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  • Childhood obesity is on the rise,

  • and with it long-term conditions like diabetes and heart disease

  • that can plague adult health.

  • But maps like these could help us turn the tide

  • by helping us understand how influences from our environment

  • shape what we buy and eat.

  • Junk food is in the spotlight in many places

  • where children and families spend their time.

  • The reality is that unhealthy food is sometimes much cheaper

  • and much more available, especially

  • in areas of low income.

  • It's not only schools, it's not on at home.

  • Children might hang around with their friends

  • around the schools, so the environment around schools

  • is extremely important.

  • Researchers at Guy's and St Thomas' Charity are gathering

  • social, demographic, and economic data

  • at the neighbourhood level and then mapping it against obesity

  • rates across two London boroughs.

  • The result is a clear picture of what's really behind childhood

  • obesity numbers.

  • Most people think that childhood obesity

  • is about poor parenting and a lack of individual willpower,

  • when rather this is a societal issue.

  • Kids from a lower income background

  • are about three times more likely to be obese than kids

  • from a wealthier background.

  • Indeed, when you plot childhood obesity on a map,

  • it tracks one to one with areas of lower average income.

  • Healthier food costs more than unhealthy food.

  • But that's not the only reason income

  • and obesity are so closely linked.

  • Those who earn less have less access

  • to transport so they're more reliant on the shops

  • nearest to home.

  • And because some shops stock more healthy food than others

  • the type of shop available on people's doorsteps

  • will determine what they can buy.

  • Even in neighbourhoods where household incomes are roughly

  • the same.

  • In Peckham Rye, 65 per cent of shops

  • were displaying fresh produce, whereas it was 23

  • per cent in Camberwell Green.

  • I guess that's just one example of how one area might have

  • an abundance of nutritious food versus unhealthy

  • and another might have the reverse.

  • Which again will be one factor driving a difference

  • in child obesity rates.

  • And if you compared them again to an area which

  • had higher average income you'd probably

  • see an even bigger change in the food options available.

  • Where fresh food just isn't an option for the poorest

  • families, local schemes can be supported

  • to make it more accessible and affordable.

  • Guys and St Thomas' Charity approached us

  • because we work with local children's centres

  • to identify families who could benefit from free vouchers

  • to go and buy more fruit and veg.

  • For one voucher you get two mango, like one pound.

  • We accept that as a currency.

  • So just bring one voucher.

  • We give you two mango.

  • And it's really good.

  • We eat more fruits and vegetables daily so

  • that's the best advantage of the voucher.

  • We're seeing around about a 65 per cent increase

  • in the amount of meals that people

  • cook from scratch using the raw ingredients that they

  • can buy here from the market.

  • So that means they're eating less unhealthy food,

  • they're spending more time cooking

  • and eating together as a family, and all of that

  • has got to help them and benefit them in the long term.

  • Providing easier access to fresh food will work for some

  • neighbourhoods but not all of them.

  • Another data set reveals where parents are working the most

  • hours over a given week.

  • Time pressure affects almost every household

  • but for some it can be the last hurdle that prevents parents

  • cooking healthy meals at home.

  • If you're time constrained and you have less time

  • to travel to that supermarket, is the beef more further away

  • from your home to outsource healthier foods.

  • You also don't have time to cook at home.

  • So you will rely on ready-made meals,

  • on things that you can easily buy at the end of the day

  • if you're working two shifts.

  • And again this is going to impact

  • more disproportionately the households on lower incomes.

  • Healthier takeaways could soon offer more nutritious

  • meals for homes where fast food has become a necessity rather

  • than a luxury.

  • But changing what kids eat at home can only help so much.

  • Children buy their own food before and after school.

  • And in many cases, this is where they're

  • most at risk from unhealthy influences on our high streets.

  • If you take the bus home from school, where the bus stop is

  • might be where you also socialise

  • with people which might be where you also have something to eat.

  • So whatever happens to be there providing

  • food in an attractive way really influences what you eat there.

  • Teenagers, particularly in the bit of London where we work,

  • don't have a great deal of spaces to hang out.

  • Fast food takeaways are a place where teenagers hang out.

  • So that's another area to focus on, as well.

  • So these are all the different parties,

  • the different partners, that we need to be involved.

  • Reining in unhealthy advertising and providing more safe spaces

  • for teenagers after school would mean redesigning the towns

  • and cities we live in.

  • It's a massive task that won't be possible without government

  • intervention.

  • But there's already evidence of how small design tweaks can

  • change shopper behaviour, particularly in the grocery

  • stores and supermarkets where families spend the majority

  • of their food budgets.

  • Chocolates, things that are bad for you,

  • are really the things that you see first

  • when you go into a corner shop.

  • So those are the things that pop up first into your mind.

  • So they are going to influence your decisions.

  • You do really struggle to find a healthy product.

  • Sometimes its shelved at the back

  • and it's not at your height, it's not really at the bottom

  • or at the top.

  • So you know, your access to not only

  • it's less salient visually, but also it's harder for you

  • to reach out for those things.

  • If they come to pick up nuts or the salt-free on the top,

  • it's sold down the bottom.

  • But it keeps improving sales, specifically

  • for the cereal bars.

  • So when we change the cereal bars here, the sales nearly 50

  • per cent up.

  • You got to keep trying to do it.

  • I lost it, still I make money so I'm happy to do that.

  • The results from these schemes could persuade big businesses

  • and policymakers to take action against childhood obesity

  • at a national level.

  • If that's by changing our urban environments

  • to make healthy food the easiest option,

  • data could be the tool to show us how.

Childhood obesity is on the rise,

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小児肥満から抜け出す方法をマッピングする|FT (Mapping a way out of childhood obesity | FT)

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    林宜悉 に公開 2021 年 01 月 14 日
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