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Childhood Obesity: A National Focus

Childhood Obesity: A National Focus. Christopher Roller Director of Advocacy and State Health Alliances American Heart Association, Nevada Presentation to the WCHD Childhood Obesity Forum, September 15 th , 2010. Outline. - Nature of the problem - Brief history - Causes of the epidemic

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Childhood Obesity: A National Focus

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  1. Childhood Obesity: A National Focus Christopher Roller Director of Advocacy and State Health Alliances American Heart Association, Nevada Presentation to the WCHD Childhood Obesity Forum, September 15th, 2010

  2. Outline - Nature of the problem - Brief history - Causes of the epidemic - National recommendations and guidelines - Resources - Policy solutions

  3. How Bad Is The Problem? - About one in three children and teens in the U.S. is overweight or obese. - Overweight kids have a 70–80 percent chance of staying overweight their entire lives. - Obese and overweight adults now outnumber those at a healthy weight; - Nearly seven in 10 U.S. adults are overweight or obese.

  4. Obesity Trends* Among U.S. AdultsBRFSS, 1990, 1999, 2008 Source: CDC Behavioral Risk Factor Surveillance System 1999 1990 2008 No Data <10% 10%–14% 1 5%–19% 20%–24% 25%–29% ≥30%

  5. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1985 No Data <10% 10%–14%

  6. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1986 No Data <10% 10%–14%

  7. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1987 No Data <10% 10%–14%

  8. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1988 No Data <10% 10%–14%

  9. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1989 No Data <10% 10%–14%

  10. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1990 No Data <10% 10%–14%

  11. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1991 No Data <10% 10%–14% 15%–19%

  12. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1992 No Data <10% 10%–14% 15%–19%

  13. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1993 No Data <10% 10%–14% 15%–19%

  14. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1994 No Data <10% 10%–14% 15%–19%

  15. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1995 No Data <10% 10%–14% 15%–19%

  16. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1996 No Data <10% 10%–14% 15%–19%

  17. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1997 No Data <10% 10%–14% 15%–19% ≥20%

  18. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1998 No Data <10% 10%–14% 15%–19% ≥20%

  19. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 1999 No Data <10% 10%–14% 15%–19% ≥20%

  20. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 2000 No Data <10% 10%–14% 15%–19% ≥20%

  21. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 2001 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  22. Obesity Trends* Among U.S. AdultsBRFSS, 2002 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  23. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 2003 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  24. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 2004 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  25. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 2005 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  26. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 2006 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  27. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 2007 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  28. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. AdultsBRFSS, 2008 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  29. Growth in Childhood Obesity, 1971 to Present: Source: CDC, National Center for Health Statistics, National Health and Nutrition Examination Surveys

  30. Causes of the EpidemicSource: American Heart Association - Growing portion sizes - Poor nutrition - Dining out more - Moving less

  31. Causes of the Epidemic Growing Portion Sizes • Americans are eating more • Portions have grown dramatically in recent decades • People eat more when served bigger portions

  32. Causes of the Epidemic Less Nutrition/Poor Choices • Americans are eating more and more foods that are high in calories but don’t meet their nutritional needs. • A majority of Americans are not getting enough vitamins and nutrients through healthy foods, such as fat-free or low-fat dairy, whole grains, fruits and vegetables. • French fries are the most common “vegetable” consumed by children

  33. Causes of the Epidemic Dining Out • People dine out more than ever before. • When people dine out, they consume more calories than if they eat at home. • Away-from-home meals contain fewer fruits, vegetables and whole grains than foods prepared at home.

  34. Causes of the Epidemic Lack of Physical Activity • Children are not getting enough physical activity. • Fitness and physical activity habits established in childhood are key indicators for health in adulthood. • Most children get more than the recommended limit of two hours of screen time per day.

  35. Causes of the EpidemicSource: White House Task Force on Childhood Obesity, Report to the President Other Contributing Factors: - Pre birth and genetic - Socioeconomic - Racial and ethnic - Regional

  36. Recommendations

  37. Recommendations - Alliance For a Healthier Generation

  38. Recommendations - Alliance For a Healthier Generation - American Academy of Child and Adolescent Psychiatry

  39. Recommendations - Alliance For a Healthier Generation - American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics

  40. Recommendations - Alliance For a Healthier Generation - American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics - American Heart Association

  41. Recommendations - Alliance For a Healthier Generation - American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics - American Heart Association - American Diabetes Association

  42. Recommendations - Alliance For a Healthier Generation - American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics - American Heart Association - American Diabetes Association - American Dietetic Association

  43. Recommendations - Alliance For a Healthier Generation - American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics - American Heart Association - American Diabetes Association - American Dietetic Association - American Medical Association

  44. Recommendations - Alliance For a Healthier Generation - American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics - American Heart Association - American Diabetes Association - American Dietetic Association - American Medical Association - Centers for Disease Control

  45. Recommendations - Alliance For a Healthier Generation - American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics - American Heart Association - American Diabetes Association - American Dietetic Association - American Medical Association - Centers for Disease Control - DHHS (synthesis of guidelines)

  46. Recommendations - Alliance For a Healthier Generation - American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics - American Heart Association - American Diabetes Association - American Dietetic Association - American Medical Association - Centers for Disease Control - DHHS (synthesis of guidelines) - Institute of Medicine

  47. Recommendations - Alliance For a Healthier Generation - American Academy of Child and Adolescent Psychiatry - American Academy of Pediatrics - American Heart Association - American Diabetes Association - American Dietetic Association - American Medical Association - Centers for Disease Control - DHHS (synthesis of guidelines) - Institute of Medicine - Johns Hopkins

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