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James S. Marks, M.D., M.P.H. Senior Vice President Robert Wood Johnson Foundation

Childhood Wellness and Obesity: Tools to Help Schools Take Action Princeton, NJ • March 31, 2006. James S. Marks, M.D., M.P.H. Senior Vice President Robert Wood Johnson Foundation. FUTURE OF CHILDREN. No Data <10% 10%–14%. OBESITY TRENDS* AMONG U.S. ADULTS. BRFSS, 1985.

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James S. Marks, M.D., M.P.H. Senior Vice President Robert Wood Johnson Foundation

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  1. Childhood Wellness and Obesity: Tools to Help Schools Take Action Princeton, NJ • March 31, 2006 James S. Marks, M.D., M.P.H.Senior Vice PresidentRobert Wood Johnson Foundation

  2. FUTURE OF CHILDREN

  3. No Data <10% 10%–14% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1985 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  4. No Data <10% 10%–14% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1986 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  5. No Data <10% 10%–14% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1987 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  6. No Data <10% 10%–14% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1988 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  7. No Data <10% 10%–14% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1989 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  8. No Data <10% 10%–14% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1990 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  9. No Data <10% 10%–14% 15%–19% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1991 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  10. No Data <10% 10%–14% 15%–19% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1992 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  11. No Data <10% 10%–14% 15%–19% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1993 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  12. No Data <10% 10%–14% 15%–19% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1994 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  13. No Data <10% 10%–14% 15%–19% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1995 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  14. No Data <10% 10%–14% 15%–19% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1996 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  15. No Data <10% 10%–14% 15%–19% ≥20 OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1997 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  16. No Data <10% 10%–14% 15%–19% ≥20 OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1998 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  17. No Data <10% 10%–14% 15%–19% ≥20 OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,1999 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  18. No Data <10% 10%–14% 15%–19% ≥20 OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,2000 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  19. No Data <10% 10%–14% 15%–19% 20%–24% ≥25% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,2001 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  20. No Data <10% 10%–14% 15%–19% 20%–24% ≥25% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,2002 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  21. No Data <10% 10%–14% 15%–19% 20%–24% ≥25% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,2003 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  22. No Data <10% 10%–14% 15%–19% 20%–24% ≥25% OBESITY TRENDS* AMONG U.S. ADULTS BRFSS,2004 (*BMI 30, or about 30 lbs overweight for 5’4” person) Source: Behavioral Risk Factor Surveillance System, CDC.

  23. No Data <4% 4%–6% 6%–8% 8%–10% >10% DIABETES TRENDS* AMONG U.S. ADULTS BRFSS,1990, 1995, 2001 (*Includes Gestational Diabetes) 1990 1995 2001 Sources: Mokdad et al., Diabetes Care 2000;23(9):1278–83; JAMA 2001;286(10):1195–2000

  24. 20 15 10 5 Ages 2-5 years Ages 6-11 years 0 1976-80 1988-94 1963-67 1966-70 1971-74 1999-2000 PREVALENCE OF CHILDHOOD OBESITY Percent Percentage of children with BMI at or above theage- and gender-specific 95th percentile. Institute of Medicine; Preventing Childhood Obesity, 2005

  25. BIGGER CASKETS, STRETCHERS

  26. COSTS OF OBESITY • State budgets • Global competitiveness • National security

  27. Calories Burned Calories Consumed ENERGY BALANCE VS.

  28. CONSUMING MORE • Eating out • Bigger portion sizes • Competitive foods in schools • Sugar-sweetened beverages

  29. BURNING LESS • Little or no P.E. in schools • Few kids walk and bike to school • Screen time

  30. IOM REPORT • Causes and potential solutions • Call to action for all sectors

  31. RWJF FOCUS • Schools and communities • Children ages 3-12 • Kids at greatest risk

  32. RWJF APPROACH • Putting the best minds to work • Testing innovative approaches • Educating leaders and advocates

  33. HEALTHY SCHOOLS PROGRAM • Healthier choices at same or lower cost • Focus on schools with fewest resources • Physical activity and nutrition standards • School recognition program • Staff wellness

  34. Important issues Long-term commitment Making a difference

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