SMOKING, obesity, drinking too much and a lack of exercise have long been an issue for thousands of people in South Tyneside.
In 2013, figures revealed almost a third of the borough’s adult population were deemed to be obese.
A staggering 38 per cent of 10 to 11-year-olds were also considered as overweight or obese.
The figures were higher than the national average, which prompted council chiefs to look at ways to tackle the problem.
The cost of obesity to the NHS is expected to rise to £54.2m by this year.
The issue is just one of a number which health trainers empowered people to address during sessions.
Others include cigarettes, which cost the NHS an estimated £7.8m during 2012 to treat people with smoking-related illnesses.
Figures issued last year by anti-smoking campaigners Fresh revealed tobacco-related illness kills at least one person in South Tyneside a day.
The latest data from Fresh shows that an estimated 428 people over the age of 35 would die from a condition related to smoking in 2014.
South Tyneside, home to 88,040 people aged over 35, has the second highest mortality rate in the North East, behind only Middlesbrough.
The figures are almost double the 244 such deaths recorded in the borough in 2012.
Meanwhile, figures released by Balance, the North East Alcohol Office, revealed 74 people from South Tyneside died from alcohol-related liver disease between 2010 and 2012.
During that same period one in 10 deaths across the region occurred in people aged under 40.
Figures from Public Health England last year also showed more women in South Tyneside are dying from drink-related liver diseases than anywhere else in the region.
Nine a year pass away at an average age of 59 – a rate of 13.2 per 100,000 of the population. The national average is 5.9 deaths and the figure is significantly higher than the North East’s average of 7.9. The mortality rate for the borough’s men dying from the same liver conditions stands at 21.8 per 100,000 – 14 deaths annually.