the national obesity observatory
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The National Obesity Observatory. Dr H a rry Rutter Director, National Obesity Observatory. NOO aims to:. Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants. - PowerPoint PPT PresentationTRANSCRIPT
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The National Obesity ObservatoryDr Harry RutterDirector, National Obesity Observatory
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NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
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NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
![Page 4: The National Obesity Observatory](https://reader036.vdocument.in/reader036/viewer/2022062301/568148c2550346895db5e0d3/html5/thumbnails/4.jpg)
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
![Page 5: The National Obesity Observatory](https://reader036.vdocument.in/reader036/viewer/2022062301/568148c2550346895db5e0d3/html5/thumbnails/5.jpg)
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
![Page 6: The National Obesity Observatory](https://reader036.vdocument.in/reader036/viewer/2022062301/568148c2550346895db5e0d3/html5/thumbnails/6.jpg)
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
![Page 7: The National Obesity Observatory](https://reader036.vdocument.in/reader036/viewer/2022062301/568148c2550346895db5e0d3/html5/thumbnails/7.jpg)
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
![Page 8: The National Obesity Observatory](https://reader036.vdocument.in/reader036/viewer/2022062301/568148c2550346895db5e0d3/html5/thumbnails/8.jpg)
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
![Page 9: The National Obesity Observatory](https://reader036.vdocument.in/reader036/viewer/2022062301/568148c2550346895db5e0d3/html5/thumbnails/9.jpg)
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
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…to support policy makers and practitioners involved in tackling obesity and related issues
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Positioning
• Public Health Observatory
• Part of APHO
• Based alongside SEPHO
• NHS organisation
• Academic links
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Healthy Weight, Healthy Lives(Jan 2008)
National Obesity Observatory commissioned to support the strategy in six key areas
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Six key areas
• Data and evidence
• Surveillance
• Data analysis
• Evaluation guidance
• International links
• Support Expert Panel
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Authoritative source of data and evidence on obesity, overweight and their determinants
• Compare IOTF, WHO, UK 90 approaches:options paper and consensus workshop
• Map data, evidence, policy • Consult on user needs (and meet them!)
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Co-ordinate surveillance onobesity and overweight
• Advise onNational Child Measurement Programme (NCMP)
• Advise on other surveillance activities
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Analyse surveillance and indicator data
• Detailed report on the NCMP 2007/08(complementing IC report)
• Wide range of other analyses and analytical tools in due course
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Provide guidance on assessing and evaluating pilots and demonstration sites in England
• Develop standard evaluation criteria and guidance
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International best practice and links with key international and other supranational bodies
• Participate in UK, EU and international networks on obesity and related issues– PREVOB– HOPE– ALPHA– HEPA Europe– WHO/CDC/IOTF etc– Being here!
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Provide technical support to the Expert Panel
• Technical papers, guidance, etc
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Not forgetting…
• Links to research agenda
• Support to other national strategies
• Develop Foresight systems map
• Academic links
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www.noo.org.uk
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What are the population attributablefractions of the modifiable causal riskfactors for obesity and what can be done to address them?
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What are the population attributablefractions of the modifiable causal riskfactors for obesity and what can be done to address them?
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What are the population attributablefractions of the modifiable causal riskfactors for obesity and what can be done to address them?
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Source: Foresight - Tackling obesities: future choices - http://www.foresight.gov.uk/Obesity/Obesity_final/Index.html
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Foodenvironment
Foodconsumption
Physicalactivity
Activityenvironment
Obesity
Individual
Psychology
Societalinfluences
Biology
Source: Foresight systems map, 2007
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Will Lehman Brothers have a posthumous impact on obesity?
If so, what?
How would we know?
What could wedo about it?
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NCMP
• Records height, weight, age, sex, ethnicity, postcode
• Reception and year 6
• Approx 1 million children / year
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Deprivation (IMD 2007) and child obesity (NCMP 2006/07) based on postcode of school (100% completeness)
0%
5%
10%
15%
20%
25%
1 2 3 4 5 6 7 8 9 10
Decile of deprivation (1 = most deprived)
Pre
vale
nce
of
ob
esit
y
Boys 10-11 years
Girls 10-11years
Boys 4-5 years
Girls 4-5 years
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Child obesity prevalence and average height for children aged 10-11 years by ethnic group (NCMP 2006/07)
0%
5%
10%
15%
20%
25%
30%
Bla
ck -
Afr
ican
Bla
ck C
arib
bean
Any
Oth
er B
lack
Bac
kgro
und
Whi
te a
nd B
lack
Afr
ican
Whi
te a
nd B
lack
Car
ibbe
an
Any
Oth
er M
ixed
Bac
kgro
und
Any
Oth
er W
hite
Bac
kgro
und
Whi
te a
nd A
sian
Not
Sta
ted
Pak
ista
ni
Indi
an
Any
Oth
er E
thni
cG
roup
Whi
te -
Brit
ish
Whi
te -
Iris
h
Any
Oth
er A
sian
Bac
kgro
und
No
info
rmat
ion
give
n
Ban
glad
eshi
Chi
nese
Ethnic group
Pre
vale
nce
of
ob
esit
y
144
145
146
147
148
149
150
151
152
Ave
rag
e h
eig
ht
(cm
)
Prevalence of obesity
Average height
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Future possibilities
• Detailed socio-economic analyses
• Ethnicity and height
• GIS analyses
• Ecological analyses
• Pseudonymised linkage
• Longitudinal follow-up
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Establishing common standards
• Co-ordinating routine data
• Common standards across sectors and government departments
• Standard evaluation criteria
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Learning from interventions
• Cycling Cities and Towns - £100 million
• Healthy Towns - £60 million
• Connect2 - £100 million
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Knowledge from experience
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What we cannot speak of we must pass over in silence
Ludwig Wittgenstein
Tractatus Logico-Philosophicus
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Evidence trajectories
Time
Speculation
Num
ber
of in
terv
entio
ns
Evidence-basedinterventions
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Prevalence and incidence of evidence
Time
Num
ber
of s
tudi
es
Prevalence
Incidence
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Knowledge into action
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Conclusions
• Use Foresight map as a template• Consult on priorities• Don’t reinvent the wheel (or buy spares)• Understand this stuff• Interpret and translate this stuff• Disseminate this stuff• Evaluate our effectiveness• Improve…
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