Transcript Fit For Life

Active and Eating Smart
Julie McMahon, Director
Division of Health Promotion and Chronic Disease Prevention
Iowa Department of Public Health
Obesity Trends* Among U.S. Adults
BRFSS, 1991, 1996, 2003
(*BMI 30, or about 30 lbs overweight for 5’4” person)
1996
1991
2003
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
25
20
15
Men
Women
10
5
0
1991
1995
1998
By Gender
2000
2001
BRFSS:
Percent Obesity by Age
30
25
18-29
30-39
40-49
50-59
60-69
>70
20
15
10
5
0
1991
1995
1998
Age Groups
2000
2001
BRFSS:
Percent Obesity by Educational Level
30
25
20
Less than High School
High School
Some College
15
10
5
0
1991
1995
1998
2000
Educational Level
2001
BRFSS:
Percent Obesity by Income Level
30
25
20
<$15,000
<$25,000
<50,000
>75,000
15
10
5
0
1990
2000
Income Level
2004
Percentage of Overweight U.S.
Children and Adolescents is Soaring*
18
16
16
16
14
12
10
8
6
4
2
Ages 12-19
5
4
Ages 6-11
0
196370**
1971-74
1976-80
1988-94
19992002
* >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 age
Source: National Center for Health Statistics
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:



Risk factors for heart disease

CDC Data
33% of males
39% of females

60% of 5-10-year olds have at least one
25% have two or more
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



(CDC)
Poor dietary practices
Decreased physical activity
Increased inactivity
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)


(CDC)
Restrained eating, meal skipping
30,000 products in supermarkets
Physical Education in Schools
is on the Decline
Participation in daily P.E. classes,
9-12th graders:
1991
1999
(CDC)
42%
29%
As TV Time Increases, So Does
Rate of Overweight in Teenagers
Prevalence
(%)
40
35
30
25
20
NHES 1967-70
15
NLSY 1990
10
5
0
(0-1)
(1-2)
(2-3)
(3-4)
(4-5)
(>5)
TV Hours Per Day (Youth Report)
(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