Healthy Lifestyles Doncaster

Telephone Free 0800 917 6264

3rd March 2015

What I hope to coverWho we areWhat does the service offerWhy do we need ‘Healthy Lifestyles – Doncaster’Why does being heavier than the recommended weight

for height matterHow can you encourage people to access help

Who are weDietitians

Healthy Lifestyle Advisors /Community Food Educators

Senior Physical Activity Development Officer

Physiotherapist

Cognitive Behavioural Psychotherapist

Tier 1Universal

Interventions

Tier 4Surger

y Tier 3

Specialist Weight Management Services

(MDT)

Tier 2 Lifestyle Services

Doncaster Obesity PathwayBariatric surgeryOnly offered to children over 12 in exceptional circumstances

Multi-disciplinary team

Multi-component weight management service

Environmental and population wide initiatives.

Pre-op assessment

Specialist assessment

Identification and primary assessment

Prevention, reinforcement of healthy eating and physical activity messages

Tier 1 – Support in SchoolsThe School Food PlanNutritional Standards for schools meals –

Food other than lunchTalks in SchoolsSupport with food policy/sourcing resourcesTraining Programme/Bespoke Schools

TrainingHow to run a cooking club

To book a place contact: 01302 366666 ext.3711

Tier 2 - Healthy Weight Solutions • Healthy lifestyle programme• BMI ≥25Kg/m2

• Age ≥18 years• 12 weeks• FREE

Venue Date TimeDRI – Learning Library Wednesday 15th April 5:30-6:30pm

Bentley MyPlace Thursday 16th April 10:00-11:30am

Central Children’s centre Thursday 16th April 

10:00-11:30am

Rossington Parish Memorial Hall Friday 17th April 10:00-11:30am

To book a place contact: 01302 366666 ext.3711

0800 9176264

• NHS staff• Variety of times and venues• Long term goals• Lifestyle Changes

Healthy Lifestyles Doncaster – How does it workAnybody can refer into the service

Individual referred or their representative contacted and arranges initial appointment at a time and venue to suit them ( including outside school hours).

If they do not wish to access the service a letter will be sent to their GP, and referrer (if known )

What is availableFollowing initial appointment people are supported to

access what they need including

Group - education, activity, psychotherapy, chronic condition management

One to one support / advice , face to face , on line and via telephone.

Over nutrition an issue for many of the populations on our planet

Over nutrition an issue for many of the populations on our planetOvernutritiona condition of excess nutrient and energy intake over

time. Overnutrition may be regarded as a form of malnutrition when it leads to morbid obesity.

feeding, particularly calories, in excess of requirements; leads to obesity, rapid weight gain, and developmental skeletal abnormalities.

Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier.

Locally - OvernutritionIn Doncaster there are more adults than the England average

who are overweight and obese.

Almost a quarter (22.1%) of children aged 4-5 years and over a third (33.6%) of children aged 10-11 years are overweight or very overweight.

Taken from Doncaster Council website updated 12th February 2015

National Child Measurement Programme 2013/14The National Child Measurement Programme (NCMP) measures

the height and weight of school children in reception and Year 6 in England every year, which helps in establishing the prevalence of child obesity. In 2013/14:19.1% of children in Year 6 (age 10-11) were obese.A further 14.4% in Year 6 were overweight.9.5% of children in Reception (aged 4-5) were obese.A further 13.1% in Reception were overweight.This means a third of those aged 10-11 and over a fifth of

those aged 4-5 were overweight or obese.

What do we see as healthy

Possible health consequences

Possible health consequences

How to raise the issue - AdultsThese are the kind of open questions that might be asked to adults

Are you worried about your weight

Are you worried about your health and how your lifestyle might be affecting this

Do you have difficulties getting about or doing activities you want to because of your weight or because of health problems you might have

Do you feel low in mood, or suffer from low self esteem because of your weight

How to raise the issueStudies have shown that parents often have an incorrect

perception of their child's weight.[Doolen J, Alpert PT, Miller SK; Parental disconnect between perceived and actual weight status of children: a metasynthesis of the current research. J Am Acad Nurse Pract. 2009 Mar;21(3):160-6. doi: 10.1111/j.1745-7599.2008.00382.x.

http://www.nhs.uk/Tools/Pages/Healthyweightcalculator.aspx

"Puppy fat" is a common excuse. Endocrine causes for childhood obesity are rare. It is worth stressing that obesity is a clinical term with health implications rather than just the way somebody looks.

How to raise the issueThe issue may be raised:1. If the family expresses concern about the child's weight. Try: "We

can measure [child's] weight and see if he or she is overweight for his or her age.“

2. If the child has weight-related comorbidities. Try: "[Condition] can sometimes be related to a child's weight. I think we should check [child's] weight.“

3. If the child is visibly overweight. Try: "I see more children these days who are a little overweight. Could we check [child's] weight?"

How to raise the issue-This may be the first time that weight has been raised with

the family. It is a time to be reassuring and supportive. "By taking action now, we have a chance to improve [child's] health in the future.“

It can be a delicate issue to raise with a parent and this may mark the (good or bad) start to a long therapeutic period.

http://www.patient.co.uk/doctor/obesity-in-children

Contact usPublic Health Dietitians

01302 366666 ext 3711 dietitians@dbh.nhs.uk

Healthy Weight Solutions

Healthy Lifestyles Doncaster Referrals 0800 9176264

HealthyLifestyles@dbh.nhs.uk Healthy Lifestyles Doncaster

Questions