Heart Health in RotherhamLooking at the most recent National

trends in obesity

Dr John RadfordDirector of Public Health

Death rates from heart disease are falling

Source: Rotherham Health Profile 2011

But we are still significantly worse than the England average

Deaths from cardiovascular disease

Factors affecting heart health• Age

Ageing population

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

65 to 69 70 to 74 75 to 79 80 to 84 85 and over

Population

2008 2028

Projected Growth Age Groups 2008-2028

Factors affecting heart health• Age• Deprivation

CHD Emergency Admissions

Source: HES, NHS Information Centre for health and social care, ONS Department of Communities and Local Government (DCLG)

Cardiovascular disease rates by deprivation

Source: HES, The Information Centre for health and social care, ONS, DCLG

Factors affecting heart health• Age• Deprivation• Ethnicity

BME Communities

2001: 10,2002009: 19,000= 86% increase

Factors affecting heart health• Age• Deprivation• Ethnicity• Lifestyle

Lifestyle

• Rates of smoking, binge drinking and obesity are all higher than the England average– 24.3% in Rotherham are current smokers (ONS Integrated

Household Survey, Sept 2011)

– 25.1% of the Rotherham population binge drink (Local Alcohol Profiles for England, Rotherham 2011)

– 27.6% adults and 20.2% children (year 6) are obese (Rotherham Health Profile 2011)

10.7%

9.1%

19.0%

15.8%

10.4%

8.8%

20.0%

16.6%

10.3%

8.9%

20.0%

16.5%

10.5%

9.2%

20.4%

17.0%

10.1%

8.8%

20.6%

17.4%

Reception boys Reception girls Year 6 boys Year 6 girls

Year of measurement

2006/07 2007/08 2008/09 2009/10 2010/11

Prevalence of obesity among children by school year and sexNational Child Measurement Programme 2006/07 – 2010/11

Child obesity: BMI ≥ 95th centile of the UK90 growth reference

Obesity rates nearly double over the course of primary school. We are seeing opposing trends, with a slight decrease in Reception Year but increases in Year 6 prevalence.

Trend in obesity prevalence for adult males by age groupHealth Survey for England 1993-2010

Adult obesity: BMI ≥ 30kg/m2

0

5

10

15

20

25

30

35

40

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Obe

sity

pre

vale

nce

(%)

Year of measurement

75+

65-74

55-64

45-54

35-44

25-34

16-24

Men over 35 years old

Levels of obesity in men differ by age group, as do the trends we are seeing for each group.

Trend in obesity prevalence for adult females by age groupHealth Survey for England 1993-2010

Adult obesity: BMI ≥ 30kg/m2

0

5

10

15

20

25

30

35

40

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Obe

sity

pre

vale

nce

(%)

Year of measurement

75+

65-74

55-64

45-54

35-44

25-34

16-24

Women over 35 years old

This is true for women as well.

8.8%

16.8%

25.0%

33.1%34.2%

30.2%

23.8%

13.9%

18.8%

25.2%

28.5%

30.6%

33.6%

26.3%

16-24 25-34 35-44 45-54 55-64 65-74 75+

Males Females

Adult obesity: BMI ≥ 30kg/m2

Prevalence of obesity among adults by age and sexHealth Survey for England 2008-2010

Obesity rises steadily through to middle age and then stays broadly constant.

12 18.5 25 30 40 50BMI (kg/m2) Males 1991-93 Females 1991-93 Males 2007-09 Females 2007-09

Underweight<18.5kg/m2

Males1991-93: 0.7%2007-09: 0.8%

Females1991-93: 1.3%2007-09: 1.3%

Healthy weight18.5 to <25kg/m2

Males1991-93: 37.8%2007-09: 28.0%

Females1991-93: 47.6%2007-09: 37.2%

Overweight25 to <30 kg/m2

Males1991-93: 46.7%2007-09: 44.5%

Females1991-93: 33.3%2007-09: 34.7%

Obese30 to <40kg/m2

Males1991-93: 14.6%2007-09: 25.4%

Females1991-93: 16.4%2007-09: 23.8%

Morbidly obese≥40kg/m2

Males1991-93: 0.3% Females2007-09: 1.4% 1991-93: 1.4%

2007-09: 3.0%

Change in the adult BMI distributionHSE 1991-93 to 2007-09 (population weighted)

Adults are aged 18+ years

There is a very complicated picture within overall obesity rates, which has changed over time. Broadly speaking, the entire population is getting heavier – there is not only an increase in the numbers of obese people.

Prevalence of obesity by deprivation decile National Child Measurement Programme 2009/10

Child obesity: BMI ≥ 95th centile of the UK90 growth reference

23.6%22.9%

21.7%

20.5%

18.9%17.9%

16.6%15.7%

14.6%

12.6%12.6%12.0%

11.4%10.7%

9.7%9.0%

8.3% 7.9% 7.5%6.8%

Mostdeprived

Leastdeprived

Reception Year 6

There is a very strong correlation between obesity rates and level of deprivation amongst children, with prevalence in the most deprived areas around double that of the least deprived areas.

Any questions?