childhood obesity: a national focus
DESCRIPTION
Childhood Obesity: A National Focus. Christopher Roller Director of Advocacy and State Health Alliances American Heart Association, Nevada Presentation to the WCHD Childhood Obesity Forum, September 15 th , 2010. Outline. - Nature of the problem - Brief history - Causes of the epidemic - PowerPoint PPT PresentationTRANSCRIPT
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Childhood Obesity:A National Focus
Christopher RollerDirector of Advocacy and State Health Alliances
American Heart Association, Nevada
Presentation to the WCHD Childhood Obesity Forum, September 15th, 2010
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Outline
- Nature of the problem- Brief history- Causes of the epidemic- National recommendations and guidelines- Resources- Policy solutions
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How Bad Is The Problem?
- About one in three children and teens in the U.S. is overweight or obese.
- Overweight kids have a 70–80 percent chance of staying overweight their entire lives.
- Obese and overweight adults now outnumber those at a healthy weight;
- Nearly seven in 10 U.S. adults are overweight or obese.
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1999
Obesity Trends* Among U.S. AdultsBRFSS, 1990, 1999, 2008
Source: CDC Behavioral Risk Factor Surveillance System
2008
1990
No Data <10% 10%–14% 1 5%–19% 20%–24% 25%–29% ≥30%
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Obesity Trends* Among U.S. AdultsBRFSS, 1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
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Obesity Trends* Among U.S. AdultsBRFSS, 1986
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
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Obesity Trends* Among U.S. AdultsBRFSS, 1987
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
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Obesity Trends* Among U.S. AdultsBRFSS, 1988
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
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Obesity Trends* Among U.S. AdultsBRFSS, 1989
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
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Obesity Trends* Among U.S. AdultsBRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
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Obesity Trends* Among U.S. AdultsBRFSS, 1991
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
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Obesity Trends* Among U.S. AdultsBRFSS, 1992
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
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Obesity Trends* Among U.S. AdultsBRFSS, 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
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Obesity Trends* Among U.S. AdultsBRFSS, 1994
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
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Obesity Trends* Among U.S. AdultsBRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
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Obesity Trends* Among U.S. AdultsBRFSS, 1996
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
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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%
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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%
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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%
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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%
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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%
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(*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%
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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%
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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%
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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%
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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%
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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%
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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%
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Growth in Childhood Obesity, 1971 to Present: Source: CDC, National Center for Health Statistics, National Health and Nutrition Examination Surveys
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Causes of the EpidemicSource: American Heart Association
- Growing portion sizes- Poor nutrition- Dining out more- Moving less
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Causes of the Epidemic
Growing Portion Sizes• Americans are eating more• Portions have grown dramatically in recent
decades• People eat more when served bigger
portions
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Causes of the Epidemic Less Nutrition/Poor Choices• Americans are eating more and more foods that
are high in calories but don’t meet their nutritional needs.
• A majority of Americans are not getting enough vitamins and nutrients through healthy foods, such as fat-free or low-fat dairy, whole grains, fruits and vegetables.
• French fries are the most common “vegetable” consumed by children
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Causes of the Epidemic
Dining Out• People dine out more than ever before.• When people dine out, they consume more
calories than if they eat at home.• Away-from-home meals contain fewer fruits,
vegetables and whole grains than foods prepared at home.
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Causes of the Epidemic
Lack of Physical Activity• Children are not getting enough physical activity.• Fitness and physical activity habits established
in childhood are key indicators for health in adulthood.
• Most children get more than the recommended limit of two hours of screen time per day.
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Causes of the Epidemic Source: White House Task Force on Childhood Obesity, Report to the President
Other Contributing Factors:- Pre birth and genetic- Socioeconomic - Racial and ethnic - Regional
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Recommendations
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Recommendations- Alliance For a Healthier Generation
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines)
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines) - Institute of Medicine
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines) - Institute of Medicine- Johns Hopkins
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines) - Institute of Medicine- Johns Hopkins - National Heart Lung and Blood Institute
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines) - Institute of Medicine- Johns Hopkins - National Heart Lung and Blood Institute- National Initiative for Children’s Healthcare Quality
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines) - Institute of Medicine- Johns Hopkins - National Heart Lung and Blood Institute- National Initiative for Children’s Healthcare Quality - Nemours
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines) - Institute of Medicine- Johns Hopkins - National Heart Lung and Blood Institute- National Initiative for Children’s Healthcare Quality - Nemours- The Obesity Society
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines) - Institute of Medicine- Johns Hopkins - National Heart Lung and Blood Institute- National Initiative for Children’s Healthcare Quality - Nemours- The Obesity Society- Robert Wood Johnson Foundation
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines) - Institute of Medicine- Johns Hopkins - National Heart Lung and Blood Institute- National Initiative for Children’s Healthcare Quality - Nemours- The Obesity Society- Robert Wood Johnson Foundation- Society for Nutrition Education
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines) - Institute of Medicine- Johns Hopkins - National Heart Lung and Blood Institute- National Initiative for Children’s Healthcare Quality - Nemours- The Obesity Society- Robert Wood Johnson Foundation- Society for Nutrition Education- The Surgeon General
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines) - Institute of Medicine- Johns Hopkins - National Heart Lung and Blood Institute- National Initiative for Children’s Healthcare Quality - Nemours- The Obesity Society- Robert Wood Johnson Foundation- Society for Nutrition Education- The Surgeon General- USDA
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Recommendations- Alliance For a Healthier Generation- American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics- American Heart Association- American Diabetes Association- American Dietetic Association- American Medical Association- Centers for Disease Control- DHHS (synthesis of guidelines) - Institute of Medicine- Johns Hopkins - National Heart Lung and Blood Institute- National Initiative for Children’s Healthcare Quality - Nemours- The Obesity Society- Robert Wood Johnson Foundation- Society for Nutrition Education- The Surgeon General- USDA- The U.S. Preventative Services Task Force
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Recommendations Let’s Move Campaignwww.letsmove.gov
Partnership for a Healthier Americawww.ahealthieramerica.org
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RecommendationsWhite House Task Force- 70 Recommendations
- Federal action- State or local action- Private sector action
- Incorporates recommendations from most available sources
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RecommendationsWhite House Task Force- Women to be at a healthy weight at conception and avoid
excess weight gain during pregnancy. - Breast-feeding to be encouraged: Studies show babies fed
this way are 22 percent less likely to become obese. - Smaller restaurant portions and posting of calorie
information. - Schools to serve more fruits in lunches and vending
machines. - The USDA to add 2 million children to the school lunch
program by 2015.
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RecommendationsWhite House Task Force- A 50 percent increase in high school students attending
daily physical-education classes. - Recess classes in elementary schools to increase by 95
percent. - Updated federal nutrition standards for meals served at
schools and more school-based nutrition education. - Pediatricians to check patients' body mass index, a
height-weight calculation used to measure body fat. - A standard nutrition label on the front of packaged foods.
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RecommendationsWhite House Task Force- The food industry and beverage industry to limit the
marketing of unhealthy products to children, with government regulation as a last resort.
- Economic incentives to eradicate "food deserts," urban and rural areas with few grocery stores.
- Insurance plans to cover services necessary to treat and prevent childhood obesity.
- Using cartoon characters to promote only healthy food.
Source: The Washington Post, May 12th 2010
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Recommendations Health Care Providers- In 2007 the AMA convened an expert panel consisting
of representatives of 15 organizations
- Tasked with developing recommendations for the assessment, prevention and treatment of childhood and adolescent obesity - Available in articles published as a
supplemental issue of Pediatrics. The issue is:PEDIATRICS Vol. 120 Supplement December 2007http://pediatrics.aappublications.org/cgi/content/full/120/Supplement_4/S229
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Recommendations - American Academy of Pediatrics
- American Dietetic Association
- National Association of Pediatric Nurse Practitioners
- Association of American Indian Physicians
- American Heart Association
- National Association of School Nurses
- American College of Sports Medicine
- The Obesity Society (formerly NAASO)
- The Endocrine Society
- American College of Preventive Medicine
- American Academy of Child and Adolescent Psychiatry
- National Medical Association
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AHA Resources:- Understanding Childhood Obesity, Statistical
Sourcebook- AHA Recommendations, Overweight in Children- AHA Scientific Position, Physical Activity and
Children- AHA Scientific Position, Dietary Guidelines for
Healthy Children- How to Raise Healthier Kids
http://www.heart.org/HEARTORG/GettingHealthy/WeightManagement/Obesity/Childhood-Obesity_UCM_304347_Article.jsp
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How Much Do You Care?
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How Much Do You Care?
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How Much Do You Care?
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How Much Do You Care?
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How Much Do You Care?
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How Much Do You Care?
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How Much Do You Care?
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How Much Do You Care?
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How Much Do You Care?
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How Much Do You Care?
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So What Can I Do About It?
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Federal Legislation- Child Nutrition Act- FIT Kids- Menu Labeling- Others (HCR, CPPW)
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Federal LegislationChild Nutrition Act- Takes steps to improve nutrition, school
wellness policies and food access in schools
- Passed Senate and awaiting action in the House
www.heart.org/childnutritionpetition
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Federal LegislationFIT Kids Act - Aims to prioritize quality physical
education and increase opportunities for physical activity in schools
- Would amend the No Child Left Behind Act to encourage schools to provide regular, quality physical education and promote healthy lifestyles
www.fitkidsact.org
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Federal LegislationMenu Labeling - Provision included in the Patient
Protection and Affordable Care Act (health care reform bill).
- Requires restaurants, retail food establishments and vending machine operators with more than 20 locations nationwide to list nutrition information
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Federal LegislationOthers - Other provisions in health care
reform too numerous to mention - Communities Putting Prevention to
Work (CPPW) and other grants from the CDC and DHHS
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State and Local PoliciesPhysical Education Requirements
- 150 minutes in elementary and 225 minutes in middle school
- Remove exemptions, waivers and substitutions
- Enhanced standards requiring PE be taught by certified/licensed PE teachers
- At least 50% of class time involve activity
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State and Local PoliciesNutrition and PA Requirements- Require nutrition standards that are consistent
with the Healthy Schools Program or equivalent standards
- Creation and strengthening of school wellness policies
- Promote policies that incorporate activity into the school day
- Promote obesity prevention strategies in early childhood programs and childcare
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You’re the Cure Network
www.yourethecure.org
- “Take action” on federal and state policies
- Keep informed on policy solutions and the science behind them
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Questions?