1. Health Survey for England Rachel Craig

2. Health Survey for England Commissioned by the NHS Information Centre for health and social care Conducted by NatCen and UCL 2006 report: Cardiovascular disease 2007 report: Knowledge and attitudes about health Impact of the smoking ban 2008 report: Physical activity

3. 2006 focus: Cardiovascular disease CVD : ever had angina, heart attack, stroke, heart murmur, or irregular heart rhythm, confirmed by a doctor Ischaemic heart disease (IHD): angina or a heart attack confirmed by a doctor Rose Angina questionnaire identifies those who had symptoms of angina, or possible myocardial infarction (heart attack)

4. Cardiovascular disease A leading contributor to the global disease burden Main cause of death in England - but rates falling In 2006 13.6% of men, 13.0% of women diagnosed with CVD Prevalence increases with age IHD or stroke more common in men than women (8.1% and 5.6%)

5. Prevalence of any CVD, IHD or stroke Age 35 and over

6. Prevalence of heart attack: doctor diagnosis and the Rose Angina questionnaire

7. Prevalence of overweight and obesity

8. Physical activity levels

9. Girls aged 11-15: physical activity by parental activity

10. Trends in prevalence of strokes, 1994-2006

11. Trends in child overweight and obesity, 1995-2006 (moving averages)

12. Trends in smoking prevalence 1993-2006 (moving averages)

13. Cigarette smoking prevalence by equivalised household income 2006 (age standardised)

14. Drinking on five or more days last week (age standardised)

15. Eat five or more portions of fruit and vegetables per day (age standardised) Age 16+

16. Eat five or more portions of fruit and vegetables per day Age 5-15

17. HSE 2007 Sample around 7500 adults, and child boost sample Focus on: knowledge and attitudes (adults and children aged 11+) childrens health and lifestyles (obesity) monitoring the effect of smoke free legislation …reporting end of 2008

18. Knowledge and attitudes Important to understand knowledge and attitudes about Healthy eating Physical activity Drinking Smoking Link behaviour and health to knowledge and attitudes Link parental and child knowledge and attitudes …Help to target health messages effectively

19. HSE 2008 Sample around 16,000 adults, and child boost sample Focus on physical activity: Questions on activities, sport and exercise in the last 4 weeks Objective measure of activity Nurse visit includes objective measure of fitness …reporting end of 2009

20. The actigraph Objective measure of physical activity Physical activity monitor worn on a belt Like a pedometer Respondents wear it for 7 days

21. The step test: objective measure of fitness Indicator of health risk independent of obesity Measure of functional aerobic work capacity (Vo2max) Stepping exercise to a set rhythm, getting faster Heart rate recorded while stepping and afterwards

22. An area of exploration: Demi-span For older adults, height can be a difficult measurement How accurate is the formula linking demi-span and true height? Is the relationship the same among younger adults and 65+? How accurately can older adults recall their height when they were aged 25 – peak height?

23. Thank you Questions?