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Food, Fitness, Obesity and Diabetes in the Bronx

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Title: Food, Fitness, Obesity and Diabetes in the Bronx


1
Food, Fitness, Obesity and Diabetesin the Bronx
  • Jane Bedell, MD
  • Assistant Commissioner
  • Bronx District Public Health Office
  • NYC Dept of Health Mental Hygiene

2
What is Obesity?
  • Determined by Body Mass Index (BMI)
  • Height and Weight are used to calculate BMI
  • Adults
  • Overweight BMI between 25 and 29.9
  • Obese BMI of 30 or higher
  • Children
  • Takes gender and age into account
  • Overweight BMI between the 85th and 95th
    percentiles
  • Obesity BMI in the 95th percentile or higher

3
Why do we care??
  • Obesity Increases the Risk of
  • Diabetes
  • High Blood Pressure
  • High Cholesterol
  • Some cancers
  • Heart Disease
  • Sleep Apnea / Sleep Disorders
  • Arthritis
  • Premature Death

4
NYC Kids Are Increasingly Overweight or Obese
Only Half of NYCs Elementary School Children
Are at a Healthy Weight
More than 4 in 10 are overweight or obese in
Grades K-5
5
Diabetes in Children
  • 1/3 to ½ of todays 5 year olds will develop
    diabetes in their lifetime 1
  • Narayan et al. Lifetime risk of diabetes in the
    United States.
  • JAMA. 2003 2901884-1890.

6
Public High School Students in the South Bronx
are More Likely to Be Obese than are Their Peers
in the City
7
South Bronx High Schools Students Physical
Activity and Nutrition Status (2005)
Source YRBS 2005.
8
South Bronx Public High School Students Attend
Fewer PE Classes
The South Bronx does not
contribute to Bronx and NYC proportions
9
Phys inactivity obesity diabetes
  • cardiovascular disease/ESRD/other

10
(No Transcript)
11
Within the Bronx, the South Bronx has the Highest
Proportion of Adult Obesity
12
Many S Bx Adults Do Not Get Enough Exercise and
Nearly All Consume Less than the Recommended
Amount of Fruits and Vegetables
13
Diabetes Prevalence in NYCUp 2½x in the Past
DecadeAdults with Self-Reported Diabetes, NYC,
1994-2003
Reporting Diabetes
14
The South Bronx and the Bronx Have High Rates of
Diabetes (2004)
Source CHS 2004.
15
(No Transcript)
16
Diabetes in Children
  • 1/3 to ½ of todays 5 year olds in the Bronx will
    develop diabetes in their lifetime 1
  • Narayan et al. Lifetime risk of diabetes in the
    United States.
  • JAMA. 2003 2901884-1890.

17
Opportunities
  • Build on Bronx history and past accomplishments
  • Momentum growing
  • Opportunity for lasting changes in schools, the
    built environment, traffic patterns, and
    resulting changes in behaviors

18
Thanks.
  • Jane Bedell, MD
  • Assistant Commissioner
  • Bronx District Public Health Office
  • jbedell_at_health.nyc.gov
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