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ob0001p1 | (1) | UKCO2019

Using planning powers to promote healthy weight environments: Local authorities’ insights on the implementation gap, and creation of planning guidance to tackle local obesogenic environments

Chang Michael , Netherton Andy , Blackshaw Jamie

Background: Since the 2007 Foresight report there is better understanding of the obesogenic environment and how the planning system can impact on factors that contribute to obesity. The Town and Country Planning Association and PHE developed the Planning Healthy Weight Environment Framework. Little is known about how planners and public health professionals view the relevance of this Framework in practice. This research aims to understand their awareness of planning powers ava...

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ob0001p2 | (1) | UKCO2019

The impact of HENRY on parenting and family lifestyle: An exploratory analysis of the mechanisms for change

Bridge Gemma , Rudolf Mary , Roberts Kim

Background: Childhood obesity is a major public health concern. In the UK, a quarter of children have overweight or obesity at age five years. Children with overweight and obesity are more likely to develop serious health issues such as diabetes later in life. Consequently, there is an urgent need for effective, early obesity prevention and intervention. This study investigated the impact of an eight-week child obesity intervention HENRY (Health Exercise Nutrition for t...

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ob0001p3 | (1) | UKCO2019

Abstract withdrawn...

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ob0001p4 | (1) | UKCO2019

Effect of bariatric surgery on LEP gene methylation in recall mucosal samples

ElGendy Khalil , Malcomson Fiona , Afshar Sorena , Bradburn Mike , Mathers John

Background: Colorectal cancer (CRC) is the fourth most common cancer in UK. Obesity is a major modifiable risk factor for CRC. The LEP gene encodes the leptin hormone which is a key regulator of body weight. LEP is overexpressed in the colorectal mucosa of patients with CRC and may contribute to the development and progression of CRC. This study investigated the effects of weight loss induced by bariatric surgery (BS) on LEP gene methylation in recta...

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ob0001p5 | (1) | UKCO2019

Effectiveness of diabetes prevention programmes among Arab ethnic groups: A systematic review

Rabbee Jinan

Background: Ethnic minority groups in upper-middle-income and high-income-countries tend to be socioeconomically disadvantaged and have a higher prevalence of type 2 diabetes mellitus (T2DM) that is seen in the majority population. The purpose of this systematic review of the literature is to examine the effectiveness of interventions for the prevention of T2DM in the Arab ethnic minority group, which is considered high risk.Methods: The research questio...

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ob0001p6 | (1) | UKCO2019

Sex differences in effects of moderate-intensity acute aerobic exercise on food reward and appetite in persons with methamphetamine-dependence

Zhou Yu , Finlayson Graham , Zhou Chenglin

Background: Contrary to individuals with obesity, substance dependence is characterized by decreased response to food rewards. Methamphetamine (MA) is the second most common illegally used drug in the world and acute aerobic exercise can ameliorate drug craving in methamphetamine users. Men and women differ in food intake and drug seeking. This study aimed at determining sex differences in effects of moderate intensity acute aerobic exercise on food reward and appetite in MA a...

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ob0001p7 | (1) | UKCO2019

The impact of adult weight management interventions on mental health: A systematic review and meta-analysis

Jones Rebecca , Lawlor Emma , Griffin Simon , van Sluijs Esther , Ahern Amy

Background: The effects of weight loss interventions on physical health are well-described, yet their impact on mental health is unclear. Improved understanding of the impact of weight management interventions on mental health may improve care and minimise risk of harm. We aim to synthesise the evidence concerning the effects of adult behavioural weight management interventions, compared to inactive or standard care control groups, on mental health in adults with overweight or...

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ob0001p8 | (1) | UKCO2019

Best Practice: Manchester Healthy Weight Project

Schneider Emma

Background: The Manchester Healthy Weight Project Team were established in September 2018, in response to rising levels of severe obesity across Manchester and a Serious Case Review where a child in Manchester died at the aged 13 years old from a heart condition exacerbated by morbid obesity.The team includes a dietitian, healthy weight project nurses and a healthy weight project co-ordinator. The team are part of Childrens Community Health Service...

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ob0001p9 | (1) | UKCO2019

A mixed-methods study exploring adults’ use of dessert-only food retail outlets

Wilkinson Laura , Randall Tennessee , Wright Poppy

Background: Studies examining the relationship between the retail food environment and obesity have yielded conflicting results. Recent work has highlighted the need to better understand different types of retail food outlet and the nuances of how different groups of consumers use them. Here we investigated how and why adults use dessert-only outlets. Despite being identified as a UK top 10 growing retail category (Local Data Company Report, 2018), this is an extremely underst...

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ob0001p10 | (1) | UKCO2019

Abstract unavailable...

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ob0001p11 | (1) | UKCO2019

The classification of physical activities from accelerometer and heart rate data: Machine learning approaches

O'Driscoll Ruairi , Stubbs Richard James

Background: Participation in physical activity (PA) and avoidance of sedentary behaviours (SB) are important factors in the prevention of obesity. Self-report PA measures are subject to misreporting and therefore objective, accurate measurements are required. Machine learning (ML) applied to physiological and accelerometery data may offer a means to improve the classification of PA.Methods: Subjects (n=59) were recruited to participate in a prot...

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ob0001p12 | (1) | UKCO2019

A methodology to minimise the effect of missing data for the use of commercial activity monitors in free-living subjects

O'Driscoll Ruairi , Stubbs Richard James , Horgan Graham

Background: Wearable devices are increasingly utilised to estimate physical activity (PA) in free-living subjects. These monitors facilitate long-term, associative research and generate extremely large datasets, providing new opportunities for research. With these new opportunities comes new considerations for researchers.Based on the results of preliminary autocorrelation analyses, we developed a novel framework which utilises local, hourly PA data to a...

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ob0001p13 | (1) | UKCO2019

The Impact of Bariatric surgery on Cardiovascular disease, mortality and weight in Elderly patients in the UK: A population-based matched controlled cohort study

Singh Pushpa , Subramanian Anuradhaa , Adderley Nicola , Gokhale Krishna , Shinghal Rishi , Bellary Srikanth , Nirantharakumar Krishnarajah , Tahrani Abd

Background: Bariatric surgery (BS) is an effective treatment to produce long-term weight loss and reduction in obesity-related complications. However, the outcomes and safety of BS in older people has not been well examined and real-world data from the UK is lacking. Furthermore, with increasing life expectancy and rising obesity prevalence, increasing number of older patients are eligible for BS. Hence, we aimed to assess the impact of BS on weight, incident cardiovascular di...

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ob0001p14 | (1) | UKCO2019

Abstract unavailable...

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ob0001p15 | (1) | UKCO2019

Using innovative approaches to manage child and adolescent obesity in a multidisciplinary level 3 service (connect) within a value based healthcare programme

Williams Simon , Collepriest Olivia , Di Battista Enzo , Freeman Ashley , Hailwood Claire , Lendon Victoria , Pryce Rebekah , Quirke Sioned , Summers Elisabeth , Swift Naomi

In the Aneurin Bevan University Health Board (ABUHB) area (Wales, UK), prevalence of overweight and obesity in children (45 years) are approximately 13.5 and 11.6% (n=~1650) respectively (Child Measurement Programme for Wales, 201718). It was estimated that approximately 4400 children (418 years) have severe obesity (BMI ≥99.6th centile) in the ABUHB area. An audit of ABUHB paediatric case notes indicated that almost one-third of patients had o...

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ob0001p16 | (1) | UKCO2019

Evaluating the Change4Life Food Scanner app: protocol for a randomised pilot and feasibility trial

Mahdi Sundus , Buckland Nicola , Chilcott Jim

Background: Childrens sugar intake in the UK is above current recommendations, contributing to the rise of overweight and obesity. The Change4Life Food Scanner app aims to encourage parents to reduce their childrens sugar consumption. The app allows for packaged foods to be scanned and displays total sugar content in cubes and grams. To date the app has not been independently evaluated despite its popularity on the app market. This research aims to develop a pilot ...

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ob0001p17 | (1) | UKCO2019

The effects of Plant- based Dietary Recommendation on Parameters of Health

Brown Laura , Rose Kelly , Gray John

Background: To determine the effect of plant- based diets on body composition, blood glucose and cholesterol.Methods: 10 females (BMI 30.5±3.7; age 39±6; weight 86 kg ±14.4) enrolled in a 6 week nutritional education programme. Participants were active prior to and during the study. Participants completed an initial reset which eliminated all refined sugar, heavily processed foods, artificial sweeteners, alcohol, meat and fish from the die...

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ob0001p18 | (1) | UKCO2019

The colour of appetite: How does ambient colour affect appetite?

King Neil , Kilburn M , Christian J

Introduction: Obesity is the second greatest contributor to the burden of disease in Australia. Overconsumption of food is a potent contributor to weight gain and obesity. A series of hedonic and homeostatic processes lead to increased drive to eat. Colour has long been associated with mood, and mood has also been shown to be associated with appetite. However, empirical evidence exploring whether directly manipulating light colour affects appetite is limited. This pilot study ...

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ob0001p19 | (1) | UKCO2019

Exploring pupil and staff perceptions of school food and drinks: Findings from a feasibility study

McSweeney Lorraine , Bradley Jen , Adamson Ashley , Spence Suzanne

Background: Overweight/obesity affects at least one third of UK 1115 y olds. Individually focussed interventions alone have proved to have limited effectiveness. Food choice architecture offers a structural approach to increase the visibility and convenience of foods to facilitate the choice of healthier foods and also reduce choice of unhealthy foods. This School Food Architecture (SFA) qualitative study aimed to determine the perceptions of pupi...

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ob0001p20 | (1) | UKCO2019

Clinically significant weight outcomes at 12-weeks for adults across English regions and deprivation deciles following attendance at a commercial weight management programme

Roberts Kath , Toon Josef , Bennett Sarah , Avery Amanda , Lavin Jacquie

Background: Prevalence of obesity among adults varies across English regions and is higher in more deprived areas. Slimming World is a commercial weight management organisation with around 14, 500 groups across England. Individuals attend through self-funded membership or through Slimming World on Referral where membership is commissioned by the NHS or local government. The aim was to understand weight outcomes for self-funded and referred members across deprivation deciles an...

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ob0001p21 | (1) | UKCO2019

Are brief interventions for obesity in primary care effective when patients are asked to pay for weight-loss treatment? An observational study with embedded randomised trial

Tudor Kate , Jebb Susan , Manoharan Indrani , Aveyard Paul

Background: A brief intervention in which physicians opportunistically endorse and facilitate an NHS-funded referral to a weight loss programme is clinically and cost-effective. In some areas physicians are unable to make NHS-funded referrals, but could recommend weight loss programmes at the patients expense. The aim of this study was to test the acceptability of a brief intervention and attendance at a weight loss programme when physicians endorse and facilitate a refe...

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ob0001p22 | (1) | UKCO2019

The Test Re-test reliability of the Leeds Food Preference Questionnaire for quantifying food reward in Obesity and Lifestyle research

Kroff Jacolene , Netherton Kelsey-Leight , Rudner Trinity , Oustric Pauline , Finlayson Graham

Background: To better understand the role that food reward and eating behavior have on obesity and lifestyle management strategies, reliable and valid measurement tools are needed to quantify modern day eating behaviours and food preferences. This study aims to determine the test-retest reliability of the Leeds Food Preference Questionnaire (LFPQ) in a South African population. The validity of the tool was assessed by investigations of its associations with other eating behavi...

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ob0001p23 | (1) | UKCO2019

Takeaway food outlets around secondary schools in the UK: Using different methods for evaluating the takeaway food environment

Taher Ayyoub K , Evans Charlotte EL , Clarke Graham P

Background: The location of takeaway food shops is becoming increasingly studied in the UK with growing concerns around diet and obesity. UK planning policies to limit takeaways have been poorly thought out compared to other countries. There are no standardised measures used to measure the food environment around homes, schools, work or any other facilities. This study aims to examine the differences in using different methods to evaluate the food environment particularly arou...

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ob0001p24 | (1) | UKCO2019

Development and validation of a novel weight loss maintenance knowledge and beliefs scale

Genes Denisa , Buckland Nicola , Sirois Fuschia

Background: Obesity interventions mainly focus on weight loss. However, weight loss maintenance (WLM) is the greater challenge as 80% of individuals who lose weight regain the lost weight within a year (Wing & Phelan, 2005). Knowledge and beliefs about WLM influence behaviour and are important factors in distinguishing between successful and unsuccessful weight loss maintainers. However, there are currently no validated scales available that measure WLM knowledge.<p cl...

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ob0001p25 | (1) | UKCO2019

Effects of advertising on children’s understanding and attitudes: use of public and patient involvement to understand young people’s response to a systematic review

Packer Jessica , Russell Simon , Smith Stephanie , Viner Russell , Croker Helen

Background: Food advertising increases young peoples acute calorie intake and in response, the UK Government is consulting on a 9 pm pre-watershed for television/online advertising for high fat, salt or sugar (HFSS) foods; however, more subtle effects of advertising on childrens understanding and attitudes are unclear. We undertook a systematic review assessing the influence of advertising on children and adolescents decision-making. A key element of the work...

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ob0001p26 | (1) | UKCO2019

Family-centred approaches to developing ‘Connect’; the first specialist weight management service for children and young people in Wales

Swift Naomi , Colleypriest Olivia , Di Battista Enzo , Freeman Ashley , Hailwood Claire , Lendon Victoria , Pryce Rebekah , Quirke Sioned , Summers Elisabeth , Williams Simon

Background: There are few specialist weight management services for children and young people in the UK (APPGO, 2018). Retention in such paediatric services can be difficult (Jelalian et al., 2008), and minimising attrition is critical for achieving good outcomes with this group (Hampl et al., 2011). Families can be reluctant to engage due to practical constraints, a lack of personalised care (Hampl et al., 2014) and the perception that services can ...

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ob0001p27 | (1) | UKCO2019

Why does attrition to Weight Management Interventions differ with deprivation and does it have anything to do with equity?

Drew Kevin , Sparkes Andrew C , Griffiths Claire , Radley Duncan

Background: Weight management interventions (WMI) focus on behaviour change at the individual level based on a behavioural model of choice that assumes information drives behaviour (model of responsibilisation). Attrition is often low, and concerns have been raised about interventions widening health inequalities.One policy-based approach proposed to achieve equity is proportionate universalism. This balances targeted and universal population health appr...

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ob0001p28 | (1) | UKCO2019

Use of an ECAL indirect calorimeter measuring resting metabolic rate and fat burning capacity in a lifestyle medicine clinic for adults with diabetes, pre-diabetes and unwanted obesity

Beckers Sue

The ECAL indirect calorimeter is a simple and portable near testing device in use for 18 months in a GP surgery and the private Good Mood and Food Clinic in West Dorset. The test requires 4 hours of a water fast with no caffeine followed by a 5 minute breath test through a plastic tube using a nose clip while the client is reclining. Results are immediately accessible for discussion with the client and include resting metabolic rate, mitochondrial function and an indication of...

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ob0001p29 | (1) | UKCO2019

Implementation fidelity of the OneLife Suffolk Integrated Healthy Lifestyle Service

Sanders George , Griffiths Claire , Flint Stuart , Gately Paul

Background: It is recommended that process evaluations of intervention implementation and fidelity become an integral part of the conduct and evaluation of all health behaviour intervention research. Through the National Institute of Healths (NIH) Behaviour Change Consortium (BCC) framework for tailored health behaviour interventions, the current study aimed to evaluate implementation fidelity of the OneLife Suffolk Integrated Healthy Lifestyle Service (IHLS) with a view...

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ob0001p30 | (1) | UKCO2019

Craving control is the strongest psychological predictor of overconsumption in response to high energy density meals in women engaged in weight loss

Buckland Nicola , Camidge Diana , Croden Fiona , Lavin Jacquie , Stubbs R James , Finlayson Graham

Background: It is generally accepted that loss of control of eating may undermine long-term weight loss. Given the wide availability of high energy dense (HED) foods in the obesogenic environment, it is important to identify individuals most susceptible to overconsumption of HED foods during weight loss attempts. This study examined psychological predictors of overconsumption in response to HED meals during a weight loss attempt.Methods: Ninety-six women...

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ob0001p31 | (1) | UKCO2019

The relationship between relative deprivation and access to bariatric surgery

Hazlehurst Jonathan , Abbott Sally , Bellary Srikanth , Singhal Rishi , Tahrani Abd

Introduction: Adults living in the most deprived areas of England are more likely to have obesity. However, it is not clear whether social deprivation has an impact on accessing and the outcomes of bariatric surgery. The aim of our study was to explore the effect of indices of deprivation on access to bariatric surgery and its outcomes.Methods: Cross-sectional prospective evaluation in a single centre in England of all patients who underwent primary bari...

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ob0001p32 | (1) | UKCO2019

Abstract withdrawn...

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ob0001p33 | (1) | UKCO2019

myfood24, an online 24h recall tool is a valid tool for measuring diet and may be useful in clinical populations

Cade Janet , Greenwood Darren , Hardie Laura , Wark Petra , Frost Gary , Gianfrancesco Carla , Darwin Zoe

Background: Robust assessment of the association between diet and health in population-based studies requires accurate and often repeated measurements of diet. The use of 24h dietary recalls can provide more accurate intake data than questionnaires, with reduced measurement error. Online dietary assessment tools can reduce administrative costs and facilitate repeated dietary assessment during follow-up in research or in clinical populations. We have developed an online dietary...

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ob0001p34 | (1) | UKCO2019

Abstract unavailable...

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ob0001p35 | (1) | UKCO2019

Abstract withdrawn...

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ob0001p36 | (1) | UKCO2019

Long-term outcomes of attending a community weight management programme

Avery Amanda , Holloway Laura , Bennett Sarah E , Toon Josef , Roberts Kath , Lavin Jacquie

Background: There is a lack of data about the longer-term outcomes achieved by people attending community weight loss programmes, with the general perception that weight loss is not maintained. This study investigated the feasibility of contacting previous members of a commercial weight management organisation, Slimming World, to assess longer term (2.53 year) weight outcomes and explore their strategies for long-term weight management.<p class="abst...

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ob0001p37 | (1) | UKCO2019

The association between resting metabolic rate and free-living daily energy intake is moderated by body fat percentage and is stronger in lean women than women with overweight and obesity

Casanova Nuno , Beaulieu Kristine , Oustric Pauline , O'Connor Dominic , Gibbons Catherine , Finlayson Graham , Blundell John , Hopkins Mark

Background: Previous research suggests that resting metabolic rate (RMR) is a determinant of self-selected meal size and 24-hour energy intake (EI) under laboratory and free-living conditions. However, whether the accumulation of adipose tissue weakens the coupling between RMR and EI has yet to be examined. The aim of this study was to examine if body fat percentage moderated the association between RMR and 24-hour EI in women across a range of body mass index (BMI).<p cla...

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ob0001p38 | (1) | UKCO2019

Quantification of true inter-individual variability in exercise-induced changes in body weight and composition and markers of appetite in individuals with overweight and obesity

Beaulieu Kristine , Hopkins Mark , Gibbons Catherine , Caudwell Phillipa , Blundell John , Finlayson Graham

Background: There is increasing evidence that exercise training may facilitate weight management via improvements in appetite control. However, the meaningfulness of inter-individual variability in exercise-induced changes has recently been challenged.Methods: This study examined the individual variability in body weight and composition, and markers of appetite in response to a supervised 12-week exercise intervention (2500 kcal/week) in inactive individ...

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ob0001p39 | (1) | UKCO2019

Is body mass index (BMI) associated with reaction time? Results from the UK Women’s Cohort Study

Zhang Huifeng , Cade Janet , Hardie Laura

Background: While obesity has well known health implications there is limited research examining how it may influence cognitive function. The UK Womens Cohort Study (UKWCS) was established to explore links between diet and chronic disease. The cohort collected baseline data (1995 to 1998) using a postal questionnaire including a detailed FFQ. Phase 2 data were collected 4 years later (1999 to 2002), and included a 4-day food diary, 1-day activity diary and lifestyle ques...

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ob0001p40 | (1) | UKCO2019

Support Required to Maintain Weight Loss after an Initial Intervention: A Mixed Methods Study of Patients’ Views

Price Donna

Background: Theoretical health frameworks inform healthcare practice to enhance health changes. One such framework is the Attitudes, Social Influence and Self-efficacy (ASE) Model (De Vres, 1988). Whilst initial weight loss is achievable, maintenance of long-term weight loss is a goal that is difficult to achieve. Collaborative approaches between patients and healthcare professionals could help identify suitable & effective treatments. This study aimed to describe the view...

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ob0001p41 | (1) | UKCO2019

Parental practices around feeding and exercise in children living with and without asthma

Clarke Rebecca , Heath Gemma , Pattison Helen , Farrow Claire

Background: Asthma is one of the most common chronic illnesses in children and adolescents. A growing number of studies have found a correlation between asthma and an increased obesity risk. The mechanisms underlying the asthma-obesity relationship are unclear and likely to be multifaceted. As research suggests parents of children living with a chronic illness may adjust their parenting style, the role of the family environment should be considered. This present study explores...

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ob0001p42 | (1) | UKCO2019

Abstract withdrawn...

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ob0001p43 | (1) | UKCO2019

Behaviour change and weight and outcomes in patients referred to a community weight management programme

Toon Josef , Bennett Sarah , Avery Amanda , Roberts Kath , Lavin Jacquie

Introduction: Slimming World on Referral is a subsidised partnership between Slimming World and NHS and local government commissioners, providing a cost-effective, 12-week, weight management intervention. This analysis investigates the weight and behaviour change outcomes in patients referred to this service between 2014 to 2018.Methods: Data from 21,149 patients who were referred to Slimming World for an initial 12-weeks and completed an evaluation ques...

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ob0001p44 | (1) | UKCO2019

Perceptions on overweight and obesity among African migrant women living in the UK

Ngongalah Lem , Rapley Tim , Heslehurst Nicola , Rankin Judith

Background: Preventing obesity among women of reproductive age is a public health priority. African migrant women are high risk groups for maternal overweight and obesity in high-income countries. This study investigates the perceptions of African migrant women living in the UK on obesity, and factors influencing their weight status and weight-related behaviours.Methods: Qualitative face-to-face interviews were carried out with African migrant women aged...

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ob0001p45 | (1) | UKCO2019

The Influence of Taste Genetics on Food Preference and Intake in Adolescence - Systematic Review

Bawajeeh Areej , Evans Charlotte , Zulyniak Michael , Albar Salwa , Cade Janet

Background: Evidence-based studies have consistently reported differences in food choices, preferences, and intake in adults based on taste genotype, which may have a potential impact on health. However, the corresponding evidence on adolescents gets less attention. Understanding more about influences on food choice could support healthier diets and weight status in adolescents.Objective: Our aim is to identify and review evidence investigating the impac...

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ob0001p46 | (1) | UKCO2019

Mind the Gap 2 – The effect of working memory training on the possible physiological and behavioural compensatory responses after weight loss: A study protocol

Kroff Jacolene , Rudner Trinity , Hume David , Clamp Louise , Finlayson Graham , Rauch Laurie , Lambert Estelle

Background: Roughly twenty percent of individuals who are successful at weight loss can successfully maintain the weight loss permanently. The physiological and psycho-behavioural compensatory responses to weight loss makes weight loss maintenance a rare phenomenon. In a preliminary study we found that successful weight loss maintainers have higher executive function, higher eating restraint and adhere to higher levels of physical activity compared to lean individuals with no ...

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ob0001p47 | (1) | UKCO2019

DNA methylation biomarkers of early life rapid weight gain: Findings from the Newcastle Thousand Families Study and the Avon Longitudinal Study of Parents and Children

Robinson Natassia , Brown Heather , Pearce Mark , Byun Hyang-Min , McKay Jill

Background: The associations between early life factors and obesity in later life may be mediated through epigenetic mechanisms such as DNA methylation. Infancy rapid weight gain (RWG) is one early life factor that has been consistently associated with increased risk of obesity in childhood. We investigated if early life rapid weight gain (+0.67SD change in weight for age z-score from birth to 1 year), was associated with variation in DNA methylation in childhood and adulthood...

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ob0001p48 | (1) | UKCO2019

To what extent does contamination affect a feasibility trial evaluating a public health intervention?

Roberts Victoria Laurina , Schofield Holly , Stamp Elizabeth , Burton Wendy , Buswell Harriet , Bryant Maria

Background: Health, Exercise and Nutrition for the Really Young (HENRY) is a public health intervention developed to address the challenges of children living with obesity. A feasibility trial is ongoing into its effectiveness. Pre-existing literature highlights the need to consider the presence and effects of contamination between the research and control group in intervention studies.Objectives: To investigate the ways and means of contamination in a c...

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ob0001p49 | (1) | UKCO2019

A physical activity intervention among community groups of older women in socio-economically disadvantaged areas: randomised feasibility study

Lawlor Emma , Cupples Margaret , Donnelly Michael , Tully Mark

Background: Physical activity (PA) is an effective method of weight management. However, engagement in PA decreases with age, particularly among women who live in socio-economically disadvantaged areas and have a high risk of obesity. The use of existing social networks may offer a way to engage hard-to-reach populations in PA interventions, but research is sparse. Using the Medical Research Council guidelines for complex interventions, we developed and tested the ...

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ob0001p50 | (1) | UKCO2019

‘It’s got adverts… Always, always there’ – Change over time in the impact of junk food marketing on children and young people’s dietary behaviours

Le Vay Jessica Newberry , Critchlow Nathan , Vohra Jyotsna

Background: Marketing for food and drinks high in fat, salt and sugar (HFSS) are known to negatively influence dietary-related knowledge, attitudes and health outcomes such as overweight and obesity. It is crucial to address the alarming UK childhood obesity rates; a child with obesity is five times more likely to become an adult with obesity, and overweight and obesity causes 13 types of cancer. Digital marketing is now as, or more, prevalent in young peoples lives than...

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ob0001p51 | (1) | UKCO2019

Abstract withdrawn...

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ob0001p52 | (1) | UKCO2019

Development and evaluation of a pilot educational intervention to improve older adults’ understanding of current UK nutrition labels

Moore Sally , Donnelly Judy , Jones Steve , Ensaff Hannan , Cade Janet

Background: New, mandatory nutrition labels were introduced in the UK from 2014 and are intended to help reduce obesity levels via consumers food choices. A key antecedent to consumers label use is their understanding of this information which varies according to label format and declines with age. To help consumers to understand and use nutrition labels, education is required in labelling legislation. However, evidence of the effect of education on consumers...

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ob0001p53 | (1) | UKCO2019

Abstract withdrawn...

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ob0001p54 | (1) | UKCO2019

The acceptability of alginate containing pork sausages

Fallatah Muna , Wilcox Matthew , Chater Peter , Ward Chris , Pearson Jeffrey

Background: The prevalence of obesity is rising globally among children and adults. Obesity accounts for significant morbidity, mortality and complicates chronic health conditions such as hypertension, several types of cancers and liver disease. Adipose accumulation is a reliable indicator of obesity. One approach to reducing adipose accumulation is lipase inhibition in the form of medication (Orlistat). However, the use of this drug is associated with adverse gastrointestinal...

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ob0001p55 | (1) | UKCO2019

Anticipation of an acute 24 h period of severe energy restriction increases energy intake and reduces physical activity energy expenditure in the previous 24 h, in lean males

James Ryan , James Lewis , Clayton David

Background: Intermittent fasting involves alternating between periods of severely restricted and unrestricted energy intake. Physical activity energy expenditure (PAEE) is reduced during, and energy intake is elevated after, a period of energy restriction, but whether these are altered in anticipation of energy restriction is currently unknown. The aim of this study was to assess whether energy intake and PAEE are altered in the 24 h before, as well as during and at the first ...

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ob0001p56 | (1) | UKCO2019

Developing a new Arabic Food Composition Database for an Online Dietary Recall Tool-myfood24

Kalendar Sondos , Bawajeeh Areej , Hancock Neil , Beer Sarah , Gibson Lauren , Dashti Basma , Akbar Salwa , Ensaff Hannah , Zulyniak Michael , Evans Charlotte , Cade Janet

Background: Assessing dietary intake is fundamental in providing quantification of consumed nutrients, which helps in evaluating nutritional status. Gulf countries, including Kuwait, United Arab Emirates (UAE), and Saudi Arabia, have been reported to have the highest prevalence of overweight and obesity in the world. However, food composition data for Middle-Eastern foods are limited, which emphasises the need for a comprehensive food composition database.<p class="abstext...

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ob0001p57 | (1) | UKCO2019

Perceived role of the environment in causing obesity and support for government policies to tackle obesity: A systematic review with meta-analysis

Reynolds James , Vasiljevic Milica , Pilling Mark , Marteau Theresa

Background: There is currently low public support for a number of policies to tackle obesity. Some studies suggest that this low support is underpinned by the belief that the environment does not play a role in obesity. A failure to replicate these studies has led to uncertainty about whether changing this causal belief could increase public support. The current review is the first systematic synthesis of this evidence.Methods: Five databases were search...

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ob0001p58 | (1) | UKCO2019

The impact of diet on gestational diabetes mellitus incidence within distinct and diverse ethnic populations: A systematic review and meta-analysis

Fuller Harriett , Iles Mark , Moore J Bernadette , Zulyniak Michael

Background: Gestational diabetes mellitus (GDM) is defined as the development of diabetes during pregnancy. While a small degree of insulin resistance is normal in pregnancy, GDM is detrimental to the health and development of both mother and child, increasing the mothers risk of 2 diabetes (T2D) and her offsprings risk of both T2Dand obesity in later life. GDM affects up to 1 in 7 pregnant women globally, but incidence varies among ethnic groups and is increasing ...

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ob0001p59 | (1) | UKCO2019

Does eating behaviour mediate genetic susceptibility to a higher BMI among young adults?

Magklis Emmanouil , Howe Laura Diane , Frayling Timothy M , Johnson Laura

Background: Genotype has an effect on body weight that starts early in life and increases with time. Eating behaviour may be a mediator.Methods: We used a 97 single-nucleotide polymorphisms (SNPs) polygenic score (PGS) to index genetic risk and the Adult Eating Behaviour Questionnaire (AEBQ), to measure 8 appetite traits among 2593 Avon Longitudinal Study of Parents and Children (ALSPAC), when they were on average 23.8 (standard deviation (S.D.</s...

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ob0001p60 | (1) | UKCO2019

Early pregnancy maternal adiposity measures and adverse pregnancy outcomes: A systematic review

Heslehurst Nicola , Hayes Louise , Smith Vikki , Odeniyi Adefisayo , Flynn Angela , Ngongalah Lem , Simon Alexandre , Crowe Lisa , Beyer Fiona , Skidmore Becky , Gaudet Laura

Background: Observational studies demonstrate significant associations between pre-pregnancy obesity (defined as BMI≥30 kg/m2) and adverse pregnancy outcomes (e.g. gestational diabetes mellitus [GDM]). Although BMI is a good indicator of population health, there is strong evidence in non-pregnant populations that it is a poor indicator of individual risk compared with alternative (e.g. waist circumference). There is a lack of comprehensive evidence on alternat...

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ob0001p61 | (1) | UKCO2019

Patient reported experiences (PREMs) of engagement with an NHS weight management service for adults with obesity – content analysis of patient feedback collected using a short messaging service (SMS) application

Everitt Jordan , Di Battista Enzo , Fauvel Warren , O'Brien Kerry , Heggs Dan , Squire Amanda

Background: High attrition rates undermine the effectiveness of weight management interventions (WMI). Up to 80% of participants prematurely cease their engagement with a WMI, but a comprehensive understanding of attrition remains elusive (Moroshko & Brennan et al, 2011). For greater insight, Lemstra & Bird (2016), call for more qualitative studies, however, a key challenge is recruiting active and former participants. The Office for National Statistics (2017), report ...

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ob0001p62 | (1) | UKCO2019

The impact of demographic factors such as gender in reducing BMI in children participating in a weight management intervention in the United Kingdom

Gill Charanpreet , Klemera Ellen , Smeeton Nigel

Background: BeeZee Bodies specialises in adult and child weight management and behaviour change and has been running in counties across the United Kingdom for almost ten years. The BeeZee Families Programme is an award winning healthy lifestyles programme designed for children who are identified as overweight/obese and their families. The Families programme incorporates behavioural economics, sociological factors and implementing our Habit before the habit methodol...

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ob0001p63 | (1) | UKCO2019

Bariatric surgery is associated with reduced risk of the development and progression of foot disease in patients with type 2 diabetes: A matched controlled cohort study

Singh Pushpa , Subramanian Anuradhaa , Adderley Nicola , Gokhale Krishna , Singhal Rishi , Bellary Srikanth , Nirantharakumar Krishnarajah , Tahrani Abd

Objectives: Obesity is an established risk factor for diabetes peripheral neuropathy (DPN), peripheral vascular disease (PVD) and diabetes foot disease (DFD). Bariatric surgery (BS) is the most successful obesity treatment that results in sustained weight loss. However, the impact of BS in patients with Type 2 DM (T2D) on DPN and DFD is unknown. Hence, we conducted a population-based study examining the impact of BS on development and progression of DFD....

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ob0001p64 | (1) | UKCO2019

Oops…that’s interesting! 4–8 year old children are too willing to taste vegetables, fruit and wholegrains in pilots of a small-group tasting activity

Wilkinson Nicholas M , Kannan Srimathi , Ganguri Harish B , Hetherington Marion , Evans Charlotte

Background: A diet based on fresh fruit, vegetables, and whole grains (FVG) promotes healthy weight. However, few UK children consume the recommended quantity or variety. Dislike, especially for vegetables, is a major barrier to intake, and changing preferences is difficult. Our project will test effects of sensory food education in primary schools on willingness-to-taste (WTT) FVG, as tasting is a necessary precursor of liking and dietary inclusion. Me...

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UK Congress on Obesity 2019

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