Let’s work together to prevent
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Transcript of Let’s work together to prevent
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Let’s work together to prevent
Jeremy Akers, MS, Obesity Prevention NutritionistRachael Kennedy, MEd, Obesity Prevention Coordinator
Kathy Sergent, MA, RD, Nutrition Liaison
July 26, 2005Health and Physical Activity
Institute
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Goals:• Participants will increase their
knowledge of obesity in Virginia.
• Participants will learn how to use “SuperSize Me” as an educational tool.
Our goals for today:Our goals for today:
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• 9:00-9:10…………… Introduction……………….. Kathy Sergent
• 9:10-9:30…………… Burden of Obesity………… Jeremy Akers
• 9:30-9:45…………… Physical Activity Break....... Volunteers
• 9:45-10:30………….. “SuperSize Me”…………… Rachael Kennedy - Introduction to movie & how to use it - Lesson number 4 - Cafeteria Counter
• 10:30-10:45…………. Physical Activity Break…… Volunteers
-Pop Quiz game
Our agenda:Our agenda:
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Burden of Burden of ObesityObesity
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• Body Mass Index is a tool for indicating weight status in adults.
• It is a measure of weight for height. wt [kg] / ht [m]2
• For adults over 20 years old, BMI falls into one of these categories:
What is BMI?What is BMI?
BMI Weight Status
Below 18.5 Underweight18.5 – 24.9 Normal25.0 – 29.9 Overweight30.0 and Above
Obese
What is BMI?
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UnderweightBMI-for-age < 5th percentile
At risk of overweightBMI-for-age 85th to < 95th percentile
OverweightBMI-for-age > 95th percentile
Body Mass Index:Body Mass Index: BMI for Children and TeensBMI for Children and Teens
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National Child DataNational Child Data
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Source: Ogden et al. JAMA 2002;288(14):1728-32
Percentage of Overweight Children Percentage of Overweight Children and Teensand Teens
Perc
ent
Boys 6-11 Girls 6-11 Male Teens12-19
Female Teens12-19
0
2
4
6
8
10
12
14
16
1963–70 1971–74 1976–80 1988–94 1999–2000
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Trends in Child and Adolescent Overweight
Note: Overweight is defined as BMI >= gender- and weight-specific 95th percentile from the 2000 CDC Growth Charts for the United States. Source: National Health Examination Surveys II (ages 6-11) and III (ages 12-17), National Health and Nutrition Examination Surveys I, II, III and 1999-2000, NCHS, CDC.
Percent
1963-67 1971-74 1976-80 1988-94
Percent
Males 12-19
Females 12-19
1999-20001966-70
Females 6-11
Males 6-11
0
5
10
15
20
0
5
10
15
20
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Overweight: By Body Mass Index Virginia
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002Year
Perc
entag
e
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Obese: By Body Mass Index Virginia
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002Year
Perc
entag
e
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Overweight and Obese: By BMI Virginia
35.0%
40.0%
45.0%
50.0%
55.0%
60.0%
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002Year
Perce
ntage
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Issues within your region that lead to or promote
high rising obesity rates.
Contributing FactorsContributing Factors
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GeneticGeneticss
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Energy Intake
Energy Expenditure
Energy ImbalanceEnergy Imbalance
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Energy Energy ExpenditureExpenditure
InactivityInactivity
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Energy Energy ExpenditureExpenditure
Increased Screen Increased Screen TimeTime
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Behavior Behavior Nutrition:Nutrition:
Quality vs. QuantityQuality vs. Quantity
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EnvironmentEnvironmentChoices, Choices, ChoicesChoices, Choices, Choices
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EnvironmentEnvironment
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Culture/ Culture/ PerceptionsPerceptions
Instant GratificationInstant Gratification
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How do portions today compare to How do portions today compare to portions sizes 20 years ago?portions sizes 20 years ago?– Food choicesFood choices– Portion sizesPortion sizes– Number of meals dailyNumber of meals daily
Energy IntakePerceptions
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MuffinMuffin
How long will you have to vacuum to to burn* 310 calories?
20 Years Ago Today
210 Calories1.5 ounces
How many calories are in today’s muffin?
500 Calories5 ounces
Calorie Difference: 310 calories
*Based on 150 pound person
You will you have to vacuum1 hour and 20 minutes to burn* 310 calories!
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20 Years Ago (Coffee with milk)
Today Cafe Latte (Coffee and milk)
45 Calories8 ounces
Calorie Difference: 305 calories
How long will you have to walk briskly to to burn* 305 calories?
How many calories are in today’s coffee? 350 Calories 20 ounces
*Based on 150 pound person
You will have to walk briskly for 1 hour and 10 minutes to to burn* 305 calories?
CoffeeCoffee
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French FriesFrench Fries 20 Years Ago Today
210 Calories2.4 ounces
How many calories are in these fries?
610 Calories6.9 ounces
Calorie Difference: 400 calories
*Based on 150 pound person
How long will you have to walk to burn* 400 calories?
To burn* 400 calories: Walk leisurely for 1 hr 10 minutes
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SodaSoda20 Years Ago Today
85 Calories 6 ½ ounces
Calorie Difference: 165 calories
How many calories are in this soda?
250 Calories 20 ounces
*Based on 150 pound person
How long would you haveto garden to burn 165 calories?.To burn* 165 calories:Garden for 35 Minutes
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CheeseburgerCheeseburger20 Years Ago Today
330 Calories
Calorie Difference: 257 calories
How many calories are in this cheeseburger? 590 Calories
*Based on 130 pound person
How long would you have to liftweights to burn up 257 calories?
To burn* 257 calories:Lift weights for 1 hour and 30 minutes
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Chicken Stir Chicken Stir FryFry
20 Years Ago Today
435 calories 2 cups
Calorie Difference: 430 calories
How long will you have to do aerobic dance to burn* 430 calories?
How many calories are in today’s chicken stir fry?
865 calories 4 ½ cups
*Based on 150 pound person
You will you have to do aerobic dance for 1 hour to burn* 430 calories?
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Caesar Side Salad(romaine lettuce, croutons, dressing, and parmesan
cheese)20 Years Ago Today
140 calories 1 ½ cups
Calorie Difference: 330 calories
How long do you have to walk the dog to burn* 330 calories?
How many calories are in today’s Caesar Side Salad? 470 calories 3 ½ cups
*Based on 150 pound person
To burn* 330 calories you must walk the dog for 1 hr and 35 minutes.
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PPopcornopcorn (cooked in vegetable shortening, without extra (cooked in vegetable shortening, without extra
butter)butter)20 Years Ago Today
270 Calories 5 cups
Calorie Difference: 360 calories
How to long do you have to do water aerobics to burn* 360 calories?
How many calories are in today’s popcorn?630 Calories 11 cups
*Based on 150 pound person
You will have to do water aerobics for 1 hour and 20 minutes to burn* 360 calories.
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Total IntakeTotal Intake Today’s Diet
• Breakfast– Muffin 500 kcal– Coffee 350 kcal
• Lunch– Cheeseburger 590 kcal– Fries 610 kcal– Soda 250 kcal
• Dinner– Chicken Stir Fry865 kcal– Caesar Side Salad 470 kcal
• Snack– Popcorn 630 kcal
• TOTAL 4,265 Kcal
20 years ago Diet• Breakfast
– Muffin 210 kcal– Coffee 45 kcal
• Lunch– Cheeseburger 210 kcal– Fries 85 kcal– Soda 330 kcal
• Dinner– Chicken Stir Fry435 kcal– Caesar Side Salad 140 kcal
• Snack– Popcorn 270 kcal
• TOTAL 1,725 Kcal
Difference of 2,540 Calories
You would have to jog 3.6 hours@ 6 mph to burn* of the
calorie difference.
*Based on 150 pound person
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Billions, $Billions, $Obesity Obesity 11 75.075.0Type 2 Diabetes* Type 2 Diabetes* 22 73.773.7Coronary heart disease Coronary heart disease 33 52.452.4Hypertension Hypertension 44 28.228.2Arthritis Arthritis 55 23.923.9Breast Cancer Breast Cancer 66 7.17.1
1 Finkelstein EA, Obes Res 2004;12 4. Hodgson TA et al. Med Care 2001;39:599 2 ADA Diabetes Care, 2003;26:917 5 Yelin & Callahan. Arthritis Rheum 1995;38:13513 Hodgeson TA et al. Medical Care 1999:37:994. 6 Brown ML, et al. Medical Care; 2002;40(suppl): IV-104
Direct Cost of Chronic Diseases in the U.S. (2003)
The Cost of Obesity is Comparable The Cost of Obesity is Comparable to other Chronic Diseasesto other Chronic Diseases
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• $1.64 billion annually
Source: Finkelstein et al. Obes. Res. 2004;12
• 5.7% of adult medical expenditures• 42% financed by Medicare & Medicaid• VA had the 14th highest costs compared to all of the other states
Cost of Obesity in Virginia Cost of Obesity in Virginia (2003)(2003)
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• Obesity Related Standards in Schools?– 2 out of 5
• State Initiatives for All Residents?– 2 out of 6
7 Trust for American’s Health. “F as in Fat: How Obesity Policies are Failing in America. Issue Report. October 2004.
How is VA Doing?How is VA Doing?
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8 University of Baltimore. National Report Card Shows States ‘Failing’ to Check Obesity. August 9, 2004. www.ubalt.edu/glance/ur_releases/2004/08_09_04_obesity.html.
Virginia’s GradeVirginia’s Grade
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• [email protected] 804-864-7842, information on nutrition initiatives
addressing obesity and data• [email protected] 804-864-7789, information on obesity prevention &
health promotion initiatives, success stories from the field
• [email protected] 804-864-7832, information on nutrition programs
and nutrition science
We welcome you to contact We welcome you to contact us:us:
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The educationally enhanced version can be purchased•by internet: www.supersizeme.com, click on “learn more about the EE version” on the right side of the screen.•by phone: 800-444-0653
•by email us at: [email protected]*Cost is $39.99+$4.95 s/h (2- 4 wks) or $9.95 s/h (1 week)*