Obesity prevention and treatment: national policy to local delivery

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Presentation transcript:

Obesity prevention and treatment: national policy to local delivery Dr Ruth Campbell Consultant Dietitian in Public Health Nutrition

Overview Scope of the issue Causes of obesity National policy drivers Translation into practice at local level

Breastfeeding rates in Scotland Source: CHSP-PS August 2018, ISD Scotland

Healthy weight among P1 children

High BMI among P1 children

High BMI among adults Source: Scottish Health Survey 2017

Physical activity among children Source: Scottish Health Survey 2017

Physical activity among children Source: Scottish Health Survey 2017

Physical activity among adults Source: Scottish Health Survey 2017

Causes of obesity

Public health priorities Vibrant, healthy and safe places Flourish in early years Good mental wellbeing Reduce use and harm from alcohol, tobacco and other drugs Sustainable, inclusive economy with equality of outcomes for all Eat well, healthy weight and physically active

Diet & Healthy Weight Delivery Plan Children have the best start in life – they eat well and have a healthy weight The food environment supports healthier choices People have access to effective weight management services Leaders across all sectors promote healthy diet and weight Diet-related ill health inequalities are reduced

Local actions: outcome 1 Engaging with women before pregnancy (1.1) Practical advice for parents on weaning, for toddlers, pre-school and primary age (1.3) Equipping staff with knowledge and skills (1.5, 1.6) Provision of free meal & drink as part of ELC expansion (1.11) Implementation of recommendations from amendments to nutritional requirements for food & drink in schools (1.13) Implementation of Best Start Grant (1.16)

Local actions: outcome 2 Consultation on restricting promotions of foods high in fat, sugar or salt (2.1) Consultation on an Out of Home strategy (2.9) Influencing Scottish Planning Policy on better control of food outlets near schools (2.12) Work with Sporta on restricting sale of energy drinks to under 16s (2.15)

Local actions: outcome 3 Expansion of weight management services for those at high risk of type 2 diabetes (3.1) Early adopter status (3.2) Continued investment in child and adult weight management services and develop minimum standards (3.6, 3.7, 3.9, 3.10) Implementation of training for professionals, particularly on weight bias and weight stigma (3.12)

Local actions: outcome 4 Sporta will support members to adopt Healthy living award in cafes and vending (4.2) Funding for community food providers to support those experiencing food insecurity (4.4) Implementation of strategy to promote health & wellbeing of staff (4.13)

Prevention, early detection & early intervention of type 2 diabetes Universal services and health promotion Early detection and early intervention Targeted intervention Complex case management

Early adopter for diabetes prevention Targeting those at very high risk of type 2 diabetes Improving care for women with gestational diabetes Developing a robust IT infrastructure North Ayrshire Community Planning Partnership are a trailblazer site for wider systems approach to obesity prevention

Ayrshire Healthy Weight Strategy Awareness, knowledge, skills & empowerment Maternal & infant nutrition Availability & affordability of healthier food & drinks Active travel & active workplaces Built/natural environment Physical activity Weight management (children & adults)