8th PAC Report 2006-07
Tackling child obesity - first steps
Edward Leigh MP, Chairman of the Committee of Public Accounts, today said:
“The extent to which children in this country are obese is alarming. More alarming still is evidence that, unless we act, the proportion of children who are obese will increase sharply. Halting the growth of childhood obesity means changing how children and their families behave and that requires many parts of government acting together. This is tricky territory. It is therefore all the more urgent that the departments involved work together to set a clear direction. It is lamentable that, long after the target was set, there is still so much dithering and confusion and still so little coordination.
“A campaign aimed at parents, children and teachers is supposed to be launched this year, some three years after the target was set. When it finally appears, it must bring home to all the risks of being obese and show that obese children can make small changes to their behaviour which help them lose weight.
“If a primary school finds that a child is overweight or obese, then the parents must be informed. To do otherwise would be to keep parents in the dark about possible serious health risks to their children. The Department of Health must decide on the best way of giving this information to parents who are central to efforts to solve this problem.
“The problem of childhood obesity requires coordinated and concerted action by all the different agencies involved. It involves action on many fronts, including encouragement of the market for healthy food for children and promotion of the competitive and exciting sports activities most likely to appeal to children.”
Mr Leigh was speaking as the Committee published its 8th Report of this Session which, on the basis of evidence from three Departments - Health; Education and Skills; and Culture, Media and Sport - examined three main issues: progress against the PSA target, the involvement of parents; and influencing organisations.
Obesity is a serious health condition. It is defined as carrying too much body fat for your height and sex. A person is considered obese if they have a body mass index or BMI (weight in kilograms divided by the square of your height in metres) of 30 or greater.
Obesity is a causal factor in a number of chronic diseases and conditions including high blood pressure, heart disease, type 2 diabetes and, overall, it reduces life expectancy by an average of nine years. There has been a steady rise in the number of children aged 2-10 who are obese - from 9.9 per cent in 1995 to 13.4 per cent in 2004. Such children are more likely to be obese adults.
The rise in obesity prevalence adds a significant financial burden to the NHS. It is estimated that obesity already costs around £1 billion a year and the UK economy a further £2.3 to £2.6 billion in indirect costs. If current trends continue, by 2010 the annual cost to the economy could rise by another £1 billion a year.
In 2004 a Public Service Agreement target (PSA) was established, shared between the three Departments of Health, Education and Skills and Culture, Media and Sport:
“to halt, by 2010, the year-on-year increase in obesity among children under 11 in the context of a broader strategy to tackle obesity in the population as a whole.”
Other than a proposed social marketing campaign, there are no ring-fenced funds nor are there any specific programmes to tackle child obesity. Instead the approach being taken by the Departments is to influence existing and forthcoming programmes that have a bearing on the diet and lifestyle of children - of these there are four main programmes - School Meals, the School Sport Strategy, the Healthy Schools Programme and the Children’s Play initiative.
In addition to these programmes, the Departments are seeking to influence the food industry to reduce the levels of fat and sugar in foods targeted at children and to encourage a more responsible approach to the marketing of these types of foods.
The delivery chain to tackle child obesity is complex and the Departments have found it difficult to communicate across the network of organisations involved. Important messages on diet and lifestyle have yet to get through to parents and children as clearly or as effectively as required.
To date, there has been little comprehensive, published research on the effectiveness of prevention and treatment strategies for child obesity and, consequently, the Departments have so far done little to intervene directly with individual children who are obese or at risk of becoming so or their parents. The National Institute of Health and Clinical Excellence has put out for consultation comprehensive guidance on prevention and treatment which they plan to publish in December 2006 and the Department of Health has issued a Care Pathway and a Weight Loss Guide to General Practitioners.
Performance against the PSA is to be measured by the annual Health Survey for England. The latest data from that survey is from 2004, and with no interim measures, the three Departments cannot determine what progress has been made against the target to date. But, with little concrete action yet taken, much will need to be achieved in the remaining three and a half years if the target is to be met.
Notes for Editors
1. Contact details for requests for further comment from Mr Edward Leigh are provided below. ISDN facilities are available for broadcasting purposes.
2. The full text of the Committee’s Conclusions and Recommendations is attached to this press notice.
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