Fighting Obesity and Inactivity: Role of Parks and Community

Siripoom McKay, MD

Human Lifestyle1850s 2010?

Texas Diabetes Council, 2006: American Diabetes Association

Texas Diabetes Council, 2006: American Diabetes Association

Financial Cost of Weight in US

• Overweight and obesity– $78 billion a year

• Obesity alone– $46 billion

Obesity Res, 2004

Texas Diabetes Council, 2006: American Diabetes Association

Diseases assciated withInsulin Resistance

InsulinResistance

Hypertension

Acanthosis Nigricans PCOS

Dyslipidemia

Type 2Diabetes

Obesity & Tissue

Fatty Acids

NASHSleep Apnea

Acanthosis Nigricans

Cost of Care for teens with Obesity related health problems

• Twins teens with • 3 diabetes medicines• 1 medicine for kidney

and blood pressure• $ 4,431/yr for drugs• 4 clinic visits/yr

CDC, 2007

Prevalence of Diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       

Year 2000 Year 2005

Texas Diabetes Council, 2006: American Diabetes Association

http://www.cdc.gov/diabetes/statistics/slides/

mmwr_county_level_maps.ppt#260,1,Slide 1

Age-adjusted percentage of adults aged ≥20 years who are obese, 2007

MMWR 58:1259-1263, 2009

http://www.cdc.gov/diabetes/statistics/slides/

mmwr_county_level_maps.ppt#260,1,Slde1

Age-adjusted percentage of adults aged ≥20 years with diagnosed diabetes, 2007

MMWR 58:1259-1263, 2009

CDC, http://www.cdc.gov/obesity/stateprog

rams/fundedstates/texas.html

Obesity and Inactivity in Texas

• Adults– 37% overweight plus 29% obese– 3 in 10 no leisure activity in past month

• Children– 16% teens overweight and 16% obese– 45% do NOT meet physical activity

recommendations– 40% watch 3+ hours of TV

Texas Diabetes Council, 2006: American Diabetes Association

Texas Diabetes Council, 2006: American Diabetes Association

Diabetes Prevention Program

Texas Diabetes Council, 2006: American Diabetes Association

Prevention and Treatment

Texas Diabetes Council, 2006: American Diabetes Association

Treatment and Prevention

Texas Diabetes Council, 2006: American Diabetes Association

Texas Diabetes Council, 2006: American Diabetes Association

The End