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Weight Management

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Title: Weight Management


1
  • Welcome!

2
  • Weight Management
  • Brief Interventions Training
  • Friday 12th July 2013


3
Aims of Training
  • Background to obesity
  • Local and National Facts
  • Obesity and Health
  • Raising the issue of obesity
  • Brief Intervention Training Obesity
  • Next steps

4
Foresight Report 2007
5
The key findings include
  • Most adults in the UK are already overweight.
    Modern living ensures every generation is heavier
    than the last Passive Obesity.
  • By 2050 60 of men and 50 of women could be
    clinically obese. Without action, obesity-related
    diseases will cost an extra 45.5 billion per
    year.
  • Preventing obesity is a societal challenge,
    similar to climate change. It requires
    partnership between government, science, business
    and civil society.

6
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7
Stages of Obesity
8
Body Mass Index
9
Adult BMI Ranges
  • If your BMI is between 25 and 29, you would be
    considered overweight
  • If your BMI is between 30 and 40, you would be
    considered obese
  • If your BMI is over 40, you would be considered
    very obese (known as morbidly obese)

10
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11
Adult waist circumference risk by ethnicity
Ethnicity Male Female
European, Sub-Saharan African, Eastern Mediterranean and Middle East (Arab) populations (increased risk) 94 cm/37 inches (severe risk) 102 cm/40 inches (increased risk) 80 cm/31.5 inches (severe risk) 88 cm/34.5 inches
South Asians, Chinese, Japanese, Ethnic South and Central Americans (severe risk) 90 cm and over (severe risk) 80 cm and over
12
Prevalence of overweight and obesity in adults
Obese Adult Men Obese Adult Women Obese and overweight Adults 4565 years old
1993 13 16 Over 30
2011 24 26 Over 70
Health Survey for England - 2011
13
Percentage of the adult population assessed as
obese in a selection of countries
14
Childrens BMI
  • Childrens Growth Charts
  • Separate ones for Girls and Boys
  • Use height and weight to plot
  • 91st Centile for overweight
  • 98th Centile for obese

15
Childrens BMI Centile Range
Underweight (children may be healthy at this BMI centile) Below 2nd BMI centile
Healthy Weight Between 2nd and 90th BMI centiles
Overweight Between 91st and 97th BMI centiles
Very overweight (doctors call this clinically obese) At or above 98th BMI centile
16
Prevalence of overweight and obesity in children
YR Children 06-07 Y6 Children 06-07 YR Children 11-12 Y6 Children 11-12
Overweight 13 14.1 13.1 14.7
Obese 9.9 17.5 9.5 19.2
Governments National Child Measurement Programme
(NCMP) for England, 2006/07 and 2011/12 school
year
17
Sheffield Data
YR Children 06-07 Y6 Children 06-07 YR Children 11-12 Y6 Children 11-12
Overweight 9.7 12.5 13.0 14.0
Obese 6.9 14.8 10.0 20.0
18
Consequences of Obesity
  • Conditions highlighted in blue are noticeable in
    children
  • Reproductive Problems and earlier onset of
    Puberty
  • Raised Cholesterol
  • Depression and low self esteem
  • Cancers Women - Uterus, Gallbladder, Cervix,
    Ovary, Breast, Colon.
  • Men Prostate, Colon, Rectum.
  • High Blood Pressure
  • Fatty Liver
  • Back and Joint Pain
  • Osteoarthritis
  • Gout
  • Respiratory Problems
  • Gallbladder Disease
  • Type II Diabetes
  • Heart Disease
  • Gastric Reflux
  • Stroke

19
Stages of Change
20
Stages of Change
21
Brief Intervention
  • What do you think it is?

22
Brief Intervention
  • 1. Offered by professionals/appropriately
    trained staff in a variety of settings
  • 2. Opportunistic in nature
  • 3. Targeting individuals, families or groups
  • 4. Limited duration and frequency (e.g. vary from
    1 session to 4)
  • 5. Identify health issue and assess individuals
    motivation and stage of behaviour change
  • 6. Negotiate goals via
  • provision of advice, counselling, information,
    or referral as appropriate and
  • follow-up and reinforcement, as appropriate.

23
What can YOU do?
  • 1st step in helping people to lose weight is
    having the conversation.
  • Studies show that a short 3 to 5 minute
    conversation can contribute to behaviour change.
  • Talk
  • Non-offensive language
  • Advice they can use

24
Behaviour Change
  • Self Monitoring of behaviour change- log
    book/apps
  • Goal Setting- SMART
  • Social Support do it with others/groups
  • Relapse Prevention
  • Strategies to deal with weight gain

25
Tips
  • Discuss primary issue for coming to you
  • 2. Open the discussion
  • Link reason for attending to weight
  • management discussion.

26
Tips
  • 3. Ready Willing and Able?
  • Important b. Confident
  • Is this the right time to be focusing on weight
    loss?
  •  
  • What are your goals regarding your weight?
  • Are there any changes you think you could make
    to your eating habits?
  •  

27
Tips
  • 4. Set a goal
  • 1-2 pounds for adults, per week is a safe rate of
    weight loss.
  • 5-10 reduction in body weight over 6 months
  • Goal around weight maintenance
  • Offer people printed info.
  • 5. Follow Up Praise, discuss setbacks and how to
    overcome these

28
  • NHS Sheffield Commissioned Services

29
Zest for Health
  • NHS Sheffield Commissioned
  • Referral Criteria
  • Children aged 7-15
  • Overweight or Obese (91st Centile and
  • above)
  • Parents must attend 60 of sessions
  • Commitment to 12 week programme

30
Zest for Health
  • One to One support
  • Group Sessions
  • Family Session
  • Activity Session
  • Health Line form parents and professionals
  • Mon, Tue, Wed
  • 10am-12pm
  • (0114 2702045)
  • Community Work
  • Business Work
  • Health Checks
  • Workshops
  • Exhibitions
  • Training Strand

31
Weigh Ahead Referral Criteria
  • Age 15 registered with a Sheffield GP
  • BMI gt 35 (BMI 32 South Asian) with
  • co-morbidities
  • BMI 40 with no co-morbidities
  • All patients for consideration of Bariatric
    surgery must complete Weigh Ahead
  • Referral from GP or health care professional

32
Treatment Options
  • Come to a 60 minute assessment at the Wicker
    agree treatment pathway
  • 10 treatment appointments booked with interim (3
    months) and final assessment (6 months)
  • All ten weeks with team member either a
    combination of therapies or one therapist
    throughout
  • Psychologist
  • Physiotherapist
  • Dietetics could include psychological and
    behavioural techniques
  • Personal guide
  • One to one, telephone, e-mail or text
  • Patient group diet or physiotherapy group
  • Groups for pregnant women

33
  • Thank you
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