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Iowans Fit for Life. Active and Eating Smart. Julie McMahon, Director Division of Health Promotion and Chronic Disease Prevention Iowa Department of Public Health. 1991. Obesity Trends* Among U.S. Adults BRFSS, 1991, 1996, 2003. (*BMI  30, or about 30 lbs overweight for 5’4” person).

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active and eating smart

Iowans Fit for Life

Active and Eating Smart

  • Julie McMahon, Director
  • Division of Health Promotion and Chronic Disease Prevention

Iowa Department of Public Health

slide2

1991

Obesity Trends* Among U.S. AdultsBRFSS,1991, 1996, 2003

(*BMI 30, or about 30 lbs overweight for 5’4” person)

1996

2003

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

stats
Stats
  • An estimated 61% of Iowa adults are overweight (BMI > 25) or obese (BMI > 30)--BRFSS (2002)
  • An estimated 16 percent of children and adolescents ages 6 –19 years are overweight—based on BMI, (1999 –2002 National Health and Nutrition Examination Survey (NHANES)

(> Greater or equal to)

percentage of overweight u s children and adolescents is soaring

16

16

16

14

12

10

Ages 12-19

8

6

5

4

4

Ages 6-11

2

0

1963-

1971-74

1976-80

1988-94

1999-

70**

2002

Percentage of Overweight U.S. Children and Adolescents is Soaring*

18

* >95th percentile for BMI by age and sex based on 2000 CDC BMI-for-age growth charts

**Data from 1963-65 for children 6-11 years of age and from 1966-70 for adolescents 12-17 years of age

Source: National Center for Health Statistics

overweight has important health consequences in children
Overweight Has Important Health Consequences in Children
  • 70% chance of being overweight as adults
  • Childhood onset of Type 2 diabetes
    • Face future risk of serious complications: kidney disease, blindness, amputations
    • People born in 2000 have a high risk of getting diabetes in their lifetimes:
      • 33% of males
      • 39% of females
  • Risk factors for heart disease
    • 60% of 5-10-year olds have at least one
    • 25% have two or more

CDC Data

costs associated with obesity are high and growing
Costs Associated with Obesity are High and Growing
  • 2000 estimated cost: $117 billion:
    • $61 billion direct medical costs
    • $56 billion for indirect costs
  • Iowan’s spent estimated $783 million
    • $363 million paid by taxpayers

(Medicare and Medicaid)

  • Hospital costs related to childhood overweight have tripled in last 20 years
three key factors are related to the onset of obesity
Three Key Factors are Related to the Onset of Obesity
  • Poor dietary practices
  • Decreased physical activity
  • Increased inactivity

(CDC)

americans food practices are shifting dramatically
Americans’ Food Practices are Shifting Dramatically
  • Reduced frequency of family meals
  • Increased fast food consumption
  • Increased portion size
  • Increased consumption of soft drinks (from 27 to 44 gallons/year from 1972-1992)
  • Restrained eating, meal skipping
  • 30,000 products in supermarkets

(CDC)

physical education in schools is on the decline
Physical Education in Schoolsis on the Decline

Participation in daily P.E. classes,

9-12th graders:

1991 42%

1999 29%

(CDC)

as tv time increases so does rate of overweight in teenagers

(0-1)

(1-2)

(2-3)

(3-4)

(4-5)

(>5)

As TV Time Increases, So Does Rate of Overweight in Teenagers

TV Hours Per Day (Youth Report)

(NHES Youth Aged 12-17 in 1967-70 and NLSY Youth Aged 10-15 in 1990)

slide17
CDC-funded State Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases
  • Capacity building
    • 2004-2005-current
    • 2005-2006-applied
  • Implementation, application to CDC
    • 2006….
cdc funded npa program
CDC-funded NPA Program

Year 1-2:

  • Bring together partners to write the State Comprehensive Plan.
  • Implement a pilot intervention
  • Submit the State Plan and application to become an implementation state.
slide19

Iowans Fit for Life

Vision

Iowans will enjoy balanced nutrition, lead physically active lives and live in healthy communities

slide20

Iowans Fit for Life

Mission

Develop and strengthen partnerships that prevent and reduce obesity in Iowa

goals outcomes
Goals/Outcomes

Iowans Fit for Life

  • Prevent and reduce obesity in Iowans through improved nutrition, physical activity and supportive environments.
  • Reduce obesity through integration, coordination and collaboration among organizations and entities that share expertise and maximize resources of existing programs and partnerships.
strategies
Strategies

Iowans Fit for Life

Develop and support partnerships that implement obesity prevention programs

strategies1
Strategies

Iowans Fit for Life

Create and sustain model healthy communities around nutrition and physical activity.

strategies2
Strategies

Iowans Fit for Life

Collect and analyze data that drives decisions about program needs and effectiveness

what needs to be done to develop the comprehensive state plan
What needs to be done to develop the Comprehensive State Plan?
  • Develop Partnerships at the local and state level
  • Share expertise and maximizes resources of existing programs and partnerships.
  • Use Iowa-specific data to identify issues and maximize existing public and private resources
  • Build model healthy community—pilot intervention
partnerships
Partnerships

Work Groups:

  • Educational Setting
  • Early Childhood
  • Older Iowans
  • Business and Agriculture
  • Health Care
  • Community
slide27

Iowans Fit for Life

Here’s how you can make a difference and get involved…

For more Information: www.iowa.gov/iowansfitforlife