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Obesity: identification, assessment and management [CG189]

Measuring the use of this guidance

Recommendation: 1.1.6.2

Workplaces should provide opportunities for staff to eat a healthy diet and be more physically active, through: • active and continuous promotion of healthy choices in restaurants, hospitality, vending machines and shops for staff and clients, in line with existing Food Standards Agency guidance • working practices and policies, such as active travel policies for staff and visitors • a supportive physical environment, such as improvements to stairwells and providing showers and secure cycle parking • recreational opportunities, such as supporting out-of-hours social activities, lunchtime walks and use of local leisure facilities.

What was measured: Trusts that had healthy food promoted in the staff restaurant
Data collection end: September 2010
61.35%
Number that met the criteria: 173 / 282
Area covered: National
Source: Preece R et al. (2012). Measuring implementation of evidence-based guidance on promoting workers’ health. Occupational medicine, 62(8), 627-631.

What was measured: Trusts that had healthy food promoted for hospitality events
Data collection end: September 2010
50.35%
Number that met the criteria: 142 / 282
Area covered: National
Source: Preece R et al. (2012). Measuring implementation of evidence-based guidance on promoting workers’ health. Occupational medicine, 62(8), 627-631.

What was measured: Trusts that had healthy food promoted in vending machines
Data collection end: September 2010
31.91%
Number that met the criteria: 90 / 282
Area covered: National
Source: Preece R et al. (2012). Measuring implementation of evidence-based guidance on promoting workers’ health. Occupational medicine, 62(8), 627-631.

What was measured: Trusts that had healthy food promoted in shops for staff and clients
Data collection end: September 2010
30.5%
Number that met the criteria: 86 / 282
Area covered: National
Source: Preece R et al. (2012). Measuring implementation of evidence-based guidance on promoting workers’ health. Occupational medicine, 62(8), 627-631.

What was measured: Trusts provide overweight and obese staff multi-component interventions that address physical activity, eating behaviour and weight reduction together
Data collection end: September 2010
30.5%
Number that met the criteria: 86 / 282
Area covered: National
Source: Preece R et al. (2012). Measuring implementation of evidence-based guidance on promoting workers’ health. Occupational medicine, 62(8), 627-631.

What was measured: Trusts that encourage staff to walk or cycle to external meetings
Data collection end: September 2010
52.84%
Number that met the criteria: 149 / 282
Area covered: National
Source: Preece R et al. (2012). Measuring implementation of evidence-based guidance on promoting workers’ health. Occupational medicine, 62(8), 627-631.

What was measured: Trusts that encourage staff to take the stairs through signage at strategic points and written information
Data collection end: September 2010
47.52%
Number that met the criteria: 134 / 282
Area covered: National
Source: Preece R et al. (2012). Measuring implementation of evidence-based guidance on promoting workers’ health. Occupational medicine, 62(8), 627-631.

What was measured: Trusts that provide information about walking and cycling routes to and from work
Data collection end: September 2010
52.13%
Number that met the criteria: 147 / 282
Area covered: National
Source: Preece R et al. (2012). Measuring implementation of evidence-based guidance on promoting workers’ health. Occupational medicine, 62(8), 627-631.

What was measured: Trusts that provide information about walking and cycling routes around the worksite
Data collection end: September 2010
50.35%
Number that met the criteria: 142 / 282
Area covered: National
Source: Preece R et al. (2012). Measuring implementation of evidence-based guidance on promoting workers’ health. Occupational medicine, 62(8), 627-631.

What was measured: Trusts that encourage staff to take short walks during work breaks
Data collection end: September 2010
61.35%
Number that met the criteria: 173 / 282
Area covered: National
Source: Preece R et al. (2012). Measuring implementation of evidence-based guidance on promoting workers’ health. Occupational medicine, 62(8), 627-631.

What was measured: Trusts that encourage staff to use local leisure facilities
Data collection end: September 2010
81.91%
Number that met the criteria: 231 / 282
Area covered: National
Source: Preece R et al. (2012). Measuring implementation of evidence-based guidance on promoting workers’ health. Occupational medicine, 62(8), 627-631.


Recommendation: 1.2.1

Use clinical judgement to decide when to measure a person's height and weight. Opportunities include registration with a general practice, consultation for related conditions (such as type 2 diabetes and cardiovascular disease) and other routine health checks

What was measured: Proportion of people with HIV who had their body mass index (BMI) recorded in the last year of attendance
Data collection end: December 2013
81%
Area covered: Local
Source: Howe BH & E (2015) Obesity in HIV audit and pathway development: Are we addressing an expanding problem? HIV Medicine, Conference (var.pagings): April.


Recommendation: 1.2.2

Use BMI as a practical estimate of adiposity in adults. Interpret BMI with caution because it is not a direct measure of adiposity.

What was measured: Public Health Outcomes Framework indicator 2.12: Proportion of adults classified as overweight or obese using BMI, calculated from the adjusted height and weight variables.
Data collection end: January 2015
64.6%
Area covered: England
Source: Sport England - Active people survey


Recommendation: 1.2.2.4

BMI (adjusted for age and gender) is recommended as a practical estimate of overweight in children and young people, but needs to be interpreted with caution because it is not a direct measure of adiposity

What was measured: Children with autism spectrum disorder who had BMI calculated
5%
Number that met the criteria: / 77
Area covered: Local
Source: Grylls EK et al (2013) Obesity in Children with Autism Spectrum Disorder Audit. Archives of Disease on Childhood. Vol 98 Suppl 1 pA52


Recommendation: 1.2.3.10

Referral to an appropriate specialist should be considered for children who are overweight or obese and have significant comorbidity or complex needs (for example, learning or educational difficulties).

What was measured: Children with autism spectrum disorder who were referred to the local healthy lifestyle programme
18%
Number that met the criteria: / 77
Area covered: Local
Source: Grylls EK et al (2013) Obesity in Children with Autism Spectrum Disorder Audit. Archives of Disease on Childhood. Vol 98 Suppl 1 pA52

What was measured: Overweight children with autism spectrum disorder who were referred to the dietician
86%
Number that met the criteria: / 77
Area covered: Local
Source: Grylls EK et al (2013) Obesity in Children with Autism Spectrum Disorder Audit. Archives of Disease on Childhood. Vol 98 Suppl 1 pA52


Recommendation: 1.2.12

Relate BMI measurement in children and young people to the UK 1990 BMI charts to give age- and gender-specific information.

What was measured: Public Health Outcomes Framework indicator 2.06i: Proportion of children aged 4-5 years classified as overweight or obese according to age and sex, using the 1990 growth reference (UK90).
Data collection end: March 2012
22.6%
Data collection end: March 2013
22.2%
Data collection end: March 2014
22.5%
Data collection end: March 2015
21.9%
Area covered: England
Source: HSCIC - National Child Measurement

What was measured: Public Health Outcomes Framework indicator 2.06ii: Proportion of children aged 10-11 years classified as overweight or obese according to age and sex, using the 1990 growth reference (UK90).
Data collection end: July 2012
33.9%
Data collection end: July 2013
33.3%
Data collection end: July 2014
33.5%
Data collection end: July 2015
33.2%
Area covered: England
Source: Public Health England. Public Health Outcomes Framework



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