1. Heart Health in Rotherham Looking at the most recent National trends in obesity Dr John Radford Director of Public Health

2. Death rates from heart disease are falling Source: Rotherham Health Profile 2011 But we are still significantly worse than the England average

3. Deaths from cardiovascular disease

4. Factors affecting heart health Age

5. Ageing population Projected Growth Age Groups 2008-2028

6. Factors affecting heart health Age Deprivation

7. CHD Emergency Admissions Source: HES, NHS Information Centre for health and social care, ONS Department of Communities and Local Government (DCLG)

8. Cardiovascular disease rates by deprivation Source: HES, The Information Centre for health and social care, ONS, DCLG

9. Factors affecting heart health Age Deprivation Ethnicity

10. BME Communities 2001: 10,200 2009: 19,000 = 86% increase

11. Factors affecting heart health Age Deprivation Ethnicity Lifestyle

12. Rates of smoking, binge drinking and obesity are all higher than the England average – 24.3% in Rotherham are current smokers (ONS Integrated Household Survey, Sept 2011) – 25.1% of the Rotherham population binge drink (Local Alcohol Profiles for England, Rotherham 2011) – 27.6% adults and 20.2% children (year 6) are obese (Rotherham Health Profile 2011)

13. Prevalence of obesity among children by school year and sex National Child Measurement Programme 2006/07 – 2010/11 Child obesity: BMI ≥ 95 th centile of the UK90 growth reference Obesity rates nearly double over the course of primary school. We are seeing opposing trends, with a slight decrease in Reception Year but increases in Year 6 prevalence.

14. Trend in obesity prevalence for adult males by age group Health Survey for England 1993-2010 Adult obesity: BMI ≥ 30kg/m 2 Men over 35 years old Levels of obesity in men differ by age group, as do the trends we are seeing for each group.

15. Trend in obesity prevalence for adult females by age group Health Survey for England 1993-2010 Adult obesity: BMI ≥ 30kg/m 2 Women over 35 years old This is true for women as well.

16. Adult obesity: BMI ≥ 30kg/m 2 Prevalence of obesity among adults by age and sex Health Survey for England 2008-2010 Obesity rises steadily through to middle age and then stays broadly constant.

17. Change in the adult BMI distribution HSE 1991-93 to 2007-09 (population weighted) Adults are aged 18+ years There is a very complicated picture within overall obesity rates, which has changed over time. Broadly speaking, the entire population is getting heavier – there is not only an increase in the numbers of obese people.

18. Prevalence of obesity by deprivation decile National Child Measurement Programme 2009/10 Child obesity: BMI ≥ 95 th centile of the UK90 growth reference ReceptionYear 6 There is a very strong correlation between obesity rates and level of deprivation amongst children, with prevalence in the most deprived areas around double that of the least deprived areas.

19. Any questions?