2. Programme: Guest speakers (London Borough of Richmond upon Thames): Anna Raleigh, Consultant in public health; Pippa Burge, Public Health Lead Talk on a healthy diet and more physical activity for a healthier lifestyle Mike Hughes, Health Improvement Manager: Overview of our health and wellbeing services Questions and answers

3. A Healthy Diet & more Physical Activity for a Healthier Lifestyle Anna Raleigh Consultant in Public Health Pippa Burge Public Health Lead 27 th February 2014

4. What do we do in Public Health?  Advise Council on health matters  Commission public health services  Provide commissioning support back to the NHS  Assure effective health protection arrangements in place  Statutory member of the Health and Well-being Board

5. Living in Richmond Borough  Greenest borough in London – over 200 sports clubs and 130 council managed parks and open spaces  Life expectancy among the highest in the country  Lowest levels of inactivity in London (20%) There are some issues:  1,500 primary school aged children are very overweight  Nearly half (47%) of adults are overweight or obese

6. Fact or Fiction? 1. Starchy foods, such as bread and potatoes, are fattening 2. Sugar is dangerous to our health 3. Although we should be cutting down on fat, this does not include olive oil 4.Oily fish protects against heart attacks

7. Fact or Fiction? 5.A regular intake of berries and other fruit and vegetables protects against heart disease, stroke and some cancers 6.Organic food is more nutritious than non- organic food 7.Exercise means going to the gym

8. Starchy foods and sugar  Starchy foods on their own are not fattening  Half of our daily energy intake – starchy foods  Base our meals around starchy foods  Distinction between extrinsic and non-extrinsic sugars  Sugar - empty calories if eaten alone  Check food labels - ingredients list

9. Types of fat in the diet  Saturated fat & hydrogenated vegetable oil raise cholesterol levels  Mono-unsaturates - olive and rapeseed oils lower cholesterol levels (LDL)  Polyunsaturates – 2 types: Omega 3 and 6 Omega 3 - oily fish Omega 6 - sunflower oil lower cholesterol levels (HDL and LDL)  Read food labels

10. Oily fish  Contains Eicosapentanoic (EPA) & Docosahexanoic (DHA) fats - omega 3  Heart health – gives protection from heart disease  Brain development during pregnancy  Joints – can help to reduce joint stiffness  1-2 portions of fish a week (one portion – oily)

11. Fruit and vegetables  Free radicals (pollution, cigarette smoke etc.) attack the cells in your body causing cell damage  Antioxidants fight free radicals that cause cell damage  All fruit and vegetables contain antioxidants, aim for 5 portions a day

13. Organic food  Climate and animal friendly food production  No scientific evidence that organic food is more nutritious  Freshness, storage conditions, crop variety, soil conditions, weather conditions and how animals are fed all affect nutrient content  Food safety issues & pesticide levels are strictly controlled in both standard and organic farming – do not exceed safe levels  Actual foods eaten are more important e.g. organic biscuits are still unhealthy

14. Keeping physically active  Build it into your daily routine  Adults – aim for 150 minutes moderate intensity activity in bouts of 10 minutes or more  Moderate intensity e.g. cycling and brisk walking  Children – 60 minutes a day  Benefits are huge – video clip

15. Health promotion video (access online from Youtube): Benefits of physical activity - 23 and a half hours http://www.youtube.com/watch?v=aUaInS6HIGo

16. Where you can find more information  Factsheets produced by the British Dietetic Association www.bda.uk.com/foodfacts/  NHS Choices www.nhs.uk/livewell/pages/  Change4Life campaign sign up www.nhs.uk/change4life/pages/  LiveWell Richmond – 0208 487 1745 www.live-well.org.uk/richmond/  Public Health Annual Report 2013 http://www.richmond.gov.uk/public_health_annual_report

17. Mike Hughes Health Improvement Manager Hounslow and Richmond Community Healthcare NHS Trust

18. Health and wellbeing: Our services Services in Hounslow: Healthy Lifestyles Programme Health Promotion Services (Hounslow) Hounslow Stop Smoking Services Services in Richmond: LiveWell Richmond. Services in Ealing: Ealing Healthy Lifestyles Programme Services in Sutton and Merton LiveWell Sutton and Merton & Stop Smoking Services

19. Find out more and contact details: Website: www.hrch.nhs.uk/health-and-wellbeing www.hrch.nhs.uk/health-and-wellbeing Contact details: LiveWell Richmond: 020 8487 1745 LiveWell Sutton: 020 82510 606 LiveWell Merton: 020 82510 606 Hounslow Health and Wellbeing Service: 020 8630 7511 Ealing Healthy Lifestyle: accessed though a Ealing GP following a NHS Health Check

20. Follow us on social media for the latest updates: @LiveWellSupport – LiveWell Twitter page for Richmond residents @HealthyHounslow – Hounslow Health & Wellbeing Twitter page @HRCH_NHS_Trust – Hounslow & Richmond Community Healthcare Twitter: Facebook: /livewellrichmonduk – LiveWell Richmond /healthyhounslow – Hounslow Health & Wellbeing /hounslowandrichmondnhs – HRCH NHS Trust

21. Any questions?