Post on 08-Feb-2016
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Puerto Rico: Overweight and Obesity Facts
Madeline Reyes, MD, MPHDeputy Secretary
Secretariat for Health PromotionPuerto Rico Department of Health
PACO III - June 2013
Objectives
• Consider the overweight and obesity problem in the Puerto Rican pediatric population.
• Introduce available statistics.
• Share initiatives and strategies developed and implemented in PR.
Obesity Prevalence in Children younger than 5 ys beneficiaries of the WIC Program, Puerto Rico 2006-10
Source: CDC-National Pediatric Nutrition Surveillance System (PedNSS) reports, 2006-2010 BMI ≥ 85%
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Overweight and Obesity Prevalence in Second Grade Students, Puerto Rico, 2004-05 y 2008-09
Source: PR Department of Health and Alliance for Pediatric Obesity Prevention. Study to determine obesity prevalence , nutritional habits and physical activity of 2 nd grade students and families in public and private schools 2008-2009.
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Overweight Prevalence in 9th-12th Grade Students, PR 2005 y 2011 (Percentile: > 85ta y < 95ta )
Source: CDC-Youth Risk Behavior Surveillance System (YRBSS), 2013
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Overweight & Obesity Prevalence Trends, PR 1996 to 2010
Source: Puerto Rico Department of Health , PR-BRFSS, 1996-2010
HP 2010 = 40%
Overweight and Obesity Prevalence in Adults Older than 18 ys by Age Group, Puerto Rico 2011
Source: Behavioral Risk Factor Surveillance System, 2013
(18-24) (25-34) (35-44) (45-54) (55-64) (65+)
Prevalencia
(Age Group
Obese Puerto Ricans 2011 and…
Risk Factors Prevalence of Chronic Diseases
Source: Puerto Rico Department of Health , PR-BRFSS, 2011
Overweight & Obese Prevalence by …
Education PR 2011
IncomePR 2011
Source: Puerto Rico Department of Health , PR-BRFSS, 2011
Initiatives and StrategiesSecretariat for Health Promotion
• Communities Putting Prevention to Work4 municipalities:
• Physical Activity - Milla Verde (1 mile walking trail)
• Nutrition – Ordinances (healthy menus in events , healthy choices in vending machines, My Plate adapted)
• Tobacco – Ordinance (no smoking in public bldgs. entrance and exit areas, no sales in school surroundings)
• Low fat Milk consumption campaign• Policies: Trans fat, Healthy menus, Vending machines• Educational activities
Initiatives and Strategies• Intersectorial collaborations:
– Alliance for Pediatric Obesity Prevention – Public Policy
– First Lady “Proyectos de Vida”- public agencies– Department of Sports and Recreation “Actívate
Puerto Rico”– Department of Education – menus served – Department of the Family - nutrition– Coamo Saludable – ACHIEVE “Health Promoters”– Foundations – Fundación El Angel, United Way…
Challenges• Pediatric epidemiologic surveillance for PR• Public health approach to our health system with
accessible chronic disease prevention and health promotion services as the number one priorities
• Develop and implement policies, systems and environment changes – healthier lifestyles (nutrition, phys. activity, tobacco…) at a municipal/community level
• Funding and Resources • Synchronization and integration of interagency
services and resources• Early interventions
Thanks!Madeline Reyes, MD, MPH
Deputy SecretarySecretariat for Health PromotionPuerto Rico Department of Health
mareyes@salud.pr.gov787-765-2929 Ext. 4103/4113