Active and Eating Smart

Julie McMahon, DirectorDivision of Health Promotion and Chronic Disease

Prevention

Iowa Department of Public Health

1996

1991

2003

Obesity Trends* Among U.S. AdultsBRFSS, 1991, 1996, 2003

(*BMI 30, or about 30 lbs overweight for 5’4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Stats An estimated 61% of Iowa adults are

overweight (BMI > 25) or obese (BMI > 30)--BRFSS (2002)

An estimated 16 percent of children and adolescents ages 6 –19 years are overweight—based on BMI, (1999 –2002 National Health and Nutrition Examination Survey (NHANES)

(> Greater or equal to)

BRFSS: Percent Obesity by Gender

0

5

10

15

20

25

1991 1995 1998 2000 2001

MenWomen

By Gender

BRFSS: Percent Obesity by Age

0

5

10

15

20

25

30

1991 1995 1998 2000 2001

18-2930-3940-4950-5960-69>70

Age Groups

BRFSS: Percent Obesity by Educational Level

0

5

10

15

20

25

30

1991 1995 1998 2000 2001

Less than High SchoolHigh SchoolSome College

Educational Level

BRFSS: Percent Obesity by Income Level

0

5

10

15

20

25

30

1990 2000 2004

<$15,000<$25,000<50,000>75,000

Income Level

Percentage of Overweight U.S. Children and Adolescents is Soaring*

* >95th percentile for BMI by age and sex based on 2000 CDC BMI-for-age growth charts**Data from 1963-65 for children 6-11 years of age and from 1966-70 for adolescents 12-17 years of ageSource: National Center for Health Statistics

18

Ages 12-19

Ages 6-11

54

1616

0

2

4

6

8

10

12

14

16

1963-70**

1971-74 1976-80 1988-94 1999-2002

Overweight Has Important Health Consequences in Children

70% chance of being overweight as adults Childhood onset of Type 2 diabetes

Face future risk of serious complications: kidney disease, blindness, amputations

People born in 2000 have a high risk of getting diabetes in their lifetimes:

33% of males 39% of females

Risk factors for heart disease 60% of 5-10-year olds have at least one 25% have two or more

CDC Data

Costs Associated with Obesity are High and Growing

2000 estimated cost: $117 billion: $61 billion direct medical costs $56 billion for indirect costs

Iowan’s spent estimated $783 million $363 million paid by taxpayers

(Medicare and Medicaid)

Hospital costs related to childhood overweight have tripled in last 20 years

Three Key Factors are Related to the Onset of Obesity

Poor dietary practices Decreased physical activity Increased inactivity

(CDC)

Americans’ Food Practices are Shifting Dramatically

Reduced frequency of family meals Increased fast food consumption Increased portion size Increased consumption of soft drinks

(from 27 to 44 gallons/year from 1972-1992)

Restrained eating, meal skipping 30,000 products in supermarkets

(CDC)

Physical Education in Schoolsis on the Decline

Participation in daily P.E. classes, 9-12th graders:

1991 42%1999 29%

(CDC)

As TV Time Increases, So Does Rate of Overweight in Teenagers

As TV Time Increases, So Does Rate of Overweight in Teenagers

TV Hours Per Day (Youth Report)TV Hours Per Day (Youth Report)

(0-1)(0-1) (1-2)(1-2) (3-4)(3-4) (4-5)(4-5) (>5)(>5)(2-3)(2-3)

(NHES Youth Aged 12-17 in 1967-70 and NLSY Youth Aged 10-15 in 1990)

CDC-funded State Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases

Capacity building 2004-2005-current 2005-2006-applied

Implementation, application to CDC 2006….

CDC-funded NPA Program

Year 1-2: Bring together partners to write the State Comprehensive Plan.

Implement a pilot intervention

Submit the State Plan and application to become an implementation state.

Vision

Iowans will enjoy balanced nutrition, lead physically active lives and live in healthy communities

Mission

Develop and strengthen partnerships that prevent and reduce obesity in Iowa

Goals/Outcomes Prevent and reduce obesity in Iowans

through improved nutrition, physical activity and supportive environments.

Reduce obesity through integration, coordination and collaboration among organizations and entities that share expertise and maximize resources of existing programs and partnerships.

Strategies

Develop and support partnerships that implement obesity prevention programs

Strategies

Create and sustain model healthy communities around nutrition and physical activity.

Strategies

Collect and analyze data that drives decisions about program needs and effectiveness

What needs to be done to develop the Comprehensive State Plan?

Develop Partnerships at the local and state level

Share expertise and maximizes resources of existing programs and partnerships.

Use Iowa-specific data to identify issues and maximize existing public and private resources

Build model healthy community—pilot intervention

Partnerships

Work Groups: Educational Setting Early Childhood Older Iowans Business and Agriculture Health Care Community

Here’s how you can make a difference and get involved…

For more Information: www.iowa.gov/iowansfitforlife