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The Burden of Poor Nutrition and Physical Inactivity: Need for Action. Paul Simon, MD, MPH Director, Chronic Disease and Injury Prevention Los Angeles County Department of Public Health February 24, 2010. Actual Causes of Death in the United States in 2000.

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The burden of poor nutrition and physical inactivity need for action
The Burden of Poor Nutrition and Physical Inactivity: Need for Action

Paul Simon, MD, MPH

Director, Chronic Disease and Injury Prevention

Los Angeles County Department of Public Health

February 24, 2010


Actual causes of death in the united states in 2000
Actual Causes of Death in the for ActionUnited States in 2000

Source: Mokdad et. Al., JAMA 2004


Average weight among adults in los angeles county 1997 2007

Los Angeles County Public Health, Office of Health Assessment and Epidemiology

Average Weight Among Adults in Los Angeles County, 1997-2007

The county’s adult population gained

51 million lbs from 1997-2007.

Source: Los Angeles County Health Survey


Prevalence of obesity and diabetes among adults in los angeles county 1997 2007
Prevalence of Obesity and Diabetes Among Adults in Los Angeles County, 1997-2007

Los Angeles County Department of Public Health

Los Angeles County Health Survey

Department of Public Health


Percentage of adults who are physically inactive los angeles county 2002 2007
Percentage of Adults Who Are Physically Inactive Los Angeles County, 2002-2007

Los Angeles County Department of Public Health

Los Angeles County Health Survey

Department of Public Health


Economic costs of overweight obesity physical inactivity among adults in los angeles county 2006
Economic Costs of Overweight, Obesity & Physical Inactivity, Among Adults in Los Angeles County, 2006

Overweight and Obesity Physical Inactivity

BillionsBillions

Health Care $3.60 $2.39

Lost Productivity $2.38 $3.51

Total: $5.98 $5.90

Total Cost: $11.88 BILLION

6

Source: California Center for Public Health Advocacy, 2009.


Obesity prevalence among public school children in los angeles county 1999 2008
Obesity Prevalence Among Public School Children in Los Angeles County, 1999-2008

Healthy People 2010 Goal: 5%

Source: California Physical Fitness Testing Program, California Department of Education. Includes 5th, 7th, and 9th graders enrolled in Los Angeles County public schools.


What s at stake
What’s at Stake? Angeles County, 1999-2008

  • Overweight children overweight adults

  • Overweight during adulthood associated with heart disease, stroke, diabetes, arthritis, and cancer

  • Adverse effects during childhood

    • medical (hypertension, dyslipidemia, type 2 diabetes, insulin resistance, asthma, hormonal changes)

    • psychosocial (reduced HRQOL, stigma and social marginalization, poor school performance)

  • Inflation-adjusted hospital costs associated with obesity among children tripled during the 1980s and 1990s (Wang & Dietz, Pediatrics, 2002)

  • Obesity epidemic and related medical conditions accounted for 12% of the growth in per capita health care spending in the U.S. from 1987 to 2001 (Thorpe, et al. Health Affairs, 2004)


  • Benefits of physical activity
    Benefits of Physical Activity Angeles County, 1999-2008

    • Increased life span and improved function

    • Reduced hypertension, heart disease, and stroke

    • Prevention of diabetes and related complications

    • Decreased risk of colon cancer

    • Improved mental health

    • Body weight maintenance and obesity control

    • Increased bone mass

    • Improved immune function

    • Reduced health care costs

      Surgeon General’s Report, 1996


    Percentage of Children ( Angeles County, 1999-2008Age 1 to 17 years) Whose Parents Report Not Having a Park, Playground, or Other Safe Place They Can Get to Easily, by Household Income, Los Angeles County, 2007

    2007 Los Angeles County Health Survey

    Department of Public Health

    *Federal Poverty Level


    2012 goal for reducing the percentage of Los Angeles County adults (18+) who do not meet guidelines for recommended levels of physical activity,

    33.9%

    Goal: 5% Reduction

    *Projected prevalence of Adults Not Meeting Guidelines, assuming a linear trend


    Percentage of 5 adults (18+) who do not meet guidelines for recommended levels of physical activity, th, 7th, and 9th grade public school students not in the “Healthy Fitness Zone” on at least 5 of 6 fitness tests, Los Angeles County.


    2012 goal for reducing the percentage of 5 adults (18+) who do not meet guidelines for recommended levels of physical activity, th grade public school students not in the “Healthy Fitness Zone” on at least 5 of 6 fitness tests, Los Angeles County.

    38%

    Goal: 5% Reduction

    *Projected percentage of 5th grade students not in HFZ, assuming a linear trend


    2012 goal for reducing the percentage of 7 adults (18+) who do not meet guidelines for recommended levels of physical activity, th grade public school students not in the “Healthy Fitness Zone” on at least 5 of 6 fitness tests, Los Angeles County.

    35.3%

    Goal: 5% Reduction

    *Projected percentage of 7th grade students not in HFZ, assuming a linear trend


    2012 goal for reducing the percentage of 9 adults (18+) who do not meet guidelines for recommended levels of physical activity, th grade public school students not in the “Healthy Fitness Zone” on at least 5 of 6 fitness tests, Los Angeles County.

    25.1%

    Goal: 5% Reduction

    *Projected percentage of 9th grade students not in HFZ, assuming a linear trend


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