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Types of weight-management services
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
⌃
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
⌃
Develop a coherent fiscal, regulatory and governance framework
Develop a coherent fiscal, regulatory and governance framework☜Take every opportunity, iteratively over time, to bring the public fiscal, regulatory and governance framework into alignment with public health goals on obesity. Use taxes, subsidies, targets and pricing signals to incentivise change in behaviour, supply and consumption by aligning measures with the health properties of food and drink and behaviour—and seek, wherever practical, to amplify positive patterns that are aligned with the policy goals and damp those that pull against.☜5CA4D9
⌃
Invest in weight management services
Invest in weight management services☜The departments of health in the four nations should extend and increase the provision of weight management services across the country, to mirror the provision of smoking cessation services.☜5CA4D9
■
Types of weight-management services
Types of weight-management services☜☜5CA4D9
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Commercial weight-management programs
Commercial weight-management programs☜Commercial provision of weight-management programs (e.g., Weight Watchers) that include group counseling, goal setting, and community support.☜5CA4D9
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Health-system group counseling
Health-system group counseling☜Health system provides a short-term (e.g., 12-week) group counseling program on nutrition and how to change dietary and physical activity behavior.☜5CA4D9
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Health-system individual counseling
Health-system individual counseling☜Health system provides a short-term (e.g., 12-week) one-to-one counseling program on nutrition and how to change dietary and physical activity behavior.☜5CA4D9
↳
Personal technology to support healthy eating and physical activity
Personal technology to support healthy eating and physical activity☜Personal technology to support healthy eating and physical activity: cross-platform –Health systems/employers provide personal technology platforms to support goal setting, tracking, and measuring of key behavior and health outcomes.☜5CA4D9
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Physical activities on prescription
Physical activities on prescription☜Health system prescribes physical activities and provides free gym membership or other facilitative measures.☜5CA4D9
↳
Short-term, intensive weight-management programs: adults
Short-term, intensive weight-management programs: adults☜Health-care system or commercial market provides short-term (e.g., two- to six-week) residential “boot camp” providing nutritional education and physical activity to adults.☜5CA4D9
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Short-term, intensive weight-management programs: children
Short-term, intensive weight-management programs: children☜Health-care system or commercial market provides short-term (e.g., two- to six-week) residential “boot camp” providing nutritional education and physical activity to children.☜5CA4D9
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Weight management around childbirth
Weight management around childbirth ☜Health-care system provides weight-management advice as part of pre- and postnatal care.☜5CA4D9
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17. Weight-management programs
17. Weight-management programs☜☜FFFACD
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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.☜5CA4D9
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Providers should be formally evaluated and accredited
Providers should be formally evaluated and accredited☜☜5CA4D9
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Early intervention programmes
Early intervention programmes☜The investment in weight management services should include greater provision for early intervention programmes.☜9FDEF6
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Improve support for people with severe and complicated obesity
Improve support for people with severe and complicated obesity☜Greater focus needs to be devoted to strategies supporting individuals who are already obese. Current government policy is focused largely on prevention, which is vital in ensuring the scale of the obesity problem and its associated costs do not increase. It does not, however, address the problems of those people already obese or morbidly obese and the costs associated with their health conditions. Moreover, obesity treatment is often cost effective.☜9FDEF6
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Many smaller providers lack formal evidence to support interventions
Many smaller providers lack formal evidence to support interventions☜While some of the larger commercial providers have had their efficacy assessed by means of randomised control trials and other evaluative methods, many smaller providers have no such formal evidence to support their interventions.☜98CE71
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Most obese UK children lack access to weight management programmes
Most obese UK children lack access to weight management programmes☜The majority of obese children in the UK dont have access to an evidence-based, proven, multicomponent child weight management programme as recommended by NICE (2006).☜98CE71
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Weight management service provision is poor in comparison to smoking
Weight management service provision is poor in comparison to smoking☜From a clinical perspective, weight management provision needs to mirror the coverage that smoking cessation services have achieved; yet, the investment in smoking cessation programmes remains significantly higher than the investment in weight management programmes. As a comparator, the NHS spent £88.2 million on smoking cessation services in 2011/12.☜98CE71
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Weight management services are in short supply
Weight management services are in short supply☜The Academy of Medical Royal Colleges notes that doctors dont have sufficient services available to refer people – that there are a limited number of well-designed fully evidence-based, effective and transferable weight management programmes, available for use in routine NHS primary care.☜98CE71
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Weight management services can save more money than they cost
Weight management services can save more money than they cost☜Some well-designed fully evidence-based, effective and transferable weight management programmes are even economically ‘dominant’ (i.e. they save the NHS more money than it costs to provide the service).☜98CE71
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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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Entry date (GMT):
11/25/2014 3:36:00 PM
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