WEEK 5- CHALLENGING (REDUCING) OBESITY AND OVERWEIGHT II: INTERVENTION FROM A BEHAVIOURAL PERSPECTIVE Flashcards
What has been distorted?
a normative view of what a healthy weight is
what do parents say they struggle with?
to recognise what a healthy weight actually is
what is main challenge of losing weight?
keeping the weight off once you have lost it ie maintainence
what statistics by the NWCR show it is quite easy to lose weight?
45% of participants lost the weight on their own and the other 55% lost weight with some type of programme
what is the first step to losing weight?
recognizing that they need to take action
what can BMI and central adiposity be predicted by?
maternal education
what are the differences between weights of boys and girls based on?
diet
what did the article ‘the global obesity pandemic’ find what the main cause
the food
what have been the go to interventions in the past?
behavioural interventions
what is the problem with behavioural interventions?
treat these people with physical activity dietary behaviour but then send them back to the environment that was making them obese- a bit of a revolving door
what does little for the distribution of health in society?
focusing on those at risk of health and treating those at risk of poor health - isolates them- need to shift it to be the norm
what is there a huge push for intstead of behavioural interventions
community prevention
why in the netherlands do 60% of people cycle to work and what does this show about obesity prevention?
the environment is conducive to cycling- need to make the environment more conducive to losing weight
what is least likely to reduce health inequalities?
information provision
why might children not be walking to school anymore?
20 years ago everyone went to the local primary school- now everyone has higher aspirations and goes to a school further away- must drive
what did a paper in 2017 demostrate about calorie labelling?
no affect on behaviour when calories labelled
what do we need to consider if we know that there is a social gradient?
need to support those at the bottom of the social gradient the most
who are the least likely to benefit from these behavioural interventions?
those at the bottom of the social gradient- equity effects
why is information provision so difficult?
because there is so many mixed messages from advertisements- especially on how cheap fast food is
what is an example of how the view of healthy eating has been distorted?
master chef
what is the traditional view of the disadvantaged?
you are either one or the other- now know there is a social gradient
what were the most effective types of interventions found?
pricing interventions- most effective in groups with lower SEP. all interventions that combined taxes and subsidies decreased inequalities
what type of intervention is price intervention?
upstream intervention
what did upstream interventions categorised as ‘price’ appear to decrease?
inequalities
what are downstream interventions also known as?
person interventions eg dietary counselling
what did downstream interventions seem to increase?
increase inequalities
do we need to focus on upstream or downstream interventions?
upstream interventions
what are upstream interventions also named as?
structural interventions
how do upstream interventions work?
they alter the legislation of the environment leading to the prevention of obesity
what are examples of downstream interventions?
media campaigns that aim to raise awareness regarding healthy eating/ information provision
why don’t we create and environment where the healthy option is the default option?
because there is a lot of money in the food industry
what do upstream strategies relate to?
financially driven strategies
what restrictions are not always enforced?
restrictions on food restaurants next to schools
how much have food prices risen by in the last decade?
20%
which country and when introduced a 10% sugar tax on sugar- sweetened beverages
Mexico in 2014
in the first year of Mexico’s sugar tac policy how much did sales decrease by?
12%
since 2010 a number of what measures have been introduced by the now conservative government?
austerity measures- they have hit the poorest areas of the UK the hardest
what type of solutions do we need?
preventative
what do we need to target?
we need to target key drivers of overconsumption in the food environment
