Welcome to this edition of All-island Obesity News. As you are aware childhood Obesity has become a public health priority with 1 in 4 children across the island of Ireland now carrying excess weight. In response to this safefood, in association with Healthy Ireland (ROI) and Choose to Live Better (NI) launched a three year childhood obesity campaign on the 21st October. The initial focus is on portion size, sugary drinks and treat foods. Positive feedback has been received thus far.
Presentations and roundtable discussion information from the most recent All-island Obesity Action Forum workshop are now available on the event webpage. Hosted by safefood the workshop addressed the catering sector and highlighted what is available to individuals and families when they choose to eat outside the home. The event also examined consumer behaviour and initiatives available to help guide healthier choices. The next workshop will be held on the 17th June 2014 in the Stormont Hotel in Belfast.
This edition is once again packed full with news, events, research updates and training opportunities and as usual, the first section contains information directly submitted by Forum members including a spotlight piece from the Centre of Excellence exploring the issue of weight management in pregnancy in Northern Ireland. I would encourage you to circulate All-island Obesity News among your colleagues and to share your work via this publication by submitting any relevant news items to Laura Keaver at firstname.lastname@example.org.
Chief Executive, safefood and Chair, All-island Obesity Action Forum
Minutes of Forum meetings, events and further details about the Forum can be accessed on the All-island Obesity Action Forum webpage
What's in this issue?
If you would like to subscribe to or include any information in this bi-monthly e-bulletin please email us at email@example.com.
Exploring the issue of weight management in pregnancy in Northern Ireland
Maternal overweight and obesity are associated with significantly increased risks for both mother and child. Therefore it is crucial to optimise weight status prior to conception and to gain an appropriate amount of weight throughout pregnancy, as these both independently predict clinical outcomes. However there is currently a lack of evidence addressing the issue of weight management in the preconception period and there are no evidence based UK guidelines on appropriate areas of weight gain during pregnancy. A new project from the Center of Excellence will attempt to address these evidence gaps, firstly by conducting qualitative interviews with health professionals and women to gauge attitudes towards reintroducing regular weighing in antenatal care. This will inform the development of a routine weighing pilot to collect data on appropriate amounts of weight gain linked to outcomes. Ultimately the aim is to design and pilot a weight management intervention targeted at the preconception period.
Forum Member Updates
As part of the campaign to take on childhood obesity, safefood is urging parents to choose water instead of juice drinks. The results of a label survey into the sugar levels of a wide selection of popular drinks for children has been released in the form of an infographic (PDF, 3MB). Many of the drinks that safefood compared contained as much sugar as ’fizzy drinks’. Some popular supermarket brands of cordials and dilutes were found to contain even higher sugar levels, with as much as five cubes of sugar in a small glass.
There is now clear evidence that links the consumption of sugar-sweetened drinks to overweight and obesity among children and adolescents. Furthermore, there is evidence that reducing their intake will help children become a healthier weight
. safefood's most recent survey of parents found that 45% of children are drinking soft drinks at least once a day or more. The same survey also found that 30% drank cordials at mealtimes. Reducing a child’s intake of such drinks and replacing with water or milk would be a practical step
- HRB Centre for Health and Diet Research
The Health and Economic Consequences of Projected Obesity Trends in Ireland
A recently published study by researchers in the Department of Epidemiology & Public Health indicated that overweight and obesity are projected to reach levels of 89% and 85% in males and females respectively by 2030. This will result in an increase in the obesity related prevalence of CHD & stroke by 97%, cancers by 61% and type 2 diabetes by 21%. The direct healthcare costs associated with these increases will amount to €5.4 billion by 2030. A 5% reduction in population BMI levels by 2030 is projected to result in €495 million less being spent in obesity-related direct healthcare costs over twenty years. These findings have significant implications for policy, highlighting the need for effective strategies to prevent this avoidable health and economic burden.
Study finds higher GP visits among obese people in the older population
A study conducted by researchers in the Department of Epidemiology and Public Health, UCC has found a significant association between obesity and more intensive health service in the older population. Analysis of data from The Irish Longitudinal Study on Ageing (TILDA) indicated more frequent visits to the GP by those who are obese compared to normal weight individuals, taking age and chronic illness into consideration.
Metabolically healthy obesity
There is accumulating evidence that not all obese subjects are at increased cardiometabolic risk and that a “metabolically healthy obese” (MHO) phenotype may exist. A recent review by Dr. Catherine Phillips entitled “Metabolically healthy obesity: definitions, determinants and clinical implications” presents the current state of the art including the epidemiology of metabolically healthy obesity, its definitions and what factors may be important in determining metabolic health status.
In further work led by Dr. Phillips, using the Mitchelstown Cohort Study we have estimated the prevalence of MHO defined according to different international criteria and highlighted the need for an agreed international consensus on the definition of MHO.
A further paper “Does inflammation determine metabolic health status in obese and non-obese adults?” published in Journal of Clinical Endocrinology and Metabolism and highlighted for press release by the Endocrine Society, studied the largest range of inflammatory markers to date (pro-inflammatory cytokines, adipocytokines, acute-phase response proteins, coagulation factors and white blood cell count) in relation to metabolic health in obese and non-obese participants in the Mitchelstown Cohort Study.
Comparison of Diabetes Risk Score Estimates and Cardiometabolic Risk Profiles in a Middle-Aged Irish Population
Recently published in PLOS One, this study led by Dr. Catherine Phillips compared a range of diabetes risk assessment tools in estimating risk of developing type 2 diabetes in a middle-aged Irish population. In addition we examined cardiometabolic phenotypes including markers of glucose metabolism, inflammatory and lipid profiles. Our results highlight the potential for developing an Irish diabetes risk score, which may help to promote self awareness and identify high risk individuals and diabetes hot spots for targeted public health interventions.
Surrogate measures of adiposity and cardiometabolic risk – why the uncertainty? A review of recent meta-analytic studies
Published in the Journal of Diabetes and Metabolism, this review presents evidence from the most recently completed meta-analytic studies involving indices of general and central adiposity and cardiometabolic risk, to determine which adiposity measure is most strongly associated with type 2 diabetes, cardiovascular disease and mortality.
Further information on publications from the HRB Centre for Diet and Health Research can be found on the UCC website.
- The Institute of Public Health in Ireland (IPH)
A report comparing the socio-demographic pattern of food poverty across the Island will be launched in early 2014. Preliminary findings show that in 2004/05, 13.7% of households in the ROI had compromised food spending whereby their per person food expenditure was less than 60% of the national median food spending value, thus putting households at risk of food poverty. By 2009/10 this had significantly increased to 16.3% of households. For more information please email Lorraine Fahy.
Breastfeeding, age-appropriate weaning and the adoption of a varied nutritious diet are critical factors in helping children maintain a healthy weight. Recent data on overweight/obesity among infants and pre-school children on the island has raised the profile of the importance of appropriate early infant nutrition. IPH has been engaged by the HSE to conduct a Review and Evaluation of Breastfeeding in Ireland – a Five Year Strategic Action Plan. New data shows that just 47% of babies were exclusively breastfed on discharge from hospital in the ROI in 2012, up from 41% in 2003. The European FSA has recently issued a statement (PDF) that follow-on formula and growing up milks are unnecessary products, in line with recent statements made by WHO. To access the Breastfeeding Strategy NI, launched in June 2013, click here. For more information please email Helen McAvoy.
Have you visited the Physical Activity and Nutrition Intervention (PANI) Tool? The PANI Tool promotes awareness of physical activity and nutrition activities taking place across Ireland, Northern Ireland and Britain and is now being updated continuously in collaboration with ASOI and the Public Health England Obesity Knowledge and Intelligence Team (formerly NOO). The homepage is now more user-friendly allowing visitors to use the tool without being logged in. We have also added in a new ‘browse-by-map’ function allowing users to search interventions by the geographical region they are interested in. To include your intervention on the PANI Tool, just complete our questionnaire. For more information, please contact Fiona O’Shea.
16.10.13: Declining and stabilising trends in prevalence of overweight and obesity in Dutch, Turkish, Moroccan and South Asian children 3-16 years of age between 1999 and 2011 in the Netherlands. There was a decrease in obesity prevalence in Dutch, Moroccan and Surinamese South Asian children and stabilising of trends in overweight and obese Turkish children. Read the abstract in Pubmed.
16.10.13: The impact of weight loss on health-related quality-of-life: implications for cost-effectiveness analyses. The aim of this study was to assess the impact of weight loss on health-related quality-of-life (HRQL), to describe the factors associated with improvements in HRQL after weight loss, and to assess the relationship between obesity as assessed by body mass index (BMI) and HRQL before and after weight loss. Read the abstract in Pubmed.
16.10.13: Impact of body mass index on prevalence of multimorbidity in primary care: cohort study. This research aimed to quantify the association between body mass index (BMI) category and multimorbidity in a large cohort registered in primary care. Read the abstract in Pubmed.
17.10.13: Poor school performance is associated with a larger gain in body mass index during puberty. This study investigated whether school performance is associated with adiposity and increase in body mass index (BMI) between 10 and 15-years-of-age. Read the abstract in Pubmed.
22.10.13: Parental Concerns about Weight-Based Victimization in Youth. This study aimed to assess parental perceptions of weight-based victimization (WBV) and its consequences for children's health as well as how perceptions of WBV vary by parental and child weight status. Read the abstract in Libert Open Access.
25.10.13: Quantitative relationship between body weight gain in adulthood and incident type 2 diabetes: a meta-analysis. This meta-analysis quantified the risk of type 2 diabetes mellitus (T2DM) proceeded by body weight (BW) gain in the general population. Read the abstract in the Wiley online Library.
29.10.13: Collaborative Practice Improvement for Childhood Obesity in Rural Clinics: The Healthy Eating Active Living Telehealth Community of Practice (HEALTH COP). This study assessed the impact of participation in a virtual quality improvement (QI) learning network on adherence to clinical guidelines for childhood obesity prevention in rural clinics. Read the abstract in the American Journal of Medical Quality.
Nov 13: Maternal pre-pregnancy body mass index and risk of selected birth defects: evidence of a dose-response relationship. This study investigates the relationship between maternal pre-pregnancy body mass index (BMI) and 26 birth defects identified through the Florida Birth Defects Registry. Read the abstract in Pubmed.
04.11.13: Socioeconomic status, financial hardship and measured obesity in older adults: a cross-sectional study of the EPIC-Norfolk cohort. This study aimed to examine three types of financial hardship in relation to measured general and central obesity in a general population of older adults, while considering conventional socioeconomic indicators. Read the abstract in the BMC Public Health.
06.11.13: Large reductions in child overweight and obesity in intervention and comparison communities 3 years after a community project. The objective of this study was to measure the impacts of the successful Be Active Eat Well (BAEW) programme in Victoria, Australia (2003-2006), 3 years after the programme finished (2009). Read the abstract in PubMed.
06.11.13: Economic Differences in Risk Factors for Obesity Among Overweight and Obese Children. The purpose of the study was to identify the economic differences in familial, physiological, psychological, and lifestyle characteristics associated with overweight and obese children in South Korea. Read the abstract in PubMed.
07.11.13: Relationship Between Employment Characteristics and Obesity Among Employed U.S. Adults. This study examined associations between employment characteristics and obesity among a sample representing civilian non-institutionalized U.S. adults. This was a quantitative cross-sectional study. Read the abstract in PubMed.
07.11.13: Associations Between Childhood Obesity and the Availability of Food Outlets in the Local Environment: A Retrospective Cross-Sectional Study. The purpose of this study was to examine whether individual-level childhood obesity is related to residential availability of fast food and healthy food outlets. Read the abstract in PubMed.
07.11.13: Children and adolescents with type 1 diabetes in Germany are more overweight than healthy controls: results comparing DPV database and CrescNet database. The aim of this study was to describe the development of weight in children and adolescents with type 1 diabetes in Germany. Read the abstract in PubMed.
11.11.13: Overweight Adolescents and Life Events in Childhood. The objectives of this study was to test the association of life events in childhood with overweight risk in adolescence; to examine the effects of chronicity, timing, intensity, valence, and type of life events; and to test potential moderators. Read the abstract in Paediatrics – Official Journal of the American Academy of Paediatrics.
13.11.13: Application of the UK Foresight Obesity Model in Ireland: The Health and Economic Consequences of Projected Obesity Trends in Ireland. The aim of this research is to project disease burden and direct healthcare costs for these conditions in Ireland to 2030 using the established model developed by the Health Forum (UK) for the Foresight: Tackling Obesities project. Read the full text on PLOS one.
13.11.13: Maternal overweight impacts infant feeding patterns-the STEPS Study. In this study researchers examined how maternal overweight impacts full breastfeeding (BF), total duration of BF and the age of introduction of complementary foods (CFs) and whether these have effect on children's growth from 0 to 2 years. Read the abstract in the European Journal of Clinical Nutrition.
19.11.13: A five year longitudinal study investigating the prevalence of childhood obesity: comparison of BMI and waist circumference. The purpose of this study was to examine the prevalence of obesity over time in the same individuals comparing body mass index (BMI), waist circumference (WC) and waist to height ratio (WHtR). Read the abstract on Pubmed.
21.11.13: Parent-only interventions in the treatment of childhood obesity: a systematic review of randomized controlled trials.
A systematic review of published and ongoing studies until 2013, comparing parent-only interventions with interventions including the child. Read the abstract on Pubmed.
25.11.13: Association between body mass index and mental health among Scottish adult population: a cross-sectional study of 37272 participants. This research studied mental health across the full spectrum of BMI among the general population, and conducted subgroup analyses by sex and age. Read the abstract on Pubmed.
25.11.13: Children's body fatness and prevalence of obesity in relation to height for age. This study found that a higher prevalence of excess weight, measured by BMI SDS among children taller for their age, is replicated when using %BF and WC. Height for age measurement has potential in screening children for later risk of obesity. Read the abstract on Pubmed.
25.11.13: Associations between Family-Related Factors, Breakfast Consumption and BMI among 10- to 12-Year-Old European Children: The Cross-Sectional ENERGY-Study. This study aimed to investigate associations of family-related factors with children's breakfast consumption and BMI-z-score and to examine whether children's breakfast consumption mediates associations between family-related factors and children's BMI-z-score. Read the abstract on Pubmed.
25.11.13: Musculoskeletal Pain in Obese Compared with Healthy-weight Children. This study aimed to investigate whether obesity is associated with musculoskeletal pain in children. Read the abstract on Pubmed.
25.11.13: Coaction in Multiple Behavior Change Interventions: Consistency Across Multiple Studies on Weight Management and Obesity Prevention. Coaction refers to the extent to which taking action on one behavior increases the odds of taking action on a second behavior. This integrative study examines the generalization of coaction in three studies on weight-related behaviors. Read the abstract on Pubmed.
25.11.13: Trends in adiposity in Brazilian 7-10-year-old schoolchildren: evidence for increasing overweight but not obesity between 2002 and 2007. This study aimed to describe trends in the nutritional status among 7-10-year-old children by investigating changes in the prevalence of stunting, thinness, overweight, obesity, risk and excess abdominal adiposity, and to study changes in height-for-age, body mass index (BMI) and waist circumference (WC). Read the abstract on Pubmed.
25.11.13: Trial for Reducing Weight Retention in New Mums: a randomised controlled trial evaluating a low intensity, postpartum weight management programme. This research evaluated a postpartum weight management programme for women with a body mass index (BMI) > 25 kg m2 that combined behaviour change principles and a low-intensity delivery format with postpartum nutrition information. Read the abstract on Wiley Online Library.
26.11.13: Ethnic Disparities in the Association of Body Mass Index with the Risk of Hypertension and Diabetes. This study found that despite lower overall BMI compared to other groups, weight gain in Asians is associated with significantly higher risks of hypertension and diabetes. Compared to other ethnic groups, similar risks of hypertension and diabetes are seen in Asians at much lower BMI. Read the abstract on Pubmed.
27.11.13: Does behavioral intervention in pregnancy reduce postpartum weight retention? Twelve-month outcomes of the Fit for Delivery randomized trial. This randomized trial tested whether a low-intensity behavioral intervention to prevent excessive gestational weight gain could increase the proportion of women who returned to prepregnancy weight by 12 months postpartum. Read the abstract on Pubmed.
28.11.13: The role of social media in online weight management: systematic review. The objective of this study was to systematically describe the use and impact of social media in online weight management interventions. Read the abstract on Pubmed.
December 13: Incidence of Obesity Among Young US Children Living in Low-Income Families, 2008-2011. This study aimed to examine the incidence and reverse of obesity among young low-income children and variations across population subgroups. Read the abstract on Pubmed.
18.10.13: Reasons for eating ‘unhealthy’ snacks in overweight and obese males and females. The present study examined the perceived reasons for eating main meals, 'unhealthy' snacks (i.e. snacks high in fat or sugar) and 'healthy' snacks in overweight and obese participants. Read the abstract in Pubmed.
21.10.13: Comparing two psychological interventions in reducing impulsive processes of eating behaviour: Effects on self-selected portion size. This study compared the effectiveness of two interventions in reducing the portion size of palatable food that people select for themselves. Read the abstract in the British Journal of Health Psychology.
23.10.13: The association of fast food consumption with poor dietary outcomes and obesity among children: is it the fast food or the remainder of diet? The objective of this study was to compare the independent associations with overweight/obesity or dietary outcomes for fast food consumption compared with dietary pattern for the remainder of intake. Read the abstract in the American Journal of Clinical Nutrition.
31.10.13: Overall and income specific effect on prevalence of overweight and obesity of 20% sugar sweetened drink tax in UK: econometric and comparative risk assessment modelling study. The objective of this study was to model the overall and income specific effect of a 20% tax on sugar sweetened drinks on the prevalence of overweight and obesity in the UK. Read the full text in the British Medical Journal.
November 13: Effect of television viewing on food and nutrient intake among adolescents. The aim of this study was to examine the association between television viewing and dietary intake among 13-y-old adolescents. Read the abstract in PubMed.
November 13: Dinner rituals that correlate with child and adult BMI. Families who frequently ate dinner in the kitchen or dining room had significantly lower BMIs for both adults (r=-.31) and children (r=-.24) compared to families who ate elsewhere. Read the abstract in Obesity.
November 13: Sugar as part of a balanced breakfast? What cereal advertisements teach children about healthy eating. This study combined content analysis of product nutritional quality and messages presented in cereal television advertisements with syndicated data on exposure to those ads. Read the abstract in the Journal of Health Communication: International Perspectives.
11.11.13: Effects of Changes in Lunch-Time Competitive Foods, Nutrition Practices, and Nutrition Policies on Low-Income Middle-School Children's Diets. The School Nutrition Advances Kids project tested the effectiveness of school-initiated and state-recommended school nutrition practice and policy changes on student dietary intake in low-income middle schools. Read the abstract in Liebert Open Access.
13.11.13: Understanding consumer acceptance of intervention strategies for healthy food choices: a qualitative study. The aim of the present study is to explore consumer acceptance of intervention strategies for low-calorie food choices. Beliefs that are associated with consumer acceptance are identified. Read the abstract in the BMC Public Health.
14.11.13: Monetary matched incentives to encourage the purchase of fresh fruits and vegetables at farmers markets in underserved communities. The objective of this study was to examine outcomes of the Fresh Fund farmers market program serving low-income neighbourhoods in San Diego, California. Read the full text on the Centres for disease control and prevention site.
19.11.13: Potential role of meal frequency as a strategy for weight loss and health in overweight or obese adults. The objective of the present review is to survey the literature to assess whether the alteration of meal frequency influences body weight regulation, hunger control, and/or blood markers of health in overweight/obese participants undergoing a controlled hypocaloric diet to induce weight loss. Read the abstract on Pubmed.
22.11.13: Change in objectively measured physical activity during the transition to adolescence. In this study, changes in sedentary (SED) time, light (LPA), moderate (MPA) and vigorous PA (VPA) are assessed at three time points over 4 years. Read the full text in the British Journal of Sports Medicine.
25.11.13: Changes in Physical Activity over Time in Young Children: A Longitudinal Study Using Accelerometers. The aims of this study were to determine how overall activity and time in different intensities of activity change in children followed from 3 to 7 years. Read the full text on PLOS One.
27.11.13: Sugar-sweetened beverages consumption in relation to changes in body fatness over 6 and 12 years among 9-year-old children: the European Youth Heart Study. A longitudinal study of 9-year-old children (n=283) enrolled in the Danish part of the European Youth Heart Study with a 6-year and 12-year follow-up. Data were collected at ages 9, 15 and 21 years. Read the abstract on Pubmed.
27.11.13: Childhood dietary patterns and later obesity: a review of the evidence. The aim of this paper was to systematically review the current evidence pertaining to overall dietary patterns in childhood and later obesity risk. Read the abstract on Pubmed.
27.11.13: Association of children's eating behaviors with parental education, and teachers' health awareness, attitudes and behaviors: a national school-based survey in China. This study examined the association between these environments and eating habits among children. Read the abstract on European Journal of Public Health.
Physical Activity Research
23.10.13: Are school physical activity characteristics associated with weight status in primary school children? A multilevel cross-sectional analysis of routine surveillance data. The aim of this study was to estimate the interschool variation in body mass index (BMI) z-scores in primary school children and examine the individual and school physical activity characteristics contributing to this. Read the abstract in the British Medical Journal.
30.10.13: Weight management for overweight and obese men delivered through professional football clubs. This pilot randomized trial explored the feasibility of using these clubs as a setting for a randomized controlled trial of 12 month weight loss following men's participation in FFIT. Read the abstract in the International Journal of Behavioral Nutrition and Physical Activity.
09.11.13: Parent Perspectives on Nutrition and Physical Activity During Out-of-School Time. In this study, parents' perspectives about nutrition and physical activity (PA) during OST were assessed. Six hundred parents with a school-aged child participating in programs from selected OST organizations. Read the abstract in the Journal of Nutrition Education and Behaviour.
09.11.13: Parent Perspectives on Nutrition and Physical Activity During Out-of-School Time. In this study, parents' perspectives about nutrition and physical activity (PA) during OST were assessed. Six hundred parents with a school-aged child participating in programs from selected OST organizations. Read the abstract in the Journal of Nutrition Education and Behavior.
25.11.13: Changes in Physical Activity over Time in Young Children: A Longitudinal Study Using Accelerometers. The aims of this study were to determine how overall activity and time in different intensities of activity change in children followed from 3 to 7 years. Read the abstract on Pubmed.
Resources and Publications
Early Years - the organisation for young children, is offering families the chance to take part in a free programme, known locally as the Family Health Initiative. This programme helps support families with children aged 0-5 (Prevention Programme) and children aged 8-11 (Management Programme) to become healthier and get more active together. For further information or to view gallery visit the Early Years website
Healthy Ireland - A Framework for Improved Health and Wellbeing 2013 – 2025. Healthy Ireland, a new government framework for action to improve the health and wellbeing of people living in Ireland. It has been developed in response to rising levels of chronic illness, lifestyle trends that threaten health and persistent health inequalities. Read full text online.
PHE report: Obesity and the environment: increasing physical activity and active travel -This report summarises the importance of action on obesity with a specific focus on active travel, and outlines the regulatory and policy approaches that can be taken.
PHE report: Obesity and the environment: regulating the growth of fast food outlets- This report summarises the importance of action on obesity with a specific focus on fast food takeaways, and outlines the regulatory and other approaches that can be taken at local level.
PHE and Local Government Associate: Discussion paper on Social care and Obesity - This discussion paper considers the impact that obesity has on social care and the challenges facing social care now and in the future.
'Family Food' - an annual publication which provides detailed statistical information on purchased quantities, expenditure and nutrient intakes derived from both household and eating out food and drink
Best practice guidance for weight management services. This document provides guidance which can be used by local authorities when commissioning tier 2 lifestyle weight management services. It provides explanatory notes for developing a service specification, and includes two best practice example specifications - one for adults and one for children. Read the full report from the Department of Health.
Public Health Information System (PHIS2013) Tables. The latest version of PHIS2013 produced by the Department of Health in the Republic of Ireland is now available on the Health Well website. The tables include data up to 2011 for a number of health-related themes including cancer, mortality and hospital admissions. PHIS data is an invaluable resource for the measurement of population health, for target-setting and evaluation and for evidence-based service planning and policy formulation at both national and regional levels. Click here to access PHIS2013 tables on the Health Well.
Health Impact of Physical Inactivity (HIPI) Tool (UK). HIPI has been developed to estimate how many cases of certain diseases could be prevented in each local authority in England, if the population aged 40-79 were to engage in recommended amounts of physical activity. HIPI uses estimates of local levels of physical activity from the Sport England Active People survey. It models the potential benefit from increased levels of physical activity for each local authority.
New European Commission initiative to promote health-enhancing physical activity. One key element of the proposal is a monitoring framework which should help Member States to trace developments and identify trends regarding their national efforts to promote sport and physical activity. By acting together with the Member States the Commission aims at reducing the significant costs caused by the lack of physical activity in Europe.
Little Steps, Little Steps is a step-by-step guide to eating well and being active for families. Designed to help support and empower parents and guardians as role models for children, the resource aims to show that by adopting small changes, to food habits and physical activity can have a big impact over time and lead to a healthier future.
Weigh2Live, The Weigh2Live resource focuses on free, independent advice for losing weight (and keeping it off) in a healthy and sustained way. Users can monitor their progress by using the weight and goal tracker, and food and activity diaries; this information is stored in a secure environment and can be updated on a regular basis. The resource also offers practical advice on healthy eating whether at home or when eating out, tips on food shopping, understanding food portions, and healthy recipes.
Obesity Learning Centre (OLC) – Th
is a website for anyone who works to fight obesity. The OLC has updates on the latest news and resources, including a series of case studies of local obesity initiatives. Visit the site to sign up to receive the latest weekly obesity and other public health news through our eNews Briefing, and a quarterly update of new case studies and resources from the OLC. The OLC is also accepting submissions of new case studies, so if you have an example of a local obesity initiative that you’d like to share, get in touch by emailing Jennifer.firstname.lastname@example.org
All-island Obesity Action Forum Members
Full details of members can be found on the Forum page of the safefood website