Obesity

Baroness Neville-Rolfe Excerpts

Wednesday 18th July 2018 Lords Chamber

[Baroness Neville-Rolfe (Con)]

My Lords, I thank my noble friend Lord McColl for initiating this debate, and I declare my interests in the register. I very much look forward to hearing the maiden speech of the noble Baroness, Lady Boycott, who I remember so well for her achievements in journalism and for her unique food web. My noble friend Lord McColl is always a mine of fascinating doctors’ stories, and I wholeheartedly agree that we need an honest campaign to tackle obesity. It is a problem of plenty, which makes one feel uncomfortable when one thinks of those in parts of Africa, North Korea and even Venezuela where people still suffer from malnutrition.

Obesity poses a serious health risk in the UK. It causes real harm and costs the NHS a fortune in treating diabetes, high blood pressure, heart disease, liver disease, kidney disease and other conditions. It is brought about by the actions of the individuals concerned. In brief, it will occur if, over a prolonged period, intake of calories significantly exceeds calories consumed, so both diet and exercise are relevant. It is not exogenous, like many cancers. Accordingly, an important need is to help those concerned demonstrate greater self-control by reducing consumption, increasing exertion or both. I prefer this approach to indirect actions such as sugar taxes or advertising bans, which are costly in resource terms, limit choice for those not at risk, and are at best scatter-gun.

Our greatest priority must be to tackle the habits of our children. We must teach them self-restraint and the habit of exercise. I believe one of the cheapest and best things we could do is to require all children to run the Daily Mile, and perhaps half a mile for the little ones. There are reports springing up everywhere of its success in terms of weight and health. I heard only yesterday of the impact in my grandchildren’s school as year 4 run a mile round the playground, and we should thank the Daily Mail, INEOS and ITV for giving this initiative real legs. It is also good for children to walk to school, so maybe children should be asked at register whether they have walked as a bit of behavioural psychology to encourage parents and carers from every walk of life.

We should also find some very simple and memorable ways of helping children to eat well. For me, there is simple magic in fresh fruit—five pieces a day if possible and not juice, which is high in calories—salad, freshly cooked vegetables and, indeed, vegetable oil, the fat we need, which can be transformational. Schools should teach cooking and projects should look at how to prevent and tackle obesity.

Our second-biggest priority is to help young adults under 40 not to gain weight, so delaying associated diseases. Essentials here are keeping up daily exercise with simple habits like walking from the bus stop or up the escalator. Employers have a duty to encourage healthy eating habits—for example, in canteens and in public procurement. I have said before that Tesco provided free fruit for children. Diet and health featured strongly on training courses, and I remember publishing a good book on the glycaemic index to help staff with weight problems. Such ideas need to be extended and to become an important part of a firm’s contribution to society and to worker welfare. Above all, the NHS needs to take a grip on its own staff’s issues with obesity. It is not fair on them or a good example to users of the NHS.

Our third priority is to stop the bulge in middle age and beyond in the majority of us who are not naturally willowy. In recent decades, I have found it essential to keep an eagle eye on the scales and to take action when the weight creeps up. I bought a Fitbit so that I walk 10,000 steps a day and get my beauty sleep. As the Minister knows, sleep is positively correlated with slimness and health and negatively correlated with weight gain and with dosing on Twitter, Facebook and Netflix.

Obesity has become rather a gloomy subject characterised by slow progress and huge public health costs. We need a new culture of self-restraint and a less tolerant attitude to obesity in society and in ourselves.