Forum Presentation on Childhood Obesity

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Published on August 4, 2007

Author: Malbern

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Current Status, Future Impact and Community Solutions:  Current Status, Future Impact and Community Solutions Critical Issues Facing Today’s Youth: A Forum on Childhood Obesity April 5, 2007 Lea Susan Ojamaa, MPH Community Liaison Coordinator Division of Health Promotion and Disease Prevention MA Department of Public Health Obesity Trends* Among U.S. AdultsBRFSS, 1985:  Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' person) No Data andlt;10% 10%–14% Obesity Trends* Among U.S. AdultsBRFSS, 1990:  Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' person) No Data andlt;10% 10%–14% Obesity Trends* Among U.S. AdultsBRFSS, 1995:  Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' person) No Data andlt;10% 10%–14% 15%–19% Obesity Trends* Among U.S. AdultsBRFSS, 2000:  Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' person) No Data andlt;10% 10%–14% 15%–19% ≥20% Obesity Trends* Among U.S. AdultsBRFSS, 2005:  Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' person) No Data andlt;10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Overweight and Obesity in Massachusetts Adults:  Overweight and Obesity in Massachusetts Adults 56% of adults are overweight or obese 21% of adults are obese 2005 BRFSS, MDPH Slide8:  Overweight and Obesity in Massachusetts Children and Youth:  Overweight and Obesity in Massachusetts Children and Youth More than one third of children aged 2 to 5 years that participate in the WIC program are either at risk (17%) or already overweight (16.6%) 2003 MA PedNSS, MDPH 27% of all high school students are either at risk for overweight (16%) or definitely overweight (11%) on the basis of their Body Mass Index. This is significantly higher than the 23% found in 1999, when height and weight questions were first included in the YRBS 2005 MYRBS, MDOE Chronic Disease in Massachusetts Adults:  Chronic Disease in Massachusetts Adults 10% are living with asthma; 14% have had asthma during their lifetime 9% have heart disease 6% have been diagnosed with diabetes; it is estimated that an additional 2% remain undiagnosed 3% have had a stroke 2005 BRFSS, MDPH Burden - Health Care Costs:  Burden - Health Care Costs In 2003, hospitalization charges for heart disease and stroke were $1.66 billion Estimated direct costs of overweight and obesity in 2003 were $1.8 billion Hospitalization charges for diabetes averaged $490 million a year from 1996-1999 Burden - MA Lives Lost in 2004:  Burden - MA Lives Lost in 2004 Heart disease was the leading cause of death, accounting for 25.3% of all deaths (13,792 lives) Cancer claimed 13,312 lives, accounting for 24.5% of all deaths 3,252 people died from a stroke (6% of all deaths) Diabetes was the 8th leading cause of death, accounting for 2.4% of all deaths (1,327), when counted as either an underlying or contributing cause (diabetes-related), diabetes was associated with 3,987 or 7.3% of all deaths Modifiable Risk Factors :  Modifiable Risk Factors Nutrition Activity patterns Nutrition and Physical Activity in Massachusetts Adults:  Nutrition and Physical Activity in Massachusetts Adults 29% eat the recommended five or more servings of fruits and vegetables a day 53% get regular physical activity 2005 BRFSS, MDPH Nutrition and Physical Activity in Massachusetts Youth:  Nutrition and Physical Activity in Massachusetts Youth 10% eat the recommended five or more servings of fruits and vegetables a day 63% engage in vigorous physical activity for 20 minutes at least three times per week 25% engage in moderate physical activity at least five times per week 59% attend a PE class one or more times in average school week 33% of students watch three or more hours of television on an average school day 2005 MYRBS, MDOE Most Common Approaches to Health Behavior Change:  Most Common Approaches to Health Behavior Change Trying to change individual behavior directly through: Education Awareness Early Intervention What’s Wrong With This Approach?:  What’s Wrong With This Approach? Knowledge alone does not alter behavior Individual behavior is determined to a large extent by social environment Slide18:  ' It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change.' Institute of Medicine Socio-Ecological Framework:  Socio-Ecological Framework Individual vs. Environmental:  Individual vs. Environmental Individual approaches focus on helping people develop the knowledge, attitudes, and skills they need to change their behavior Environmental approaches focus on creating an environment that makes it easier for people to engage in healthy behavior Public Health and the Built Environment:  Public Health and the Built Environment Obesity Diabetes Asthma Heart Disease and stroke Cancer Injuries Impact of Sprawl on Health:  Impact of Sprawl on Health  Air and water pollution  Car crashes  Pedestrian injuries  Physical activity  Social cohesion/social capital What Communities Can Do:  What Communities Can Do Areas of Focus Active Living Recreation and Open Space Walking and Bicycling Safety Healthy Eating Disease Prevention and Emergency Care Community Initiatives - Active Living:  Community Initiatives - Active Living Maintain and promote greenspace/conservation land by, in part, preventing over development Connect neighborhoods, schools, stores and parks with walking/biking trails and sidewalks Establish a sidewalk committee to assess walkability of community, accessibility for use by all residents, and maintenance needs Assess municipality to identify potential locations and support for shared use paths Add bike lanes and proper signage to key roads Develop walk-to-school programs, utilizing the 'safe routes to school' model where appropriate Community Initiatives - Pedestrian Safety:  Community Initiatives - Pedestrian Safety Separate pedestrians from vehicles through signaling, refuge islands, wide sidewalks and bike paths Make pedestrians more visible by improving lighting and utilizing raised intersections Utilize traffic calming measures to reduce vehicle speeds Community Initiatives - Healthy Eating:  Community Initiatives - Healthy Eating Attract grocery stores to under-served areas Improve transportation options to grocery stores and other large food outlets Establish farmers’ markets and/or community gardens Increase use of locally grown foods in schools Role for Public Health :  Role for Public Health Collaborate with other disciplines Transportation Planning Engineering Smart Growth coalitions Public Health brings Data Effective strategies Skills in reaching the public and policy makers Contact Information:  Contact Information Lea Susan Ojamaa, Community Liaison Coordinator 617-994-9843 lea.ojamaa@state.ma.us Lynda Graham-Meho, Community Liaison, Northeast Region 978-851-7261 x4067 lynda.graham-meho@state.ma.us

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