Childhood Wellness and Obesity: Childhood Wellness and Obesity: Tools to Help Schools Take ActionTools to Help Schools Take Action

Princeton, NJ Princeton, NJ • • March 31, 2006March 31, 2006

Childhood Wellness and Obesity: Childhood Wellness and Obesity: Tools to Help Schools Take ActionTools to Help Schools Take Action

Princeton, NJ Princeton, NJ • • March 31, 2006March 31, 2006

James S. Marks, M.D., M.P.H.Senior Vice President

Robert Wood Johnson Foundation

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FUTURE OF CHILDREN

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No Data <10% 10%–14%

OBESITY TRENDS* AMONG U.S. ADULTS

BRFSS, 1985(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

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OBESITY TRENDS* AMONG U.S. ADULTS

BRFSS, 1986(*BMI 30, or about 30 lbs overweight for 5’4” person)

No Data <10% 10%–14%

Source: Behavioral Risk Factor Surveillance System, CDC.

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OBESITY TRENDS* AMONG U.S. ADULTS

BRFSS, 1987(*BMI 30, or about 30 lbs overweight for 5’4” person)

No Data <10% 10%–14%

Source: Behavioral Risk Factor Surveillance System, CDC.

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OBESITY TRENDS* AMONG U.S. ADULTS

BRFSS, 1988(*BMI 30, or about 30 lbs overweight for 5’4” person)

No Data <10% 10%–14%

Source: Behavioral Risk Factor Surveillance System, CDC.

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OBESITY TRENDS* AMONG U.S. ADULTS

BRFSS, 1989(*BMI 30, or about 30 lbs overweight for 5’4” person)

No Data <10% 10%–14%

Source: Behavioral Risk Factor Surveillance System, CDC.

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OBESITY TRENDS* AMONG U.S. ADULTS

BRFSS, 1990(*BMI 30, or about 30 lbs overweight for 5’4” person)

No Data <10% 10%–14%

Source: Behavioral Risk Factor Surveillance System, CDC.

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OBESITY TRENDS* AMONG U.S. ADULTS

BRFSS, 1991(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

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OBESITY TRENDS* AMONG U.S. ADULTS

BRFSS, 1992(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

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OBESITY TRENDS* AMONG U.S. ADULTS

BRFSS, 1993(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

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OBESITY TRENDS* AMONG U.S. ADULTS

BRFSS, 1994(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

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BRFSS, 1995(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

OBESITY TRENDS* AMONG U.S. ADULTS

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BRFSS, 1996(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

OBESITY TRENDS* AMONG U.S. ADULTS

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BRFSS, 1997(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

OBESITY TRENDS* AMONG U.S. ADULTS

No Data <10% 10%–14% 15%–19% ≥20

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BRFSS, 1998(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

OBESITY TRENDS* AMONG U.S. ADULTS

No Data <10% 10%–14% 15%–19% ≥20

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BRFSS, 1999(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

OBESITY TRENDS* AMONG U.S. ADULTS

No Data <10% 10%–14% 15%–19% ≥20

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BRFSS, 2000(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

OBESITY TRENDS* AMONG U.S. ADULTS

No Data <10% 10%–14% 15%–19% ≥20

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BRFSS, 2001(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

OBESITY TRENDS* AMONG U.S. ADULTS

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

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BRFSS, 2002(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

OBESITY TRENDS* AMONG U.S. ADULTS

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

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BRFSS, 2003(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

OBESITY TRENDS* AMONG U.S. ADULTS

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

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BRFSS, 2004(*BMI 30, or about 30 lbs overweight for 5’4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

OBESITY TRENDS* AMONG U.S. ADULTS

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

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DIABETES TRENDS* AMONG U.S. ADULTS

Sources: Mokdad et al., Diabetes Care 2000;23(9):1278–83; JAMA 2001;286(10):1195–2000

No Data <4% 4%–6% 6%–8% 8%–10% >10%

BRFSS, 1990, 1995, 2001(*Includes Gestational Diabetes)

1990 1995

2001

24

25

Per

cent

Percentage of children with BMI at or above theage- and gender-specific 95th percentile.

0

5

15

20

10

1963-67

1966-70

1971-741976-80

1988-94

1999-2000

Ages 6-11 yearsAges 2-5 years

Institute of Medicine; Preventing Childhood Obesity, 2005

PREVALENCE OF CHILDHOOD OBESITY

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BIGGER CASKETS, STRETCHERS

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COSTS OF OBESITY

• State budgets

• Global competitiveness

• National security

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ENERGY BALANCE

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CONSUMING MORE

• Eating out

• Bigger portion sizes

• Competitive foods in schools

• Sugar-sweetened beverages

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BURNING LESS

• Little or no P.E. in schools

• Few kids walk and bike to school

• Screen time

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IOM REPORT

• Causes and potential solutions

• Call to action for all sectors

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RWJF FOCUS

• Schools and communities

• Children ages 3-12

• Kids at greatest risk

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RWJF APPROACH

• Putting the best minds to work

• Testing innovative approaches

• Educating leaders and advocates

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HEALTHY SCHOOLS PROGRAM

• Healthier choices at same or lower cost

• Focus on schools with fewest resources

• Physical activity and nutrition standards

• School recognition program

• Staff wellness

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Important issues

Long-term commitment

Making a difference

Important issues

Long-term commitment

Making a difference