Childhood Obesity Update Karen Horrocks Public Health

1. Childhood Obesity UpdateKaren HorrocksPublic Health

2. Why obesity is a priority The local picture Key challenges The role of settings PHE Childhood Obesity for Professionals (relevant to schools and early years): https://youtu.be/gQK4vj1Lzlg Setting the scene

5. Overweight and obesity in Doncaster • More than 2 out of 10 children aged 4-5 are overweight or obese (23.0%) • More than 3 out of 10 children aged 10-11 are overweight or obese (35.8%) • More than 7 out of 10 adults are overweight or obese (worse than Yorkshire and Humber)

6. Key Challenges • Identification: We may not identify ourselves or our children as obese • Inequality: Obesity does not affect groups equally • Complexity: Obesity is the outcome of a complex set of factors

7. Identification

8. Inequalities

9. Obesity is biologically simple and behaviorally complex!

10. Societal influences Individual psychology Individual activity Food Consumption Activity environment Food Production Biology Complexity

12. If you had £4 to feed your family that night would you go for the foods that you know they like or spend it on fresh fruit? If you were scared of the people in your local area would you be happy to go walking in it? If you had to work three jobs to get by, would you spend the little spare time you had at a gym? If you had anxiety and low self-esteem, would you feel confident enough to walk into a local exercise class? You lived in a room in a shared house and had access to only a microwave- would you cook from scratch tonight? If you were really rushing get your child to school and get to work on time would you walk or take the car? If you felt unable to cope with everyday life, would you take your children out for the day or turn on the TV for them? If you had no one to watch the children, would you walk to the supermarket or call the takeaway? The road you use to get to work is in poor condition and very busy with cars; the way they drive is quite frightening. Do you use your bike today?

14. Key updates being consulted on:• 9pm watershed on TV advertising • Banning price promotions of foods • Banning the promotion of food and drink high in fat, sugar and salt by at checkouts and at the ends of aisles and store entrances• Banning the sale of energy drinks to children

15. Key updates:Updated School Food StandardsReviewing how least active children are being engaged during the school day1.6 m to increase active travelAll primary schools to have active mile initiatives, such as the Daily MileConsultation on Healthy Start vouchers providing additional supportNew inspection framework for Ofsted (Sep 2019) to include healthy behavioursOfsted research into what a curriculum that supports good physical development in the early years looks like.

16. Table Activity10 minutes Identifying your assets Think about your education setting and what is good right now. What is the best thing you are doing: share this with your table. Pick the best idea to share with everyone.

17. Useful resources • Healthy Learning Healthy Lives http://www.healthylearningdoncaster.co.uk/ • Change4life (including new Train Like a Jedi resources) https://www.nhs.uk/change4life

18. Thank you Healthy Learning Healthy Lives Healthylearning@doncaster.gov.uk 01302 735135

19. Pupil lifestyle survey 2017 Doncaster: key trends Carrie Wardle Children young people and families Public Health

20. What is Pupil Lifestyle Survey? • Health-Related Behaviour Survey - young people of primary and secondary school age • Schools Health Education Unit (SHEU) • School’s individual results are confidential and won’t be shared with other organisations • Comparison figures • Trends between 2015 and 2017 survey • Locality and collaborative areas and Doncaster • Further details - http://sheu.org.uk/content/page/appendix

21. Questions Key Categories • Background (All) • Ethnicity • Family • Special Needs • Free school meals • Healthy Eating (All) • Lunch • Breakfast • Food & Drink • Five-a-day • Water • Physical activity (All) • Enjoyment • Exercise • Health & Hygiene (All) • Screen time • Dental health • Sleeping patterns • Staying safe (All) • Internet Safety • Feeling Safe • Bullying

22. Questions Key Categories • Emotional Health and wellbeing (All) • Growing Up • Happiness • Self esteem • Worrying • Resilience • Alcohol, Smoking and drugs (Year 6 only) • Alcohol • Smoking • Drugs

23. Doncaster sample size

24. Points to note • These are self-reported measures • Not all schools took part in the survey • Not all changes in results from 2015 and 2017 are significant (significant changes are indicated in the report) • Different schools took part in the 2015 and 2017 survey

25. What is statistical significance? The results of the Pupil Lifestyle Survey have undergone statistical testing to make sure that we can be very sure that they are a true reflection of what’s really happening to your pupils. Something is statically significant when it is very unlikely that we have got that result just by chance. It means that we can be pretty sure that what the data say is a true reflection of real life. • We have graded some of our results *, ** or *** • All of these are statistically significant. *** is the most statistically significant In this presentation we have concentrated on highly significant results ***

26. Statistically significant trends in Doncaster Primary aged children 2015 to 2017 Indicators where an improvement had been observed: • Improved perception of safety in and out of school • Increased consumption of fresh fruit and veg • Increased high measure of resilience • Decreased number of parent smoking in cars with children in them

27. Statistically significant trends in Doncaster Primary aged children 2015 to 2017 Indicators where a decline was observed: • Children were less active • Children are taking part in less intense physical activity • Increase in screen time (screens other than television) • Increase in children feeling worried about growing up and changes to their body

28. Statistically significant trends in Doncaster Secondary aged children 2015 to 2017 • Indicators where an improvement had been observed were: • Perception of safety in and out of school improved • Reduction in pupils smoking and people smoking around them • Decrease in negative perceptions re: numbers of young people smoking and age of first sexual activity

29. Statistically significant trends in Doncaster Secondary aged children 2015 to 2017 • Indicators where a decline had been observed were: • Decrease in pupils with high measure of resilience • Increase in children receiving ‘sexting’ images • Decrease in pupils saying they wanted to get training for a skilled job at the end of year 11

30. Overall findings – Primary 2017 Food and Drink • 6% of pupils responded that they didn’t have anything to eat or drink on the day of the survey • 7% of pupils responded that they just had a drink for breakfast on the day of the survey • 55% of pupils responded that they eat fresh fruit ‘on most days’; 45% said the same for vegetables

31. Overall findings - Primary 2017 Exercise • 32% of boys and 27% of girls responded that they did physical activity on five days or more in the week before the survey Screen time • 18% of pupils responded that they spent 3 hours or more watching a television screen on the day before the survey • 26% of pupils responded that they spent 3 hours or more looking at any other sort of screen on the day before the survey

32. Overall findings - Primary 2017 Bullying • 42% of pupils responded that they at least ‘sometimes’ feel afraid of going to school because of bullying. • 11% of pupils responded that they ‘often’ or ‘very often’ feel afraid of going to school because of bullying. • 32% of pupils responded that they have been bullied at or near school in the last 12 months

33. Overall findings - Secondary 2017 Gambling • 33% of pupils responded that they take part or had taken part in the past in at least one of the gambling activities listed: • play arcade games to win money • buy lottery tickets • play gambling games online (e.g. bingo, card games like poker) • place money bets with my friends

34. Overall findings - Secondary 2017 Exercise • 39% of boys and 23% of girls responded that they did physical activity on five days or more in the week before the survey • 24% of pupils responded that they don’t have enough time to be as physically active as they would like

35. Overall findings - Secondary 2017 What stops young people being as physically active as they would like?

36. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213739/dh_128144.pdfhttps://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213739/dh_128144.pdf

37. Overall findings - Secondary 2017 Relationships • 31% (32%) of pupils responded that they have experienced at least one of the negative behaviours listed in a relationship with a past or current boyfriend/girlfriend

38. Overall findings - Secondary 2017 Negative behaviours pupils have experienced in a previous or current relationship

39. Emotional health and wellbeing

40. Pupils worrying quite a lot or a lot about the following issues:

41. Emotional health and wellbeing

42. LGB • 6% of Y10 sample identified as lesbian, gay or bisexual

43. What can you do? • Take the findings of the survey into account in your practice. What can your setting do to improve the health and wellbeing of children? • Early years: key to the development of health and wellbeing in children. How can you ensure that you do all you can to ensure they are emotionally and physically healthy when the get to school?

44. Recommendations • Strategic partners, including those commissioning or planning interventions aimed at school aged children, should take into account the findings from the surveys. • All partners should take time to look at the reports in full to identify data relevant their work areas • The surveys are utilised as a source of pupil voice • Any interventions, programme or service planning should take into account those groups identified as having worse health and wellbeing outcomes • Partners should take note of the overall decline in emotional health and wellbeing as children get older, particularly in girls

45. Recommendations • All Doncaster schools should take part in the free 2018/19 Pupil Lifestyle Survey in order to get their own school’s results. • Contact healthylearning@doncaster.gov.uk to express an interest