My Lords, the noble Lord, Lord McColl, is going down a fairly well-trodden path when he speaks on this subject. My steps will not be exactly new to anybody who has been listening to debates on this subject either. This is an interesting debate, and I look forward to hearing the newer voices: the noble Baroness, Lady Boycott, will, I hope, prevent ourselves repeating ourselves for ever.
There is one very odd aspect of the current obesity problem, which has never occurred in history before: it seems to be concentrated among those who are less well-off. For the first time in history food is very cheap. It may be the wrong type of food, and consumed in the wrong way, but it is very cheap. It is also odd
that the poor are those in society who take the least exercise and are the most obese. It is difficult for people who live in poorer communities to organise themselves to do the right amount of activity or sport, or to be in the right environment to take casual exercise. If people live in nice areas with wonderful walks, they may walk either with or without a dog; they will take that amount of exercise. But if people live somewhere where it is difficult, unpleasant or even dangerous to walk around, they will not. Nobody does something that is unpleasant unless they have to.
Sitting at home with a full-fat, or fully leaded, cola—or fizzy drink; let us not be brand-specific—and a packet of crisps is a nice thing that everybody will do every now and again. The difference is whether someone thinks that they are having a guilty pleasure every now and then, or whether that is the norm. People also have to adapt what they think they should be getting out of this. Simon Stevens, CEO of the NHS in England, described exercise as a miracle cure or wonder drug. It works. People burn up calories and put on muscle mass, and as they put on muscle mass they burn up more calories, and make themselves much healthier.
Throughout our lives, especially towards the end of life, those with the least muscle mass and those who cannot move very well are much more likely to be ill in later life. That is a fact. As for the ideas about weight, I have news for you, my Lords: every single prop forward should be dead, according to the height/weight index, as should anybody who does any form of exercise like sprinting or canoeing—you name it. Weight is not the best guide; it is carrying the wrong type of weight that matters. A sprinter, or someone whose sport requires sprinting, will be taking a different type of exercise and acquiring muscle mass. All these things come together.
What are the Government going to do to allow people to get the best out of all this? Education and information about the right types of food is an important factor, and that is being provided. There are also tax incentives. The action taken on smoking has shown us what can and cannot be done, and told us about the long timescale and lead-in. Things can be done. There is also a NICE policy about bringing together sport and exercise, and involving local government and the Department for Education. The department of health is probably the only department that has sufficient power and gravitas within government to make sure this happens. Local government is under tremendous stress at the moment, and the DCMS just does not have the bite when it comes to budget and power. It has to be led by the department of health. When the Minister replies, will he say how the department is leading this exercise and bringing its colleagues in? We cannot do it unless we bring them all tighter—unless we make sure that everybody has the same hymn sheet.
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