1. The Healthy Weight Challenge Ruth Campbell Consultant Dietitian in Public Health Nutrition

2. Ayrshire Healthy Weight Strategy Aim: to halt the rise in the levels of overweight & obesity among children & adults by 2024

3. Action Plan Awareness, knowledge, skills & empowerment Maternal & infant nutrition Availability & affordability of healthier food & drinks Active travel & active workplaces Built & natural environment Physical activity Weight management

4. Consequences of Obesity Impact on physical & mental health and wellbeing Risk of diabetes, heart disease, hypertension, some types of cancer, musculoskeletal problems Children who are unhealthy weight are more likely to be an unhealthy weight in adulthood

5. Obesity in Ayrshire 190,000 overweight adults 87,000 obese adults 11,600 morbidly obese adults 1 in 4 children in P1 are at risk of overweight & obesity Link between deprivation and obesity

6. Child Healthy Weight

8. Child Healthy Weight Programmes JumpStart – 10 week community, family based treatment programme aimed at children aged 5-15 above a healthy weight MEND (Mind, Exercise, Nutrition, Do-it) – East Ayrshire JumpStart Choices – 8 week whole class, school based, prevention programme Based on healthy eating, physical activity and behaviour change in a fun and engaging way

9. Programme Delivery April 2011 – March 2014: 4,872 children completed a programme, of those, 1,196 children were above a healthy weight 2013/14: 10 JumpStart and 69 JumpStart Choices programmes delivered 1,748 children completed a programme, of those, 434 children were above a healthy weight

10. BMI of children at 27 months Apr13-Mar14 NHS Ayrshire & Arran Number of reviews2971 Number of children measured2322 % children measured78.2 Number at risk of underweight25 % at risk of underweight1.1 Number healthy weight1464 % healthy weight63.0 Number at risk of overweight432 % at risk of overweight18.6 Number at risk of obesity401 % at risk of obesity17.3 Number at risk of overweight and obesity combined833 % at risk of overweight and obesity combined35.9 Source: ISD, CHSP Pre school May 2014 (unpublished)

11. Potential Causes? Maternal obesity Low breastfeeding rates Early weaning Inappropriate use of infant milk formula Inappropriate weaning foods Portion sizes

12. Nutrition pathway for early years Introduction of a universal health visiting timeline: key nutrition messages at specific contacts Development of pathway for children identified as overweight at 27 months MEND 2-4 programme in East Ayrshire Community food work & Jumpstart teams working together on small pilot for North & South