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Obesity: States Working to Slow the Epidemic

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72% of adults report eating fewer than 5 servings of fruits/veggies a day (76%--US) ... Regulate access to junk foods and sodas in schools ... – PowerPoint PPT presentation

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Title: Obesity: States Working to Slow the Epidemic


1
Obesity States Working to Slow the Epidemic
  • Kathleen Nolan
  • Health Division Director
  • National Governors Association
  • Center for Best Practices

2
Obesity Epidemic
  • Rates of obesity have risen in every state and in
    every sub-group.
  • In children
  • In adults
  • In minorities
  • In elderly
  • Increased obesity results in increases in
    diabetes, heart diseases, some cancer, and
    arthritis

3
Obesity Trends Among U.S. Adults BRFSS, 1991,
1996, 2003
(BMI ?30, or about 30 lbs overweight for 54
person)
1996
2003
No Data
lt10
10-14
15-19
20-24
? 25
Source Behavioral Risk Factor Surveillance
System, CDC.
4
Obesity in Children
5
If We Dont Make Change
  • Overweight children often become overweight
    adults.
  • The risk for developing diabetes for children
    born in 2000
  • Boys 32.8
  • Girls 38.5
  • Hispanic boys 45.4
  • Hispanic girls 52.5

6
Virginia versus US
  • Overall Virginia is far from the worst
  • 58.8 of VAs adults are overweight (58.7--US)
  • 72 of adults report eating fewer than 5 servings
    of fruits/veggies a day (76--US)
  • Deaths due to diabetes and heart disease in VA
    are slightly lower than the national averages.

7
The National Costs of Obesity
  • It is estimated that overweight and obesity costs
    the United States as much as 117 billion dollars
    each year
  • 61 billion in direct costs
  • 56 billion for indirect costs
  • Virginia annually spends an estimated 374
    million (13.1) of its Medicaid dollars on
    obesity related costs.
  • Obese people cost 36 more for health svcs and
    77 more for pharmaceuticals.

8
Why States Must Act
  • Costs for health care rising
  • Responsibility for public employees
  • Private sector investment slowed or damaged
  • Communities, Schools, health care providers, and
    agencies overburdened
  • STRATEGIC ACTION REQUIRED ON ALL FRONTS

9
Ways to think of this issue
  • The Individual needs to eat less and exercise
    more
  • We in Government need to help them
  • Focus on policymake it easier for people to do
    this
  • Focus on the environment
  • Focus on support
  • Focus on systems
  • Focus on data

10
Opportunities for Prevention with Children
  • Implementing enhanced Phys. Educ.
  • Promoting breast-feeding
  • Reducing television time
  • Improving school-nutrition and nutrition
    education
  • Increasing after-school programs and access to
    school facilities after hours

11
Opportunities for Prevention with All Virginians
  • Community/State-wide education campaigns
  • Promoting the use of stairs in the workplace and
    in public spaces
  • Support groups and tailored programs
  • Disease management with a focus on weight control
  • Provide opportunities in the community for
    physical activity

12
Arkansas
  • Multi-pronged approach launched by Gov. Mike
    Huckabee
  • Children in schools
  • Medicaid population focus
  • Adults in the workplace
  • Aging citizens

13
AR Innovations with Children
  • BMI assessment in schools
  • Year 1 results
  • 345,000 students assessed throughout the state
  • 38 percent were obese or overweight
  • Demographic breakdown of obesity/overweight
  • 40 percent of African American children
  • 46 percent of Hispanic children
  • 36percent of white (non-Hispanic) children

14
AR Innovations with Medicaid Recipients
  • Offers comprehensive smoking cessation services
  • Worked with major company in state to pilot a
    diabetes self-management course including weight
    control
  • Developing a health risk assessment to identify
    people in need of intervention to prevent chronic
    diseases

15
AR Innovations with Adults
  • Developed a program with state employees
  • Working closely with communities and private
    companies to promote worksite wellness programs
    with employees from public and private sector
  • Exploring implementation of incentives for
    healthy behaviors for insurance costs.

16
AR Innovations for the Aging
  • Gov. Huckabee is focusing on pilot programs to
    reach aging populations with healthy behavior
    education and messages.
  • Identifying opportunities for improving nutrition
    among aging populations in the community.

17
Michigans Prescription for Health
  • Gov. Jennifer Granholm appointed the nations
    first State Surgeon General
  • Dr. Wisdom is charged with monitoring the health
    of Michiganders, and for promoting improved
    health.
  • Serves as a convener for a broad number of
    stakeholders
  • Developed a state-wide walking campaign

18
Florida
  • Gov. Bush formed a task force on Obesity
  • A list of recommendations were forwarded to the
    Governor, and served as a basis for several
    bills
  • Called for the creation of standards and
    guidelines for school nutrition and phys ed
  • Created a wellness program for state employees

19
A few additional examples
  • Texas
  • Dept of Ag requirements for school lunches
  • CDC stairwell improvement project
  • Promoting stairwell use with music, art, etc.
  • California soda ban in schools
  • No soft drink sales allowed on campuses (vending
    or a la carte)

20
So what can VA do
  • NGAs Suggestions
  • Educate people on the reasons and the hows to
    eat better and be active
  • Improve phys educe.
  • Strategize with partners from food and fitness
    industries
  • Regulate access to junk foods and sodas in
    schools
  • Consider coverage enhancements for health
    insurance recipients

21
Things VA can do
  • NGAs Suggestions (contd)
  • Gather economic impact and demographic data and
    use in setting priorities.
  • Work with medical groups, charitable
    organizations, churches, and others to provide
    services for Virginians at high-risk for
    obesity.
  • Partner with state and local agencies to promote
    healthy community design.
  • Use the bully-pulpit at all levels.
  • Challenge private sector efforts to mobilize
    response to obesity epidemic

22
Some other things to think about
  • The evidence base
  • Guide to community preventive services
  • Centers for Disease Control
  • Other states and community connections
  • Planning/strategybreadth of issues
  • Support communities/pilot projects
  • Empowerment to eat less and exercise more
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