How to tackle obesity head-on

By Melanie Leyshon

25% of adults in the UK are already obese and two-thirds are overweight. Worrying statistics, which, according to Professor David Haslam, National Obesity Forum chair and Healthy Food Guide expert, means we could be facing a ‘doomsday scenario’. At the start of National Obesity Awareness Week (13–19 Jan), David wants to see campaigns for obesity becoming as hard-hitting as those against smoking.

‘There’s a lot more we can be doing by way of earlier intervention and to encourage members of the public to take sensible steps to help themselves,’ says David. ‘But this goes hand in hand with government leadership and ensuring responsible food and drink manufacturing and retailing. We need more proactive engagement by healthcare professionals on weight management, more support and better signposting to services for people who are already obese, and more importance placed on what we drink and how it affects our health.’

To tackle obesity successfully, health experts believe all the elements of the condition must be addressed. One successful scheme has been trialled in Rotherham, South Yorkshire.

The town’s weight management programme brought together health authorities and commercial enterprises such as WeightWatchers, with a focus on healthy eating and exercise. Its community approach encouraged overweight people to request a referral to the Rotherham Institute of Obesity from either their GP, nurse, pharmacist or dietitian, or to refer themselves.

Of the patients who completed the six-month weight-loss programme, 93% lost weight and 66% met or did better than their targets. Overall weight-loss results were up to 29% of the original starting weight.

‘It worked because once assessed, patients could see a weight management professional, dietitian, exercise physiologist or talking therapist, or whatever they needed,’ says David. There were three stages to the scheme: stage one identified people at primary care level; stage two was community based, where nutrition and lifestyle and exercise advice was given by trained staff; and stage three looked at specialist interventions, such as bariatric surgery. For children, this included residential weight management camps.

David believes the Rotherham approach is utterly cost effective and should be used across the country. ‘People are sitting in the wrong clinics. They’re in the cardiology clinic and the diabetes clinic or liver clinic, when really they should have started in the obesity clinic so that the problem could really be dealt with.’

‘If you rolled out the Rotherham programme everywhere, it would cost far less than the amount obesity is going to cost us in 25 years’ time, according to Government predictions,’ he says. The programme costs under £1m and if it were rolled out nationally, it would cost around £250m - a small fraction of the bill we will be faced with in 2050 if the obesity crisis continues at its current pace.’

For advice on tackling obesity, check out the National Obesity Awareness Week website www.noaw2014.org.uk/recipes - Healthy Food Guide has a week’s worth of recipes available for you to try.

For more everyday recipes - all 500 kcal or less - get a copy of Healthy Food Guide’s Make it Special 100 Speedy Suppers Recipe Collection (£3.99), out now at branches of Tesco, Sainsbury’s and WH Smith, or download the iPAD edition from iTunes. 

Traffic light labelling gets the green light

By Sioned Quirke, spokesperson for the British Dietetic Association

Traditionally, companies have used different nutrition labelling systems on the front of their packaging, making it difficult for consumers to check and compare products – until now.

From today (19 June), a standardised system will roll out which, although voluntary, is a major step towards helping us make informed choices about the foods we buy.

Consistency is key when comparing any type of information. This new system allows us to check how healthy (or not) a product is in a simple and clear way.

It’s a simple but effective format, using the words "high", "medium" and "low" colour coded respectively in red, amber and green to let people know how much fat, saturated fat, salt, sugar and calories the product contains. Such at-a-glance labelling will make identifying healthy options quicker and easier than the old method of having to fathom the hard-to-read tables on the reverse of a product.

The labels will also provide information on guideline daily amounts (GDAs) for different nutrients, so consumers will have an idea of how that particular product will contribute to their daily diet.

We all have a responsibility to help improve the health of our nation as we see obesity, diabetes and hypertension increase. This step made by the government and the food industry demonstrates a commitment to address these issues. And with the increasing amount of processed and pre-prepared foods we are consuming, this intervention couldn’t come at a better time. This is a voluntary scheme, but we are hopeful more manufacturers will join the standardised labeling movement.

Other reactions to the news:

Anna Soubry, public health minister, says: “The UK already has the largest number of products using a front-of-pack label in Europe, but we know that people get confused by the variety of labels used. Research shows that, of all the current schemes, people like this label the most and they can use the information to make healthier choices. By having all major retailers and manufacturers signed up to the consistent label, we will all be able to see at a glance what is in our food. This is why I want to see more manufacturers signing up and using the label.” 

Robin Hewings, head of policy at Diabetes UK, says: “The government’s decision to announce a colour-coded food labelling system is an important step in the effort to reduce the number of people in the UK who are overweight or obese. These people are at an increased risk of type 2 diabetes and other chronic health conditions, so need easy access to information that can help them lead healthier lives and reduce their risk.

Effective front-of-pack food labelling also helps people with type 1 and type 2 diabetes manage their condition, as a diet high in fat, salt and sugar increases their risk of developing serious complications such as blindness, amputations and stroke. However, EU law requires a voluntary approach, which means there are still large parts of the food market not covered by traffic light labelling. It means we are missing opportunities for people to understand what is in the food they buy. We want to see all retailers and food manufacturers adopting the recommended labelling scheme and actively promoting it as a way for people to make healthier eating choices.”