Fighting the Obesity Epidemic in the UK

Obesity in the UK is proving to be a huge strain on the NHS, as individuals tend to have multiple comorbidities associated with being overweight. Bariatric surgery has been found to be an effective way of managing the financial strain by reducing the incidence of comorbidities in individuals’ post-surgical weight loss. Factors such as Human Rights Law, the NHS constitution and the Bioethical principals for good practice point to the benefits for all morbidly obese patients to be provided with bariatric surgery, however there are further opinions to suggest this is only treating the symptom and not the cause.

Obesity is an increasing issue in modern society. It has been deemed an ‘epidemic in the developed world’ and statistics (from Public Health England) show obesity in the United Kingdom has been on the rise for many years, with currently 61.9% of men and women being obese or overweight. In England alone, 1 in 4 adults (age 16 years or over) are currently obese – (25.6%) - placing more than half the adult population overweight or obese (HSE, 2014). This growing problem in developed countries is responsible for thousands of deaths each year due to a number of contributory factors.

Childhood obesity has been increasing over recent years (Atay & Bereket, 2016). Kings Fund (2016) has shown a link to the lower socio-economic areas. Furthermore, World Health Organization [WHO] (2016) has recognised childhood obesity as a public health issue. Childhood obesity is the contemporary public health issue that is going to be explored throughout this assignment. Epidemiology will justify the reasoning as to why childhood obesity is a public health issue. A health promotion initiative designed to target obesity and the population’s health and wellbeing will be evaluated using Tannahills Model of Health Promotion (Tannahill, 2008). The health promotion initiative chosen is ‘Change 4 Life’ (Department of Health, 2011).

In 2015, 15% of children between the ages of 2 to 15, in Scotland, were at risk of obesity, in relation to their Body Mass Index (Scottish Health Survey, 2015). For children, the BMI ranges changes as they grow and get older, as well as being dependent on gender. For example, if a 12 year old boy and a 9 year old boy have the same BMI, and the 12 year old is classed as healthy, it doesn’t mean that subsequently the 9 year old is healthy too. It can, in fact, allude that the younger boy is overweight. Obesity in childhood can lead to a plethora of health issues in later life, and the children are more likely to be obese or overweight in adulthood. The World Health Organisation identified some of the future health outcomes of being obese in childhood. These include cardiovascular diseases, diabetes, musculoskeletal disorders, such as osteoarthritis, and in the worst case; death. WHO has estimated that, globally, over two million people die annually from health problems associated with being obese or overweight (WHO, 2016). There are several contributing factors to a child’s weight, including; parental weight and activity level, geographical location and deprivation.

The campaign we will be presenting is about obesity. In Sandwell, especially Smethwick; the number of children who are considered obese is 893 and the local value for this number is 25.9 where the England average is 19.0 and England’s worst is 26.5 ( as you can see the Sandwell figure is very close to England’s worst). These children are much more likely to develop health problems

Childhood obesity is becoming more prevalent in the western world as statistics show that in Australia, one quarter of children are either overweight or obese. (Australian Bureau of statistics)

“During the past two decades, the prevalence of obesity in children has risen greatly worldwide. Obesity in childhood causes a wide range of serious complications, and increases the risk of premature illness and death later in life, raising public-health concerns.” (Ebbeling, Pawlak & Ludwig, 2002 p.471) Currently in the Australian community and schools there is an obesity epidemic in young people with many children doing less and less physical activity then advised. “In 2007-08 the National health survey, run by the Australian Government indicated that 24.9% of children aged 5-17 years old were either overweight or obese” (Healthy Active, 2009). These figures show that children are not being properly educated about healthy

The number is alarming with one in five children also believed to be overweight or obese before they start primary school. Childhood obesity is a terrifying issue with many studies showing that childhood obesity is linked to obesity in adolescence and through to adulthood. It has been demonstrated that children with obese parents are more likely to obese themselves, continuing a vicious cycle. These children are presented with many complex health issues and risks, including a reduced quality of life. Every child deserves and has the right to a healthy life that they can get them most out of. These obese and overweight children deal with an increased risk of ?CVD?, they often experience asthma and/or wheezing and are continually presented with mental health risks due to poor self esteem, body image or

I have found from my research that child obesity is a major issue in Wales and more so, America. There needs to be drastic changes to try solve this problem, yet there doesn’t seem anyone/any organisation big enough to do so. However, there are small changes over world that I have noticed, such as schools taking out more fatty foods and bringing in new healthy options to take there place. This started with Jamie Oliver going round Britain looking at school dinners and then giving the children a new healthy option. Also from my research I have found that in both America and Wales the main cause seems to be an unhealthy diet combined with a lack of exercise. High-calorie foods such as chocolates, sweets and fast food are cheap and readily available to children. Alongside this, physical activity and exercise are no longer a part of most children's days - some children never walk or cycle to school or play sport. Instead, many of them

Public health issue refers to a health issue that affects the populations as a whole and its financial burden to the society. Childhood obesity is a major public health issue that has impacted the public population health and the cost to prevent and control it. The primary concern deals with obese children growing into obese adults in the future posing an increase in health care cost to obese related health conditions. Strongly linked to mortality and morbidity in adulthood, childhood obesity can cause low self-esteem, eating disorders, negative body image, asthma, diabetes, cardiovascular health factors and decreasing the quality of life (Thorpe, et al., 2004). Social determinants of health impact the risk behaviors of childhood obesity from diet and built environment. At the family level, examples of both determinants can be seen in changes to family structures, socioeconomic status, and perceptions and attitudes toward health and nutrition. Children spend most of their time in a school setting, so school setting changes have been made to nutritional and physical activity policy, physical education equipment, and the sales if unhealthy food and drinks.

The specific health promotion topic in this paper is childhood obesity. Obesity is defined as a body mass index equivalent or greater than 95th percentile of a child's body weight. Obesity identifies biologically those children who will later in life develop comorbidities, such as cardiovascular diseases, diabetes and muskoskeletal problems. This health promotion topic is chosen because of the recent epidemics and prevalence of childhood obesity. The prevalence of obesity in childhood is a big concern because of its adverse consequences in the short and long term. According to World Health Organization (WHO), the rise in childhood obesity for the past ten years has been very alarming. It was noted that Overweight and obesity now rank as the

Obesity is a health crisis amongst children and young people, which arises when there is a shortage in energy outflow and greater consumption of energy from food and drink; thus a build-up of excess fat is a result of this which indicates a risk to health (WHO,2015). Contributing factors increase in childhood obesity such as the availability of cheaper higher calorific food and physical inactivity (Marmot 2010). In addition the correlation between poor diet and obesity is evident from the figures released by the National Child measurement programme, which states that 22% children in year one in primary school are overweight or obese (Nutrition and Food Science 2011). Moreover, plummeting obesity in children is fundamental, as overweight or obese children are more likely to become obese adults (Bhadoria et al 2015) (Marmot,

There is also continued increase in the proportion of children at risk of being overweight (Puhl & Latner, 2007). Childhood and adolescent obesity and overweight trend increased considerably between 1999 and 2004. However, the trend seemingly leveled between 2005 and 2006, and then surged in subsequent years. In 2008, the estimated obesity prevalence rate among children and adolescents of 2-19 years of age was 16.3 percent and overweight prevalence rate was 31.9 percent (Fleming et al., 2008). In 2010, it was estimated that 38 percent of children in the European Union and 50 percent of children in North America were overweight. This dramatic increase in childhood obesity is likely to have considerable long-term impact for economics and public health. If not reversed, the public health obesity toll is likely to continue rising as children and adolescents enter adulthood and start experiencing delayed and usually life threatening obesity complications (Fleming et al., 2008). In addition, there is increasing concerns regarding the vulnerability of many children to the adverse emotional and social obesity consequences. The effects of some of these consequences may be immediate with undesirable health outcomes and potentially lasting effects (Puhl & Latner, 2007). Childhood obesity is specifically problematic because it is not only linked to various comorbid physical and psychological problems but also adult obesity predictors and mortality risk factor (Werthmann et al.

Childhood obesity is a medical condition defined as abnormal or excessive fat that can cause short and long term health problems to children (National Health and Medical Research Council [NHMRC], 2013). The obesity epidemic is recognized worldwide and is a fast growing concern for Australians; data from The OECD Health Data 2010 shows Australia’s obesity rate of 25% is similar to the United Kingdom and below the United States 34%, Mexico 30% and New Zealand 27% (Australian Institute of Health and Welfare [AIHW], 2010).

I write to you today in order to urge you to do more about the rising problem of childhood obesity. Until now, Australia has completely underestimated the role and scale at which obesity is at work in our country, not only with our adults, but also, and especially, with our children. From 1985 to 1995, we witnessed a large increase in the number of obese 5-6 year olds alone, from boys jumping from 10.7% to 20.5% and girls from 11.8% to 21.1%. Between 1995 and 2007-8 there was only a slight increase from 21% to 22%. In 2011-12 the number was 26%. Many statistics show that from 1996 onward, the childhood obesity rates in 5-6 year olds have plateaued. However, this does not mean Australia is doing enough. While there has been only slight increases over the years and nearly unnoticeable change, the rates remain high and cause concern, and therefore must be addressed accordingly.