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The National Obesity ObservatoryDr Harry RutterDirector, National Obesity Observatory
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
NOO aims to:
Provide a single point of contact for wide-ranging, authoritative information on data, evidence and practice related to obesity, overweight, underweight and their determinants
…to support policy makers and practitioners involved in tackling obesity and related issues
Positioning
• Public Health Observatory
• Part of APHO
• Based alongside SEPHO
• NHS organisation
• Academic links
Healthy Weight, Healthy Lives(Jan 2008)
National Obesity Observatory commissioned to support the strategy in six key areas
Six key areas
• Data and evidence
• Surveillance
• Data analysis
• Evaluation guidance
• International links
• Support Expert Panel
Authoritative source of data and evidence on obesity, overweight and their determinants
• Compare IOTF, WHO, UK 90 approaches:options paper and consensus workshop
• Map data, evidence, policy • Consult on user needs (and meet them!)
Co-ordinate surveillance onobesity and overweight
• Advise onNational Child Measurement Programme (NCMP)
• Advise on other surveillance activities
Analyse surveillance and indicator data
• Detailed report on the NCMP 2007/08(complementing IC report)
• Wide range of other analyses and analytical tools in due course
Provide guidance on assessing and evaluating pilots and demonstration sites in England
• Develop standard evaluation criteria and guidance
International best practice and links with key international and other supranational bodies
• Participate in UK, EU and international networks on obesity and related issues– PREVOB– HOPE– ALPHA– HEPA Europe– WHO/CDC/IOTF etc– Being here!
Provide technical support to the Expert Panel
• Technical papers, guidance, etc
Not forgetting…
• Links to research agenda
• Support to other national strategies
• Develop Foresight systems map
• Academic links
www.noo.org.uk
What are the population attributablefractions of the modifiable causal riskfactors for obesity and what can be done to address them?
What are the population attributablefractions of the modifiable causal riskfactors for obesity and what can be done to address them?
What are the population attributablefractions of the modifiable causal riskfactors for obesity and what can be done to address them?
Source: Foresight - Tackling obesities: future choices - http://www.foresight.gov.uk/Obesity/Obesity_final/Index.html
Foodenvironment
Foodconsumption
Physicalactivity
Activityenvironment
Obesity
Individual
Psychology
Societalinfluences
Biology
Source: Foresight systems map, 2007
Will Lehman Brothers have a posthumous impact on obesity?
If so, what?
How would we know?
What could wedo about it?
NCMP
• Records height, weight, age, sex, ethnicity, postcode
• Reception and year 6
• Approx 1 million children / year
Deprivation (IMD 2007) and child obesity (NCMP 2006/07) based on postcode of school (100% completeness)
0%
5%
10%
15%
20%
25%
1 2 3 4 5 6 7 8 9 10
Decile of deprivation (1 = most deprived)
Pre
vale
nce
of
ob
esit
y
Boys 10-11 years
Girls 10-11years
Boys 4-5 years
Girls 4-5 years
Child obesity prevalence and average height for children aged 10-11 years by ethnic group (NCMP 2006/07)
0%
5%
10%
15%
20%
25%
30%
Bla
ck -
Afr
ican
Bla
ck C
arib
bean
Any
Oth
er B
lack
Bac
kgro
und
Whi
te a
nd B
lack
Afr
ican
Whi
te a
nd B
lack
Car
ibbe
an
Any
Oth
er M
ixed
Bac
kgro
und
Any
Oth
er W
hite
Bac
kgro
und
Whi
te a
nd A
sian
Not
Sta
ted
Pak
ista
ni
Indi
an
Any
Oth
er E
thni
cG
roup
Whi
te -
Brit
ish
Whi
te -
Iris
h
Any
Oth
er A
sian
Bac
kgro
und
No
info
rmat
ion
give
n
Ban
glad
eshi
Chi
nese
Ethnic group
Pre
vale
nce
of
ob
esit
y
144
145
146
147
148
149
150
151
152
Ave
rag
e h
eig
ht
(cm
)
Prevalence of obesity
Average height
Future possibilities
• Detailed socio-economic analyses
• Ethnicity and height
• GIS analyses
• Ecological analyses
• Pseudonymised linkage
• Longitudinal follow-up
Establishing common standards
• Co-ordinating routine data
• Common standards across sectors and government departments
• Standard evaluation criteria
Learning from interventions
• Cycling Cities and Towns - £100 million
• Healthy Towns - £60 million
• Connect2 - £100 million
Knowledge from experience
What we cannot speak of we must pass over in silence
Ludwig Wittgenstein
Tractatus Logico-Philosophicus
Evidence trajectories
Time
Speculation
Num
ber
of in
terv
entio
ns
Evidence-basedinterventions
Prevalence and incidence of evidence
Time
Num
ber
of s
tudi
es
Prevalence
Incidence
Knowledge into action
Conclusions
• Use Foresight map as a template• Consult on priorities• Don’t reinvent the wheel (or buy spares)• Understand this stuff• Interpret and translate this stuff• Disseminate this stuff• Evaluate our effectiveness• Improve…
