MEND: Community-based weight management and the

Health & Fitness sector

Prepared for: FIA Flame Conference

10th June 2009

MEND

Mind

Exercise

Nutrition

Do it!

Mission: To enable a significant,

measurable and sustained reduction

in overweight and obesity.

Programme philosophy• Design

• Obesity and delivery channel specialists• Conform to all relevant guidance e.g. NICE, NOO• Scalable, replicable, measurable, cost-effective

• Delivery• Trained non-specialists working in communities e.g. health,

education, health & fitness, childcare• Setting

• In the community• Participants

• Referral and self-referral• Referral

• GPs, dietitians and (practice / school) nurses

TREAT

PREVENT

TRAIN

Obese

Over weight

Healthy weight

Talking to Families About WeightLeader trainingOne day child obesity

awareness training

Portfolio of services

Research programme

• Feasibility 2002-3 (Sacher et al, 2005)

• Pilot 2004-5 (Sacher et al, 2006)

• 1st UK RCT 2005-7 (Sacher et al, 2007)

• UK Rollout (Jan –Dec 2008)

• 2nd UK RCT (2008-2012)

• International RCTs (2009-2013)o USAo Australia

UK Research team

Dr Paul Chadwick

Prof. Tim Cole

Maria Kolotourou

Dr Margaret Lawson

Prof. Alan Lucas

Paul Sacher

Prof. Atul Singhal

US Research team

Dr. Sarah Barlow

Dr. Nancy Butte

Dr. Eric Finkelstein

Dr. Deanna Hoelscher

Dr. Steven Kelder

Dr. Stephen Pont

Dr. Elizabeth Vandewater

Strong evidence base and research team

UK research results: A foundation for healthy living

n=104-82, 57% girls, 52% Caucasian, mean age 10.1, mean BMI z-score 2.8, 63.5% manual / unemployed

Outcomes sustained at 12 months

3.0

2.3

P<0.001

Start 12m

0.5

3.0

2.3

P<0.001

Start 12m

0.5

2.8

2.4

Start 12m

P<0.001

0.2

2.8

2.4

Start 12m

P<0.001

0.2

Waist circumference z-score BMI z-score

Recovery heart rate (bpm) Self-esteem score (out of 24)115

95

P=0.01

Start 12m

12

115

95

P=0.01

Start 12m

12

19

16.7

P=0.026

Start 12m

19

16.7

P=0.026

Start 12m

Turnkey solutions

Solution in a box: MEND kit Children’s resources

Standardisation: Manuals

Also:• Physical activity kit• Operations Management & Monitoring System

(OMMS)• Central support team• Quality Assurance• Media & Comms team

Major partners

Representative local partners

National reachA growing national network with over 300 programmes across the UK

MEND today

20 year research

partnership with Great Ormond

Street Hospital for Children & the UCL

Institute of Child Health

5 countries

230,000 families will benefit from

Move-it! our new national physical activity campaign

10,000families supported to date

£20mUK public-private

funding to run free programs

65 PCTs

35+ LAs

1% of overweight& obese children

Vision: Game changing opportunity for Health & Fitness sector

• Healthcare trends

• Policy

• Politics

• Practice

• Concept proven

• Strong FIA lead e.g. MoreActive4Life• Outcomes, quality & discipline are critical

• Target: 2012 Olympics & Legacy

• From competition for 12 – 20% of the population to a new market and funding opportunities

• MEND is seeking delivery partners

Entire sector can benefit from delivery of the health agenda

• Programming • Engaging families and

inactive (80%)• Membership / casual

income• Useage• Benefits to staff• Partnership working• New revenue streams

Operators

• Equipment suppliers• Support required • New needs

• Service providers• New systems needs• Links to health

• Training • Frontline staff• New programmes

Other FIA members

MEND and the leisure sector - ‘pilot’ results to date

•£2.1 m to end 2010, £1.3 m to date• 13 organisations • 350 leisure sector staff trained, but ~1,100 total staff trained

•Physical activity provided by:• FitPro, Bromley MyTime, Youth Sports Trust

•Good results – in line with healthcare sector• E.g. -1.0 BMI, -2.5 cm WC, -13 bpm post step test, -6.7 hrs

sedentary activity, nutrition score +25%, sub-par data gathering •Case study: DC Leisure

• 26 sites delivering MEND’s programmes• Big Lottery Fund (17), Sainsbury’s (3), PCTs & LAs (6)

•We are currently establishing delivery partnerships • Large organisations, FIA

Challenges

• Cultural change

• Training

• Evidence-based, not marketing-led, programmes

• Build credibility with healthcare professionals

• Partnership working

• Demonstrate ‘value for money’

MEND and the FIA

• Standards, child safety

• Healthcare delivery through FIA members

• Promoting role of leisure sector in public health & sharing evidence of success

• Demonstrating value for money

• Exciting joint projects, initially focused on MoreActive4Life

Unusually, a true win-win scenario seems possible

• Health & Fitness industry• New market: More members and revenue streams• Improved skills • Making a difference in a strategic way

• Department of Health (and Government and taxpayers)• Better value for money• Reach targets sooner• Capitalise on Change4Life

• MEND• Make more of a difference, faster

• Public• Fitter, healthier, happier – a real Olympic legacy

Thank you for your time!harry.macmillan@mendcentral.org