Diabetes, Heart Disease, and the

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Diabetes, Heart Disease, and the Weight of the
Nation

• Brett McIff, PhDCommunity Transformation
  CoordinatorUtah Department of Health

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Goals for Today

• Discuss the rates of obesity over the past 30
  years, including recent trends
• Discuss some of the leading issues within obesity
  prevention/treatment
• Diabetes
• Heart disease, especially blood pressure
• Identify areas where you can be more involved

For questions during the presentation, email
gsunada_at_utah.gov
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Weight, Weight, Dont Tell Me

• If I told you about a condition
• Had a prevalence rate of almost 70
• Cost over 190 billion in health care costs
• Had doubled and in some cases tripled since 1980

• Contributed to five of the 10 leading causes of
  death
• Affected all walks of life, but particularly
  impacted those least capable of protecting
  themselves.

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Wouldnt you do everything in your power to stop
it?
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Overweight and Obesity Rates in U.S., 1989-2010
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Overweight and Obesity Rates in Utah, 1989-2010
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A rich nation, a poor quality of life

• Our typical approaches for addressing obesity are
  reaching their maximum effectiveness, we need a
  new paradigm
• Go to the gym PA for daily tasks
• Go on a diet Change way we eat
• Change your body Change your mind
• Dont do this Do that
• Patient Counseling as a billable service

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Physical Inactivity
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Poor Nutrition
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Sugar Sweetened Beverages

• Percent of weight increase in the U.S between
  1977 and 2007 is attributed to sugar sweetened
  beverages?
• 20

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Medical Complications
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Obesity and Hypertension

• Hypertension is attributable to obesity in 75 of
  men and 65 of women
• Adiposity is a major controllable risk factor for
  hypertension
• Minor changes in weight status dramatically
  affect blood pressure control, particularly when
  coupled with regular PA

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Hypertension and Kidney Disease

• The sustained high blood pressure associated with
  overweight and obesity damages blood vessels
  throughout the body, including the small vessels
  that feed the kidneys
• Hypertension causes more than 25,000 new cases of
  kidney failure every year
• More than 25 of kidney disease in U.S. adults
  may be related to obesity

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Diabesity

• While genetics does play a role, the most
  influential factor for getting type II diabetes
  is overweight and obesity
• Lifestyle interventions that support blood
  glucose level control through physical activity
  and nutrition are highly effective

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What WE can do
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The Movement

• HBO series
• The Weight of the Nation
• Physical activity as a vital sign
• Federal, State, and Local activities
• Health Care providers

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Patient history and physicals

• The last thing mentioned is the most remembered
• See you next time, eat healthy!
• Prescriptions for PA

• All patients should be asked about their PA and
  nutrition
• How many days a week are you physically active?
• How healthy is your diet? Tell me about it.

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Resources

• HBO series and community engagement materials
• http//theweightofthenation.hbo.com
• Map of the Movement and fact sheets
• http//www.communitycommons.org/wotn
• Utah Diabetes Prevention and Control Program
• http//health.utah.gov/diabetes
• Utah Heart Disease and Stroke Prevention Program
• http//www.hearthighway.org

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Questions?

• Brett McIff, PhDBmciff_at_utah.gov
• For questions during the presentation, email
  gsunada_at_utah.gov