Presentation on theme: "Childhood obesity in Merton including an update on the NCMP programme"— Presentation transcript:
1 Childhood obesity in Merton including an update on the NCMP programme Eva van Velzen, Public Health registrar NHS Sutton and MertonJulia Groom, Public Health consultant Merton27 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 depressionChildhood obesity is associated with a higher chance of premature death and disability in adulthood from:cardiovascular diseasesdiabetesmusculoskeletal disorderscertain 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 resultsNCMP actionsLocal support programme: Alive ‘n KickingDiscussion
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 educationThe 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 BackgroundNational Child Measurement Programme (NCMP) is a national programme to measure the weight of children in Reception and Year 6 in English state schoolsAim: to monitor overweight and obesity to guide effective policy making to reduce obesityParents receive individual feedback about measurementMeasure used = BMI, adjusted for normal growth variation between Reception and Year 6, and sex.
10 Merton 2007-08 and 2009-2010 combined results % of Reception yr children (4-5 yrs old) obese by MSOA% obesity varies from (no data) 5% to 14%
11 NCMP results – action National data for monitoring and policy Local feedback of measurementsto 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 forchildren aged 4-19Physical activity sessions for childrenInteractive nutrition workshops for parents, focusing on practical ways to improve the family diet.Group programmes for 4-6yrs, 7-11yrs, 12-15yrs and 16-19yrs, with capacity of 20 participants per group
13 Results so far March 2012... 70% of graduates reduced their BMI 84% of graduates reduced their waist circumferenceAverage weight loss was kg
14 DiscussionOne in five Merton children in Reception year is overweight or obeseOne on three Merton children in Year 6 is overweight or obese
20 Uptake and trends Referrals: on average 26 referrals per month Completers:Jul ’09 - Mar ‘11 = 105 / yrApr’11 – June ‘12 = 161 / yr53% increase in completersWe’re aiming for 70 this termTraining:88 local candidates trained including EY staff and Health
21 Local feedback to schools National guidelines: detailed school data may not be shared with schoolsWe use a national but ‘Mertonised’ tool for feedback about the results to Merton headmastersThe letter will include information about local support to help children and their families to keep a healthy weightParticipation rate Merton - England:87.1% Reception = lower than nationally91.2 % Year 6 = same as nationallyReasons:Small numbers: no meaningful comparisonsPupils may be identifiableResults depend on deprivation, sex, ethnicity etc
22 Example feedback from 09-10 data School prevalence indicator:No data or insufficient dataBelow the regional averageSimilar to the regional averageHigher than the regional averageReceptionUnderweight2OverweightObeseYear 63Note: big increase in overweight and obesity between Reception and Year 6!