Heart Health in Rotherham Looking at the most recent National trends in obesity
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Heart Health in RotherhamLooking at the most recent National
trends in obesity
Dr John RadfordDirector of Public Health
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Death rates from heart disease are falling
Source: Rotherham Health Profile 2011
But we are still significantly worse than the England average
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Deaths from cardiovascular disease
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Factors affecting heart health• Age
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Ageing population
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
65 to 69 70 to 74 75 to 79 80 to 84 85 and over
Population
2008 2028
Projected Growth Age Groups 2008-2028
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Factors affecting heart health• Age• Deprivation
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CHD Emergency Admissions
Source: HES, NHS Information Centre for health and social care, ONS Department of Communities and Local Government (DCLG)
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Cardiovascular disease rates by deprivation
Source: HES, The Information Centre for health and social care, ONS, DCLG
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Factors affecting heart health• Age• Deprivation• Ethnicity
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BME Communities
2001: 10,2002009: 19,000= 86% increase
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Factors affecting heart health• Age• Deprivation• Ethnicity• Lifestyle
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Lifestyle
• Rates of smoking, binge drinking and obesity are all higher than the England average– 24.3% in Rotherham are current smokers (ONS Integrated
Household Survey, Sept 2011)
– 25.1% of the Rotherham population binge drink (Local Alcohol Profiles for England, Rotherham 2011)
– 27.6% adults and 20.2% children (year 6) are obese (Rotherham Health Profile 2011)
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10.7%
9.1%
19.0%
15.8%
10.4%
8.8%
20.0%
16.6%
10.3%
8.9%
20.0%
16.5%
10.5%
9.2%
20.4%
17.0%
10.1%
8.8%
20.6%
17.4%
Reception boys Reception girls Year 6 boys Year 6 girls
Year of measurement2006/07 2007/08 2008/09 2009/10 2010/11
Prevalence of obesity among children by school year and sexNational Child Measurement Programme 2006/07 – 2010/11
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
Obesity rates nearly double over the course of primary school. We are seeing opposing trends, with a slight decrease in Reception Year but increases in Year 6 prevalence.
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Trend in obesity prevalence for adult males by age groupHealth Survey for England 1993-2010
Adult obesity: BMI ≥ 30kg/m2
0
5
10
15
20
25
30
35
40
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Obe
sity
prev
alen
ce (%
)
Year of measurement
75+
65-74
55-64
45-54
35-44
25-34
16-24
Men over 35 years old
Levels of obesity in men differ by age group, as do the trends we are seeing for each group.
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Trend in obesity prevalence for adult females by age groupHealth Survey for England 1993-2010
Adult obesity: BMI ≥ 30kg/m2
0
5
10
15
20
25
30
35
40
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Obe
sity
prev
alen
ce (%
)
Year of measurement
75+
65-74
55-64
45-54
35-44
25-34
16-24
Women over 35 years old
This is true for women as well.
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8.8%
16.8%
25.0%
33.1%34.2%
30.2%
23.8%
13.9%
18.8%
25.2%
28.5%
30.6%
33.6%
26.3%
16-24 25-34 35-44 45-54 55-64 65-74 75+
Males Females
Adult obesity: BMI ≥ 30kg/m2
Prevalence of obesity among adults by age and sexHealth Survey for England 2008-2010
Obesity rises steadily through to middle age and then stays broadly constant.
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12 18.5 25 30 40 50BMI (kg/m2) Males 1991-93 Females 1991-93 Males 2007-09 Females 2007-09
Underweight<18.5kg/m2
Males1991-93: 0.7%2007-09: 0.8%
Females1991-93: 1.3%2007-09: 1.3%
Healthy weight18.5 to <25kg/m2
Males1991-93: 37.8%2007-09: 28.0%
Females1991-93: 47.6%2007-09: 37.2%
Overweight25 to <30 kg/m2
Males1991-93: 46.7%2007-09: 44.5%
Females1991-93: 33.3%2007-09: 34.7%
Obese30 to <40kg/m2
Males1991-93: 14.6%2007-09: 25.4%
Females1991-93: 16.4%2007-09: 23.8%
Morbidly obese≥40kg/m2
Males1991-93: 0.3% Females2007-09: 1.4% 1991-93: 1.4%
2007-09: 3.0%
Change in the adult BMI distributionHSE 1991-93 to 2007-09 (population weighted)
Adults are aged 18+ years
There is a very complicated picture within overall obesity rates, which has changed over time. Broadly speaking, the entire population is getting heavier – there is not only an increase in the numbers of obese people.
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Prevalence of obesity by deprivation decile National Child Measurement Programme 2009/10
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
23.6%22.9%
21.7%20.5%
18.9%17.9%
16.6%15.7%
14.6%
12.6%12.6%12.0%
11.4%10.7%
9.7%9.0%
8.3% 7.9% 7.5%6.8%
Mostdeprived
Leastdeprived
Reception Year 6
There is a very strong correlation between obesity rates and level of deprivation amongst children, with prevalence in the most deprived areas around double that of the least deprived areas.
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Any questions?