Transcript Obesity in Aberdeenshire: do we need to worry? - Kim - HI-Net

Obesity In Aberdeenshire,
Do we need to worry?
Kim Penman
Senior Health Improvement Officer
Overweight / Obesity
Prevalence in Adults
Scottish Household Survey
BMI distribution (%) in adults 2008-09
Scotland
33.5 32
37
37.7
Shire
City
40
36
24.7 24 24
1.8 2
2.3 2
0
Underwt
Normal
Overweight
Obese
2
very obese
Scottish Health Survey
Men within healthy weight range (2008-09)
70
60
50
40
30
20
10
0
16-24
25-34
35-44
Scotland
45-54
Aberdeenshire
55-64
City
65-74
75+
Scottish Health Survey
Women within healthy weight range (2008-09)
70
60
50
40
30
20
10
0
16-24
25-34
35-44
Scotland
45-54
Aberdeenshire
55-64
City
65-74
75+
Scottish Health Survey
Overweight / Obesity
Prevalence in Children
• STONES Research P1 children
Changes in child overweight and obesity
prevalence over time (Grampian)
Peterhead
F'burgh
Turriff
Meldrum
Banff
Kemnay
Portlethen
Mintlaw
Westhill
Ellon
Inverurie
Mackie
Mearns
Alford
Banchory
Aboyne
Total % overweight P1 children 2004-2009
16
14
12
10
8
6
4
2
0
4.0
3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0
Turriff
Mintlaw
F'burgh
Banff
Kemnay
Peterhead
Alford
Meldrum
Aboyne
Portlethen
Mearns
Ellon
Inverurie
Banchory
Mackie
Westhill
% obese in CSN
% Obese P1 Children 2004-2009
Consequences of Obesity?
The Route Map 2010.
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Hypertension
Osteoarthritis
Dyslipidemia
Type 2 diabetes
CHD
Stroke
Gallbladder disease
Sleep apnea / respiratory
problems
Indigestion
Venous thrombosis
Asthma
Caner of the colon, rectum,
prostate, endometrium, breast
and ovary
Low back pain
Pregnancy & childbirth
complications
Psychological health
• In 2007 obesity cost NHS
Scotland over £175 million
(£48m – type 2 diabetes, £38
hypertension)
• Estimated NHSS overweight &
obesity costs £312m.
• 25% lower probability of being
in employment if BMI >30.
• Those with BMI >30 have 51%
higher short & long term
sickness absences
• In 2007 estimated 3394 deaths
and 4480 years of working life
lost in Scotland attribute to
obesity.
• In 2007 Scottish ambulance
service adapted 63 vehicles
costing £189,000.
Have our Perceptions
of Overweight / Obesity
Changed?
mapping images of weight
group 1
Perth
primary
group 2
Arbroath
secondary
group 3
Dundee
secondary
“normal”
group 4
Dundee
primary
4 areas likely to have the greatest
impact on obesity prevention:
• Energy consumption – controlling exposure to, demand for and
consumption of excessive quantities of high calorific foods and
drinks
• Energy expenditure – increasing opportunities for and uptake of
walking, cycling and other physical activity in our daily lives and
minimising sedentary behaviour
• Early years – establishing life-long habits and skills for positive
health behaviour through early life interventions
• Working lives – increasing responsibility of organisations for the
health and wellbeing of their employees
Reduced inequalities in premature
mortality due to obesity-related disease
Majority of Scotland’s population in normal
weight range throughout adult life
Reduced energy
intake
Increased energy
+
expenditure
Awareness, knowledge, skills,
empowerment
Changed media & social
norms
Exposure to energy dense
food and drink
Early Years
Improved physical activity
environments
Workplaces
e.g. outcomes related to service delivery, LAs,
3rd sector, communities, NHS
Route Map
aim
Individual
behaviours
Social,
economic &
physical
environments
• It is an up hill struggle
• But we have directions
• Can we together make a difference in
Aberdeenshire?