Transcript Document

Supporting Healthy Weight Services
Emma Parker
Public Health Project Manager
Public Health Directorate
Objectives
• To speed date the issue of weight in
Medway,
• To raise awareness of current services
available to families,
• Review how practitioners can raise the
issue of weight
What’s the Issue with
Weight?
National Child Measurement Programme 2012/13
Prevalence of excess weight among children
One in five children in Reception is overweight or obese (boys 23.2%, girls 21.2%)
One in three children in Year 6 is overweight or obese (boys 34.8%, girls 31.8%)
Child overweight (including obesity):
BMI ≥ 85th centile of the UK90 growth
reference
Obesity prevalence and deprivation
National Child Measurement Programme 2012/13 – Year 6 children (aged
10-11 years) Local Authorities in England
30%
y = 0.003x + 0.1241
Obesity prevalence
25%
R² = 0.57
20%
15%
10%
5%
0%
0
5
10
15
20
25
30
Index of Multiple Deprivation 2010 score
(High score = more deprived)
35
40
45
50
Inequalities Gap in Child Obesity is widening
Children in Reception (aged 4-5 years)
14%
2006/07
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
12%
Obesity prevalence
10%
8%
6%
4%
2%
0%
Least
deprived
Index of Multiple Deprivation (IMD 2010) decile
Most
deprived
NCMP Local Authority Area Profile
http://fingertips.phe.org.uk/profile/national-child-measurement-programme
Services to Support
Medway Families
Supporting Healthy Weight Team
• Adult Services
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Tipping the Balance
Exercise Referral Service
Let’s Talk about Weight
Active Travel
• Infant and Children Services
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Medway Breastfeeding Network
Mend 2-4
Mend 5-7
Mend 7-13
Fit Fix
Community Food Programme
National Child Measurement Programme
• Legal requirement to carry out measurements in year R and
year 6
• Year R is carried out by School Health
• Year 6 is carried out by the Supporting Healthy
Weight Team
Proactive Follow-up
• Raises parental awareness of child’s health status
through our follow-up telephone calls
• Every child above 91st BMI centile receives a
telephone call from our Change4life helpline
Change4life 1-2-1 Programme
• 3 months personalised 1-2-1 support for families
• Available for children above a healthy weight for their
age
• Pre and post healthy growth checks
• Family sets their own goals
• Weekly texts and emails
• Upon completing 3 months, free 3 month family swim
pass
• Referral through Health Professional or self referral
through change4life helpline
What is MEND?
• MEND is comprehensive, family–based education
programme that has been specifically designed to
help families live a healthier lifestyle.
• MEND was designed by leading experts from the
Institute of Child Health, Great Ormond Street
Hospital for Children and the University College,
London.
• Age specific programmes: 2-4, 5-7, 7-13.
• In Medway, Mend 2-4, 5-7 and 7-13 are being run.
MEND 2-4
M(ind)E(xercise)N(utrition)D(o it!)
• A healthy lifestyle programme
• Families with 2-4 years olds
• NO weight criteria
• NOT a diet
Mend 2-4 Structure
• 10 Weeks (Break for Holidays)
• 1 ½ Hour Sessions
• Run in partnership with Children’s Centres
MEND 5-7
M(ind)E(xercise)N(utrition)D(o it!) 5-7
• Community based, family intervention for children
above a healthy weight (above 91st BMI centile)
• 10 week programme (1hr45 once a week)
• 15 mins snack time (food exposure technique & peer
learning)
• 30 mins family play (being active together)
• 45mins parental workshop / children’s activities
• Programmes are run in school settings
Mend 7-13
• Specifically designed to prevent and treat children
aged between 7-13 years old who weigh more than
they should at their age.
• MEND is not a diet and does not encourage rapid
weight loss.
• The principles of MEND aim to help families to adopt
a healthy lifestyle and to lose weight naturally.
• Meets NICE recommendations for weight services for
children
Structure of Mend 7-13
• 10 week programme
• 2 x 2hour sessions per week.
• 2 Measurement sessions
• 2 Theory sessions per week (total 18 sessions)
• 2 Activity sessions per week (total 18 sessions)
• FREE!
• Family packs for every child
What does the Mend Programme aim for
families to achieve from the programme?
• Learn how to lead a healthy balanced lifestyle.
• Making families aware of the healthier options
available to them when shopping, eating out and at
parties.
• No food is forbidden.
• How to encourage your children and your family to
become more active.
MEND Graduates Scheme
• Monthly Activities
• Game based Activities
• Linked to local sports clubs
• Summer Schemes
• Healthy Grow Checks every 3 months
• Attendance gives accesses free 6-week courses
(e.g. badminton, street dance)
• Family Discount Card (discounts at clubs, shops,
leisure activities)
Community Food Programme
• Medway Cooks!
• Free 6-week cookery groups (2 hour sessions)
• Healthy eating workshops (2 hour introductory
sessions)
• Med Cooks! recipe collections (resident based
recipe sharing)
• Medway Grows
• Master Gardener Project (20 expert gardener
volunteers supporting local households)
• Medway Dines
• Eat Out Eat Well Award with Environmental Health
Fit Fix Scheme
• A community based healthy lifestyle course aimed at improving
the health and well-being of young people
• 6-week health and well-being sessions based on units from
National Open College Network Level 1 Personal Well-being
qualification.
• Completion of portfolio achieves accredited units.
• 6-week cookery course.
• Weekly group activity sessions (circuits & Zumba)
• Fortnightly personal training sessions.
• Quarterly health assessments for following 9 months.
• Attendance activates 3-month free gym membership.
Talking About Weight
What’s this to do with me?
Stages of Change Model
(Prochaska & diClemente, 1984)
Talking about Weight
• Families do not seek help if they feel there is not a
‘problem’
• Carrying excess weight is not seen as a ‘problem’
• Research has highlighted that many parents cannot
recognise when their children are overweight
• Q. Why is poor parental awareness so common?
Talking About Weight:
Group discussions
• Q. Why is it so difficult to talk openly about weight?
• Q. Would you raise the issue of weight?
• If yes, why? How would you do this in a helpful way –
what questions would you ask?
• If no, why not? Would you do anything else instead?
Assessing Readiness to Change
• Has the child expressed any concerns about their
weight or shape?
• Has the child been teased about their weight or
shape?
• Do any family members have concerns about the
child’s weight?
• How important is weight management at the
moment?
• What elements of the family’s lives need to change in
order to tackle the problem?
For Those Not Ready to Change
• Explore reasons
• Investigate ways to increase motivation:
- Potential associated symptoms (sweating,
exercise, intolerance, peer pressure, bullying)
• For those not ready to change, ensure they are given
every opportunity to come back (or be referred when
ready)
Tools to Help
• Try to use measurements as a guide rather than
judging by eye
• NHS Choices BMI calculator www.nhs.uk
• If child is in year R or year 6, ask about NCMP results
• Assess readiness of family
• Ask about whether weight is an issue for family or
use other healthy lifestyle topics
• CAF useful talking tool to encourage action
• Change4life helpline is happy to discuss options with
families 01634 333 781
Thank you
Are there any questions?