1. National Child Measurement Programme Health Statistics User Group, 7 March 2016 Presented by Paul Niblett, HSCIC Lifestyles Section Head

2. Outline HSCIC role in NCMP –Collection –Publication –Some Results Other HSCIC Publications on Obesity –Some Results 2

3. HSCIC role in NCMP PHE responsible for programme. HSCIC responsible for collection and publication of data. –Includes provision and maintenance of NCMP IT system which is used to collect data and disseminate data to LAs 3

4. Example of Validations Mixture of rejections and warnings. Example of data submission rejection example –Date of birth has to match with a child aged 4-5 or 10-11 during school year. –Ethnicity has to be a valid code. –Weight or Height very extreme Example of data submission warning –Weight or height extreme. –Weight and height are the same (kgs and cms) Example of post deadline warning –All ethnicity codes missing for an LA. –Several extreme pupil to school distances in a school. 4

5. HSCIC Outputs National Statistics report in November –Commentary on main findings. –Aggregated tables at national and LA level. –National tables for ethnicity, deprivation, rurality and ONS cluster groups. –Anonymised record level extract.  No geography below LA and IMD decile.  IMD decile removed for combinations of LA, school year, gender and IMD decile with less than 5 children. 5

6. More than 1 in 5 children in Reception, and 1 in 3 children in Year 6 were measured as obese or overweight Childhood Obesity – Results from the National Child Measurement Programme 2014/15 6 Reception year 9% of children were obese, compared to 10% in 2006/07 Year 6 19% of children were obese, compared to 18% in 2006/07 Sources: Table 1b, National Child Measurement Programme - England, 2014-15: Tables http://www.hscic.gov.uk/pubs/ncmpeng1415 http://www.hscic.gov.uk/pubs/ncmpeng1415 22% of children were obese or overweight, compared to 23% in 2006/07 33% of children were obese or overweight, compared to 32% in 2006/07 Early years of NCMP underestimated obesity prevalence for year 6

7. Childhood Obesity – Results from the National Child Measurement Programme 2014/15 7 Reception year 12% of children were obese in the most deprived area compared to 6% among those living in the least deprived areas Year 6 Sources: Table 6a, National Child Measurement Programme - England, 2014-15: Tables http://www.hscic.gov.uk/pubs/ncmpeng1415 http://www.hscic.gov.uk/pubs/ncmpeng1415 25% of children were obese in the most deprived area compared to 12% among those living in the least deprived areas Children in most deprived areas twice as likely to be obese than children in least deprived areas

8. Childhood Obesity – Results from the National Child Measurement Programme 2014/15 8 Reception year In 2014/15, the difference was 5.5%pts compared to 4.6%pts in 2007/08. Year 6 Sources: Table 6a, National Child Measurement Programme - England, 2014-15: Tables http://www.hscic.gov.uk/pubs/ncmpeng1415 http://www.hscic.gov.uk/pubs/ncmpeng1415 The difference in obesity prevalence between children attending schools in the most and least deprived areas has increased over time In 2014/15, the difference was 12.0%pts compared to 8.9%pts in 2007/08.

9. Childhood Obesity – Results from the National Child Measurement Programme 2014/15 9 Reception (see map) Sources: Table 3b, National Child Measurement Programme - England, 2014-15: Tables http://www.hscic.gov.uk/pubs/ncmpeng1415 http://www.hscic.gov.uk/pubs/ncmpeng1415 Obesity prevalence varies by local authority In 2014/15, this ranged from 4% in Richmond upon Thames to 14% in Newham. Year 6 (no map) The range was from 11% in Richmond upon Thames, to 28% in Southwark.

10. Adult Obesity – Results from the Health Survey for England, 2014 10 Sources: Figure 9I, Health Survey for England, 2014 http://www.hscic.gov.uk/catalogue/PUB19295

11. Adult Obesity – Results from the Health Survey for England, 2014 11 Prevalence of obesity and being overweight combined was higher for men than women. Obesity prevalence increased with age for both genders up to 55-64 for men and 65- 74 for women. Sources: Figure 9A, Health Survey for England, 2014 http://www.hscic.gov.uk/catalogue/PUB19295

12. Adult Obesity – Results from the Health Survey for England, 2014 12 For both men and women, increasing waist circumference was associated with increasing likelihood of having hypertension Sources: Figure 9J, Health Survey for England, 2014 http://www.hscic.gov.uk/catalogue/PUB19295

13. Body Image amongst 15 year olds: Results from the What About YOUth Survey 2014 13 34% of 15 year olds who thought they were “too fat” reported that “other people made fun of me because of my body weight” compared to 6% who thought they were the “right size” Source: Tables 3.25 and 9.10, Chapters 3 and 9, What About YOUth? Survey 2014 http://www.hscic.gov.uk/pubs/healthwellbeing15yodec15 http://www.hscic.gov.uk/pubs/healthwellbeing15yodec15 Body imageBullied because of their weight 46% of 15 year old girls reported they were “too fat” compared to 23% of boys

14. Fruit and Vegetable Consumption amongst 15 year olds: Results from the What About YOUth Survey 2014 14 The proportion of children reporting they consumed 5 or more portions a day varied from 48% in the most deprived areas to 58% in the least deprived areas Source: Tables 5.1, 5.2 and 5.4, Chapter 5, What About YOUth? Survey 2014 http://www.hscic.gov.uk/pubs/healthwellbeing15yodec15 Notes: 1) Index of Multiple Deprivation http://www.hscic.gov.uk/pubs/healthwellbeing15yodec15Index of Multiple Deprivation Portions consumed per dayConsumption by level of deprivation 52% of 15 year olds reported they consumed 5 or more portions of fruit and vegetables a day

15. 15 Inpatient Bariatric Surgery, 2014-15 60% of patients were aged between 35 and 54 Source: Hospital Episode Statistics This is 31% less than the peak in 2011/12, but over 8 times more than ten years ago in 2004/05. Some of the recent fall is attributed to gastric band maintenance being carried out in an outpatient setting. There were 6,032 Finished Consultant Episodes (FCEs) in NHS hospitals with a primary diagnosis of obesity and a main or secondary procedure of bariatric surgery Bariatric Surgery by sex 76% of patients were female Bariatric Surgery by age