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Let’s work together to prevent

Let’s work together to prevent. Childhood Obesity. July 26, 2005 Health and Physical Activity Institute. Jeremy Akers, MS, Obesity Prevention Nutritionist Rachael Kennedy, MEd, Obesity Prevention Coordinator Kathy Sergent, MA, RD, Nutrition Liaison. Our goals for today:. Goals:

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Let’s work together to prevent

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  1. Let’s work together to prevent Childhood Obesity July 26, 2005 Health and Physical Activity Institute Jeremy Akers, MS, Obesity Prevention Nutritionist Rachael Kennedy, MEd, Obesity Prevention Coordinator Kathy Sergent, MA, RD, Nutrition Liaison

  2. Our goals for today: Goals: • Participants will increase their knowledge of obesity in Virginia. • Participants will learn how to use “SuperSize Me” as an educational tool.

  3. Our agenda: • 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

  4. Burden of Obesity

  5. What is BMI? What is BMI? What is BMI? • 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:

  6. Body Mass Index:BMI for Children and Teens Underweight BMI-for-age < 5th percentile At risk of overweight BMI-for-age 85th to < 95th percentile Overweight BMI-for-age > 95th percentile

  7. National Child Data

  8. Percentage of Overweight Children and Teens 1963–70 1971–74 1976–80 1988–94 1999–2000 16 14 12 10 8 Percent 6 4 2 0 Boys 6-11 Girls 6-11 Male Teens 12-19 Female Teens 12-19 Source: Ogden et al. JAMA 2002;288(14):1728-32

  9. Percent Percent Males 12-19 Males 6-11 Females 12-19 Females 6-11 1963-67 1971-74 1976-80 1988-94 1999-2000 1966-70 Trends in Child and Adolescent Overweight 20 20 15 15 10 10 5 5 0 0 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.

  10. Contributing Factors Issues within your region that lead to or promote high rising obesity rates.

  11. Genetics

  12. Energy Imbalance Energy Intake Energy Expenditure

  13. Energy ExpenditureInactivity

  14. Energy ExpenditureIncreased Screen Time

  15. Behavior Nutrition:Quality vs. Quantity

  16. EnvironmentChoices, Choices, Choices

  17. Environment

  18. Culture/ PerceptionsInstant Gratification

  19. Energy IntakePerceptions How do portions today compare to portions sizes 20 years ago? • Food choices • Portion sizes • Number of meals daily

  20. Muffin 20 Years Ago Today 500 Calories 5 ounces 210 Calories 1.5 ounces How many calories are in today’s muffin? Calorie Difference: 310 calories You will you have to vacuum 1 hour and 20 minutes to burn* 310 calories! How long will you have to vacuum to to burn* 310 calories? *Based on 150 pound person

  21. Coffee Today Cafe Latte (Coffee and milk) 20 Years Ago (Coffee with milk) 45 Calories 8 ounces 350 Calories 20 ounces How many calories are in today’s coffee? Calorie Difference: 305 calories You will have to walk briskly for 1 hour and 10 minutes to to burn* 305 calories? How long will you have to walk briskly to to burn* 305 calories? *Based on 150 pound person

  22. French Fries 20 Years Ago Today 210 Calories 2.4 ounces 610 Calories 6.9 ounces How many calories are in these fries? Calorie Difference: 400 calories To burn* 400 calories:  Walk leisurely for 1 hr 10 minutes How long will you have to walk to burn* 400 calories? *Based on 150 pound person

  23. Soda Today 20 Years Ago 85 Calories 6 ½ ounces 250 Calories 20 ounces How many calories are in this soda? Calorie Difference: 165 calories To burn* 165 calories: Garden for 35 Minutes Howlong would you have to garden to burn 165 calories?. *Based on 150 pound person

  24. Cheeseburger 20 Years Ago Today 330 Calories How many calories are in this cheeseburger? 590 Calories Calorie Difference: 257 calories How long would you have to lift weights to burn up 257 calories? To burn* 257 calories: Lift weights for 1 hour and 30 minutes *Based on 130 pound person

  25. Chicken Stir Fry 20 Years Ago Today 865 calories 4 ½ cups 435 calories 2 cups How many calories are in today’s chicken stir fry? Calorie Difference: 430 calories You will you have to do aerobic dance for 1 hour to burn* 430 calories? How long will you have to do aerobic dance to burn* 430 calories? *Based on 150 pound person

  26. Caesar Side Salad(romaine lettuce, croutons, dressing, and parmesan cheese) Today 20 Years Ago 140 calories 1 ½ cups 470 calories 3 ½ cups How many calories are in today’s Caesar Side Salad? Calorie Difference: 330 calories To burn* 330 calories you must walk the dog for 1 hr and 35 minutes. How long do you have to walk the dog to burn* 330 calories? *Based on 150 pound person

  27. Popcorn(cooked in vegetable shortening, without extra butter) Today 20 Years Ago 270 Calories 5 cups 630 Calories 11 cups How many calories are in today’s popcorn? Calorie Difference: 360 calories You will have to do water aerobics for 1 hour and 20 minutes to burn* 360 calories. How to long do you have to do water aerobics to burn* 360 calories? *Based on 150 pound person

  28. Total Intake 20 years ago Diet • Breakfast • Muffin 210 kcal • Coffee 45 kcal • Lunch • Cheeseburger 210 kcal • Fries 85 kcal • Soda 330 kcal • Dinner • Chicken Stir Fry 435 kcal • Caesar Side Salad 140 kcal • Snack • Popcorn 270 kcal • TOTAL 1,725 Kcal Today’s Diet • Breakfast • Muffin 500 kcal • Coffee 350 kcal • Lunch • Cheeseburger 590 kcal • Fries 610 kcal • Soda 250 kcal • Dinner • Chicken Stir Fry 865 kcal • Caesar Side Salad 470 kcal • Snack • Popcorn 630 kcal • TOTAL 4,265 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

  29. The Cost of Obesity is Comparable to other Chronic Diseases Direct Cost of Chronic Diseases in the U.S. (2003) Billions, $ Obesity 1 75.0 Type 2 Diabetes* 2 73.7 Coronary heart disease 3 52.4 Hypertension 4 28.2 Arthritis 5 23.9 Breast Cancer 6 7.1 1Finkelstein EA, Obes Res 2004;124. Hodgson TA et al. Med Care 2001;39:599 2ADA Diabetes Care, 2003;26:9175Yelin & Callahan. Arthritis Rheum 1995;38:1351 3Hodgeson TA et al. Medical Care 1999:37:994. 6Brown ML, et al. Medical Care; 2002;40(suppl): IV-104

  30. Cost of Obesity in Virginia (2003) • $1.64 billion annually • 5.7% of adult medical expenditures • 42% financed by Medicare & Medicaid • VA had the 14th highest costs compared • to all of the other states Source: Finkelstein et al. Obes. Res. 2004;12

  31. How is VA Doing? • 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.

  32. Virginia’s Grade 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. F D

  33. We welcome you to contact us: • Jeremy.akers@vdh.virginia.gov 804-864-7842, information on nutrition initiatives addressing obesity and data • Rachael.kennedy@vdh.virginia.gov 804-864-7789, information on obesity prevention & health promotion initiatives, success stories from the field • Kathleen.sergent@vdh.virginia.gov 804-864-7832, information on nutrition programs and nutrition science

  34. 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: eesupersize@hartsharpvideo.com • *Cost is $39.99+$4.95 s/h (2- 4 wks) or $9.95 s/h (1 week)*

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