Post on 11-Jun-2020
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Division of Nutrition, Physical Activity, and Obesity
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Today’s Learning Objectives
Today’s discussion will focus on:
Overview of DNPAO and our priorities
Major updates across the division
Future Direction of DNPAO
…
Division of Nutrition, Physical Activity, and
Obesity (DNPAO)
Ruth PetersenDirector
Ann O’ConnorDeputy Director
Paulette MurphyActing Management Official
Janet FultonBranch Chief
CAPT Heidi BlanckBranch Chief
Rafael (Rafa) Flores-Ayala Branch Chief
Terry O’TooleBranch Chief (Acting)
Janelle GunnAssociate Director for Policy
Deborah GaluskaAssociate Director for Science
Nutrition BranchObesity Prevention and Control Branch
Program Development and Evaluation Branch
Physical Activity and Health Branch
Office of the Associate Director for Science
Office of Policy, Partnerships, and Communications
DNPAO Budget History – FY 2013-2017
FY13 FY14 FY 15 FY 16 FY 17
Budget Activity/
DescriptionEnacted Enacted Enacted Enacted Enacted
Nutrition, PA, and Obesity $41,052* $5,085 $12,585 $49,920 $49,803
High Obesity Counties $0 $4,986
(non-add)$7,500
(non-add)$10,000
(non-add)$9,977
(non-add)
Nutrition, PA and Obesity
(PPHF)$0 $35,000 $35,000 $0 $0
National Early Childcare
Collaborative (PPHF)$4,000 $4,000 $4,000 $4,000 $4,000
Hospital Promoting BF
(PPHF)$2,500 $8,000 $8,000 $8,000 $8,000
REACH (PPHF) $34,950**
Total$47,552
Million
$52,085
Million
$59,585
Million
$61,920
Million
$96,753
Million
*Includes 5% sequestration and 0.2% recession**FY 2017 Budget includes REACH, which was not previously a part of the DNPAO budget. The appropriation was $50,950 of which $34,950 was segmented off for DNPAO. Does not include CORD ($25M 2011-2015; $10M 2016-2018)Source: FY2013-2017 CDC Operating Plans
DNPAO Strategic Priorities
Breastfeeding
Early Child Nutrition
Vitamins & Minerals
First 1,000 Days
Adults & Older
Adults Maintaining
a Healthy Lifestyle
Reaching All Americans Across the Lifespan by Supporting
Children & Youth
Growing Up Strong
& Healthy
A Healthy Start
for Infants
Good Nutrition & Healthy Food Environments
Physical Activity & Access to Environments Designed
for Physical Activity
Healthy Weight Management & Obesity Prevention
Certain populations are more at risk for
obesity and some health-related behaviors
– Hispanics and non-Hispanic blacks have a
higher prevalence of obesity (47%) than
non-Hispanic whites (38%) and non-
Hispanic Asians (13%)
– Women have a higher prevalence of
obesity than men among non-Hispanic
black, non-Hispanic Asian, and Hispanic
adults
– Compared to adults living in metropolitan
counties, adults in more rural areas are
more likely to -
• Be current smokers
• Not have a normal body weight
• Not meet the aerobic physical activity
recommendations
DNPAO is committed to addressing health disparities
Our goal is to help
support Americans’
journey to good
health, especially
those most
vulnerable to
chronic disease
National Leadership • Surveillance • Applied Research • Evaluation • Program Development •
Technical Assistance • Evidence-Based Practice • Training • Partnership Development •
Policy Analysis • Communications • Media Relations
Moving the Needle:
DNPAO Overview
National Leadership • Surveillance • Applied Research • Evaluation • Program Development •
Technical Assistance • Evidence-Based Practice • Training • Partnership Development •
Policy Analysis • Communications • Media Relations
Nutrition
Major Updates
Rafael Flores-Ayala, DrPH, MApStat
Branch Chief
Nutrition Branch
A Healthy Start for Infants
Breastfeeding Highlights
– Supported EMPower, working with 93 hospitals
in 24 states to improve maternity care practices
– Worked with the American Academy of Pediatrics
(AAP) to improve physician education and training
in breastfeeding support
– Analyzed mPINC 2015 data and produced individual
reports for 2,582 participating hospitals
– Provided technical assistance to 1305 and ASTHO grantees through
networking calls and learning sessions
– Analyzed NIS data to describe national and state trends in breastfeeding
rates
A Healthy Start for Infants
Early Child Nutrition Highlights
– Continued to foster partnerships with federal
agencies and non-federal organizations
– Developed a CDC Early Child Nutrition website
– Supported development of education and training
materials for pediatricians and families
– Monitored and reported on data related to key
areas of early child nutrition
– Advanced the planning of Infant Feeding Practices Study III: Birth to Two
Years
A Healthy Start for Infants
Vitamin & Mineral Malnutrition
– Published Biomarkers Reflecting Inflammation
and Nutrition Determinants of Anemia (BRINDA)
project and supplement
– Supported domestic and international nutrition
surveillance
– Provided survey technical assistance for 13 surveys
in 10 countries and monitoring technical assistance
to 3 countries
– Published 37 manuscripts/book chapters, 7 reports, and one monitoring
manual
– Developed technical resources of wide impact
– Fostered formal and informal nutrition collaborations
National Leadership • Surveillance • Applied Research • Evaluation • Program Development •
Technical Assistance • Evidence-Based Practice • Training • Partnership Development •
Policy Analysis • Communications • Media Relations
Physical Activity
Major Updates
Janet Fulton, PhD
Branch Chief
Physical Activity and Health Branch
Physical Activity & Access to Environments
Designed for Physical Activity
– Developed the Youth Compendium of Physical
Activities in collaboration with and non-federal
organizations
– Disseminated the new Community Guide Built
Environment Task Force Recommendations
– Delivered Walkability Action Institute, Complete
Streets, and other trainings and technical assistance in a variety of settings
– Provided tools and technical assistance for monitoring physical activity for a
variety of partners
Children & Youth Growing Up Strong & Healthy
Adults & Older Adults Maintaining a Healthy Lifestyle
Physical Activity & Access to Environments
Designed for Physical Activity
– Produced Active People, Healthy NationSM materials
– Sustained partnerships to support the National
Walking movement and active transportation
– Evaluated novel approaches to promote walking
– Developing a national Physical Activity Surveillance
Plan
– Disseminated research and surveillance findings related to behavior and
policy, systems, and environmental approaches
– Developing and monitoring the nation’s 36 Healthy People 2020 physical
activity objectives
– Supporting the upcoming 2018 Physical Activity Guidelines
National Leadership • Surveillance • Applied Research • Evaluation • Program Development •
Technical Assistance • Evidence-Based Practice • Training • Partnership Development •
Policy Analysis • Communications • Media Relations
Obesity
Major Updates
CAPT Heidi Blanck, PhD, MS
Branch Chief
Obesity Prevention and Control Branch
Children & Youth
Growing Up Strong & Healthy
Early Care and Education (ECE) Setting(breastfeeding, nutrition, physical activity, screen time)
– Provided technical assistance to grantees and
unfunded partners
– Disseminated the first ECE State Indicator Report
and awarded a State ECE Surveillance Pilot contract
– Expanded the facility level Learning Collaboratives’
project and state integration for sustainability with
Nemours
– Supported state action institutes and Train the Trainers
– Supported targeted state ECE system improvements through the Mini CoIIN
(Collaborative Improvement Innovation Network)
– Supported farm to childcare, Salad Bars To Schools
– Released new resources
Children & Youth
Growing Up Strong & Healthy
Health Services: Pediatric Weight Management
& Obesity Prevention
– Advanced healthy weight practices for low-income
children aged 2-12
– Addressed evidence gaps and spread lessons
with key partners
– Supported use of innovative health information
technology/EHRs for clinical and population health
data needs (Wiltz et al., 2017 PCD)
Childhood Obesity Epi & Surveillance Work
– Published trends in obesity among low-income infants and toddlers in WIC,
severe obesity toddlers
– Disseminated improved obesity tracking measures for children with severe
obesity (Freedman et al. 2016, 2017)
Adults & Older Adults Maintaining a Healthy Lifestyle
Good Nutrition & Healthy Food Environments
– Released 2017 Food Service Guidelines for Federal
Facilities
– Published data on food service guidelines policies
at state and local level, support of worksite wellness
nutrition, kids’ meals, Guam Epi-Aid on
Stores/Restaurants
– Hosted DoD/CDC-DNPAO Fellows
– Supported the release of USDA funding for Food Insecurity Nutrition
Incentive (FINI), Farm to School, Use of Supplemental Nutrition Assistance
Program Education (SNAP-ED) for policy, system, and environment (PSE)
changes
– Supported National Collaborative on Childhood Obesity Research (NCCOR)
projects
– Evaluations of nutrition policy innovations through Nutrition and Obesity
Policy Research and Evaluation Network (NOPREN)
Adults & Older Adults Maintaining a Healthy Lifestyle
Tackling Hunger
– Clinical-Community Partnerships to Identify Patients
With Food Insecurity and Address Food Needs
(Lundeen et al. Nov. 2017 PCD)
– Food Insecurity as part of Community Health Needs
Assessment (CHNA) and Screening Tools for Adults: https://nopren.org/working_groups/hunger-safety-net/
Adult Epi & Surveillance Work
– Published 2016 BRFSS Adult Obesity State Maps and 2014-2106
Race/Ethnicity Adult Obesity Maps
– Published research on Sugar-Sweetened Beverage (SSB) intake and
knowledge of health risk (Park S et al. 2017)
– MMWR on fruit and vegetable intake recommendations Nov. 2017
Disparities in fruit and vegetable intake among adults, BRFSS
– The Federal Nutrition research Roadmap
– Obesity Related Cancers MMWR (DCPC and DNPAO)
National Leadership • Surveillance • Applied Research • Evaluation • Program Development •
Technical Assistance • Evidence-Based Practice • Training • Partnership Development •
Policy Analysis • Communications • Media Relations
Program
Major Updates
Terry O’Toole, PhD
Acting Branch Chief
Program Development and Evaluation Branch
~857,000 babies are born each year in
hospitals that now use best practices to
support breastfeeding
Rates of breastfeeding initiation have
increased from 73% in 2003 to 81% in
2013
Now there is a Baby-Friendly hospital in
every state, DC, and Puerto Rico
Getting a Healthy Start
Our
Impact
More than 22,500 ECE providers
voluntarily pledged to adopt obesity
prevention practices in childcare centers
Over 8,000 ECE providers across the
nation completed 2 hours of
professional development training on
promoting physical activity among
young children
Growing Up Strong & Healthy
Our
Impact
29
All 50 state health agencies now
partner with worksites, hospitals, and
schools to encourage healthy food
offerings in cafeterias, snack shops, or
vending machines
1 in 5 elementary schools now have a
“Safe Routes to Schools” program
More than 900 communities or
regions adopted “Complete Streets”
policies that make it easier to cross the
street, walk to shops, and bicycle to
work
Maintaining Good Nutrition & Keeping Active
Our
Impact
Future
Direction
National Leadership • Surveillance • Applied Research • Evaluation • Program Development •
Technical Assistance • Evidence-Based Practice • Training • Partnership Development •
Policy Analysis • Communications • Media Relations
Finding Our Resources
DNPAO Fact Sheets Now Online
https://www.cdc.gov/nccdphp/dnpao/division-information/aboutus/index.htm
Infographics and Fact Sheet on Key Topics
https://www.cdc.gov/physicalactivity/downloads/unfit-to-serve.pdf
https://www.cdc.gov/obesity/downloads/ECE-infographic.pdf
https://www.cdc.gov/obesity/downloads/acting-early-to-prevent-obesity.pdf
(Co-branded with Mission: Readiness) (In collaboration with Nemours)
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@CDCObesity
Facebook.com/CDCEatWellBeActive
CDC.gov/nccdphp/dnpao
Let’s Stay Connected
NCCDPHP Success Stories
https://nccd.cdc.gov/nccdsuccessstories/
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success stories using
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Communication
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Briefings
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Local Requests
Sharing Success Stories At Every Opportunity
Who is telling my story?
We Are!
Tell your story about
population level changes in
your communities that
support a healthier outcome
for everyone
Share the positive changes
that last a lifetime
And remind people that
diseases can be prevented
We Challenge You to Tell Us EveryoneYour Story
The change
may be
slow, but
you can
ensure it’s
steady
…
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For more information, contact: DNPAOPolicy@cdc.gov
Help us keep America healthy and strong. See how at: cdc.gov/nccdphp/dnpao
The findings and conclusions in this report are those of the authors and do not
necessarily represent the official position of the Centers for Disease Control and
Prevention.
Thank You!