Worcestershire losing fight with the flab as NHS strains

Worcester News: FATTER NOT FITTER: An artistic take on man's evolution highlights the issue facing Worcestershire families and health services. FATTER NOT FITTER: An artistic take on man's evolution highlights the issue facing Worcestershire families and health services.

FAT people need to lose weight rather than expecting the NHS to wave ‘a magic wand’ to make them slim, say health chiefs.

Half of people in Worcestershire are now either obese or overweight but health strategists say the focus must be stopping them getting fat in the first place, not relying on bariatric surgery later on.

Bosses also said people need to take more responsibility for their own weight when they discussed the obesity epidemic at a meeting of the Worcestershire Health and Wellbeing Board.

The board is a group of senior GPs, managers and councillors who set the strategy for the county’s health.

Dr Jonathan Wells, chairman of the Redditch and Bromsgrove clinical commissioning group (CCG), described the figures as ‘shocking’.

He said: “Bariatric surgery is just dealing with the problem at the end.

“We have really got to work on prevention to stop our children getting this problem in the future.”

He said one of the questions asked of the new clinical commissioning groups was what they were doing about preventing obesity.

He said: “It’s not just the job of the CCG. This is a social and generational problem. It’s a problem for us all.

“Prevention is the crucial thing for future generations. The CCGs don’t have any magic wands available I’m afraid.”

Figures show that 115,990 people in Worcestershire are obese while only 512 of those have achieved 10 per cent weight loss.

Figures show that 81 obese children completed a weight management programme between May 2010 and March 2012, reducing their body mass index by 1.5 per cent and losing an average 2.6cm off the circumference of their waist.

However, this equates to just 0.7 per cent of the total number of obese five to 14-year-olds of which there are 20,779 in the county. A quarter of children start school overweight or obese and a third are in these categories by year six.

Carol Thompson, a board member on HealthWatch, said: “It’s totally scary and I think people need to be scared and see what the affects can be. We can only do so much.”

Dr Frances Howie, assistant director of public health, said: “We cannot spend our resources chasing around the county for fat individuals because the numbers have spiralled out of control.

“Nobody other than the parents of this child has created an obese four-year-old who’s going into school.

“This is now the norm – most people out there are overweight or obese. It really is everybody’s business.”

The Worcestershire Obesity Plan (2013-16) was approved at the meeting and an obesity action group will now develop operational aspects of the plan.

The first aim of the plan is to ‘empower individuals to take greater responsibility for their own and their family’s diet and physical activity’.

Ways to tackle the problem include social marketing campaigns, prioritising ‘active travel’ and working with schools, nursing homes and work canteens to improve the nutritional content of food.

Obesity is one of the main causes of avoidable ill-health in Worcestershire, costing the local NHS an estimated £80 million per year and an additional £60 million to the wider economy.

Those living in the most deprived communities and with lower education levels are more likely to have multiple unhealthy behaviours, including poor diet, low physical activity levels, smoking and to drink more alcohol.

Overweight adults are more likely to suffer circulatory disease, type two diabetes, musculoskeletal disorders, cancers and respiratory disorders.

In total an estimated 115,900 adults are obese, representing a quarter of the adult population in Worcestershire.

A further 162,433 adults are overweight. Overweight or obese adults make up half the adult population. By 2050, unless the trend changes, 60 per cent of men and 50 per cent of women in the UK will be obese.


There are an estimated 338 fast food outlets across Worcestershire. Wyre Forest has the greatest concentration - 77.4 per 100,000 of population compared with 38.5 per 100,000 in Malvern Hills.

Between 2009 and 2012 7,444 adults were referred to weight management services but this represented just six per cent of the total obese population.

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Comments (18)

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8:39am Fri 25 Jan 13

ushmush83 says...

Don't give them the option of surgery. They can either die or do something about it for themselves.
Don't give them the option of surgery. They can either die or do something about it for themselves. ushmush83
  • Score: 0

9:37am Fri 25 Jan 13

pronstar says...

ushmush83 wrote:
Don't give them the option of surgery. They can either die or do something about it for themselves.
So says the voice of reason
[quote][p][bold]ushmush83[/bold] wrote: Don't give them the option of surgery. They can either die or do something about it for themselves.[/p][/quote]So says the voice of reason pronstar
  • Score: 0

11:04am Fri 25 Jan 13

pudniw_gib says...

Its a serious health problem.
The health problems are mostly obvious and well known but there other things that people dont know about or consider in relation to obesity.
At a basic level, being over weight changes hormone levels and balances so effects our behaviour. If men realised that they produce less testosterone and more oestrogen when overweight, so causing loss of libido, they might be more inclined to lose a bit of weight. There is also a similar set of problems for women.
As far as what we put on our plates or in our glasses, fizzy drinks are full of fructose, which is the worst sort of sugar to consume in this way and also some drinks have salt in them!
.
On your plate, well bread is possibly the major culprit, its addictive and fattening. Its rather insidious in that we eat it without thinking...how many slices can you eat when there is marmalade and butter involved? mmmmmm toast,,,,
So, if you calculate the damage caused to our our health in financial terms, particularly to the public purse, should we allow the sale of products with fructose in them? The health authorities have the information, scientific research is available but little real useful action is taken. Unless its stitching stomachs or dealing with the effects of obesity very little effort is expended in the issue.
Unfortunately, we are not informed enough to make the right choices.
Its a serious health problem. The health problems are mostly obvious and well known but there other things that people dont know about or consider in relation to obesity. At a basic level, being over weight changes hormone levels and balances so effects our behaviour. If men realised that they produce less testosterone and more oestrogen when overweight, so causing loss of libido, they might be more inclined to lose a bit of weight. There is also a similar set of problems for women. As far as what we put on our plates or in our glasses, fizzy drinks are full of fructose, which is the worst sort of sugar to consume in this way and also some drinks have salt in them! . On your plate, well bread is possibly the major culprit, its addictive and fattening. Its rather insidious in that we eat it without thinking...how many slices can you eat when there is marmalade and butter involved? mmmmmm toast,,,, So, if you calculate the damage caused to our our health in financial terms, particularly to the public purse, should we allow the sale of products with fructose in them? The health authorities have the information, scientific research is available but little real useful action is taken. Unless its stitching stomachs or dealing with the effects of obesity very little effort is expended in the issue. Unfortunately, we are not informed enough to make the right choices. pudniw_gib
  • Score: 0

11:16am Fri 25 Jan 13

sugarlump says...

are they going to do something about the NHS fat cats as well? ha ha
are they going to do something about the NHS fat cats as well? ha ha sugarlump
  • Score: 0

12:12pm Fri 25 Jan 13

Arthur Blenkinsop says...

There is also another culprit - corn oil! It's the stuff that makes those baps from the take-aways very soft and fluffy. It is a major cause of obesity and heart problems around the world.
Eating sensibly and well costs less than eating rubbish from a takeaway, but so many people are just too lazy to prepare food themselves. The results are there for all to see, and we will be picking up the tab for years to come.
There is also another culprit - corn oil! It's the stuff that makes those baps from the take-aways very soft and fluffy. It is a major cause of obesity and heart problems around the world. Eating sensibly and well costs less than eating rubbish from a takeaway, but so many people are just too lazy to prepare food themselves. The results are there for all to see, and we will be picking up the tab for years to come. Arthur Blenkinsop
  • Score: 0

2:08pm Fri 25 Jan 13

Omicron says...

"Half of people in Worcestershire are now either obese or overweight but health strategists say the focus must be stopping them getting fat in the first place, not relying on bariatric surgery later on."

So are half the people who work in the NHS - They need to practice what they preach.
"Half of people in Worcestershire are now either obese or overweight but health strategists say the focus must be stopping them getting fat in the first place, not relying on bariatric surgery later on." So are half the people who work in the NHS - They need to practice what they preach. Omicron
  • Score: 0

4:10pm Fri 25 Jan 13

i-cycle says...

Good diet and not over eating is only half the problem.
To stay healthy the Chief Medical Officer recommends we should be physically active for 30 mins a day on at least 5 days a week. For children its 60 mins 5 days a week.
When surveyed only 39% of men and 29% of women said they did this. More detailed studies which actually recorded how much exercise was taken suggests even this figure may be overestimated and it could be as low as 6%.

The easiest way to get this exercise is to build walking and cycling into your daily lives rather than hopping in the car for short journeys . A big deterrent in the UK and Worcester is traffic. The local Councils have already done more than most to provide safer cycle and walking routes and to make people aware of where they are. The cheapest and easiest way to make a big difference is to introduce 20mph zones in our residential areas and around the City Centre.

The case is well put here> www.20splentyforus.o
rg.uk
Good diet and not over eating is only half the problem. To stay healthy the Chief Medical Officer recommends we should be physically active for 30 mins a day on at least 5 days a week. For children its 60 mins 5 days a week. When surveyed only 39% of men and 29% of women said they did this. More detailed studies which actually recorded how much exercise was taken suggests even this figure may be overestimated and it could be as low as 6%. The easiest way to get this exercise is to build walking and cycling into your daily lives rather than hopping in the car for short journeys . A big deterrent in the UK and Worcester is traffic. The local Councils have already done more than most to provide safer cycle and walking routes and to make people aware of where they are. The cheapest and easiest way to make a big difference is to introduce 20mph zones in our residential areas and around the City Centre. The case is well put here> www.20splentyforus.o rg.uk i-cycle
  • Score: 0

5:45pm Fri 25 Jan 13

pudniw_gib says...

The problem is not just food and exercise it is attitude.
As has been said earlier, there is a lazy attitude to food and its preparation. So how do we sort it out? Jamie Oliver has made a bit of a difference but while we have a War on Drugs we dont seem to have anything like the same effort and cash thrown at obesity even though it is a more serious problem than drug taking.
.
In regard to exercise, the maths of effort over calorie use are rather scary....
A 10 mile bike Race will use less than a 1000 cals so cycling to work 5 miles at a slower pace will use up a couple of pieces of toast perhaps. I am not dismissing exercise but it has to be regular and at a fairly strenuous level to make an impact. I guess the good thing is that once people start using their legs to get about it gets second nature and the car gets ignored sometimes.
The problem is not just food and exercise it is attitude. As has been said earlier, there is a lazy attitude to food and its preparation. So how do we sort it out? Jamie Oliver has made a bit of a difference but while we have a War on Drugs we dont seem to have anything like the same effort and cash thrown at obesity even though it is a more serious problem than drug taking. . In regard to exercise, the maths of effort over calorie use are rather scary.... A 10 mile bike Race will use less than a 1000 cals so cycling to work 5 miles at a slower pace will use up a couple of pieces of toast perhaps. I am not dismissing exercise but it has to be regular and at a fairly strenuous level to make an impact. I guess the good thing is that once people start using their legs to get about it gets second nature and the car gets ignored sometimes. pudniw_gib
  • Score: 0

5:58pm Fri 25 Jan 13

i-cycle says...

pudniw_gib makes a good point about needing to do enough exercise. What he omits to consider is that you're body uses up calories just as part of staying alive. Add a bit of exercise and you're soon back down to a balance between calories in and calories out.

So.. moderate your eating, consume less calories and do more exercise is the best weight loss regome there is. I must admit though, that even I'm not getting out on the bike in the current weather, but I am walking to places and had an hour's swim this morning. Now.. for dinner!
pudniw_gib makes a good point about needing to do enough exercise. What he omits to consider is that you're body uses up calories just as part of staying alive. Add a bit of exercise and you're soon back down to a balance between calories in and calories out. So.. moderate your eating, consume less calories and do more exercise is the best weight loss regome there is. I must admit though, that even I'm not getting out on the bike in the current weather, but I am walking to places and had an hour's swim this morning. Now.. for dinner! i-cycle
  • Score: 0

9:51pm Fri 25 Jan 13

Phil Oliver says...

"Empowering individuals" and "social marketing" may have some effect but ,given the scale of the problem, it will be only marginal. What is required is a switch from the present obesogenic environment to one which tips the balance in favour of peope living a healthier lifestyle. So there should be statutory regulation of the amount of fat, sugar and salt in all manufactured foods and a limit on the number of fast food outlets. Voluntary agreements with food manufacturers do not work. In addition as " i-cycle" says we need a speed limit of 20 mph in residential areas and the centres of towns and cities. Moving around on foot and by bike needs to made a pleasanter experience.
"Empowering individuals" and "social marketing" may have some effect but ,given the scale of the problem, it will be only marginal. What is required is a switch from the present obesogenic environment to one which tips the balance in favour of peope living a healthier lifestyle. So there should be statutory regulation of the amount of fat, sugar and salt in all manufactured foods and a limit on the number of fast food outlets. Voluntary agreements with food manufacturers do not work. In addition as " i-cycle" says we need a speed limit of 20 mph in residential areas and the centres of towns and cities. Moving around on foot and by bike needs to made a pleasanter experience. Phil Oliver
  • Score: 0

8:59am Sat 26 Jan 13

lovelyjubbly says...

Not as many comments on this subject as I expected, Hmm.. what does that tell you. It is the same with most things these days. Nobody wants to take personal responsibility for their own actions. Its easier to blame the type of food on sale. There is plenty of healthy food out there. It just takes a bit of effort like preparation and that word 'cooking' not the ping of a microwave or dial a take away.
Not as many comments on this subject as I expected, Hmm.. what does that tell you. It is the same with most things these days. Nobody wants to take personal responsibility for their own actions. Its easier to blame the type of food on sale. There is plenty of healthy food out there. It just takes a bit of effort like preparation and that word 'cooking' not the ping of a microwave or dial a take away. lovelyjubbly
  • Score: 0

1:41pm Sat 26 Jan 13

Ralph123 says...

There are 2 people in my family who could probably be classed as obese. They are not genetically related and they both live in different households where the other members are all of a healthy weight. They both eat home cooked meals and neither appear to eat to excess.

They are both incredibly lazy. Given the chance you will find them in bed at midday. Neither of them walk anywhere or do any form of physical exercise. Inactivity is the problem, these two are well looked after, therefore I doubt it will spiral out of control.

I can see how having to look after yourself or a family when you have the affliction of laziness can cause morbid obesity. It's not healthy eating that needs to be tackled, everyone knows how to eat healthily and I know people who really don't and still maintain a healthy weight.

If you want to lose weight get up and do something. Before you know it you'll realise that it's nice to get up early, it's nice to cook good food, it's nice to go for a walk. There's nothing better that being exhausted at the end of the day and having a lovely nights sleep.

The NHS need to invent an anti-lazy pill.
There are 2 people in my family who could probably be classed as obese. They are not genetically related and they both live in different households where the other members are all of a healthy weight. They both eat home cooked meals and neither appear to eat to excess. They are both incredibly lazy. Given the chance you will find them in bed at midday. Neither of them walk anywhere or do any form of physical exercise. Inactivity is the problem, these two are well looked after, therefore I doubt it will spiral out of control. I can see how having to look after yourself or a family when you have the affliction of laziness can cause morbid obesity. It's not healthy eating that needs to be tackled, everyone knows how to eat healthily and I know people who really don't and still maintain a healthy weight. If you want to lose weight get up and do something. Before you know it you'll realise that it's nice to get up early, it's nice to cook good food, it's nice to go for a walk. There's nothing better that being exhausted at the end of the day and having a lovely nights sleep. The NHS need to invent an anti-lazy pill. Ralph123
  • Score: 0

4:11pm Sat 26 Jan 13

i-cycle says...

Ralph123 is correct. A major part of the solution is more exercise. It needed be strenuous, but it should leave you a little out of breath and must be regular. The best ways of doing this is walking and cycling more. The best way of doing this is to try and built it into your daily routine i.e. cycle or walk to work/shops/friends and perhaps, when the weather is better cycle or walk in the wonderful countryside around Worcestershire.
Ralph123 is correct. A major part of the solution is more exercise. It needed be strenuous, but it should leave you a little out of breath and must be regular. The best ways of doing this is walking and cycling more. The best way of doing this is to try and built it into your daily routine i.e. cycle or walk to work/shops/friends and perhaps, when the weather is better cycle or walk in the wonderful countryside around Worcestershire. i-cycle
  • Score: 0

7:39pm Wed 30 Jan 13

The Doosra says...

Phil Oliver wrote:
"Empowering individuals" and "social marketing" may have some effect but ,given the scale of the problem, it will be only marginal. What is required is a switch from the present obesogenic environment to one which tips the balance in favour of peope living a healthier lifestyle. So there should be statutory regulation of the amount of fat, sugar and salt in all manufactured foods and a limit on the number of fast food outlets. Voluntary agreements with food manufacturers do not work. In addition as " i-cycle" says we need a speed limit of 20 mph in residential areas and the centres of towns and cities. Moving around on foot and by bike needs to made a pleasanter experience.
That smacks far too much of Nanny Stateism for my tastes. Education, Education, Education - it's the only way to deal with this problem. I speak with some experience as I'm trying desperately hard to lose weight.
[quote][p][bold]Phil Oliver[/bold] wrote: "Empowering individuals" and "social marketing" may have some effect but ,given the scale of the problem, it will be only marginal. What is required is a switch from the present obesogenic environment to one which tips the balance in favour of peope living a healthier lifestyle. So there should be statutory regulation of the amount of fat, sugar and salt in all manufactured foods and a limit on the number of fast food outlets. Voluntary agreements with food manufacturers do not work. In addition as " i-cycle" says we need a speed limit of 20 mph in residential areas and the centres of towns and cities. Moving around on foot and by bike needs to made a pleasanter experience.[/p][/quote]That smacks far too much of Nanny Stateism for my tastes. Education, Education, Education - it's the only way to deal with this problem. I speak with some experience as I'm trying desperately hard to lose weight. The Doosra
  • Score: 0

8:16pm Wed 30 Jan 13

i-cycle says...

Doorsa. You've really hit the nail on the head. Anything that the Nanny State lectures you about is bound to go unheard and resented. Only individuals can make the change to improve their own wellbeing, but the correct information and mutally supportive mechanisms can help. However to lose weight and keep it off is really only down to three things, good diet, less consumption (including drinks) and the bit that's often left out...exercise. Use the car less, walk and cycle or walk to the next bus stop. You'll be surpassed what a difference it makes. Forget about expensive gym memberships and faddy diets.
Doorsa. You've really hit the nail on the head. Anything that the Nanny State lectures you about is bound to go unheard and resented. Only individuals can make the change to improve their own wellbeing, but the correct information and mutally supportive mechanisms can help. However to lose weight and keep it off is really only down to three things, good diet, less consumption (including drinks) and the bit that's often left out...exercise. Use the car less, walk and cycle or walk to the next bus stop. You'll be surpassed what a difference it makes. Forget about expensive gym memberships and faddy diets. i-cycle
  • Score: 0

9:19pm Wed 30 Jan 13

pinkfluff says...

I am in the process of perfecting the art of being bone idle. To try and counteract the effect that has of my BMI, I eat relatively healthy and two days in the week will fast, limiting calorie intake to 500 a day, the rest of the week I aim for 1,500. Seems to work for me.
I am in the process of perfecting the art of being bone idle. To try and counteract the effect that has of my BMI, I eat relatively healthy and two days in the week will fast, limiting calorie intake to 500 a day, the rest of the week I aim for 1,500. Seems to work for me. pinkfluff
  • Score: 0

10:49pm Wed 30 Jan 13

i-cycle says...

Hi Pinkfluff
I'm pleased it seems to be working for you, but IMHO suggest that its no different to other diet fads...Quote from website...http://www
.webmd.com/diet/feat
ures/is_fasting_heal
thy

Even worse for dieters is that fasting for weight loss "distracts people from the real message of how to lose weight: lower fat intake, eat five fruits and vegetables a day, drink water and stop drinking other liquids, walk 30 minutes a day, and get more sleep," says Fernstrom, an associate professor of psychiatry, epidemiology, and surgery at the University of Pittsburgh School of Medicine.

I'm no expert, but controlling what you eat and taking exercise still appear to be the only ways to a prolonged healthy lifestyle. If this is correct the easiest way of ensuring the latter is to build the exercise into your weekly and daily routine - housework, gardening and walking and cycling instead of jumping into the car for every journey we need to make as workplaces, shops and leisure facilities become increasingly remote from where we live.
Hi Pinkfluff I'm pleased it seems to be working for you, but IMHO suggest that its no different to other diet fads...Quote from website...http://www .webmd.com/diet/feat ures/is_fasting_heal thy Even worse for dieters is that fasting for weight loss "distracts people from the real message of how to lose weight: lower fat intake, eat five fruits and vegetables a day, drink water and stop drinking other liquids, walk 30 minutes a day, and get more sleep," says Fernstrom, an associate professor of psychiatry, epidemiology, and surgery at the University of Pittsburgh School of Medicine. I'm no expert, but controlling what you eat and taking exercise still appear to be the only ways to a prolonged healthy lifestyle. If this is correct the easiest way of ensuring the latter is to build the exercise into your weekly and daily routine - housework, gardening and walking and cycling instead of jumping into the car for every journey we need to make as workplaces, shops and leisure facilities become increasingly remote from where we live. i-cycle
  • Score: 0

9:04am Thu 6 Feb 14

Fithowellness says...

It is a critical health problem.Medical difficulties are usually typically clear along with renowned however there other items that individuals don't know about or maybe think about pertaining to being overweight.
At a basic levels, currently being heavy changes hormone quantities along with bills and so side effects the conduct. If adult males noticed which they make less testosterone plus much more estrogen any time overweight, and so producing lack of sex drive, they may be a lot more inclined to forfeit a certain amount of pounds. May equivalent group of difficulties for ladies.

In terms of that which you placed on the clothing or maybe within our cups, fizzy beverages are usually packed with fructose, which can be this most detrimental almost sugar to eat like this as well as many beverages include salt in them!

And here also very important guidelines related to your weight loss diet plans and get information how it works http://www.fitho.in/
how-it-works/
It is a critical health problem.Medical difficulties are usually typically clear along with renowned however there other items that individuals don't know about or maybe think about pertaining to being overweight. At a basic levels, currently being heavy changes hormone quantities along with bills and so side effects the conduct. If adult males noticed which they make less testosterone plus much more estrogen any time overweight, and so producing lack of sex drive, they may be a lot more inclined to forfeit a certain amount of pounds. May equivalent group of difficulties for ladies. In terms of that which you placed on the clothing or maybe within our cups, fizzy beverages are usually packed with fructose, which can be this most detrimental almost sugar to eat like this as well as many beverages include salt in them! And here also very important guidelines related to your weight loss diet plans and get information how it works http://www.fitho.in/ how-it-works/ Fithowellness
  • Score: 1
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