Lancet
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Observational Study
Changes in diet and physical activity after a pilot intervention to tackle childhood obesity in a deprived inner-London community: an observational cohort study.
Local authorities in England are uniquely positioned to modify obesogenic local environments contributing to childhood obesity. Evaluating the effects of local authority-led, community-wide approaches is challenging. This study examines changes in diet and physical activity in children aged 6-11 years after a 4-year, complex, community-based, pilot intervention in Golborne, one of the most deprived areas in London. ⋯ Royal Borough of Kensington and Chelsea. CB is funded by the School for Public Health Research of the National Institute for Health and Care Research (grant reference PD-SPH-2015). CJ is partly funded by Public Health at the Royal Borough of Kensington and Chelsea and by the National Institute for Health and Care Research Applied Research Collaborative. The views expressed are those of the authors and not necessarily those of the National Institute for Health and Care Research or the Department of Health and Social Care.
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Unhealthy behaviours are associated with disproportionate mortality among socioeconomically deprived populations. Previous studies exploring that disproportionate harm do not examine weighted scores, or examine few behaviours. We aimed to create an extended weighted health behaviour score and examine the effect of socioeconomic status on the association between score and all-cause mortality. ⋯ HMEF is supported by a Medical Research Council Clinical Research Training Fellowship (grant number MR/T001585/1), which covered the costs of accessing the data herein.
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Exposure to fast-food outlets (FFOs) is thought to relate to childhood obesity, but evidence is mixed and might be explained by imprecision in exposure measurement. We explored the effect of these differences by using novel geospatial analysis methods to study obesity rates of children living in a multi-ethnic, deprived location in the north of England. ⋯ UK Medical Research Council, UK Economic and Social Science Research Council, British Heart Foundation, ActEarly UK Prevention Research Partnership Consortium, and the National Institute for Health and Care Research.
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A supportive urban environment can prevent or delay the progress of cognitive decline. There is evidence for the existence of mechanistic pathways between the urban environment and cognitive decline, but the interrelations between these pathways are unclear. In this study, we aimed to map the mechanistic pathways by which urban environment factors affect cognitive decline in adults older than 50 years. ⋯ UK Research and Innovation.
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Making Every Contact Count (MECC) is an approach to behaviour change introduced by Public Health England in 2008. Derbyshire have implemented MECC using the Quality Conversation (QC) programme which is based around health coaching and psychology skills and delivered remotely by qualified coaches. This study is an initial evaluation of the QC programme. ⋯ Joined Up Care Derbyshire Integrated Care System.