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Social, Political, Economic Context for Obesity Policy

Social, Political, Economic Context for Obesity Policy. Elizabeth Johnson, MS, RD Senior Advisor to the Secretary USDA. Where are we today?. 64% of Americans overweight or obese 33% overweight 31% obese, double the rate in 1980 CDC reports that between 1971 & 2000:

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Social, Political, Economic Context for Obesity Policy

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  1. Social, Political, Economic Context for Obesity Policy Elizabeth Johnson, MS, RD Senior Advisor to the Secretary USDA

  2. Where are we today? • 64% of Americans overweight or obese • 33% overweight • 31% obese, double the rate in 1980 • CDC reports that between 1971 & 2000: • Women increased caloric intake 22% • Men increased caloric intake 7%

  3. Where are we today? (cont) 1999-2000 estimates: • 15% of children aged 6-11 years overweight • 16% of adolescents 12-19 years overweight • This is a doubling for children and a tripling for adolescents over the past two decades

  4. Obesity Trends* Among U.S. AdultsBRFSS, 1985 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  5. Obesity Trends* Among U.S. AdultsBRFSS, 2001 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  6. Trends in Obesity-Related Media Coverage Note: Figures represent IFIC tracking of U.S. and International (English-speaking) wire reports and print articles on the issue and do not necessarily reflect the true number of stories.

  7. CNPP Proposed Recommendations vs. Consumption

  8. CNPP Proposed Recommendations vs. Consumption

  9. Easiest thing to do: Change your attitude! Percent of respondents Completely Agreeing with the statement: “People who are not overweight look a lot more attractive.” Source: National Eating Trends®Years Ending February

  10. Now more Americans want to lose weight! “I would like to lose at least 20 pounds.” Percent of respondents Completely Agreeing, Agreeing Mostly, or Agree Somewhat with the statement: Source: National Eating Trends®Years Ending February

  11. Political Context • States considering “sin taxes” on foods • Other countries have imposed taxes • States & localities policies on school meals • Restrict access to foods of minimal nutritional value

  12. Economic Context

  13. Health - Nutritional Supplement Sales Yet, Americans are concerned about their health as long as it is convenient. U.S. Nutritional Supplement Sales (billions) $11.50 $10.30 $8.96 95 96 97 Source: Nutrition Business Journal

  14. Dietary Supplements Estimated US Sales • Supplements • 1999 $16.3 billion • 2001 $17.7 billion • 2002 $18.7 billion (3.8% growth) • Herbals • 2002 $4.3 billion (-.28% growth) • Omega 3 F.A. • 2002 $290 million (25% growth) Source: Nutrition Business Journal

  15. Dieting Trends…

  16. Cost of overweight & obesity • CDC estimated 2000 cost is $117 billion • $61 billion direct medical cost • $56 billion in lost productivity • 400,000 deaths linked to overweight & obesity

  17. Social Context

  18. Less concern about calories in our meals Percent of Homemakers Completely/Mostly Agreeing “I am always conscious of the calories in the meals I serve.”

  19. Less concern about fat in our meals! Percent of Homemakers Completely Agreeing “A person should be very cautious in serving foods with fat.”

  20. Behavior= Percent Of Individual Eating Low/No Substance once in 2 weeks Attitude= “A person should be very cautious in serving foods with ” (top box agreement) Cholesterol Salt Behavior Behavior Attitude Attitude Sugar Behavior Caffeine Behavior Attitude Attitude Nutritional Concerns - Attitude vs. Behavior

  21. 0% 20% 40% 60% 80% 100% Diet Dilemma:What Should Americans Eat? Nutrient Intake in Various Diets Sat Fat Mono & Poly Fat Carbo Protein 25 35 22 18 Atkins 7 33 15 45 Reaven 55 10 20 15 AHA Step I 55 7 23 15 AHA Step 2 50-60 7 18-23 15 ATP III 40 6 24 30 The Zone 55 6 21 18 Dash Ornish 3 72 7 18 US D.R.I. 20-35 45 - 65 10-35 Adapted from: Wilson P., 2002

  22. Personal Responsibility

  23. Science Context

  24. 1980 1985 1990 1995 DG pics 2000

  25. Setting appropriate calorie levelsEstimated Energy Requirements for men and women 3000 2000 1000 Active 20 30 40 50 60 70 80 Age in years Sedentary

  26. Conclusions • Obesity is a serious health in the U.S. • Our past policy has not curbed this health issue • The issue of overweight and obesity is multifaceted with no simple answers

  27. Conclusions • The Bush Administration’s HealthierUS initiative has challenged all Agencies to address this health issue within new policy • We look forward to the partnership with health professionals, academics and industry in reversing this critical health issue

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