The obesity resources: what is available & where are the gaps?
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The obesity resources:
what is available & where are the gaps?
Dr Louisa J Ells: l.ells@tees.ac.uk
Reader in Public Health & Obesity, Teesside University
Specialist Advisor to Public Health England: Obesity Knowledge and Intelligence
www.tees.ac.uk
PUBLIC HEALTH ENGLAND OBESITY
RESOURCES
www.tees.ac.uk
http://www.noo.org.uk/LA
Local Authority resource pages and 3
www.tees.ac.uk
Intelligence
Briefing papers, data factsheets &
slides sets
Data factsheets on:
• Diet
• Physical activity
• Weight status
• Socioeconomic status
New and forthcoming briefing papers:
• Obesity and disability in children
• NCMP detailed report : trends and
patterns
• Obesity and diabetes in adults
Slide sets:
• Adult obesity
• Child obesity
http://www.noo.org.uk
www.tees.ac.uk
Standard Evaluation Frameworks
& supporting resources
http://www.noo.org.uk/core
www.tees.ac.uk
Evaluation database: share and learn
http://www.noo.org.uk/sefsearch.php
www.tees.ac.uk
http://www.phoutcomes.info/public-health-
outcomes-framework
www.tees.ac.uk
Adult excess weight PHOF indicator
• Data collected from the Active People Survey
• Self reported height and weight for adults age 16 years and over
• There appears to be a ‘systematic error’ in self-reporting
• Men over-estimate in reporting height in all ages
• Women over-estimate in reporting height but more so in
older ages
• Women under-estimate in reporting of weight across most
ages
• Men more accurately report their weight
• Therefore we have been able to produce adjusted estimates at LA level
• Data is provided for underweight, healthy weight, overweight and obese
(further smaller geographies and BMI categories eg BMI=/>40 are
planned in the future when additional years data are available)
• http://www.phoutcomes.info/
www.tees.ac.uk
http://fingertips.phe.org.uk/profile/national-child-measurement-programme
9
www.tees.ac.uk
Weight management
economic assessment tool
User inputs:
• Number of participants
• Percentage drop outs
• Time taken to recruit participants
• Mean age
• Mean starting BMI
• Mean reduction in BMI
• Time taken to achieve BMI reduction
• Duration of weight loss
• Costs of intervention
• Discount rate
www.tees.ac.ukhttp://www.noo.org.uk/visualisation/economic_assessment_tool
www.tees.ac.ukObesity Knowledge and Intelligence 12
www.tees.ac.ukoutput tables
www.tees.ac.ukimpact on BMI
Mean BMI with and without intervention, including expected natural increase with age
40.00
35.00
30.00
BMI (kg/m 2 )
25.00
20.00
15.00
10.00 No intervention
With intervention
5.00
0.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Year of intervention
Obesity Knowledge and Intelligence 14
www.tees.ac.ukcases of diabetes
Number of cases of diabetes and number of participants alive with diabetes
800
Cases prevented per year
700
Number of cases /number alive
Cumulat ive 'case years prevented'
600 Cases (no intervention)
Number aliv e (no intervention)
500
Cases (with interv ention)
400
Number aliv e (with intervention)
300
200
100
0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
-100
Year of intervention
Obesity Knowledge and Intelligence 15
www.tees.ac.ukreduction in healthcare costs by disease
Cumulative savings in healthcare costs by condition (no discounting)
£500,000 Breast cancer
Colorectal cancer
£400,000 Stroke
Savings in healthcare costs
CHD
£300,000 Diabetes
£200,000
£100,000
£0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
-£100,000
Year of intervention
Obesity Knowledge and Intelligence 16
www.tees.ac.ukcost: benefit analysis
Annual savings in healthcare costs (with discounting) and cumulative savings - project costs
£150,000
£100,000
£50,000
£0
Amount
-£50,000
-£100,000
-£150,000 Annual savings in healthcare costs
Annual increase in healthcare costs
-£200,000
Cumulative savings minus intervention costs
-£250,000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Year of intervention
Obesity Knowledge and Intelligence 17
www.tees.ac.ukNew data: severe childhood obesity
Data Source: NCMP 2010/11 - 2012/13 BMI ≥99.6th centile
www.tees.ac.ukMake contact with us
Weekly Knowledge Updates
Follow us on twitter @PHE_Obesity
Join our contact list, register via our website
email info@noo.org.uk
http://www.noo.org.uk/
19 Obesity Knowledge and Intelligence
www.tees.ac.ukOTHER NATIONAL RESOURCES
www.tees.ac.ukwww.tees.ac.uk
http://pathways.nice.org.uk/pathways/obesity
www.tees.ac.ukREGIONAL RESOURCES
www.tees.ac.ukNew (June 13) regional responsive research and evaluation service, to:
• assists policy/practice partners in using the current evidence-base;
• optimise use of existing local data and information and help in its
interpretation
• undertake rapid evaluations of local public health and community
initiatives
• provide useful, timely outputs, that are independent, high quality
and in plain English
• act as a portal to broker access across the five NE Universities and
beyond if needed to answer specific queries
• help showcase and publicise good practice
• build long term working collaboration for the benefit of the
populations of the NE and beyond
http://www.fuse.ac.uk/askfuse
www.tees.ac.ukObesity Support Hub
• http://www.phine.org.uk/obesity-support-hub
• Established in 2012, to provide a forum to share discussion,
resources and best practice.
• Contains a local authority toolkit with the latest data,
information and resources to help tackle obesity.
• Supported by local case studies and open access slide sets.
• Update required!!!
www.tees.ac.ukwww.tees.ac.uk
RESOURCES FROM RESEARCH
www.tees.ac.ukLongitudinal Analyses of NCMP
• Teesside PhD studentship in collaboration with NE LAs and
PHE.
• Aim: To help further understand populations at high risk of
developing childhood obesity, the impact of health
inequalities and the identification of appropriate time
points for intervention.
• Reception children measured in 2006/07 will be measured
again in 2012/13.
• Information stored on child health system help to assess:
– How weight status tracks between Reception and Year 6 in
individual children?
– What is the relationship between predicted weight gain,
ethnicity and deprivation?
– What is the relationship between predicted weight gain and
health and educational outcomes?
Start: May 2013
www.tees.ac.ukUnderstanding Parental Perceptions
• Collaboration between Teesside, Newcastle, UCL,
NHS Choices and Newcastle LA
• Aim: To develop and evaluate new tools to help
parents recognise and understand unhealthy body
weight in their children.
• Evidence from the NCMP and numerous other
research programmes have shown that parents find
it difficult to correctly assess the size of their child &
therefore find it hard to accept NCMP feedback and
take action.
Study funded by NPRI, 12 mth RCT in progress
www.tees.ac.ukSystematic Reviews:
• Cochrane: treating child and adolescent obesity:
- Surgery for the treatment of obesity in child and adolescence.
- Drug interventions for the treatment of obesity in child and adolescence.
- Lifestyle interventions for the treatment of overweight and obesity in infants
aged 0-4 years
- Lifestyle interventions for the treatment of overweight and obesity in children
aged 5-11 yers
- Lifestyle interventions for the treatment of overweight and obesity in
adolescents aged 12-17 years
• eHealth interventions for the prevention and treatment of overweight and
obesity in adults (lead by Newcastle University, Australia)
• The effect of sedentary behaviour interventions on body mass index and other
anthropometric indicators in children: a meta-analysis and meta-regression
www.tees.ac.ukHealth & Arts collaboration
• A cross disciplinary team at Teesside: bringing
together expertise in:
– Public health
– Fine art & graphic design
– Animation & film production
– Web & app development
– 3D graphics and gaming
• Aim: improving the translation &
implementation of complex public health
messages
www.tees.ac.ukWHERE ARE THE GAPS?
HOW DO WE FILL THEM?
ANY OTHER QUESTIONS?
www.tees.ac.ukYou can also read
