Transcript Document

Obesity: Myths,
Challenges, and
Successes
William H. Dietz MD, PhD
Former Director
Division of Nutrition Physical Activity, and Obesity
Centers for Disease Control and Prevention
Obesity Trends Among U.S. Adults
BRFSS, 1991
Obesity Trends Among U.S. Adults
BRFSS, 1993
Obesity Trends Among U.S. Adults
BRFSS, 1995
Obesity Trends Among U.S. Adults
BRFSS, 1997
Obesity Trends Among U.S. Adults
BRFSS, 1999
Obesity Trends Among U.S. Adults
BRFSS, 2001
Obesity Trends Among U.S. Adults
BRFSS, 2003
No Data
<10%
10%–14%
15%–19%
20%-24%
> 25%
Obesity Trends Among U.S. Adults
BRFSS, 2005
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Obesity Trends Among U.S. Adults
BRFSS, 2007
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Obesity Trends Among U.S. Adults
BRFSS, 2009
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Obesity Trends Among U.S. Adults
BRFSS, 2010
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Obesity Trends Among U.S. Adults
BRFSS, 2010
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Obesity Trends in Adults over the
Past 12 Years
Ogden et al. 2012, NCHS data brief. Adults 20+ years
Prevalence of Obesity in Boys
NHANES 2009-2010
Ogden et al; JAMA 2012; 307:483-90
Prevalence of Obesity in Girls
NHANES 2009-2010
Ogden et al; JAMA 2012; 307:483-90
Prevalence of Obesity in Girls
NHANES 2009-2010
Ogden et al; JAMA 2012; 307:48390
Obesity Trends in Youth over the Past
12 Years
Ogden et al. 2012, NCHS data brief
Annual Adult per Capita Cigarette Consumption and Major
Smoking and Health Events- US 1900-1998
Thousands per year
1st World Conference
on smoking and health
Broadcast advertising ban
1st Surgeon
General’s report
1st Great
American smokeout
Nicotine medications
Available over
the counter
End of WW II
Fairness Doctrine
messages on
TV and radio
1st smoking
cancer concern
Nonsmoker’s
rights
movement
begins
1910
1920
1930
1940
Surgeon
General’s
report on
environmental
Tobacco smoke
Federal cigarette
tax doubles
Great Depression
1900
Master
settlement
agreement
1950
Year
1960
1970
1980
1990
1998
Myths and Misconceptions
Shifts in Food Practices in the United States
Increased cost of healthful
foods
Decreased cost and increased
caloric density of processed
foods
Increased portion size
Widespread availability
Increased variety
Designed for palatability and
shelf-life
Changes in Dietary Habits and
Weight Change
Weight Change over 12-20 Years
Mozaffarian D et al. NEJM 2011364:2392
Evidence-based Community
Design
Street- and community-scale urban design
and land use
Strategies for a Health Care System
Social Ecological Model
Greatest
Impact
Federal and State
Community
Institutions
Interpersonal
t
lll
Individual
Smallest
Impact
Federal, state and local
policies to regulate and
support healthy actions
Policies, standards,
social networks
Policy, regulations
and informal structures
Family, peers, social
networks
Knowledge, attitudes,
beliefs and behaviors
Let’s Move Initiatives
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Let’s Move Outside (Parks and Recreation)
Let’s Move Cities and Towns
Chefs Move to Schools
Let’s Move Salad Bars to Schools
Let’s Move Child Care Challenge
Let’s Move in Indian Country
Nutrition and Physical Activity
Targets for a Health Care System
Reduce energy intake
Decrease high and increase low energy dense
foods
Increase fruit and vegetable intake
Reduce sugar drinks
Decrease television time (advertising time)
Breastfeeding
Increase energy expenditure
Increase daily physical activity
Healthy Kids Out of School: Drink
Right, Snack Smart, Move More
So How Do We Get from Here to There?
Panel Discussion