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Childhood obesity in Merton including an update on the NCMP programme Eva van Velzen, Public Health registrar NHS Sutton and Merton Julia Groom, Public.

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Presentation on theme: "Childhood obesity in Merton including an update on the NCMP programme Eva van Velzen, Public Health registrar NHS Sutton and Merton Julia Groom, Public."— Presentation transcript:

1 Childhood obesity in Merton including an update on the NCMP programme Eva van Velzen, Public Health registrar NHS Sutton and Merton Julia Groom, Public Health consultant Merton 27 April 2012

2 Merton One in five children in Reception year is overweight or obese One on three children in Year 6 is overweight or obese

3 So what? Children experience psychological effects: teasing and discrimination by peers; low self-esteem; anxiety and depression Childhood obesity is associated with a higher chance of premature death and disability in adulthood from: – cardiovascular diseases – diabetes – musculoskeletal disorders – certain types of cancer (e.g. breast and colon) Many overweight children will become overweight adults (and parents!) Sources: NOO, WHO

4 Outline Causes of childhood obesity Background NCMP National results Merton results NCMP actions Local support programme: Alive ‘n Kicking Discussion

5 Determinants of Obesity Source:

6 In words: Childhood obesity is mainly associated with unhealthy eating and low levels of physical activity, but the problem is linked not only to children's behaviour but also, increasingly, to social and economic development and policies in the areas of agriculture, transport, urban planning, the environment, food processing, distribution and marketing, as well as education The problem is societal and therefore it demands a population-based multi sectoral, multi-disciplinary, and culturally relevant approach. Children and adolescents cannot choose the environment in which they live or the food they eat. They also have a limited ability to understand the long-term consequences of their behaviour. Source: WHO

7 Background National Child Measurement Programme (NCMP) is a national programme to measure the weight of children in Reception and Year 6 in English state schools Aim: to monitor overweight and obesity to guide effective policy making to reduce obesity Parents receive individual feedback about measurement Measure used = BMI, adjusted for normal growth variation between Reception and Year 6, and sex.

8 National child measurement results © NOO 2012

9 Merton child measurement results © NOO 2012 Lower than UK Higher than UK

10

11 NCMP results – action National data for monitoring and policy Local feedback of measurements to parents (NHS community services) to headmasters (NHS Public Health) referrals to treatment programme ‘Alive n Kicking’

12 What is Alive ‘N’ Kicking? Specialist healthy weight programme for children aged 4-19 Physical activity sessions for children Interactive nutrition workshops for parents, focusing on practical ways to improve the family diet.  Group programmes for 4-6yrs, 7-11yrs, 12-15yrs and yrs, with capacity of 20 participants per group

13 Results so far March % of graduates reduced their BMI 84% of graduates reduced their waist circumference Average weight loss was kg

14 Discussion One in five Merton children in Reception year is overweight or obese One on three Merton children in Year 6 is overweight or obese

15 Extra slides

16 Obesity trend data Merton – England, NCMP 2007/08 to 2010/11

17 Reception Year

18 Year 6

19 Prevalence of obesity by Local Authority Year 6 children (age years) resident in London, NCMP 2009/10 Low prevalence High prevalence Child obesity: BMI ≥ 95 th centile of the UK90 growth reference © NOO 2011

20 Uptake and trends Training: 88 local candidates trained including EY staff and Health Completers: Jul ’09 - Mar ‘11 = 105 / yr Apr’11 – June ‘12 = 161 / yr 53% increase in completers Referrals: on average 26 referrals per month We’re aiming for 70 this term

21 Local feedback to schools National guidelines: detailed school data may not be shared with schools We use a national but ‘Mertonised’ tool for feedback about the results to Merton headmasters The letter will include information about local support to help children and their families to keep a healthy weight Participation rate Merton - England : – 87.1% Reception = lower than nationally – 91.2 % Year 6 = same as nationally

22 School prevalence indicator: No data or insufficient data Below the regional average Similar to the regional average Higher than the regional average Reception Underweight Overweight Obese Year 6 Underweight Overweight Obese Example feedback from data Note: big increase in overweight and obesity between Reception and Year 6!

23 © NOO 2011 Prevalence of obesity by deprivation decile Children in Reception and Year 6 (National Child Measurement Programme 2009/10) Child obesity: BMI ≥95 th centile of the UK90 growth reference Deprivation deciles assigned using the Index of Multiple Deprivation 2010 ReceptionYear 6


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