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Obesogenic environment damps impact of individual changes
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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
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Obesogenic environment damps impact of individual changes
Obesogenic environment damps impact of individual changes☜☜FF4888
⇥
Mandatory health impact assessments for local planning decisions
Mandatory health impact assessments for local planning decisions☜Local authority planning decisions should be subject to a mandatory health impact assessment, which would evaluate their potential impact upon the populations’ health.☜FFFACD
⇥
More physical activity for kids within and beyond educational settings
More physical activity for kids within and beyond educational settings☜The introduction of compulsory physical education in schools is positive. However, greater promotion of physical activity outside of educational settings is also key to ensure any participation amongst pupils is not limited to school. Similarly, caution is needed to ensure that the promotion of competitive sport does not put off children less disposed to that sport. This could result in children either returning to or increasing their sedentary lifestyle.☜FFFACD
⇥
Restrict junk food advertising
Restrict junk food advertising☜Ban television advertisements of foods high in saturated fats, sugar and salt before 9pm, and seek agreement with commercial broadcasters not to advertise these foods on internet ‘on-demand’ services. [2]☜FFFACD
⇥
Increase support for new parents
Increase support for new parents☜The current expansion of the health visitor workforce in England should be accompanied by skilling up the wider early years workforce to deliver basic food preparation skills to new mothers and fathers, and to guide appropriate food choices which will ensure nutritionally balanced meals, encourage breastfeeding and use existing guidance in the Personal Child Health Record as a tool to support this.☜FFFACD
⇥
Reduce fast food outlets near schools
Reduce fast food outlets near schools☜Public Health England should, in its first 18 months of operation, undertake an audit of local authority licensing and catering arrangements with the intention of developing formal recommendations on reducing the proximity of fast food outlets to schools, colleges, leisure centres and other places where children gather.☜FFFACD
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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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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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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):
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