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Healthy Lifestyles: AAFCS Leading by
Example
Obesity Prevention Community
of Practice and Taking it to the
Street Campaign
Ingrid K. Richards Adams, PhD RD LD
The Weight of the Nation
 Weight of the Nation
The Obesity Epidemic
 Most important public health problem
For the first time in human history, in the year 2000 it was
estimated that there were more overweight than underweight
people.
Source: Mendex, Monteiro, & Popkin 2005
A Nation in Crisis
 Our nation stands at a crossroads
 The present obesity epidemic threatens progress
related to increasing American’s quality and years
of healthy life
 Result – a decreased ability to compete in the
global economy.
Source: Surgeon General’s Vision for a Fit and Healthy
Nation 2010
The Problem - Obesity
 One-third of U.S.
adults (33.8%) are
obese – 17 million
 Approximately 6%
with a BMI over
40kg/m2
The prevalence of obesity among adults changed relatively little during the 1960s
and 1970s, but it increased sharply over the ensuing decades – from 13.4% in
1980 to 34.4% in 2008.
Source: Centers for Disease Control and Prevention
Sizing up the Obesity Challenge
 One in every three children (31.7%) ages two to 19 is
overweight or obese.
 One-third of all children born in the year 2000 are expected
to develop diabetes during their lifetime.
Sizing up the Obesity Challenge
 The current generation may even be on track to have a
shorter lifespan than their parents
Source: White House Task Force on Childhood Obesity, 2010
Obesity more Common Among Certain
Racial and Ethnic Groups
 Obesity rates are highest
among non-Hispanic black
girls and Hispanic boys.
Source:
 Obesity is particularly
common among American
Indian/Native Alaskan
children
Military Readiness
 More than a third of all Americans ages 17-24 are unqualified
for military service because they are too heavy.
 The Army has started to overhaul food choices on bases.
Source: White House Task Force on Childhood Obesity, 2010
Firefighters
 Half of incoming and
current firefighters are
overweight, while almost
one-third are obese.
 More firefighters die of
heart attacks while on the
job than from any other
cause.
Source: White House Task Force on Childhood Obesity, 2010
Police Officers
 Potential recruits are overweight, and many have trouble
passing the initial police academy fitness requirement.
Source: White House Task Force on Childhood Obesity, 2010
The Obesity Epidemic
 It came quickly, with little fanfare, and was out of
control before the nation noticed.
Source: Brownell & Horgen, 2004- Food Fight
Obesity Trends* Among U.S. Adults
BRFSS, 1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1986
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1987
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4”
person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1988
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1989
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1991
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1992
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1994
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1996
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1997
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 1998
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 1999
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 2001
(*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. Adults
BRFSS, 2002
(*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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 2010
(*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. Adults
BRFSS, 1990, 2000, 2010
(*BMI 30, or about 30 lbs. overweight for 5’4” person)
2000
1990
2010
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Prevalence* of Self-Reported Obesity Among U.S. Adults
BRFSS, 2011
*Prevalence reflects BRFSS methodological changes in 2011, and these estimates should not be compared to
previous years.
15%–<20%
20%–<25%
25%–<30%
30%–<35%
≥35%
Adult Obesity Rates and Trends
2008- 2010
 Ten years ago, no state had an obesity rate above 24 percent, now
43 states have higher obesity rates than the state that was the
highest in 2000.
 Adult obesity rates rose in 16 states over the past year. No state
decreased.
 Twelve states now have obesity rates above 30 percent: Alabama,
Arkansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri,
Oklahoma, South Carolina, Tennessee, Texas, and West Virginia.
 Four years ago, only one state was above 30 percent.
Source: F as in Fat 2011
Current DAILY expenditure for obesity related
diseases in the USA
>$275,000,000
(CDC estimate)
Obesity projections
• Keeping Obesity Rates Level Could Save
Nearly $550 Billion Over 2 Decades!
• Obesity to Rise: 65 Million More Obese
Adults in the US and 11 Million More in the
UK Expected by 2030!
• Study Suggests 86 Percent Of Americans
Could Be Overweight Or Obese By 2030!
Source: Science Daily
The Economics and Ecology of
Food
Healthy Choices
Unhealthy Environment
 Eating to balance
 Food Availability
energy expenditure
 Abundance
 Snacking
 Convenience Stores
 Vending Machines
 Processed Foods
 Cooking Less
 Eating Out More
 Large Portions
 Fast Food Choices
 Value Meals
 Food Courts
 All You Can Eat Buffets
The Economics and Ecology of
Food
Healthy Choices
 Burning calories to
balance intake
Unhealthy Environment
 Elevators
 Escalators
 Telephones
 Snow Blowers
 Remote Control
 Cars, Buses, Trains
 Computers
 E-mail
 Drive-Thru Society
 Television
 Cable Channels
 Video Games
 VCR’s Home Movies
The Economics and Ecology of
Food
Healthy Choices
Unhealthy Environment
 Making time for
 Living the Hurried Life
health
 Always Rushing
 Overscheduled
 Overdoing it
 Not Living in the Moment
 Working Longer Time
 Less Leisure Time
 Family Stresses
 Juggling Schedules
 Juggling Roles
 No Time for Family
 No Time for Self
We can Make a Difference
 AAFCS has addressed challenging social
and economic issues for over 100years
What can we do?
The Obesity Awareness Community and
Taking it to the Streets Campaign is calling on
all FCS professionals to:
1. Take part in the recommended level of
physical activity each day—at least 30
minutes
Thirty minutes of any type of moderate
physical activity
What can we do?
Choose healthy foods each day based on the 2012
Dietary Guidelines
 2
How can our Impact be felt?
 Thirty or more minutes of physical activity
can save $500 in healthcare cost per year.
 If 50 members in each affiliate take part in the
recommended physical activity = $25,000 of
savings per affiliate each year
 If each affiliate gets 50 members involve =
$1,250,000 of healthcare savings
8 Week Obesity Awareness
campaign
 Begin January 5, 2013 (to coincide with New
Year’s resolutions)
 Finish on March 5, 2013
 Forms for documenting activity and healthy
eating practices will be sent to each Affiliate
President
 Each Affiliate will have a Community of Practice
member contact
We need your $500 to make a
difference!
When?
Healthy Lifestyles: AAFCS Leading
by Example
Graphics: Microsoft Online, Centers for Disease Control and Prevention
Author: Ingrid Adams, Ph.D., R.D. L.D.
Chair: AAFCS Obesity Prevention Community of Practice
Assistant Professor , Nutrition and Food Science, University of Kentucky
Extension Specialist for Nutrition and Weight Management
October 2012
Policy
The Cooperative Extension Service is federally mandated to take affirmative steps to ensure that its programs and services are available to all people. One step is
public notification of its intention to serve all audiences.
All Extension materials intended for public distribution must include the following statement:
Educational programs of Kentucky Cooperative Extension serve all people regardless of race, color, age, sex, religion, disability, or national origin.
Letterhead, enclosure slips, and newsletters must also include the following "cooperating" statement:
UNIVERSITY OF KENTUCKY, KENTUCKY STATE UNIVERSITY, U.S. DEPARTMENT OF AGRICULTURE, AND KENTUCKY COUNTIES, COOPERATING