Thousands of people suffering won't have an official diagnosis. totally agree with/believe this. There are likely millions of people overweight due to medical causes currently undx!
for more dietitians to be well trained and employed to assist patients
for the general environment to be made more conducive to healthy eating and exercise
1 I’m not even talking ‘free gyms’ but decent cycle paths and wide enough roads (the Dutch have an excellent road and cycle way system we could follow), well lit and well maintained footpaths and walking/running areas (certainly where I live the paths and roads are a fucking mess! Supposedly the fault of the council BUT councils have had their funding from central govt cut to the bone!!
2 fewer working hours so people have the time and ENERGY to exercise, shop properly and cook. Several pps have mentioned we’re the fattest country in Europe! I believe we’re also one of the hardest working in terms of hours worked AND we’re also in the top range for length of commute! Even though we’re a tiny fucking island! If our commuting and working hours were reduced, ie a healthier work/life balance we’d probably be healthier generally!
3 Supermarkets and other food retailers do also need to do their bit. 1000 different types of crisps but only 3 different kinds of apples? Something I noticed when I did my last grocery shop! Fresh “raw ingredients” being far more expensive than processed and convenience foods, more heavily promoted and more likely to be included on “special offers” too! The aforementioned palm oil, artificial sweeteners etc, the layout of supermarkets (which they spend a FORTUNE on specialist advice on to make us spend more).
4 Food deserts need to be addressed, not to mention the utter DISGRACE which is serious food poverty in an objectively wealthy country! Food banks mainly ask for and give out highly processed and convenience foods because they and their clients need things with long shelf lives as they lack suitable storage and/or cooking facilities for fresh or even frozen produce. It’s SHAMEFUL that there are 100,000’s of families in this country that have nothing but maybe a kettle to “cook” with, perhaps a microwave if they’re lucky! Here in Scotland one thing we’ve had until recently (again deteriorating due to cuts in funding from central and Scots govt) is free swimming for school aged children and pensioners. I’m told it made a huge difference in terms of health of the population and now that it’s going they’re starting to see the negative result of this. My dd has a disability which limits what exercise she can do and swimming was one thing she really enjoyed and could get a lot of exercise doing as no pressure on joints etc
5 I’m going to show my age with aspects of the next one but here goes:
The food environment at work is appalling in this country.
Yes people COULD take pack ups but a lot don’t have the time, energy or inclination to prep one each day PLUS many work places don’t provide safe, clean and even refrigerated storage for employees lunches (frankly I’d change health and safety law to make this mandatory) Also depending on what you do, if it’s a “mobile” job you may not have a “workplace” as such.
I’d implement a network of “work canteens”, possibly located in currently vacant shops? providing basic but tasty healthy food AT COST PRICE to working people - if the govt are serious (😂😂😂) about this then this would be an excellent idea. In order to access people would simply need to show work ID or perhaps have an app or “credit card” for paying?
Certainly they could require companies with large numbers of employees on a work site to provide a works canteen, very few have them now but I have very fond memories of working in factories, packaging plants etc which had subsidised canteens where it was possible to get a cheap, hot, Healthy and filling meal during work hours.
Slightly off topic as I’m discussing food environment here but I’d also require employers to provide exercise spaces too! Ideally gyms but at the very least an open space where employees can at least do some yoga, aerobics on the spot or light weights?
6 FAR more control on what TYPE of food establishments are able to open within a certain area/square mileage. I live in a deprived area and the number of fast food places is ASTONISHING! There’s limits on what gambling and drinking establishments can open and where but apparently anyone and everyone can open a fast food joint anywhere! Needs to be MUCH better regulated.
7 public transport wrt access to healthy food. Our public transport here is ABYSMAL! Only 2 of the buses stop at 1 of the supermarkets, the rest stop in the “main” town, mainly at one end of the high street where there’s a ton of fast food places! Also the 2 buses that stop there are the small kind with precious little space for shopping.
8 marketing and advertising - personally I’d ban advertising by ALL fast food places. I’d also ban advertising of all food and drink that’s high in fat or sugar UNLESS it’s an item with significant nutritional benefit like cheese. I’d certainly ban ALL marketing of fast food and convenience foods aimed at children, even surreptitiously (bright child friendly colours, cartoon characters etc)
I could go on all day!
9 as a single person living alone this is a PARTICULAR bugbear of mine - I think there’s a LOT needs done regarding the SIZE products are sold in! It’s virtually impossible to buy many perishable products in SMALL sizes WITHOUT paying a fucking premium! Yes I can buy a smaller loaf of bread or whatever - but it costs more than a “regular” sized loaf!! Consumers are effectively paying a surcharge for trying to “eat less”. Portion sizes when eating out anywhere also need to be addressed! Utterly ridiculous portions that can and go contain up to 3 DAYS worth of calories in one course! I have when I am out and about (currently housebound) TRIED on numerous occasions to order children’s portions and EVEN WHEN I have been willing to pay the adult price been refused! AGAIN if the govt is serious about this they’ll make such practices illegal! On the VERY odd occasion I’ll order a takeout to home (maybe once a month usually, haven’t bothered since lockdown for various reasons) I order from a place that does “children’s” portions (they’re still FAR too much for even a young teen!) and one of the items is an undressed salad, but it’s still more cals in one meal than is healthy.
I know we can do these things on our own but why not make it easier and more fun? because fat people need to be punished of course!