Centers for Disease Control and Prevention

National Center for Chronic Disease Prevention and Health Promotion

DIVISION OF NUTRITION, PHYSICAL ACTIVITY, AND OBESITY (DNPAO) ANNUAL UPDATE

WHY 2020MAKES US

WHY 2019MADE US

2

0

1

9

Looking Back Moving Forward

TODAY’S DISCUSSION WILL FOCUS ON –

▪ Overview of DNPAO Priorities

▪ Highlights from Division Branch

Chiefs

▪ Future Direction of DNPAO

▪ Improved dietary quality to support

healthy child development and

improved nutrition for all ages

▪ People of all ages and abilities meeting

physical activity guidelines

DNPAO MAIN OBJECTIVES

NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND

HEALTH PROMOTION

5

THE DIVISION OF NUTRITION, PHYSICAL ACTIVITY, AND OBESITY

(DNPAO)Ruth Petersen,

DirectorAnn O’Connor,

Deputy Director

Janet Fulton

Branch ChiefCAPT Heidi Blanck,

Branch Chief

Rafael (Rafa) Flores-Ayala,

Branch Chief

Terry O’Toole,

Branch Chief

Janelle Gunn, Associate

Director for Policy

Deborah Galuska, Associate

Director for Science

Nutrition BranchObesity Prevention &

Control Branch

Program Development &

Evaluation Branch

Physical Activity &

Health Branch

Office of the Associate

Director for ScienceOffice of Policy, Partnerships,

& Communications

DNPAO STRATEGIC PRIORITIES

▪ Breastfeeding

▪ Maternal, Infant & Toddler Nutrition

▪ Vitamins & Minerals

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 6

What is a non-add? A non-add is not included in the budget line total.

A non-add indicates funds that are set aside for a specific purpose or

program.

DNPAO BUDGET HISTORY – FY 2016 – FY 2019DOLLARS IN THOUSANDS

Budget Activity/Description FY 2016 FY 2017 FY 2018 FY 2019

Nutrition, PA, High Obesity

Counties and Obesity

Non-adds:

High Obesity Counties

Farm to School

$49,895

$10,000

$49,803

$10,000

$54,920

$15,000

$56,920

$15,000

$2,000

REACHREACH joined DNPAO in 2017. Italicized amounts are not added to DNPAO total.

$50,950 $34,950* $34,950* $34,950*

National Early Childcare

Collaborative$4,000 $4,000 $4,000 $4,000

Hospitals Promoting BF $8,000 $8,000 $8,000 $8,000

Total $61,895 $96,753 $101,870 $103,870

Childhood Obesity Research

Demonstration (CORD)**$5,000 $5,000 $5,000 $5,000

Notes:

*Funding for tribal initiatives (non-add) not shown.

** CORD was appropriated at $25M in 2011; $10M in 2016; and $30M in 2018.

Source: FY 2016-2019 Appropriations

7

HIGHLIGHTS FROM DIVISION BRANCH CHIEFS

Terry O’Toole, Branch Chief

NUTRITION

HIGHLIGHTS

Terry O’Toole, Branch ChiefPHYSICAL ACTIVITY

HIGHLIGHTS

Terry O’Toole, Branch ChiefOBESITY

HIGHLIGHTS

Terry O’Toole, Branch ChiefPROGRAM

HIGHLIGHTS

PROGRAM DEVELOPMENT AND

EVALUATIONBRANCH

Terry O’Toole,

Branch Chief

PROGRAM HIGHLIGHTS

Reaching All Americans Across the Lifespan

FIVE ACTION STEPS WE CAN TAKE TO REDUCE CHRONIC DISEASE THROUGH IMPROVED PHYSICAL ACTIVITY & NUTRITION

1. Make physical activity

safe and accessible for allSupport active transportation and land use

policies to make more activity-friendly routes

to everyday destinations.

Make healthy food choices

available everywhereImprove healthy food options through

procurement to include healthy food service

guidelines in state agencies and community

settings where food is offered, served, and

sold.

2.

Make breastfeeding easier

to start and sustain

3.

Help hospitals use evidence-based

maternity care practices to support new

mothers to start breastfeeding.

Strengthen state level obesity

prevention standards in early

care and education centers (ECE)

4.

Improve standards that help prevent childhood

obesity (breastfeeding, healthy eating, physical

activity, and limit screen time) within their existing

ECE systems.

Spread and scale pediatric

weight management programs

5.

Work with state Medicaid programs to ensure

pediatric weight management interventions are

easy to access for families with low income.

DNPAO – STRATEGIES ACROSS SPAN, REACH, HOP

• Implement interventions to support

breastfeeding (47)

• Implement healthy nutrition standards in

key institutions –ECE (32)

• Make improvements to state and local ECE

programs/systems (33)

• Implement food service guidelines in

worksites and community settings to

increase availability of healthy foods (58)

• Work with food vendors, distributors and

producers to enhance healthier food

procurement and sales (53)

• Accelerate, adopt, or expand FTS (14)

Nutrition (62) Physical Activity (58)Community/

Clinical Linkages (29)

• Collaborate with partners to connect

activity-friendly routes to everyday

destinations to increase physical activity

(58)

• Implement and integrate physical activity

standards into statewide early care and

education (ECE) systems (28)

• Promote the use of appropriate and locally

available programs for individuals in the

priority population(s)

• Expand the use of health professionals to

increase referral of individuals in the

priority population(s) to appropriate and

locally available health and preventive care

programs

Promote Tobacco-Free Living

(REACH) (10)

• Implement tobacco free policies within

workplaces and multi-unit housing and

address healthier retail options

Milestones*all strategies

Intermediate

Performance

Measures*all strategies

Long Term Outcome

Evaluation*1 strategy –SPAN/REACH

*2 strategies – HOP

Demonstrated

progressSetting &

population reach

Health behavior

changes

MEASURING IMPACT – SPAN, HOP, AND REACH

GETTING SET UP FOR SUCCESS!

62 Recipients across SPAN, REACH, HOP

• Majority new to DNPAO work in some way

• Federal funding, amount of funding, strategies (R2D)

Phase 1

• 101s (internal, external)

• Monthly recipient calls

Phase 2

• DNPAO National Training

Phase 3

• Site visits

• Networking calls, monthly recipient calls

Description Score

Content was relevant to success on the job 4.23

Content aligned with the priorities and goals for

implementing their programs

4.28

Training was a worthwhile investment for CDC 4.39

Training is critical to the work they perform 4.30

NEEDS WE’RE SEEING

ASSETS WE’RE SEEING

DNPAO AMBASSADOR PROGRAM

▪ Ensure appropriate DNPAO resources are

available and accessible to Ambassadors

(national training meeting, webinars,

networking calls)

▪ Effectively coordinate with ambassador

program partners – NACDD and ASPHN so

that ambassadors have expanded

opportunities for supporting their NPAO work

▪ Active participation in NACDD state

engagement model meetings with select

ambassador states

▪ 31 states are actively participating

10,098 ECE facilities, 2,343 worksites, and 271 community settings adopted FSGs or nutrition

standards, and 2.7 million more people have access to interventions to improve nutrition

2,274 communities developed a pedestrian or master transportation plan

447 birthing facilities began using recommended breastfeeding practices

141 birthing facilities were designated as Baby-Friendly

2,623 community sites provided professional and peer support for breastfeeding

1,909 employers provided space and time for nursing mothers to express breastmilk

Over 322,000 people have access to interventions to reduce tobacco use and exposure

IMPACT (2013-2018)

Success stories

Peer-reviewed publications

Evaluation reports

Infographics

Earned media

19

Communicating Your Success! Where do you see yourself?

▪ Active People, Healthy Nation℠ in Year 2 workplan

▪ Use the design element

▪ We can help!

▪ ActivePeople@cdc.gov

CDC IS COUNTING ON YOU!

Terry O’Toole, PhD, MDiv

totoole1@cdc.gov

PHYSICAL ACTIVITY AND HEALTH BRANCH

Janet Fulton

Branch Chief

22

THE PROBLEM: TOO FEW AMERICANS GET THE RECOMMENDED AMOUNT OF PHYSICAL ACTIVITY

About 31 million adults aged 50 or older are inactive,

meaning they get no physical activity beyond that of daily living

Only 1 in 5 adults and high school students

fully meet physical activity

guidelines for aerobic and

muscle-strengthening activities

Only 40% of school-aged youth who live a

mile or less from school report

that they usually walk to school

OUR VISION: SAFE AND PLENTIFUL OPPORTUNITIES FOR PHYSICAL ACTIVITY FOR EVERYONE

Walking

Bicycling

Safe Routes to Schools/

Walking School Bus

Early Care and Education

(Physical Activity

Standards)

Preschool-aged

Children (2-5 years)

Children and Adolescents (6-17 years)

Worksite Wellness Supports

(stairwell prompts,

gym facilities, paid gym

memberships, paid time for

physical activity)

Fitwel (PA criteria)

Adults Older Adults

Wheeling

Safe Streets for Seniors

Parks

Promoting Healthy Built Environments Shared-Use Agreements Land-Use and

Environmental Design Polices and Interventions

Community-Wide

23

WHAT WORKS?

STRATEGIES TO INCREASE PHYSICAL ACTIVITY

24

BUILT ENVIRONMENT APPROACHES U.S. COMMUNITY PREVENTIVE SERVICES TASK FORCE

Combine interventions from two major categories

Pedestrian or Bicycle

Transportation Systems▪ Pedestrian infrastructure

▪ Bicycle infrastructure

▪ Public transit infrastructure

and access

▪ Street design and connectivity

Land Use and

Environmental Design ▪ Proximity to destinations

▪ Mixed land use

▪ Residential density

▪ Parks and recreational facilities

Guide to Community Preventive Services. Physical Activity: Built Environment Approaches Combining Transportation System Interventions with Land Use and Environmental

Design. https://www.thecommunityguide.org/findings/physical-activity-built-environment-approaches. Page last updated: May 01, 2017. Page accessed: May 4, 2017

Activity-Friendly Routes

to

Everyday Destinations25

26

ACTIVITY-FRIENDLY ROUTES TO EVERYDAY DESTINATIONS: AN ILLUSTRATION

2006: 10 state-level policies and 36 unique local or regional policies

2017: 33 state-level policies and 1260 unique local or regional policies

COMPLETE STREETS POLICIES

POLICY, SYSTEM, AND ENVIRONMENTAL SUPPORTS FOR PHYSICAL ACTIVITY

0

20

40

60

80

100

Shared-Use

Agreement

Complete

Streets Policy

Master Land Use Transportation Bicycle Parks

1,000-2,500 2,500-49,999 ≥50,000

Types of Plan Present

10-year

Surveillance

Plan

Population Size:

WALKABILITY ACTION INSTITUTE

Teams have reported 663walkability related outcomes

Reaching a reported

40,226,033 people

Leveraging a collective total

of $170,366,041

Representing a project

ROI of 126:1

5th annual Walkability Action Institute: Broward County, FL; Clackamas County, OR; Daytona, FL; Ft Collins, CO; Franklin and Grand Isle Counties, VT; Lane

County, OR; Marshall County, IN; Maui, HI; Montgomery County, PA; Spokane, WA

ACTIVE COMMUNITIES TOOL (ACT)

Activity-Friendly

Routes

Module 1: Street Design

and Connectivity

Module 2: Infrastructure for

Pedestrians and

Bicyclists

Module 3: Public

Transportation

Everyday

Destinations

Module 4: Land Use

Planning

Module 5: Parks and

Recreational

Facilities

Module 6: Schools

Broad, General Questions

A series of detailed

questions

= Opportunity

KEY PHYSICAL ACTIVITY REPORTS

Healthy People

2030

November, 2018 September, 2019

Healthy People 2030 Objectives Adults Youth

No leisure time physical activity √

Minimum aerobic activity guideline √ √

High aerobic activity guideline √

Muscle-strengthening guideline √ √

Aerobic and muscle-strengthening

guidelines

√ √

Walk or bike for transportation √ √

Screen time < 1 hr/day (2 to 5 years) √

Sports participation √

INCREASED PHYSICAL ACTIVITY CAN IMPROVE HEALTH, QUALITY OF LIFE,AND REDUCE HEALTHCARE COSTS

A national initiative led by CDC to help

27 million Americans become more physically active by 2027

27 million

by 2027

#ActivePeople

NUTRITION BRANCH HIGHLIGHTS

Rafael (Rafa) Flores-Ayala,

Branch Chief

34

OUR VISION: OPTIMAL NUTRITION ACROSS THE LIFESPAN

Breastfeeding

Maternal

Nutrition

Early Child

Nutrition

DNPAO works to reduce micronutrient deficiencies and

establish healthier food environments

Early Care and

Education

Farm to Education

Food Service Guidelines

Healthy Food Systems

Food Security

NUTRITION BRANCH HIGHLIGHTS 2019

▪ Completed the EMPower Training

Initiative

▪ Updated Infant and Toddler nutrition

resources

▪ Completed the Maternity Practices in

Infant Nutrition and Care (mPINC)

Survey 2018

▪ Analyzed and disseminated National

Immunization Survey (NIS)

breastfeeding rates

▪ Published and contributed to

publications in infant and young child

nutrition and surveillance

Maternal, Infant &

Toddler Nutrition Vitamin & Mineral

Malnutrition

▪ Led Public Health Grand Rounds – The Thousand Day Window of Opportunity

▪ Strengthened national nutrition

surveillance systems in 7 countries and

the USA

▪ Conducted program process and impact

evaluations in 5 countries

▪ Completed initial phases of body

imaging technology evaluation

▪ Published and contributed to

publications in vitamin and mineral

nutrition and surveillance

More Babies are Starting out Breastfeeding Overall

2011 2012 2013 2014 2015 2016

Percentage Of U.S. Children Who Were Breastfed, By Birth Year

Ever Breastfed

79% in

2011

84%

in

2016!

Great News: Black Women are Making Strides

in Breastfeeding!

2011 2012 2013 2014 2015 2016

PERCENTAGE OF U.S. NON-HISPANIC BLACK CHILDREN

WHO WERE BREASTFED, BY BIRTH YEAR

12 percentage point increase

in only 5 years!

62% in

2011

74%

in

2016!

0

5

10

15

20

25

30

35

40

% o

f b

irth

s

28% of births in 2019 (>1M babies)

2011-14

230K births

2014-17

157K births

2017-19

2018 mPINC survey (fielded Nov

2018 – July 2019)

▪ ~2000 hospitals responded (~70%)

▪ Currently developing hospital-specific

reports and state reports

2020 and 2022 mPINC contracts

awarded and in-progress

MPINC 2.0

16%12%

28%

21%

5%

13%

28%

0%

20%

40%

Total Non-Hispanic

White

Non-Hispanic

Black

Hispanic First

Trimester

Second

Trimester

Third

Trimester

PROBLEM: IRON DEFICIENCY IS HIGHEST LATE IN PREGNANCY

Gupta PM, Hamner HC, Suchdev PS, et al. Am J Clin Nutr. 2017 Dec;106(Suppl 6):1640S–1646S

Prevalence of Iron Deficiency among U.S. Pregnant Women

National Health and Nutrition Examination Survey, 1999–2010

By Race and Ethnicity By Trimester

3 in 4 pregnant or lactating

women took a dietary supplement

Of these, less than 1 in 3 took a

supplement containing iodine

LESS THAN 1 IN 5 U.S. WOMEN TAKE A PRENATAL VITAMIN CONTAINING IODINE DURING PREGNANCY

Perrine CG, Herrick KA, Gupta PM, Caldwell KL. Thyroid. 2019 Jan;29(1):153-154.

Gupta PM, Gahche JJ, Herrick KA, Ershow AG, Potischman N, Perrine CG. Nutrients. 2018 Mar 29;10(4). pii: E422.

Iodine status of pregnant women

141 153 1350

50

100

150

200

250

300

350

1988-1994 2001-2006 2007-2014

Insufficient

Adequate

Above requirements

Med

ian

Uri

nary

Io

din

e

Co

nce

ntr

ati

on

(U

IC)

µg

/L

2011-2014

Pregnancy <1 yr 1-5 yr 6-11 yr 12+ yr

National State National State National State National State National State

Iron Limited, 2010 -- -- -- Limited, 2010 -- -- -- Yes, 2010 --

Anemia Limited, 2016 ** -- ** Yes, 2016 ** Yes, 2016 -- Yes, 2016 --

Iodine Limited, 2016 -- -- -- 3-5 y, 2016 -- Yes, 2016 -- Yes, 2016 --

**State-based estimates among WIC participants prior to 2012 obtained via PNSS and PedNSS.

Limited data during first 1,000 days Limited data at state level Limitations within NHANES biomarkers

DATA GAPS

INFANT FEEDING PRACTICES STUDY III

This study will –

Provide data on a sample of US infants and toddlers

Assess feeding practices as they relate to the U.S. Dietary Guidelines for Americans 2020–2025 recommendations

Anticipate recruitment will begin in late 2021 or early 2022

Support from USDA, FDA, NIH, NCCDPHP/OD and DOH

U.S. DIETARY GUIDELINES FOR AMERICANS 2020 - 2025

NEW: Inclusion of pregnant women and children

<2y for the first time

Supporting Birth to 24 months Subcommittee

Anticipated release – December 2020

What it means for us

How to message and align efforts

How to engage federal and non-federal partners

What it is going to do and not do (remaining gaps)

OBESITY PREVENTION AND CONTROL BRANCH

CAPT Heidi Blanck,

Branch Chief

HBlanck@cdc.gov

46

OUR VISION: OPTIMAL NUTRITION ACROSS THE LIFESPAN

Breastfeeding

Maternal

Nutrition

Early Child

Nutrition

DNPAO works to reduce micronutrient deficiencies and

establish healthier food environments

Early Care and

Education

Farm to Education

Food Service Guidelines

Healthy Food Systems

Food Security

NUTRITION STANDARDS/FOOD SERVICE GUIDELINES ACROSS THE LIFE COURSE (“FULL DOSE”) - HEALTHY CHOICES IN THE PLACES WHERE

AMERICANS LEARN, WORK, PRAY, AND PLAY

Early Care and Education(CACFP, State Licensing/

Regs/QRIS/Programs)

School PA/Nutrition Standards (NSBP, NSLP, CACFP) *USDA, CDC-NCCDPHP/DPH/School Health Branch

Food Service Guidelines/Healthy Procurement (Municipality Venues, Worksites, Hospitals, Universities,

Food Banks, Park & Rec, Community Venues, FBO)

OST/After School PA/Nutrition Standards*

Early Care and Education

(ECE)

Spectrum of Opportunities

27 states are currently actively

engaged with CDC through tailored

technical assistance, training, and/or

funding to advance state systems

level ECE work through 31 different

projects (SPAN 16, Nemours TAPS

10, ASPHN 5)

SPRINGBOARD OPPORTUNITIESSPAN AND TAPS STATES

GIS Mapping for CACFP Outreach and Promotion (PA, AK)

Early Childhood Outdoor Learning Environments (OH, NY)

Go NAP SACC

Equity Training (PA, MN, CO)

Physical Activity Learning Session (PALS) (MN, AR, CT)

ECE Learning Collaboratives

CATCH Training (AK)

REACH local opportunities in 2020!

ACCOMPLISHMENTS

• Created survey and OMB package for Childcare Survey of Activity and Wellness (C-SAW)

• ECE team provided TA to SPAN, HOP, REACH, Nemours, ASPHN, Diane Craft ~ 27 states have benefited from tailored technical assistance, training, and/or funding to advance state systems level ECE work through 31 different projects (SPAN 16, Nemours 10, ASPHN 5)

• Provided oversight and TA to publish 2018 NRC ECE Licensing Annual Report. Worked to make the report more succinct and user friendly. It is worth mentioning that Tennessee’s 2018 licensing revisions catapulted the state from 39th in the nation to 1st and the Tennessee officials identified Health Department consultation as influencing the 2018 regulatory revisions. Analyses also show a gradual, but significant improvement, in states’ efforts to strengthen child care licensing regulations and prevent childhood overweight and obesity

• Kicked off 3 large cooperative agreements Nemours and ASPHN to advance ECE work

• ASPHN Mini-CoIINs have now supported 17 states to work on system level changes. From 2015 to 2020, 17 states have particiated in Mini-CoIINs from reaching approximately 43 state agencies, 1000 community organizations, 22,000 ECEs and approximately 470,000 children aged 2-5.

•

Child Care Aware

Supporting

providers who

serve low-income

families

5 ASPHN Mini-CoIIN states focusing on improving statewide access to Farm to ECE

*HOP, 14 States Farm to School Supplement

DNPAO Funds NRC for Annual Report

ECE State Licensing Data/Regulations

▪ 2019 Webinar for ECE Stakeholders

▪ DNPAO Digest and ECE Website

▪ Breastfeeding and Infant Feeding

Nutrition, Physical Activity, Screen Time

Childcare survey of Activity and Wellness (C-SAW)

▪ Contract Westat to pilot a State-Based ECE surveillance survey in 4 states

▪ Also includes cross-agency constructs on expulsion and developmental

milestones

DATA: MONITORING STATE ECE SYSTEM & FACILITY CHANGE

Tennessee’s 2018 licensing

revisions catapulted the state

from 39th in the nation to 1st

and the Tennessee officials

identified Health Department

consultation as influencing the

2018 regulatory revisions.

PUBLIC HEALTH - SUPPORT FOR ECE: TOGETHER WE ARE MAKING A DIFFERENCE IN 2019

States Are Strengthening Their ECE

Standards And Helping Providers Meet

Those Standards – 2018 Data

Obesity Standards in State

Licensing Requirements

Have On-Demand Training on

Obesity Prevention for

Professional Development

39States

50States

ASPHN Mini-CoIINs supported 17 states to

work on system level changes. From 2015 to

2019, 17 states have reached approximately

43 state agencies,1000 community

organizations, 22,000 ECEs and

approximately 470,000 children

17

States

56

New! NOPREN FSG Workgroup – Practitioners Invited!

Food Service Guidelines

Email me HBLANCK@CDC.GOV

Technical Assistance,

Training, Tools, and

Guidance

Strategic Policy,

Communications, and

Partnership

Applied Research,

Evaluation, and

Translation

Surveillance and

Epidemiology

2019

SMART CHOICES GUIDE

UPDATED

Surveillance on Top 20

Metropolitan Areas

2020

UPDATED

ASSESSMENT/COMPLIANC

E TOOL

NEW BEHAVIORIAL DESIGN

TOOL

NOPREN & RJWF HER –

New guidance on healthy

foods in Food

Banks/Pantries, Regional

Distribution Centers

FOOD SERVICE GUIDELINES: PARTNERSHIPS, TOOLS

State and Local Recipients are Working in a Variety of Settings:

57

▪ State/Local Government Facilities

▪ Hospitals

▪ Colleges and Universities

▪ Private Worksites

▪ Parks and Recreation

▪ Juvenile Corrections

▪ Food Banks/Food Pantries

Finding the best way to implement the USPSTF PWMIs

for low-income children (aged 6-12) & their families

5 D& I Research Projects 2019-2023

CORD 3.0 Focus & Audience: Treatment

58

CDC’s Childhood Obesity Research Demonstration (CORD 3.0) 2019

▪ Families want access to quality weight

management programs, clinics and community

▪ Time spent in program matters (dose)

▪ Use of EHRs for screening and referral, clinical-

community linkage for food security, PA

▪ Multi-disciplinary teams include RDs, CHWs

▪ Reduce barriers to participation, reimbursement

CORD 1.0, 2.0 Lessons Learned

Working across the health system to

reach children and families in need

Reaching low-income

children and families

Together We Can Make a Difference: Reaching Families

Years 1, 2 With the National

Association of Community

Health Centers, CDC brought child

weight-management programs to

FQHCs in 5 states

16+

The programs are evidence-based

(MEND), and serve children ages 7-13

with obesity

Family-focused programs help children

build new skills to make healthy

choices

This will help us find the key

components of successful programs, to

bring them to more people in more

places Year 2 underway

PWMI DEMONSTRATION GRANTEE MAP 2019, 2020

▪ CORD 3.0

▪ Massachusetts General

Hospital, Boston, MA

▪ Miriam Hospital, Providence, RI

▪ Stanford University, Stanford,

CA

▪ University of Nebraska Medical

Center, Omaha, NE

▪ Washington University in St.

Louis, St. Louis, MO

61

MMWR, NOV. 21, 2019 PAN ET AL.

FUTURE DIRECTION

TELLING OUR STORY

DNPAO 10-YEAR SURVEILLANCE PLAN:

STRATEGIC PRIORITIES

▪ Community environment and policy supports for diet and physical activity

▪ ECE facility practices

▪ Micronutrient status (iron and iodine) in vulnerable populations

▪ Diet and dietary practices in young children

▪ Measured weights and heights in persons >3 m

64

• Interactive state-by-state and national data via clickable maps, charts, and tables

• Provides the most recent health and behavior data

• Export data & save visualizations

• Create custom maps and charts

• Data available for 59 indicators

DNPAO’S DATA, TRENDS, AND MAPS

Source: https://www.cdc.gov/nccdphp/dnpao/data-trends-maps/index.html

Select a topic to see nationwide maps, charts, and tables

Source: Rudd Center for Food Policy & Obesity Report. Increasing

Disparities in Unhealthy Food Advertising Targeted to Black and

Hispanic Youth. January 2019.

31¢per person

$9 billion per year

Source: Petersen R, Pan L, Blanck HM. Racial and Ethnic

Disparities in Adult Obesity in the United States: CDC's

Tracking to Inform State and Local Action. Prev

Chronic Dis. 2019 Apr 11;16:E46.

Questions?

67

HAVE YOU HEARD ABOUT OUR ONLINE RESOURCES?

Data Trends and Maps

Interactive database that provides national and state health status and behaviors

State Community Health Media Center

Collection of free and low-cost, audience-tested advertising and support materials

Division of Nutrition, Physical Activity, and Obesity (DNPAO) Website

CDC.gov/nccdphp/dnpao

DNPAO Facebook Page

Facebook.com/CDCEatWellBeActive

DNPAO Twitter

@CDCObesity

@CDCMakeHealthEZ

Centers for Disease Control and Prevention

National Center for Chronic Disease Prevention and Health Promotion

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.

Division of Nutrition, Physical Activity, and Obesity (DNPAO)

For more information, contact: dnpaopolicy@cdc.gov

Help us keep America healthy and strong. See how at: cdc.gov/nccdphp/dnpao

THANK YOU