Obesity Prevention Community of Practice and Taking it to the Street Campaign

1
Healthy Lifestyles AAFCS Leading by Example

• Obesity Prevention Community of Practice and
  Taking it to the Street Campaign
• Ingrid K. Richards Adams, PhD RD LD

2
The Weight of the Nation

• Weight of the Nation

3
The Obesity Epidemic

• Most important public health problem

For the first time in human history, in the year
2000 it was estimated that there were more
overweight than underweight people. Source
Mendex, Monteiro, Popkin 2005
4
A Nation in Crisis

• Our nation stands at a crossroads
• The present obesity epidemic threatens progress
  related to increasing Americans quality and
  years of healthy life
• Result a decreased ability to compete in the
  global economy.
• Source Surgeon Generals Vision for a Fit and
  Healthy
• Nation 2010

5
The Problem - Obesity

• One-third of U.S. adults (33.8) are obese 17
  million
• Approximately 6 with a BMI over 40kg/m2

The prevalence of obesity among adults changed
relatively little during the 1960s and 1970s, but
it increased sharply over the ensuing decades
from 13.4 in 1980 to 34.4 in 2008. Source
Centers for Disease Control and Prevention
6
Sizing up the Obesity Challenge

• One in every three children (31.7) ages two to
  19 is overweight or obese.
• One-third of all children born in the year 2000
  are expected to develop diabetes during their
  lifetime.

7
Sizing up the Obesity Challenge

• The current generation may even be on track to
  have a shorter lifespan than their parents

Source White House Task Force on Childhood
Obesity, 2010
8
Obesity more Common Among Certain Racial and
Ethnic Groups

• Obesity rates are highest among non-Hispanic
  black girls and Hispanic boys.

• Obesity is particularly common among American
  Indian/Native Alaskan children

Source
9
Military Readiness

• More than a third of all Americans ages 17-24 are
  unqualified for military service because they are
  too heavy.
• The Army has started to overhaul food choices on
  bases.

Source White House Task Force on Childhood
Obesity, 2010
10
Firefighters

• Half of incoming and current firefighters are
  overweight, while almost one-third are obese.
• More firefighters die of heart attacks while on
  the job than from any other cause.

Source White House Task Force on Childhood
Obesity, 2010
11
Police Officers

• Potential recruits are overweight, and many have
  trouble passing the initial police academy
  fitness requirement.

Source White House Task Force on Childhood
Obesity, 2010
12
The Obesity Epidemic

• It came quickly, with little fanfare, and was out
  of control before the nation noticed.
• Source Brownell Horgen, 2004- Food Fight

13
Obesity Trends Among U.S. AdultsBRFSS, 1985
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
14
Obesity Trends Among U.S. AdultsBRFSS, 1986
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
15
Obesity Trends Among U.S. AdultsBRFSS, 1987
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
16
Obesity Trends Among U.S. AdultsBRFSS, 1988
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
17
Obesity Trends Among U.S. AdultsBRFSS, 1989
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
18
Obesity Trends Among U.S. AdultsBRFSS, 1990
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
19
Obesity Trends Among U.S. AdultsBRFSS, 1991
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519
20
Obesity Trends Among U.S. AdultsBRFSS, 1992
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519
21
Obesity Trends Among U.S. AdultsBRFSS, 1993
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519
22
Obesity Trends Among U.S. AdultsBRFSS, 1994
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519
23
Obesity Trends Among U.S. AdultsBRFSS, 1995
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519
24
Obesity Trends Among U.S. AdultsBRFSS, 1996
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519
25
Obesity Trends Among U.S. AdultsBRFSS, 1997
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 20
26
Obesity Trends Among U.S. AdultsBRFSS, 1998
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 20
27
Obesity Trends Among U.S. AdultsBRFSS, 1999
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 20
28
Obesity Trends Among U.S. AdultsBRFSS, 2000
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 20
29
Obesity Trends Among U.S. AdultsBRFSS, 2001
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 2024 25
30
Obesity Trends Among U.S. AdultsBRFSS, 2002
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 2024 25
31
Obesity Trends Among U.S. AdultsBRFSS, 2003
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 2024 25
32
Obesity Trends Among U.S. AdultsBRFSS, 2004
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 2024 25
33
Obesity Trends Among U.S. AdultsBRFSS, 2005
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 2024 2529 30
34
Obesity Trends Among U.S. AdultsBRFSS, 2006
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 2024 2529
30
35
Obesity Trends Among U.S. AdultsBRFSS, 2007
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 2024 2529
30
36
Obesity Trends Among U.S. AdultsBRFSS, 2008
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 2024 2529
30
37
Obesity Trends Among U.S. AdultsBRFSS, 2009
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 2024 2529
30
38
Obesity Trends Among U.S. AdultsBRFSS, 2010
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
1519 2024 2529
30
39
Obesity Trends Among U.S. AdultsBRFSS, 1990,
2000, 2010
(BMI ?30, or about 30 lbs. overweight for 54
person)
2000
1990
2010
No Data lt10 1014
1519 2024 2529
30
40
Prevalence of Self-Reported Obesity Among U.S.
AdultsBRFSS, 2011
Prevalence reflects BRFSS methodological changes
in 2011, and these estimates should not be
compared to previous years.

15lt20 20lt25 25lt30
30lt35 35
41
Adult Obesity Rates and Trends2008- 2010

• Ten years ago, no state had an obesity rate above
  24 percent, now 43 states have higher obesity
  rates than the state that was the highest in
  2000.
• Adult obesity rates rose in 16 states over the
  past year. No state decreased.
• Twelve states now have obesity rates above 30
  percent Alabama, Arkansas, Kentucky, Louisiana,
  Michigan, Mississippi, Missouri,
• Oklahoma, South Carolina, Tennessee, Texas, and
  West Virginia.
• Four years ago, only one state was above 30
  percent.
• Source F as in Fat 2011

42
Current DAILY expenditure for obesity related
diseases in the USA

• gt275,000,000 (CDC estimate)

43
Obesity projections

• Keeping Obesity Rates Level Could Save Nearly
  550 Billion Over 2 Decades!
• Obesity to Rise 65 Million More Obese Adults in
  the US and 11 Million More in the UK Expected by
  2030!
• Study Suggests 86 Percent Of Americans Could Be
  Overweight Or Obese By 2030!
• Source Science Daily

44
The Economics and Ecology of Food

• Healthy Choices

• Unhealthy Environment

• Food Availability
• Abundance
• Snacking
• Convenience Stores
• Vending Machines
• Processed Foods
• Cooking Less
• Eating Out More
• Large Portions
• Fast Food Choices
• Value Meals
• Food Courts
• All You Can Eat Buffets

• Eating to balance energy expenditure

45
The Economics and Ecology of Food

• Healthy Choices

• Unhealthy Environment

• Burning calories to balance intake

• Elevators
• Escalators
• Telephones
• Snow Blowers
• Remote Control
• Cars, Buses, Trains
• Computers
• E-mail
• Drive-Thru Society
• Television
• Cable Channels
• Video Games
• VCRs Home Movies

46
The Economics and Ecology of Food

• Healthy Choices

• Unhealthy Environment

• Making time for health

• Living the Hurried Life
• Always Rushing
• Overscheduled
• Overdoing it
• Not Living in the Moment
• Working Longer Time
• Less Leisure Time
• Family Stresses
• Juggling Schedules
• Juggling Roles
• No Time for Family
• No Time for Self

47
We can Make a Difference

• AAFCS has addressed challenging social and
  economic issues for over 100years

48
What can we do?

• The Obesity Awareness Community and Taking it to
  the Streets Campaign is calling on all FCS
  professionals to
• Take part in the recommended level of physical
  activity each dayat least 30 minutes

49
Thirty minutes of any type of moderate physical
activity
50
What can we do?

• Choose healthy foods each day based on the 2012
  Dietary Guidelines
• 2

51
How can our Impact be felt?

• Thirty or more minutes of physical activity can
  save 500 in healthcare cost per year.
• If 50 members in each affiliate take part in the
  recommended physical activity 25,000 of
  savings per affiliate each year
• If each affiliate gets 50 members involve
  1,250,000 of healthcare savings

52
8 Week Obesity Awareness campaign

• Begin January 5, 2013 (to coincide with New
  Years resolutions)
• Finish on March 5, 2013
• Forms for documenting activity and healthy eating
  practices will be sent to each Affiliate
  President
• Each Affiliate will have a Community of Practice
  member contact

53
We need your 500 to make a difference!
54
When?
55
(No Transcript)
56
Healthy Lifestyles AAFCS Leading by Example

• Graphics Microsoft Online, Centers for Disease
  Control and Prevention
• Author Ingrid Adams, Ph.D., R.D. L.D.
• Chair AAFCS Obesity Prevention Community of
  Practice
• Assistant Professor , Nutrition and Food Science,
  University of Kentucky
• Extension Specialist for Nutrition and Weight
  Management
• October 2012

Policy The Cooperative Extension Service is
federally mandated to take affirmative steps to
ensure that its programs and services are
available to all people. One step is public
notification of its intention to serve all
audiences. All Extension materials intended for
public distribution must include the following
statement Educational programs of Kentucky
Cooperative Extension serve all people regardless
of race, color, age, sex, religion, disability,
or national origin. Letterhead, enclosure slips,
and newsletters must also include the following
"cooperating" statement UNIVERSITY OF KENTUCKY,
KENTUCKY STATE UNIVERSITY, U.S. DEPARTMENT OF
AGRICULTURE, AND KENTUCKY COUNTIES, COOPERATING