King’s Fund Health Management and Policy Alert, 1 December 2014
McKinsey & Company –
This discussion paper brings together a range of case studies and examples of obesity interventions from around the world and presents them with an initial assessment of their cost-effectiveness.
Newly available evidence on very low calorie diets and on the effectiveness of bariatric surgery in people with recent onset type 2 diabetes and a lack of clear guidance on follow-up after bariatric surgery have led to the need to revise the original National Institute for Health and Care Excellence (NICE) guideline from 2006. This article summarises the most recent recommendations from NICE on managing overweight and obese patients.
Click here to view the full text article. You will need to login with your Athens password to view this article.
All Lancashire Care staff are eligble to register for an Athens password. Please click here to register for an Athens password.
One in five children born at the start of the millennium was obese by the age of 11, according to a major study. The Millennium Cohort Study, which follows 13,000 children born in the UK, showed a sudden surge in obesity between the ages of seven and 11…
A new report released by 2020health calls for a cross-sector 5-10 year strategy to tackle the obesity crisis, covering both education and regulation. The report, ‘Careless eating costs lives’, grasps the extent of the obesity explosion and sets out the essential responses to halting progression and reversing the drastic effects of overweight on individual health, employment, social care and the wider economy.
Click here for further information and to download the full report.
This series of factsheets (previously known as Key Data Briefings) compiles up-to-date key information and data about obesity and its determinants in an easily readable format. The data factsheets will be a useful resource for policy makers, practitioners and anyone with an interest in obesity. They will be updated regularly.
The use of the Wii Fit in forensic mental health: exercise for people at risk of obesity, British Journal of Occupational Therapy , 2012 Feb; 75(2): 61-8
Introduction: Side effects of psychotropic medication often lead to rapid weight gain, having detrimental effects on forensic mental health patients’ health, wellbeing, occupational performance and quality of life. Virtual reality technology could provide novel environments and motivating forums for exercise, which are otherwise unavailable to patients in such secure settings. This exploratory study aimed to evaluate the use of the Nintendo Wii Fit in changing engagement in physical activity for patients at risk of obesity at a secure hospital. Method: Two participants used a Wii Fit for 8 weeks in individual or group sessions. A mixed methods approach was taken, because participants’ use of the Wii Fit was compared with their attitudes towards it (reported during interviews) and their daily physical activity levels (measured using an accelerometer). Researcher field notes were also used to gather contextual data. Findings: Participants played Wii Fit up to four times a week in sessions ranging from 7 to 127 minutes. When using the Wii Fit, participants increased their overall time spent actively moving their bodies in physical activity, as measured by the accelerometer. Using the Wii Fit also changed participants’ attitudes towards exercise as they realised that it could be ‘fun’ and ‘challenging’, especially if staff members also participated. Conclusion: The Wii Fit encouraged patients to attempt physical activities and to learn about their bodily response to exercise. It provided a meaningful occupational intervention in a secure setting and demonstrated a potential use of the technology in mental health settings.
A systematic review of the impact of physical activity programmes on social and emotional well-being in at-risk youth, Child and Adolescent Mental Health, 2012, 17 (1) pp 2–13
Lubans, D. R., Plotnikoff, R. C. and Lubans, N. J.
Background: Physical activity programmes have been identified as a potential strategy for improving social and emotional well-being in at-risk youth, who have a prevalence of depression and low self-esteem exceeding the general population.
Methods: A systematic search of six electronic databases (EMBASE, OVID MEDLINE, PsychINFO, PubMed, Scopus and SPORTDiscus) was conducted to identify physical activity programmes designed to improve social and emotional well-being in at-risk youth.
Results: The search identified 15 studies, which reported the effects of three types of physical activity programmes (i.e. outdoor adventure, sport and skill-based and physical fitness programmes) on social and emotional well-being. While many of the interventions resulted in significant positive effects, the risk of bias was high in all of the included studies.
Conclusion: Due to the mixed findings and the high risk of bias, it is difficult to determine the efficacy of physical activity programmes for improving social and emotional well being in at-risk youth.