Childhood Obesity Dr Robyn Dewis Acting Director of Public Health Derby City Council 22 nd January 2020
Obesity is: Hugely complex and due to multiple factors Increasing nationally across all age groups, reducing quality of life and increasing the demands on public service A significant health risk that is predicted to lead to reducing life expectancy
Background Data • Childhood obesity is a Derby is above average national and local issue. for obesity in reception Proportions of children and year 6. with excess weight are • increasing. In Derby 1/4 ten year Information is available olds are obese and from the child weight 1/20 severely obese. measurement programme • and Health Survey for Weight gain continues England. into Secondary School.
Reception- Obesity including severe
Year 6- Obesity including severe
Perceptions Health Survey • As the average weight of 10% of parents of children in the population normal weight children increases we are all less believe their child is too able to visually assess light. normal weight. There is • evidence that this applies 90% of parents of to professionals as well as overweight children parents. believe their child is OK. • This is still at 50% for obese children.
Parents' perception of child's weight, by child's BMI status Health Survey for England 2015 and 2016 Child excess weight BMI ≥ 85 th centile, child obesity BMI ≥ 95 th centile of the UK90 growth reference. 7 Patterns and trends in child obesity
Impact Health Effects Excess weight leads to • Hypertension immediate health • Diabetes consequences for a child • Fatty Liver disease which are often • Asthma unrecognised. • Sleep apnoea Obesity, and associated • Mental Ill Health health consequences, are • Joint problems more likely to be • Low self esteem experienced by the most • Bullying/ Stigma disadvantaged children. • Social Isolation • Physical inactivity
Our response Establish a County Wide group to understand the issue, map current services and develop a strategy Establish two initial key areas of work: Treatment pathway Place based preventative work
Our strategy Vision: Support and enable children living in Derby and Derbyshire to achieve and maintain a healthy weight, by supporting children and families to live a healthy life and make healthy choices through a whole systems approach.
Priorities Support and empower children and young people Commission evidence based services supported by appropriate pathways Develop a skilled workforce, confident in recognising and responding to child weight concerns Apply a whole systems approach to the obesogenic environment
What are your views? On the issue of childhood obesity? On our emerging priorities for the strategy? On what barriers/ opportunities you feel we need to consider?
Thank you
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