Let’s work together to prevent Jeremy Akers, MS, Obesity Prevention Nutritionist Rachael Kennedy,...
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Let’s work together to prevent Jeremy Akers, MS, Obesity Prevention Nutritionist Rachael Kennedy, MEd, Obesity Prevention Coordinator Kathy Sergent, MA, RD, Nutrition Liaison July 26, 2005 Health and Physical Activity Institute
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Transcript of Let’s work together to prevent Jeremy Akers, MS, Obesity Prevention Nutritionist Rachael Kennedy,...
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, 2005
Health and Physical Activity Institute
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:
• 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:
Burden of Burden of ObesityObesity
Burden of Burden of ObesityObesity
• 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 Underweight
18.5 – 24.9 Normal
25.0 – 29.9 Overweight
30.0 and Above
Obese
What is BMI?
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
National Child DataNational Child Data
Source: Ogden et al. JAMA 2002;288(14):1728-32
Percentage of Overweight Children Percentage of Overweight Children and Teensand Teens
Perc
en
t
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
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
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 2002
Year
Per
cent
age
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
Per
cent
age
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
Per
cent
age
Issues within your region that lead to or promote
high rising obesity rates.
Contributing FactorsContributing Factors
GeneticGeneticss
Energy Intake
Energy Expenditure
Energy ImbalanceEnergy Imbalance
Energy Energy ExpenditureExpenditure
InactivityInactivity
Energy Energy ExpenditureExpenditure
Increased Screen Increased Screen TimeTime
Behavior Behavior Nutrition:Nutrition:
Quality vs. QuantityQuality vs. Quantity
EnvironmentEnvironmentChoices, Choices, ChoicesChoices, Choices, Choices
EnvironmentEnvironment
Culture/ Culture/ PerceptionsPerceptions
Instant GratificationInstant Gratification
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
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!
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
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
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 have
to garden to burn 165 calories?.To burn* 165 calories:
Garden for 35 Minutes
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
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?
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.
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.
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
Billions, $Billions, $
Obesity Obesity 11 75.075.0
Type 2 Diabetes* Type 2 Diabetes* 22 73.773.7
Coronary heart disease Coronary heart disease 33 52.452.4
Hypertension Hypertension 44 28.228.2
Arthritis Arthritis 55 23.923.9
Breast Cancer Breast Cancer 66 7.17.11 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
• $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)
• 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?
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
• [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:
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)*
