active and eating smart julie mcmahon, director division of health promotion and chronic disease...
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Active and Eating Smart
Julie McMahon, DirectorDivision of Health Promotion and Chronic Disease
Prevention
Iowa Department of Public Health
1996
1991
2003
Obesity Trends* Among U.S. AdultsBRFSS, 1991, 1996, 2003
(*BMI 30, or about 30 lbs overweight for 5’4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Stats An estimated 61% of Iowa adults are
overweight (BMI > 25) or obese (BMI > 30)--BRFSS (2002)
An estimated 16 percent of children and adolescents ages 6 –19 years are overweight—based on BMI, (1999 –2002 National Health and Nutrition Examination Survey (NHANES)
(> Greater or equal to)
BRFSS: Percent Obesity by Gender
0
5
10
15
20
25
1991 1995 1998 2000 2001
MenWomen
By Gender
BRFSS: Percent Obesity by Age
0
5
10
15
20
25
30
1991 1995 1998 2000 2001
18-2930-3940-4950-5960-69>70
Age Groups
BRFSS: Percent Obesity by Educational Level
0
5
10
15
20
25
30
1991 1995 1998 2000 2001
Less than High SchoolHigh SchoolSome College
Educational Level
BRFSS: Percent Obesity by Income Level
0
5
10
15
20
25
30
1990 2000 2004
<$15,000<$25,000<50,000>75,000
Income Level
Percentage of Overweight U.S. Children and Adolescents is Soaring*
* >95th percentile for BMI by age and sex based on 2000 CDC BMI-for-age growth charts**Data from 1963-65 for children 6-11 years of age and from 1966-70 for adolescents 12-17 years of ageSource: National Center for Health Statistics
18
Ages 12-19
Ages 6-11
54
1616
0
2
4
6
8
10
12
14
16
1963-70**
1971-74 1976-80 1988-94 1999-2002
Overweight Has Important Health Consequences in Children
70% chance of being overweight as adults Childhood onset of Type 2 diabetes
Face future risk of serious complications: kidney disease, blindness, amputations
People born in 2000 have a high risk of getting diabetes in their lifetimes:
33% of males 39% of females
Risk factors for heart disease 60% of 5-10-year olds have at least one 25% have two or more
CDC Data
Costs Associated with Obesity are High and Growing
2000 estimated cost: $117 billion: $61 billion direct medical costs $56 billion for indirect costs
Iowan’s spent estimated $783 million $363 million paid by taxpayers
(Medicare and Medicaid)
Hospital costs related to childhood overweight have tripled in last 20 years
Three Key Factors are Related to the Onset of Obesity
Poor dietary practices Decreased physical activity Increased inactivity
(CDC)
Americans’ Food Practices are Shifting Dramatically
Reduced frequency of family meals Increased fast food consumption Increased portion size Increased consumption of soft drinks
(from 27 to 44 gallons/year from 1972-1992)
Restrained eating, meal skipping 30,000 products in supermarkets
(CDC)
Physical Education in Schoolsis on the Decline
Participation in daily P.E. classes, 9-12th graders:
1991 42%1999 29%
(CDC)
As TV Time Increases, So Does Rate of Overweight in Teenagers
As TV Time Increases, So Does Rate of Overweight in Teenagers
TV Hours Per Day (Youth Report)TV Hours Per Day (Youth Report)
(0-1)(0-1) (1-2)(1-2) (3-4)(3-4) (4-5)(4-5) (>5)(>5)(2-3)(2-3)
(NHES Youth Aged 12-17 in 1967-70 and NLSY Youth Aged 10-15 in 1990)
CDC-funded State Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases
Capacity building 2004-2005-current 2005-2006-applied
Implementation, application to CDC 2006….
CDC-funded NPA Program
Year 1-2: Bring together partners to write the State Comprehensive Plan.
Implement a pilot intervention
Submit the State Plan and application to become an implementation state.
Vision
Iowans will enjoy balanced nutrition, lead physically active lives and live in healthy communities
Mission
Develop and strengthen partnerships that prevent and reduce obesity in Iowa
Goals/Outcomes Prevent and reduce obesity in Iowans
through improved nutrition, physical activity and supportive environments.
Reduce obesity through integration, coordination and collaboration among organizations and entities that share expertise and maximize resources of existing programs and partnerships.
Strategies
Develop and support partnerships that implement obesity prevention programs
Strategies
Create and sustain model healthy communities around nutrition and physical activity.
Strategies
Collect and analyze data that drives decisions about program needs and effectiveness
What needs to be done to develop the Comprehensive State Plan?
Develop Partnerships at the local and state level
Share expertise and maximizes resources of existing programs and partnerships.
Use Iowa-specific data to identify issues and maximize existing public and private resources
Build model healthy community—pilot intervention
Partnerships
Work Groups: Educational Setting Early Childhood Older Iowans Business and Agriculture Health Care Community
Here’s how you can make a difference and get involved…
For more Information: www.iowa.gov/iowansfitforlife