Hayden is Consultant in Lifestyle Medicine at Lakes District Health Board, with a specialist interest in addiction, obesity and child wellbeing. He is also based, one day a week, at Tipu Ora where he works alongside the Stop Smoking Service. Hayden graduated with his medical degree from the University of Otago in 1996, a doctorate from the University of London in 2008, and has worked in the field of behavioural medicine for over 20 years. Hayden is Professor in Public Health Interventions at Queen Mary University of London and at the National Drug and Alcohol Research Centre at the University of New South Wales. He is also a Fellow of the Australasian Society for Lifestyle Medicine. In the last decade Hayden has played a key role in Tobacco Control in New Zealand and has acted as the Clinical Champion in Child Obesity for the New Zealand Ministry of Health.
Hayden moved to Rotorua in May 2019. His current work at Lakes DHB includes the prevention and management of Long Term Conditions and child wellbeing with a particular focus on improving outcomes for Māori.
Practical Tips To Improve Our Ability To Address Lifestyle Issues For The General Physician
The number of people living with long-term conditions is growing. The health costs associated with managing these long-term conditions are significant and will continue to grow, especially in light of a growing aging population.
The major risk factors for long-term conditions are smoking, hazardous alcohol consumption, poor nutrition and physical inactivity. Prevention and management of these risk factors is important for health and wellbeing.
Compared with non-Māori, Māori adults tend to have higher rates for most health risks, including smoking, hazardous drinking, obesity, and physical inactivity. Furthermore Māori sustain greater health loss than non-Māori in most conditions. Mortality rates due to CVD, for example, are more than twice as high among Māori compared with non-Māori. Māori also have a higher chance of dying from cancer, compared with non-Māori.
Effective management of risk factors for LTCs requires a range of approaches, including environmental and policy changes and more holistic, whānau-centred services that are integrated and meet the needs of whānau and communities. Health care professionals also have an important role to play in helping their patients change health behaviours. There is good evidence for brief smoking cessation interventions, where these can up to double the chances of long term abstinence compared with no intervention at all. The evidence for the effectiveness of brief interventions to address hazardous alcohol consumption and unhealthy weight is also growing.
This session will summarise the evidence and offer some practical tips to address the key risk factors for long-term conditions.