School Aged Children
•
•
•
•
•
The importance of the school setting
Hearty Lives
MEND
SHINE
Food for Life
Hearty Lives Cornwall
at the Healthy Weight Conference
Eden 17th October 2012
Kate Pordage / Aimee Pascoe
Cornwall Healthy Schools Team
British Heart Foundation is a registered
charity in England and Wales (225971)
and in Scotland (SC039426)
Why Schools?
• ‘The considerable amount of time children
and young people spend in school means
that schools have the potential for fulfilling
an important role in promoting the health
and well-being of children and young
people and laying the foundations for
healthier outcomes in adulthood…’
‘Fair Society, Healthy Lives’
(The Marmot Review)
Why Schools?
• Childhood obesity is an issue for
attainment and achievement
• School seen as an effective setting e.g. in
‘Marmot’ and the public health strategy
• School at the centre of wider community
• Evidence base emerging that work with
parents and children works
Prevalence of obesity by deprivation decile
Children in Reception and Year 6 (National Child Measurement
Programme 2009/10)
23.6%
Recept
ion
22.9%
21.7%
Year 6
20.5%
18.9%
17.9%
16.6%
15.7%
14.6%
12.6%
12.0%
12.6%
11.4%
10.7%
9.7%
Most
deprived
© NOO
2011
9.0%
8.3%
7.9%
7.5%
6.8%
Least
deprived
% prevalence of obese children in CIOS by local
deprivation quintile (n≈8160)
Percentage of children
(based on
08-11 NCMP 3yr average)
20.4
15.9
16.3
17.2
16.8
Obese at reception
9.8
10.3
11.2
10.8
2
3
4
5
7.1
1
Obese at year 6
Local deprivation quintile (1=least deprived, 5=most deprived)
Risk Factors for Obesity
•
Primary risk factors for obesity in later childhood are:
1. Watching more than 8 hours TV a week
2. Sleeping fewer than 10.5 hours each night
3. Above average birth weight
4. Both parents obese
•
•
•
One study suggests that a child who watches more than 5
hours of TV a day is 4.6 times more likely to be obese than one
who watches less than an hour a day.
•
•
This link is partially due to sedentary time, but also partly to
eating in front of the TV, and also advertising seen by the children.
Recognition of obesity
• Many of us recognise that childhood obesity is an
issue – 93% of parents agree – however only 5% of
parents believe their child is overweight or obese.
• Parents tend to over estimate the amount of activity
their children do and under estimate the amount of
food they eat.
• More and more parents lack the knowledge, skills and
confidence to cook from scratch.
• Some parents (particularly mothers) admit to lacking
the confidence to take part in activity with their children
Hearty Lives Cornwall
Levels of School Support /
Engagement
Level 1
• A series of in-school activities and opportunities*
• Awareness raising / training for teachers / parents and carers
• Identify a ‘School Champion’
Level 2
• Host a full Families in it Together (FIT) course for parents / children
• Develop role of the School Champion (who can access accredited
training)
Level 3
• Sustainability – continue to deliver level 1 and 2 over 3 years.
• Sustainability supported by School Champion who can offer training
and guide in-school activities.
*See diagram 2 below
Hearty Lives Level One
MEND
MIND EXERCISE NUTRITION…DO IT!!
Halting the rise to childhood obesity
MEND is a 10 week programme aimed at children
aged 7-13 years old.
MEND was developed in partnership at the UCL
Institute of Child Health and Great Ormond Street
Hospital for Children NHS Trust. It has been
extensively researched and has shown significant
improvements in childhood obesity and self esteem.
MIND EXERCISE NUTRITION…DO IT!!
The programme focuses on the whole family making changes,
it is varied, fun and educational for the whole family.
We hope that it will make families fitter, healthier and happier.
During the 10 weeks families meet twice a week for 2 hour sessions. The sessions are split
between an hour of nutrition and healthy eating messages.
Together the families learn all about nutrition, healthy foods, food labelling, internal and external
triggers, behaviour change and cooking skills.
This is followed by an hour of fun physical activity and games for the children, while the parents
take part in further discussion time.
The families take part in practical cooking sessions as well as confidence building, fun activities.
Integration – Introduction to mainstream activities.
We use local clubs and facilities to help inspire everyone to take up a new
activity whilst still setting nutritional goals to work towards each week, with
the hope that families can keep attending after the programme finishes.
Current Courses
Currently we are running 3 programmes:
Penzance
Newquay
Redruth
January 2013, we will be running 4 programmes:
Launceston Falmouth
Liskeard St Austell
If you would like anymore
information please call:
01209 310062
SHINE
Weight, self-confidence and lifestyle
support for young people
Sophia Aston
Child Healthy Weight Lead
Healthy Weight Team
What is SHINE?
• Self Help Independance Nutrition and
Exercise to help young people achieve
and maintain a healthy weight.
• 12 week programme focusing on healthy
eating, physical activity and crucially
emotional wellbeing
• Plan for 2 pilots in January
Criteria
•
•
•
•
•
•
•
•
Male or female aged between 13 years and 17 years (mixed groups)
Very Overweight Body Mass Index (percentile > 91st)
May have other disorders e.g. type 2 diabetes, asthma
Some indication that the young person’s weight problem is affecting
their school work i.e. educationally, or fearful of doing PE, or there
may be suspicions that they are being bullied or harassed or socially
excluded because of their weight problem
Low confidence, low self esteem or body dissatisfaction
Must be committed and motivated to attend all 12 sessions and to
give feedback verbally and in questionnaires
Must be willing to try a range of physical activities, but will never be
forced to do anything they do not wish to
Parental support – need to attend the Parent SHINE induction
programme – desirable but not essential
FOOD FOR LIFE
Transforming food culture
in schools and communities
Evidence of impacts of the
Food for Life Partnership
Ian Nutt
Commissioning Manager: Midlands & East England
Transforming food culture
“TV chef Jamie Oliver is credited with
putting school food back on the political
agenda. However, the most ambitious
programme in the UK to date has been the
Food for Life partnership, which
champions a whole-school approach and
is working with 3,600 schools in England
to enable children to eat good food, learn
where it comes from, how it is produced,
and how to grow it and cook it
themselves.”
Kevin Morgan, professor of governance and
development in the School of city and regional
planning at Cardiff University, April 2011
What is FFLP?
Multiple outcome intervention that uses food to engage young people
and their families and nudge them towards the behaviours that matter
for public health, sustainability and education.
We achieve this through a framework for whole school approach to
food, drawing on networks of stakeholders & partners and giving schools
a measurable awards programme that embeds a new food culture.
Who is the FFLP?
How does FFLP work?
Awards scheme (Bronze, Silver & Gold) concentrating
on 4 strands:
Food Leadership: parents, staff, pupil & governors
Food quality/provenance: local, fresh, seasonal, organic,
animal welfare
Food Education: embedding in curriculum & whole school
education
Food Culture & Community: dining experience, events &
parent/community engagement
What impacts have we had?
• 3-year programme evaluation by the University of the West of
England (UWE) and Cardiff University
• Supporting studies by New Economics Foundation (NEF),
National Foundation for Educational Research (NFER) and
Centre for Research in Education and the Environment (CREE)
Public health impacts
An increase in the number of primary school-age
children reporting eating
• 5-a-day went up 5% points to 21%
• 4-a-day went up 12% points to 49%
Significant positive associations between pupil
participation in cooking, growing, farm visits and
these reported increases.
Impact travels home
45% parents report eating more vegetables as
direct result of the Food for Life Partnership
43% parents report changed food shopping
behaviour
Free school meal take-up
Over a 2-year evaluation (July 2008 – September 2010)
free school meal take-up increased
• + 13% points on average
• + 20.9% points in secondary school
• + 21% points in Silver/Gold schools
These figures can be compared to national figures
(August 2009 – September 2010)
• + 0.2% points in primaries
• + 2.7% points in secondaries
School meal take-up
3.7% point increase in first year of evaluation (2008 - 2009)
Nationally, take-up decreased 3.7% points in primary schools that year.
5% point increase over two years of evaluation (2008 - 2010)
Impact greatest in:
• Secondary schools (+5.7%)
• Gold schools (+6.0%)
• Disadvantaged schools (+7.1%)
School meals: social return on investment
for local authorities
NEF: for every £1 invested in Food for Life
menus, there is a return of over £3 in value to
the local economy and society.
Most of this value lies in local economic
opportunities around supplying local, seasonal
food, and resulting employment.
Learning impacts - UWE
Twice as many Food for Life Partnership
primary schools received an Ofsted rating of
outstanding following their participation
(37.2% compared to 17.3% pre-enrolment).
Attainment levels in Food for Life Partnership
schools increased at a greater rate than the
national average.
Learning impacts - NFER
Head teachers report a positive impact on
pupil behaviour, attention and attainment.
“In addition to all the other things, the biggest
impact has been in engagement, enjoyment,
learning, their learning behaviours have
improved, they are very positive.”
Headteacher, cited in National Foundation for
Educational Research (NFER) evaluation
What the schools say
“Being part of the Food for Life Partnership is the
best initiative that we as a school have undertaken
in the last 10 years. It isn’t about ticking boxes, it’s
about hands on experiences for the children which
will stay with them for life. It gives the children skills
which have disappeared over the last generation
and prepares them for their future.”
Penny Wetton, Headteacher, Helpringham Primary,
Lincolnshire (Silver award)
What the schools say…
“The children are developing new skills, gaining in
confidence. The Food for Life Partnership has
raised awareness of the whole of food culture and
the children really enjoy this aspect of our
curriculum. Many people comment on how food
orientated we are, which I feel is invaluable
because we have been identified as an area with a
high obesity problem.”
Rowena Herbert, Headteacher, Bolsover Junior
School, Chesterfield (Gold award)