• Local authorities should procure food and drink intelligently
(both in-house and in public venues)
• Town planning needs to encourage active travel and restrict
fast food outlets wherever possible
• Local authorities should consider not accepting funding
associated with industries that produce food and drinks high in
sugar, salt and saturated fat.
16. Local Authority Declaration on Healthy
Weight
• Based upon the principle of the Local Authority Declaration on
Tobacco Control from ASH
• Support and develop action locally on sugary drinks and/or
junk food / commercial determinants
• The declaration aims to support Local Government to take
action to prevent excess weight and secure the health and
wellbeing of residents
• The declaration requires Local Government officers and
politicians to support the implementation of policies that will
encourage healthy weight.
18. This whole systems approach to promoting
healthy weight can be used and adapted to
various settings
• The ‘Blackpool Declaration’ is being evaluated with a report available in
May 2017
• Other organisations such as hospitals, Registered Social Landlords and
local amateur and professional sports clubs (‘Healthy Stadia’)can be
encouraged to establish food and drink policies. Blackpool Teaching
Hospitals NHS Foundation Trust announced their own Declaration on 11
April
• In London and SE England, they are developing Sugar Smart Cities and a
Local Authority Declaration on Healthy Weight and Sugar Reduction
19. Give Up Loving Pop!
A campaign from Food
Active to highlight the
health harms associated
with the consumption
of sugary drinks.
20.
21. A campaign from Food Active to
highlight the health harms
associated with the consumption
of sugary drinks.
22. Give Up Loving Pop!
Developing locally driven campaigns
• Briefing sheets on energy drinks, sports drinks etc.
published – see www.giveuplovingpop.org.uk
• Teaching materials produced for use in PSHE
classes (Year 6 and Year 9)
• Give Up Loving Pop challenges
• Driving vending machine policies and school drinks
policies
23. We have discussed …
• Our obesogenic environment
• Do weight reduction classes work?
• What can be done nationally?
• A regional/local response
• Discussion