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Tackling Childhood Obesity in London


Delivery plans and partnerships. What's happening in London ... Diet and Physical Activity ... Centre proposals: expert resource for diet and physical activity ... – PowerPoint PPT presentation

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Title: Tackling Childhood Obesity in London

Tackling Childhood Obesity in London
  • Sheila Adam,
  • Director of Public Health - London
  • Tackling Obesity Conference
  • 30th March 2007

  • London challenges and context
  • Delivery plans and partnerships
  • Whats happening in London
  • Opportunities to maximise support for local

Inequalities in Obesity Among Children under 11
  • Obesity is highest amongst children living in
    London at 18.8, compared to England average of
  • However adult obesity in London is below the
    national average at 20.4, compared to 21.8

Diet and Physical Activity
  • In 2002 children and young people in London had
    the highest fruit and veg. consumption of any
    region (3.1 daily portions for 5-15 year olds),
    but this still falls short of 5 a Day.
  • The proportion of young people eating 5 a Day or
    more was 19 of boys and 17 of girls aged 5-15
  • 68 of Londons school children participate in at
    least 2 hours of high-quality PE and out of
    school sport in a typical week.
  • 64 of boys and 53 of girls ages 2-15 had high
    levels of physical activity.
  • 71.8 of 16-24 year old London females reported
    doing no physical activity in the last 12 weeks.

London Challenges
  • What makes London unique?
  • High levels of population mobility
  • Diversity
  • High rates of poverty and inequalities
  • Vulnerable young people
  • Fear of crime

London Delivery Plans
Partnerships for Delivery
London Programme Funds for 2007/08
  • Options include
  • Childhood Obesity Support Programme
  • Early Years and Breast feeding
  • Supporting Healthy Schools
  • Promoting Physical Activity
  • Workplaces
  • Data and Evaluation

Whats Happening in London?
  • How can London work together to halt the rise?
  • How best can London respond to the national
  • Whats happening already?
  • What is planned for 2007/08?

Healthy and Sustainable Food
  • London food Strategy sets out a whole system
    approach from primary production, through to
    eating and consumption, to waste disposal
  • Includes priorities for consumer engagement and
    delivering healthy schools.
  • A range of actions with both short and long term
    benefits and involving improvement to school
    meals, training and equipment for cooks,
    education, cooking skills and food waste
    awareness for pupils.

Creating a Climate for Success Health and 2012
Delivery Plans
  • Aim to build on current work and inspire using
    the 2012 message.
  • Action Plan for 2007/08 includes
  • Deliver School Pedometer Programme
  • Deliver healthy Eating messages to parents and
    young children through Healthy Start initiative
  • Launch and promote the physical activity toolkit
    in schools
  • Healthy Schools communications plan with 2012

Healthy Schools
  • Healthy Schools are cornerstone of promoting
    healthy lifestyles for children
  • By December 2006 54 of London Schools achieved
    Level 3 or new Healthy Schools Status
  • The Healthy Schools Nutrition, and Physical
    Activity Themes
  • Involving parents, providing a welcoming eating
    environment, healthy vending machines and tuck
    shops, adopting School Food Trust standards.
  • Ensuring children participate in at least 2 hours
    of high-quality PE a week.
  • www.healthyschools.gov.uk

Healthy Food
  • School Fruit and Vegetable Scheme reaches 97 of
    London primary schools
  • Regional training resource supports healthy
    school partnerships and promotes whole school
    food policies
  • Food Co-ops to promote community access
  • Cooking Schools
  • 5 A DAY programmes sustained local work, e.g.
    Breakfast clubs and fruit tuck shops

Promoting Physical Activity
  • School Sports Partnerships in place to promote
    school physical activity and sports
  • Healthy Schools Physical Activity Theme
  • Examples of local action
  • Active Angels
  • Girls -14-16 years
  • Olympic Action Zone -
  • Estate based activities

Tackling the Obesogenic Environment
  • An attractive local environment will double the
    chance of people doing recommended amount of
    physical activity compare with a poor environment
    (Giles-Corti et al. 2003, AJPH)
  • London children and young people express
    considerable concern about restrictions to
    independent activity and lack of provision for
  • (State of Londons Children, 2004)

Support for families with overweight and obese
  • Challenges
  • effectiveness,
  • cost
  • sustainability
  • how far do they reach?
  • Examples in London
  • MEND 5 demonstration sites supported by Sport
    England Kensington and Chelsea, Newham,
    Hillingdon, Kingston and Barnet
  • Traffic Lights - Islington
  • Home grown approaches being developed

Local Area Agreements
  • All London boroughs have agreed LAAs
  • Childhood obesity outcomes were included in most
    LAAs - weight loss indicators, halting the rise
    of childhood obesity or uptake of physical
    activity amongst children
  • Healthy Schools targets were used a means to
    improve physical activity and obesity activities
  • Over the past 2 years LAA outcomes have been
    agreed to reduce obesity (adults children) to a
    value of almost 9m

Data, Evidence and Incentives
  • Improving local data increasing coverage of
    weighing and measuring
  • Improving Obesity knowledge management
  • London Research Centre proposals expert resource
    for diet and physical activity
  • Support for developing local strategies and

Whats working well and where there is more to do?
  • Working well
  • Strong focus on early intervention/prevention
  • Healthy Schools and Extended Services Schools
  • Physical Activity Structures and Support
  • LAAs
  • Plans for 2012 Games
  • London Food Strategy
  • NHS Health Strategy Staying Healthy Theme
  • Challenges ahead
  • Patchy commissioning of obesity management
  • Increasing social marketing capacity?
  • Understanding and meeting the needs of vulnerable
  • Weighing and measuring data
  • Evidence and evaluation

Where next?
  • What can you do locally to help halt the rise?
  • How can we make partnerships add value?
  • What change and/or support is needed to support
    local delivery?
  • Where should we focus efforts at a London-wide
  • Messages for DH?
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