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Obesity: statistics, economics, politics Obesity: statistics, economics, politics

Obesity: statistics, economics, politics - PowerPoint Presentation

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Obesity: statistics, economics, politics - PPT Presentation

Assumptions The NHS is increasingly struggling but the principle of universal access to care is a good thing O besity and diabetes are increasing over time Will present some statistics on obesity ID: 618761

health obesity england survey obesity health survey england bmi adult aged adults prevalence 30kg rights source database crown males

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Slide1

Obesity: statistics, economics, politicsSlide2
Slide3

Assumptions

The NHS is increasingly struggling, but the principle of universal access to care is a good thing.

O

besity and diabetes are increasing over time

Will present some statistics on obesity

In 2011, NHS

annual spending on diabetes

was £

9.8

billion

Diabetes spending expected to increase to

£16.9 billion over the next 25

years. This would mean

17

% of its entire budget on

diabetes

.

(Diabetes UK)

These are problems that need to be addressedSlide4

(Sturm et al 2002)

Obesity and SmokingSlide5

Health Costs of Extreme Obesity

Table:

Class III obesity (BMI of >40 kg/m2

)

associated with an increased rate of death.

Heart disease, cancer, and diabetes

are responsible

for most of the excess deaths among people with class III obesity

By comparison, cigarette

smoking

associated with an estimated 8.9 y of life lost (95% CI: 8.6–9.3).

Kitahara

et

al (2014) Slide6

Economic Costs

In

2006-7, costs to NHS (Scarborough et al, 2011):

Smoking £3.3

billion

Alcohol £

3.3

billion

Overweight

and obesity

£5.1 billion. Slide7

1993-1995

Males

Females

© Crown copyright and database rights 2012 Ordnance Survey 100020290

Adult obesity: BMI ≥ 30kg/m

2

Prevalence of obesity in adults (aged 16+)

Source: Health Survey for EnglandSlide8

1995-1997

Males

Females

© Crown copyright and database rights 2012 Ordnance Survey 100020290

Adult obesity: BMI ≥ 30kg/m

2

Prevalence of obesity in adults (aged 16+)

Source: Health Survey for EnglandSlide9

1998-2000

Males

Females

© Crown copyright and database rights 2012 Ordnance Survey 100020290

Adult obesity: BMI ≥ 30kg/m

2

Prevalence of obesity in adults (aged 16+)

Source: Health Survey for EnglandSlide10

2000-2002

Males

Females

© Crown copyright and database rights 2012 Ordnance Survey 100020290

Adult obesity: BMI ≥ 30kg/m

2

Prevalence of obesity in adults (aged 16+)

Source: Health Survey for EnglandSlide11

2002-2004

Males

Females

© Crown copyright and database rights 2012 Ordnance Survey 100020290

Adult obesity: BMI ≥ 30kg/m

2

Prevalence of obesity in adults (aged 16+)

Source: Health Survey for EnglandSlide12

2004-2006

Males

Females

© Crown copyright and database rights 2012 Ordnance Survey 100020290

Adult obesity: BMI ≥ 30kg/m

2

Prevalence of obesity in adults (aged 16+)

Source: Health Survey for EnglandSlide13

2006-2008

Males

Females

© Crown copyright and database rights 2012 Ordnance Survey 100020290

Adult obesity: BMI ≥ 30kg/m

2

Prevalence of obesity in adults (aged 16+)

Source: Health Survey for EnglandSlide14

2009-2011

Males

Females

© Crown copyright and database rights 2013 Ordnance Survey 100016969

Adult obesity: BMI ≥ 30kg/m

2

Prevalence of obesity in adults (aged 16+)

Source: Health Survey for EnglandSlide15
Slide16

Change4Life

Change4Life Campaign

is the

social marketing

part of the Healthy Weight, Healthy

Lives cross

-governmental strategy for England.

Social marketing attempts to convince individuals to follow their suggestions

Spent £25

million

per yearTargets: Logo recognition and awareness at 88%

(how many people do you think recognise the logo of Coca-Cola?)How much does Coca-Cola (only 1 company) spend?

£2.13billion

spent globally in 2011Slide17

Industry ‘Self-Regulation’

Department of Health: An update on the government’s approach to tackling obesitySlide18

Traffic Light Labels

Green, amber, red for good, okay, bad

Better information for consumersSlide19

‘Choose Choice’?

https://www.youtube.com/watch?v=jEyzfhkbF-

8

Choosing choice rather than choosing intervention, choosing health.

Choice implicitly means nonintervention.

We are not talking about choices, we are talking about abnegation of governmental control and responsibilitySlide20

Public Health or Ideology?

A future vision for the

NHS: ‘Patients and citizens will also need to play a greater part in the health system;

they can start by taking prevention seriously

(

Lancet

:

Sood

, 2014)

‘In line with the Government’s core values of freedom, fairness and responsibility…we will favour interventions that equip people to make the

best possible choices for themselves, rather than removing choice or compelling change’Hands-off approach to industry: UK

Govt

Responsibility Deal has pledges that

businesses are encouraged to sign up toSlide21

Closing

Why

have 2

decades of knowledge and policy

failed?

Should Health be

marketised

?

Citizens as

consumers

Attempts to de-politicise the public realm: ‘we just can’t afford it’

Discursive effectSlide22

References

Gatineau M, Hancock C, Holman N,

Outhwaite

H,

Oldridge

L, Christie A, Ells

L (2014) Adult

obesity

and type

2 diabetes. Oxford: Public Health

England.

Kitahara

CM et al (2014) Association between Class III Obesity
(BMI of 40–59 kg/m2) and Mortality: A Pooled Analysis of 20 Prospective Studies. PLOS Medicine; Vol. 11, Issue 7.

Scarborough

P,

Bhatnagar

P,

Wickramasinghe

K,

Allender

S, Foster C, Rayner M (2011) The

economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006–07 NHS

costs.

J Public Health; Vol

. 33, No. 4:

527-535

.

Sood

S

,

Maruthappu

M, Keogh B (2014) A

future vision for the NHS: the case for

change.

Lancet

; Vol. 384

, No.

9954: 1551

1552.

Sturm

, Roland and Kenneth B.

Wells (

2002

) The

Health Risks of Obesity: Worse Than Smoking, Drinking or Poverty. Santa Monica, CA: RAND

Corporation.

http://

www.rand.org

/pubs/

research_briefs

/RB4549

.