Bay Navigator

Clinical Pathways

Weight Management in Children

Assessment and Management

  2. 5210 Resources

    • 5210 is a set of resources and tools that encourage children and their families and whānau to eat vegetables and fruit, limit screen time, be active, and drink water or milk instead of sugary drinks.
    • The resources can be used by anyone in all sectors and communities so that families and whānau are supported with living these messages wherever they go. The tools can also be used by health practitioners to initiate healthy conversations with children and their families and whānau, as well as to support brief interventions.

    • The 5210 messages are evidence-based, originating from the Childhood Obesity: Assessment, Prevention and Treatment Expert Committee, and endorsed by the Canadian Pediatric Society.  The recommendations adapted align with New Zealand Ministry of Health recommendationsfor food, activity, screen time and sleep.
    • The 5210 tools (Healthy Habits Questionnaire, Goal Trackers for tamariki and rangatahi, Assessment and Management Flowchart) and the graphics used in the colouring in sheet and kids cartoon poster, are adapted for use in the Bay of Plenty and Lakes District Health Board areas from Live 5m-2-1-0 with permission from SCOPE (Sustainable Childhood Obesity Prevention through Community Engagement), British Columbia, Canada.
    • The 5210 logo and four key messages are adopted from Let’s Go!, Maine, USA.

  3. Referrals and Intervention Services

    • Provides support and information to clients and their whānau to help them achieve and maintain a healthy body weight and lifestyle.

      • Service is for: Infants, children, teenagers, pregnant and breastfeeding women
      • Programme: One on one consults or tailored group talks.
      • Cost: Free
      • Location: Clinics held at most locations in Eastern Bay
      • Referrals: Self referrals, Best Practice
      • Contact:

    • Aim to support children to live a healthy lifestyle to improve their health and wellbeing, alongside their whānau, through achieving whānau led goals around better diet, exercise habits, lifestyle changes, and cultural empowerment.

      • Service is for:
        • Children aged 5-18 years, and their whanau
        • Open to all children/rangatahi
      • Programme: Weekly contact over a miniumu of 12 weeks
      • Cost: Free
      • Location: Eastern Bay of Plenty - Otamarakau - Kawerau - Waihau Bay
      • Referrals: Self referrals, referrals from health practitioners, whanau
      • Contact:

    • Green Prescription Whānau Based (formerly Active Families) is a free programme to support, encourage, and motivate families to make healthier lifestyle choices by increasing their levels of physical activity and changing their eating habits. Duration of the programme is up to six months depending on the needs of the individual and their family. The programme is for children aged between 4 ½ and 18 years old.

      • Service is for:       
        • Children aged 4-17 years, enrolled with WBOP PHO, and where referred child and family are willing and able to make lifestyle changes;
        • BMI over 95th percentile for 5-17 year olds
        • BMI over 98th percentile for 4 year olds (as identified at B4 School Check)
      • Programme: Regular family visits (monthly) for up to 6 months
      • Cost: Free
      • Location: Anywhere in BOP DHB region, usually home visits but can meet at Sport   BOP in Tauranga and Whakatāne.
      • Referrals: Self referrals, Best Practice, GRx Active Families referral form
      • Contact:

    • Aim to support children who have gained too much weight to improve their health and wellbeing, alongside their whānau, through achieving whānau led goals around better diet and exercise habits.

      • Service is for:
        • Children, aged 5-18 years, and their whānau
        • Open to all, it is not exclusively for people from Ngāti Ranginui iwi
      • Programme: Weekly contact over 12 weeks
      • Cost: Free
      • Location: From Katikati to Papamoa, can involve home visits and phone contact
      • Referrals: Self referrals, referrals from health practitioners. Email: referrals@ranginui.co.nz
      • Contact:

    • Aim to support children who have a high BMI to improve their health and wellbeing through a holistic kaupapa Māori lens with a strong focus on nutrtion and activity.

      • Service is for: Children, aged 5-18 years, and their whānau
      • Programme: Weekly contact over 12 weeks
      • Cost: Free
      • Location: From Papamoa to Otamarakau. We have school based programmes, after school sessions as well as home visits and phone contacts.
      • Referrals: Self referrals, referrals from health practitioners. Email: referrals@ngakakano.co.nz
      • Contact:

    • A kaupapa Māori exercise, nutrition and education programme that includes a concurrent parents programme. Child attends for exercise, a healthy meal and education. Suitable for all children with a key focus on Maori and Pacific.

      • Service is for: Children aged 4-18 years, and their parents/caregivers
      • Programme: Attend 3 days a week for 12 weeks.
      • Cost: Free, koha
      • Location: The Centre for Health, Manawa Ora Centre, 103 Third Ave, Tauranga 3110
      • Referrals: Self referrals, referrals from health practitioners
      • Contact:

    • Programme under development, enquiries welcome

Information

  1. Bay Navigator Weight Management patient education resources

    • Obesity (Ministry of Health) - links to guidelines, publications and resources
    • Health Start Professional Development- Online Healthy Start Education Programme, Healthy Conversation Skills Training, Alcohol and tobacco exposure in early life online training

     

    • Raising Healthy Kids Bay of Plenty is the local steering group tasked with working together to prevent, manage and treat childhood obesity.  This group includes representatives from local iwi, Hauora, Plunket, Sport Bay of Plenty, Primary Health Organisations, local paediatricians, local dietitians, Toi Te Ora Public Health, and Bay of Plenty District Health Board Planning and Funding.

  7. This pathway was developed by the following:

    Dr Alison James

    General Practitioner

    Dr David Jones

    Paediatrician, Tauranga Hospital, BOPDHB

    Dr Neil de Wet

    Medical Officer of Health, Toi Te Ora – Public Health Service

    Dr Anne Jaquiery

    Paediatrician, Lakes District Health Board and Senior Lecturer, Liggins Institute

    Tim Slow

    Portfolio Manager - Child & Youth, Oral Health and Pharmacy, Planning and Funding, BOPDHB

    Lou Harvey

    Public Health Development Advisor, Toi Te Ora – Public Health Service

    James Scarfe

    Public Health Analyst, Toi Te Ora – Public Health Service

    Lynnette Borissenko

    Public Health Analyst, Toi Te Ora – Public Health Service

    Martin Steinmann

    Regional Manager, Community Health 4 Kids, BOPDHB

    Noeline White

    Before School Check Co-ordinator, Community Health 4 Kids, BOPDHB

    Carliza Patuawa

    Clinical Performance Manager, Ngā Mataapuna Oranga

    Charlotte Yarnton

    Dietitian, Western Bay of Plenty Primary Health Organisation

    Raising Healthy Kids Steering Group,
    Bay of Plenty

     

Disclaimer: These pathways, for the care and management of patients within Bay of Plenty, have been developed jointly by primary and secondary care clinicians. They provide guidance for General Practice teams to diagnose and manage patients suffering from a number of different conditions, and contain patient information resources. The pathways are maps of publicly-funded services accessed by referral from the community, and are strongly evidence based, but are not full clinical guidelines. As the pathways are suggested guidance only, while using them you must exercise your own clinical judgement and pertinent clinical data when treating your patient. This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.