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Barriers to change
What are the barriers to tackling obesity?
RELATED ARTICLES
Explain
⌅
Tackling obesity in the UK
Tackling obesity in the UK☜With concern growing that the Foresight analysis—that 50% of the UK population could be obese by 2050, at an annual cost to the nation of around £50 billion per year [2]—substantially underestimates the scale of the unfolding obesity crisis, the College of Contemporary Health is working with the wider policy community to develop a whole systems map of the obesity crisis and the potential responses.☜F1CEB7
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Barriers to change
Barriers to change☜What are the barriers to tackling obesity?☜FF4888
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Policy process struggles to address multi-factor, systemic problems
Policy process struggles to address multi-factor, systemic problems☜☜FF4888
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Disproportionate financial power and resources of the industrial lobby
Disproportionate financial power and resources of the industrial lobby☜☜FF4888
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Institutional inertia
Institutional inertia☜In most human activity systems a change in the functioning of the whole system requires a significant number of people within the system to change; they may have to change some or all of their habits, behaviour and values. [1]☜FF4888
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Personal resistance to change
Personal resistance to change☜☜FF4888
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Cognitive bias
Cognitive bias☜Cognitive biases are patterns of deviation in judgment, in which inferences about other people and situations are drawn in an illogical fashion.[1]☜FF4888
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Crisis fatigue and despondency about the potential for change
Crisis fatigue and despondency about the potential for change☜With so many issues competing for public attention and resources, the stakeholders associated with each issue can feel systemic pressure to present the impact of their issues, and the urgency of the action required, in as dramatic a way as possible; a tendency that tends to be amplified by the commercial medias attraction to simple and dramatic headlines. This pattern can encourage public fatigue towards the language of crisis and a sense of despondency about the prospects for systemic change.☜FF4888
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Current incentives are mis-aligned
Current incentives are mis-aligned☜☜FF4888
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Debate on obesity is polarized and antagonistic
Debate on obesity is polarized and antagonistic☜Much of the global debate on obesity has become polarized and sometimes deeply antagonistic.☜FF4888
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Epigenetic transmission
Epigenetic transmission☜Epigenetic dynamics suggests that a poor diet and lack of physical activity during pregnancy may result in a mothers child and grandchildren being more predisposed to obesity, diabetes and premature death (highlighting the potential intergenerational impacts and time delays arising from the current crisis).☜FF4888
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Obesogenic environment damps impact of individual changes
Obesogenic environment damps impact of individual changes☜☜FF4888
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UK Health system is under severe pressure on multiple fronts
UK Health system is under severe pressure on multiple fronts☜The future health of millions of children, the sustainability of the NHS, and the economic prosperity of Britain all now depend on a radical upgrade in prevention and public health. Twelve years ago Derek Wanless’ health review [2] warned that unless the country took prevention seriously we would be faced with a sharply rising burden of avoidable illness. That warning has not been heeded – and the NHS is on the hook for the consequences. [1]☜FF4888
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Barriers to effectiveness?
Barriers to effectiveness?☜What barriers may impede the implementation, delivery and effectiveness of these ‘packages’ of actions and strategies among a given community?☜FFFACD
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Successive governments have made counterproductive policy choices
Successive governments have made counterproductive policy choices☜The growing prevalence of obesity in the UK is partly the result of well-intentioned but counterproductive policy choices made by successive governments over several decades.☜FFFACD
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Causes of obesity
Causes of obesity☜Understanding the causes of obesity is critical to the success of prevention and treatment strategies. However, while (simply put) obesity occurs when energy intake from food and drink consumption is greater than energy expenditure through the body’s metabolism and physical activity over a prolonged period (resulting in the accumulation of excess body fat), in reality many complex behavioural and societal factors contribute systemically to the current crisis and no single influence dominates.☜5CD992
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Impacts of obesity
Impacts of obesity☜Obesity presents a significant threat to the health of the UK population and a significant drain on the nations financial resources. 24.9% of adults in England are obese—with a body mass index of over 30—62% of adults are either overweight or obese (with a BMI of over 25), and 32% of 10–11-year-olds are overweight or obese. The annual cost of obesity to the UK is estimated to be £27bn–£46bn [1], [2]; although international comparisons suggest that the true cost could be significantly higher.☜DE7179
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Tackling obesity
Tackling obesity☜Many policy interventions have been suggested to address the obesity crisis across multiple studies—and indeed many such measures have been implemented, and are being implemented, now. Theres recognition too that these interventions need to be part of a coherent and comprehensive whole systems strategy [4]; with some grounds for optimism that such an approach has the potential to accomplish a significant reduction in the prevalence of obesity in the UK across the next decade. [2]☜5CA4D9
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About this map
About this map☜Our shared goal is to create a comprehensive and coherent visual representation of the obesity policy space—including the causes, impacts, policy actors, proposed interventions, evidence, guidance, and barriers to change—that can help us explore and understand the space as a systemic whole; that can be collaboratively and iteratively edited, refined, and evaluated by the policy community; and that provides a dynamic, open substrate for dialogue, learning and action across the policy community.☜00CFE4
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Graph of this discussion
Graph of this discussion☜Click this to see the whole debate, excluding comments, in graphical form☜dcdcdc
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David Price
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Entry date (GMT):
9/9/2014 9:42:00 PM
Last edit date (GMT):
7/26/2015 7:21:00 PM
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