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Personal resistance to change
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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
⌃
Barriers to change
Barriers to change☜What are the barriers to tackling obesity?☜FF4888
■
Personal resistance to change
Personal resistance to change☜☜FF4888
⇥
Create a strong, focused, coherent anti-obesity pressure group
Create a strong, focused, coherent anti-obesity pressure group☜Evidence from the campaign against smoking suggests that a strong, focused, coherent anti-obesity pressure group may be essential to accomplishing sustainable systemic change.☜FFFACD
⇥
Tax sugary beverages
Tax sugary beverages☜Introduce a tax on sugary soft drinks (i.e. levy the tax on the final products)☜FFFACD
⇥
Offer financial weight loss incentives to people
Offer financial weight loss incentives to people☜Offer financial weight loss incentives to people to become a healthier weight.☜FFFACD
⇥
Develop a patient charter for those with obesity problems
Develop a patient charter for those with obesity problems☜☜FFFACD
⇥
Improve food labelling
Improve food labelling☜Major food manufacturers and supermarkets should agree in the next year a unified system of traffic light food labelling (to be based on percentage of calories for men, women, children and adolescents) and visible calorie indicators for restaurants, especially fast food outlets.☜FFFACD
⇥
Public-health campaigns on obesity
Public-health campaigns on obesity☜Government launches comprehensive public-health campaigns promoting healthy habits across various media (e.g., TV, radio, out-of-home advertising). More impactful communication of the evidence base on obesity.☜FFFACD
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Policy process struggles to address multi-factor, systemic problems
Policy process struggles to address multi-factor, systemic problems☜☜FF4888
□
Disproportionate financial power and resources of the industrial lobby
Disproportionate financial power and resources of the industrial lobby☜☜FF4888
□
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
□
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
□
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
□
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
□
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
□
Obesogenic environment damps impact of individual changes
Obesogenic environment damps impact of individual changes☜☜FF4888
□
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
□
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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