Putting the Pieces Together: Healthy Eating and Active Living for Obesity Prevention

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The Washtenaw County Health Improvement Plan
presents.
Healthy Eating, Active Living! Taking Action
Against Obesity in Our Community May 7,
2004 1200 noon - 400pm
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Putting the Pieces TogetherHealthy Eating
Active Living for Obesity Prevention

• Ellen Clement, Washtenaw County Health Officer
• Gretchen Driskell, Mayor, City of Saline
• May 7, 2004

Healthy Eating, Active Living!
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Best Practices
Local Efforts
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Obesity Problem
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Obesity weve never seen an epidemic come so
quickly in chronic disease. Weve had a
systematic engineering of physical activity out
of our lives, and a systematic engineering in of
unhealthy, inexpensive food. --James S. Marks,
Director for the National Center for Chronic
Disease Prevention and Health Promotion, CDC
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Adult Obesity in Washtenaw County
Source Washtenaw County HIP Surveys 1995, 2000
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Overweight in Local Youth

• Good news
• Overall decrease
• Decrease in 6 to 11 year age group
• Bad news
• Teen overweight increases

Overweight 95th percentile or higher BMI
for age
Source Washtenaw County HIP Survey 2000
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Physical Activity Rates Washtenaw County Adults
and Children
Child 6-17 Years
Source Washtenaw County HIP Survey 2000
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Commuting Time Washtenaw County
Residents1990-2000
Source United States Census Bureau
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Consumed at Least 5 Servings of Fruits or
Vegetables Per Day
Source Washtenaw County HIP Survey 2000
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Whos Avoiding Their Fruits and Veggies??

• Black women (37.8)
• People with less than a high school education
  (38.2)
• Residents of Ypsilanti (37.9)

• Men overall (35.1)
• Men aged 18-29 years (38.9)
• White men (35.3)
• Black men (38.7)

Source Washtenaw County HIP Survey 2000
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5-a-day in Washtenaw Kids

• Overall, 16.5 of children eat 5 or more servings
  per day (according to parents)
• 17.6 have very low intake
• Intake of fruits and vegetables decreases with
  age, particularly in children 9 years and older
• High correlation between parent intake and child
  intake

Source Washtenaw County HIP Survey 2000
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Grocery Stores and Restaurants Per 100,000
PopulationWashtenaw County 1950-2003
Source ATT Ameritech Phone Books, Washtenaw
County
Source Ameritech and ATT Phone Books A. Waller
WCPH.
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An Obesogenic Society?

• Hunter/gatherers ate 75 nuts, vegs, fruits 25
  lean game
• We eat 17 fruits, vegs 28 fatty meats 55
  carbos, sugars, etc
• Abundance of cheap, fast, low nutrition, high fat
  foods drive-throughs and convenience food
• Food industry targets high fat, high calorie food
  to children
• More sedentary at work and during leisure time
• We would need to slow jog for 6-8 miles every day
  to exercise as hunter/gatherers

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HIP Focus AreaIncrease Physical Activity and
Healthy Eating

• Washtenaw County residents
• Increasing overweight in adults and children
  12-17 years
• Increasing sedentary rates for adults and
  children
• Decreasing daily activity rates
• Decreasing grocery stores per capita
• Increasing restaurants per capita
• Increasing commuting time

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Ecological Model
Schools
Worksite
Family
Faith community
Health care system
Environment/Policies
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Best Practices
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Best Practices Family
Workshop session related to these best
practices Healthy Eating for At-Risk Populations

• Do things together cooking, gardening, being
  physically active.
• Parents act as role models for healthy living.
• Limit childrens TV time
• Advocate for physical activity and healthy eating
  in childrens schools, local parks, and other
  areas of the community.

Family
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Best Practices Faith Community
Workshop session related to these best practices
Toward Healthier Congregations A Faith-Based
Health Initiative

• Increased access to places for physical activity
• Social support

Faith community
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Best Practices Schools and Worksites

• Increase PE requirements at school
• Point of Decision prompts for stair use
• Healthier vending machine options
• Social support
• Increased access to places for physical activity
• Promoting safe routes to school

Workshop sessions related to these best
practices Safe Routes to School Take the
Stairs and Stop the Pop Turning Your Vision of a
Healthy School Into Reality
School
Worksite
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Best Practices Health Care System

• Screening and assessment using BMI measurements
• Counseling on safe weight management
• Education
• Referral
• Encourage breastfeeding

Health care system
Workshop session related to these best practices
Tools for Obesity Prevention and Intervention
in a Clinical Setting
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Best Practices Environment and Policy

• New research on impact of built environment
  street layout, sidewalks, etc.
• Regulations, ordinances at local levels can
  require more pedestrian friendly developments
• Policy changes at schools and worksites

Workshop sessions based on these best
practices Active Living Through Environmental
Change Community Connections Walking for Better
Health Creating Walkable Communities
Environment/Policies
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Local Efforts
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Local Efforts

• Todays workshop highlights several many efforts
• Many other initiatives at local schools, human
  service organizations, parks and recreation
  departments, worksites..etc.
• Partnerships and use of common goals, messages,
  and best practices are critical
• We are all in this together!

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Increasing Physical Activity in the City of
SalineMayor Gretchen Driskell
Healthy Eating, Active Living!
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Coalition for a Quality Community (CQC)

• Established in 1995
• Mission Create a network of cooperation and
  interconnectedness that provides wise use of
  resources to serve the unique needs of the
  community
• Committee members from a cross section of the
  community

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CQC Initiatives

• Survey Saline Speaks Out
• Regional planning
• Leadership Institute
• Community Project 2000
• Healthy Living Task Force

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Healthy Living Task Force(aka PUPS Pick up the
Pace, Saline!)

• Established in 2002 prompted by HIP data about
  Saline residents health risks
• Mission Promote healthy living by engaging in
  fun physical activities as a community
• Cross jurisdictional committee

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PUPS Initiatives

• Pedometer program based on America On the Move
• Middle School pedometer program
• Fun, Food Fitness partnership

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Pedometer Program

• Received CARES grant funding
• Developing brochure
• Monthly community walk
• 10,000 steps/5x week

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City of Saline

• Require sidewalks with every new development
• Linear trail plan/recreation master plan
• Work regionally
• Local linear trail under development
• Commitment to be a walkable community!

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In Closing.

• A big THANK YOU to our sponsors
• Be sure to visit the resource tables
• Pedometers for sale at check-in table
• Please fill out your evaluation
• Dont miss the Walkable Communities session
  and your chance to win healthy eating
  and physical activity door prizes!

Healthy Eating, Active Living!