19612010 views may change over time. i reserve the right to revise what i say today
TRANSCRIPT
1961 2010
Views may change over time. I reserve the right to revise what I say today.
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5 Essentials of Life
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7 SIX DIMENSIONS OF WELLNESS
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15 Introduction of New, Larger Portions
16 Television Viewing
17 Type 2 Diabetes IncidenceAmong U.S. Youth with Diabetes
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Leading Causes of Death 1900
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5 Essentials of Life
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15 Introduction of New, Larger Portions
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17 Type 2 Diabetes IncidenceAmong U.S. Youth with Diabetes
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Leading Causes of Death 1997
10 Leading Causes of Death* Actual Causes of Death**
Heart disease 710,760 Tobacco 435,000
Malignant neoplasm 553,091 Poor diet/physical inactivity 400,000
Cerebrovascular disease 167,661 Alcohol consumption 85,000
Chronic lower resp. tract disease 122,009 Microbial agents 75,000
Unintentional injuries 97,900 Toxic agents 55,000
Diabetes mellitus 69,301 Motor vehicles 43,000
Influenza & pneumonia 65,313 Firearms 29,000
Alzheimer disease 49,558 Sexual behavior 20,000
Nephritis/nephrotic syndrome/nephrosis 37,251 Illicit drug use 17,000
Septicemia 31,224
Other 499,283
TOTAL 2,403,351 TOTAL 1,159,000
Causes of Death: 2000
*Source: Minino AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Deaths: final data for 2000. Natl Vital Stat Rep. 2002;50:1-50,**Source: Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual Causes of Death in the United States, 2000. JAMA 2004;291(10):1238-45.
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5 Essentials of Life
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7 SIX DIMENSIONS OF WELLNESS
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15 Introduction of New, Larger Portions
16 Television Viewing
17 Type 2 Diabetes IncidenceAmong U.S. Youth with Diabetes
18 Information
19 Information
20 Information
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5 Essentials of Life
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7 SIX DIMENSIONS OF WELLNESS
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15 Introduction of New, Larger Portions
16 Television Viewing
17 Type 2 Diabetes IncidenceAmong U.S. Youth with Diabetes
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19 Information
20 Information
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5 Essentials of Life
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7 SIX DIMENSIONS OF WELLNESS
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15 Introduction of New, Larger Portions
16 Television Viewing
17 Type 2 Diabetes IncidenceAmong U.S. Youth with Diabetes
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19 Information
20 Information
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5 Essentials of Life
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7 SIX DIMENSIONS OF WELLNESS
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15 Introduction of New, Larger Portions
16 Television Viewing
17 Type 2 Diabetes IncidenceAmong U.S. Youth with Diabetes
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19 Information
20 Information
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The goal in life is to:
“Die young,
as late in life as possible”
Essentials of Life
• Air• Water• Sleep• Food• Activity• Sex (NOT) • Intimacy & Human Touch -YES!
Essentials of Life Katrina
Essentials of Life Katrina
Essentials of Life Sandy
Essentials of Life Sandy
Essentials of Life Sandy
Hurricane Sandy
What could be worse than fire and floods?
Oh Sandy
SIX DIMENSIONS OF WELLNESS
Shapers ofHuman
Behavior
Teaching Our Children Well
Courtesy of Anne Peters Harmel, MD. USC Keck School of Medicine
Introduction of New, Larger Portions
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1970 1980 1990 2000
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Courtesy of Fran Kaufman, MD
Young LR, Nestle M: AJPH 2002; 92:246
Mayor Bloomberg“For the first time in the history of the world, this year, more people will die from the effects of too much food than from starvation.”
Television Viewing
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Courtesy of Fran Kaufman, MD
Task Force Report, LA County DHS, 2002 lapublichealth.org/mch
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Type 2 Diabetes Incidence
Among U.S. Youth with Diabetes
Courtesy of Fran Kaufman, MD
Data from Kitgaw et al
Obesity Trends* Among U.S. AdultsBRFSS, 1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1986
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1987
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1988
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1989
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1991
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS, 1992
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS, 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS, 1994
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS, 1996
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS, 1997
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS, 1998
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS, 1999
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS, 2001
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
Obesity Trends* Among U.S. AdultsBRFSS, 2002
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2003
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2004
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2006
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2007
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2009
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2010
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
1994
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
1995
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
1996
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
1997
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
1998
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
1999
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
2000
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
2001
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
2002
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
2003
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
2004
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
2005
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
2006
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
2007
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
2008
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
2009
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
2010
Age Adjusted Prevalence of Diagnosed Diabetes Among U.S. Adults
Essentials of Life
So, “What do we need to live our lives really well?”
Do we need more information?
NOT!
Information
Thousands of eHealth sites.
How do you decide how you will allocate your “eye time”?
Drinking water from a fully charged fire hose.
Information
“What information consumes is rather obvious: it consumes the attention of its recipients.”
Information“Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it.”
Herbert Simon
Scientific American, September 1995, Page 201
PROGRAMS ON THE RISE
STAGNANT PROGRAMS
PROGRAMS ON THE SLIDE
I'd rather see a sermon than hear one any day;I'd rather one should walk with me than merely show the way.The eye's a better pupil, And more willing than the ear;Fine counsel is confusing, But example's always clear.I soon can learn to do it, If you'll let me see it done;I can see your hands in action, But your tongue too fast may run;And the lectures you deliver, May be very fine and true;But I'd rather get my lesson, By observing what you do.For I may misunderstand you, And the high advice you give,But there's no misunderstanding how you act and how you live.
Poem by Edgar A. Guest
Thanks for being here,
I will respond to questions.