I had the privilege of representing FORWARD at the Weight of the Nation Conference in Washington DC last month along with Dr. David Dungan and Krystal Kleinschmidt.FORWARD was invited to present a poster session on our BMI surviellience (thanks in part to one of our Advisory Board members, Rob Bisceglie who served as co-chair of the schools track--you will hear from both shortly)While some might say this is a “Public Health Issue” ----put on by the CDC at a public health conference, I say it was again confirmation of what we have all known here at FORWARD --thanks to our foundersThe Weight of the Nation is out of control…but we can fix it!
Quickly, you may have seen these figures before, but I think it is important to review them again.This is CDC data, starting back in 1985. Rates of obesity were practically non existent
Obesity related medical costs are likely underestimated. Could be up to 20% of total health costs or $500B annually.By 2030, obesity rates will increase 42%.By 2030, severe obesity (>80 lbs.) will more than double from 5-11%.By 2030, 32M adults obese.By 2030, we’ll incur $550B in added obesity related health costs, if the trend continues.
While in DC two significant eventsThe IOM released it recommendations for Accelerating Obesity PreventionThey include:PA dailyMaking healthy choice the easy choice with regards to foodMarketing healthy options is importantEmployers (especially the Health care sector) are critical settings to impact change (like employee wellness and what you will learn about shortly FORWARD’s Provider Network for health care professionalsSchools must be an setting of focus for healthy eating and active livingFORWARD has taken these recommendations and updated our strategic plan to address all 5 goals. You will hear about progress to date in a few minutes.
The second significant release was a series of documentary films created in partnership with HBO, CDC, Kaiser, Dell, and NIH.I sent an email a few weeks ago asking each of you to please look at, at least one. There are 4 films and a series of “shorts” How many have??Well, to wet your whistle today, we have a preview of a special 10 minute version…..
What did we learn from this clip??
What can we do?I hope you will these documentaries are valuable tools that can help us get the message out to our friends, family colleagues and neighbors.
This is more than a public health issue. This is everyone’s issue
IAPO convened and managed by IPHI, 115 groups.
NARRATIVE: SLBs increase hunger, decrease satiety and decrease fullness. (Ranawana, Henry. Int J Food Sci Nutr. 20011 feb;62(1):71-81) Bodies don’t compensate for liquid calories in the same way as solid food. Sugar highs and lows. Sugary foods and drinks tend to hold you over for 10 – 15 minutes. A lean protein of a complex carb can hold you over for 3 hours. They add calories without providing nutrients.
REFERENCES: Bullet #1: Ogden CL, Kit BK, Carroll MD, Park S. (2011) Consumption of sugar drinks in the United States, 2005–2008. NCHS data brief, no 71. Hyattsville, MD: National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/data/databriefs/db71.pdf Bullet #2: xi Yale Rudd Center for Food Policy and Obesity (2009) Rudd Report: Soft Drink Taxes Policy Brief. Retrieved from http://www.yaleruddcenter.org/resources/upload/docs/what/reports/RuddReportSoftDrinkTaxFall2009.pdf Bullet #3: xii Ludwig, D.S., Peterson, K.E., & Gortmaker, S.L. “Relationship between Consumption of Sugar-Sweetened Beverages and Childhood Obesity: A Prospective, Observational Analysis”, Lancet, 2001.357.505-508. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/11229668 Bullet #4: Chaloupka Report vi Chaloupka, F., Wang, Y.C., Powell, L., Andreyeva, T., Chriqui, J., Rimkus, L. (2011) Estimating the Potential Impact of Sugar-Sweetened and Other Beverage Excise Taxes in Illinois.
A woman who drinks a 20 oz Pepsi has had almost three times the maximum amount. A teenager who drinks a Rockstar Energy drink has doubled the max. .
NARRATIVE: The original Coke bottle size was 6.5 ounces in the 1920s; smaller than the bottle on the left side of the slide which is 8 oz. 12 ounce cans were introduced in the 1960x. 20 oz bottles were introduced in the early 1990s and I liters in the late 1990s. Source: New York document
.NARRATIVE: Here is an old Coca Cola ad. At one time, the message sent was that 16 ounces served 3 people. We are a long way away from that now. Marketing to kids:From 2008-2010, exposure to TV ads for full calorie soda doubled for children and teens. 2/3 of all radio ads heard by teens were for full calorie soda. In 2010, teens saw 18% more energy drink tv ads and heard 46% more radio ads than adults. 63% of all full calorie soda and energy drink ads on national TV include sponsorship of an athlete, sports league or team, event or cause. Black children and teens saw 80% to 90% more ads than white youth.Latino pre-schoolers saw more ads for Coca-Cola Classic, Kool-Aid, 7 Up and Sunny D than Latino children and teens.
Excise Tax on Sugar-loaded Beverages Generate more moneyEasier to administerReflected in the shelf prices that would lower consumptionProvides stable revenueA one-cent per ounce excise tax on sugar-loaded beverages would produce: 23.5% drop in consumption; 185,127 fewer obese Illinoisans (9.3% reduction in the number of obese youth between the ages of 2 -17 and 5.2% reduction in number of obese adults); 3,442 fewer people with diabetes; Reduction in health care costs related to diabetes and other obesity related diseases totaling $171.5 million in the first year; and New tax revenues totaling $606.7 million to invest in prevention
Next, I would like to ask Rob Bisceglie, CEOAFHKs and a member of the FORWARD Advisory Boardup to talk about the Partnership that FORWARD has established with AFHKs.
Good Morning…How many of you were at the Get in the Action Party in September??Well, Last year, Action for Healthy Kids, a national organization dedicated to reducing and preventing childhood obesity and undernourishment by working with schools, families and communities across the US to help our kids learn to be healthier and be ready to learn, partnered with FORWARD to host an inaugural “Get in the Action Party.”
The Party:Raised over $45,000 Helped to increase our partnerships and grow the FORWARD Coalition by adding more than 100 membersBrought together over 191 local partners at Mays Lake-another Forest Preserve siteHosted some very special guests--NBC 5 Fitness Club Coach,Saran Dunmore; NBC's Season 7, The Biggest Loser Couple, Jerry and Estella Hayes; Former Wide Receiver for the Chicago Bears, Anthony Morgan; Representative Robyn Gabel; Representative Patti Bellock; Boogie Woogie Innovator/Pianist Erwin Helfer; and marathoners Seth and Karen KopfAnd we recognized the first DuPage County, Healthy School Hero—Paul Zientarski!
We then turned around and disbursed funds raised in partnership with FORWARD and all of our sponsors (see signage) to conduct Get in the Action Days---Get in the Action gives ordinary people an opportunity to get involved in their own communities, creating the kinds of healthy changes in schools that make it possible for kids to be physically active and to eat nutritious food every day. From the cafeteria to the playground, volunteers are rolling up their sleeves, pulling out their paint brushes and tools to build or renovate school facilities so kids have healthy school environments.
The 5 Get in the Action Days were held in 5 DuPage schools one in each FORWARD region in partnership with the 5 DuPage YMCAs last fall:At Schafer Elementary School Day of Action project in Villa Park-Staff were trained in brain break curriculum and students enjoyed healthy food tasting as a means to improve school lunch/breakfast menusAt Fairmount School Day of Action Project in Downers Grove-Teachers and volunteers were trained on the importance of physical activity and its impact on learning and the school received new recess equipment to keep kids moving during recess.At Field School Day of Action Project in Elmhurst-students and staff were introduced to new playground games and activity stations for use during inclement weather.At Beebe School Day of Action Project in Naperville-Staff and volunteers helped students increase understand PA through the purchase of student pedometers for use in and after school and now enjoy a joint use agreement for shared physical activity space.At West Chicago Middle School West Chicago-Students received a new stainless steel commercial refrigerator that was purchased to support healthy after school snacks.
I am excited to announce today that FORWARD will continue these Get in the Action efforts in the upcoming year through additional funding received through Cadence and Edward Hospital. In August, community organizations and schools will have the opportunity to apply for funding between $500-5000 for Get in the Action projects to create healthy sustainable changes in schools, neighborhoods and communities throughout Dupage.The announcement will be posted on the FORWARD website and released to coalition members. AFHKs and FORWARD are excited to be able to continue this partnership and help bring needed resources to make it possible for kids and families to be more physically active and to eat nutritious food every day.
ANN: Moving right along, you can see already that we have been very busy this year. Our YMCA partners not only helped us with et in the Action Days, but they also worked in partnership with 10 municipalities last year to bring together community leaders, access the communities using the CHLI, and then identify the bold changes that they were willing to work towards to improve the health of their communities and residents.I am please to invite Barbara Taylor, ED of the Indian Boundary YMCA and the Director of the Southeast FORWARD Regional Office to present an update on all of the the Big Ideas that we announced last spring
BARB: FORWARD’s South West Region, is lead by the Fry Family YMCA in Naperville. They have been working in Naperville and Aurora. Over the past year. Who is here for those communities??? To date the success realized include:A joint use agreement between the YMCA and after school providers and the school food service provider to increase healthy foods available after school. The Aurora and Naperville leadership teams would now like to focus efforts to spread this vision to the school lunch and breakfast programs in their respective districts.Expansion of physical activity opportunities began with the Get in the Action projects in the schools that Rob mentioned earlier. These two municipalities have now joined forces and will be working collaboratively with employers to increase opportunities for employees in Naperville and Aurora businesses to have access to healthy worksites.Finally efforts are underway to work with the faith community and food panties to provide not only education but increased access wo healthy food options. You will hear later some work that is being done through the Northern Illinois Food Bank to support this concept.
FORWARD’s North East Region, is lead by the Elmhurst YMCA. They have been working in both Elmhurst and Addison. Who is here for those communities???To date the success realized in Elmhurst includes:Developing a city-wide plan in Elmhurst to increase education to community on healthy food options and a challenge to restaurants to offer at least one healthy menu option that meet the US Dietary Guidelines.Physical activity kits are available to community residents for events and parties to increase physical activityAddison is now looking at pulling their Core leadership Team together to address similar issues. You will hear from their superintendent shortly about the changes already underway due to his leadership.
FORWARD’s Central Region, is lead by the Tri-town YMCA in Lombard. They have been working in Lombard and Villa Park. Who is here for those communities??? This group deserves special kudos--- as they applied for and received a Pioneering Healthier Communities grant for Villa Park. In fact Leaders form the Villa Park community are meeting this afternoon to do some strategic planning for this effort.To date the success realized include:A focus on increasing physical activity through walking activities and brain breaks for local schoolsImproving nutrition education through materials and eventsIncreasing opportunities for more physical activity through improvements to the built environment-walking to school, better bike crossings and funding to support alternative tarnsportation.
I am so proud of the work we are doing in FORWARD’s Central Region! This is my region and lead by the Indian Boundary YMCA in Downers Grove. We have been working in Downers and Woodridge. Who is here for those communities??? To date the success realized include:Increasing physical activity through the schools---offering intermural sports (after the program was cut for budgetary reasons) and educating the community on the importance of PA.Improving the workplaces throughout these communities by partnering with DMG to offer Wellness RX (explain)Increasing options to eat healthier but working on a community-wide effort to challenge restaurants to offer 700 calories or less meals that meet the Dietary guidelines for salt, sugar and fat.We will be spreading this work in the fall to Wooddale.
Lastly, FORWARD’s North west Region is being led by BR Ryall YMCA in Glenn Ellyn. They have been working in Glen Ellyn and West Chicago. Who is here for those communities???They have focusing efforts on:Improving the worksite of District 87—one of the largest employers in the community by offering worksite physical activity optionsIncreasing the PA for students through non-athletesIncreasing healthy food and education through community-wide events and campsLets recognize all of these municipalities and others that have identified the b=need and are working inpertnership to make healthy sustainable changes!
ANN: All of these efforts have been through municipal volunteers, community groups and residents, that have risen to the call and want to help make their schools, neighborhoods, business and communities healthier and better places to live. FORWARD realizes that they cannot do this in isolation. So in the Fall we created two Task Forces and a Workgroup to help us move these local efforts along. I would like to introduce Dan Thomas, Trails Coordinator / Principal Planner for the DuPage County Division of Transportation.Dan not only agreed co-chair the Active Transportation Task Force, shortly after he began in his position with the County last summer but has also joined the FORWARD Advisory Board. Dan…
Dan: Good Morning. In the fall and winter of 2011, FORWARD asked myself, the DuPage Mayors and Managers conference, the Forest Preserve, the Illinois Bicycle Federation, the Convention and Visitors Bureau, CMAP, and with guidance for the Active Transportation Alliance launched the Active Transportation Task Force. The purpose of this group is to leverage local and statewide expertise to enhance and enable more active transportation in Dupage County. We agreed that we would do this by:Increasing funding for active transportation projects in DuPage County, by:Identifying and communicating the economic benefit and by setting targets to fund pedestrian, bicycle and alternate transportation projects (we are already in conversation with the Dupage Mayors and Managers Conference to looking at a modified funding methodology projects that include active transportation)Promoting the adoption and enforcement of active transportation policies within and among governmental agencies and planning commissions/organizations such as:Expanding the number of municipalities that have Complete Streets policiesEnsuring that municipalities are enforcing Complete Streets policiesMonitoring and ensure the application of Complete Streets policies at the County levelAnd , in partnership with the Active Transportation Alliance, monitor and ensure the application of Complete Streets policies through Illinois Department of Transportation for DuPage County
3. Identifying and expand projects that will impact active transportation opportunities for residents of DuPage County, such as:Studying and identifying the trail system crossingsStudying the trail system use in order to make recommendations on areas for expansionStudying bike/walk trips to Metra stations in DuPage in order to make recommendations on needed equipment (bike racks) and expanded routesAND4. Identifying and expand programs to support active transportation in DuPage County. Such as:Studying and marketing Bike Friendly designations in municipalities in order to enhance and expand the number and reach
At our most recent meeting the Task Force has agreed to develop a Municipal Strategy, recognizing that active transportation in suburban communities is complex. We must work with local leaders and empower local decision makers as to the benefits and value of active transportation. The above outlines out broad plan with regard to transportation---To Advance the health of all residents, FORWARD will work in partnership with the DuPage Mayors and Managers Conference (DMMC) and its member municipalities to advance local decision making to:Define the components of active transportation,Promote the value of incorporating active transportation,Help leverage resources to increase more active transportation opportunities within municipalities, andShare innovative success stories on how have others have impacted change in order to reduce redundancy and expedite expediency. All of these will not only support the local efforts mentioned earlier, but help to brand the DuPage active transportation infrastructure to encourage its use, raise local awareness and market DuPage County as a hub for health and regional active living destination.
ANN: Now to change themes a bit but stay with me on this focus on county-wide expertise and local decision making. Do we have any local elected leaders here today…??? (I should mention that we have mayors Brummel and Muelleron the Active Trans Task Force and we are looking for local leaders for the Nutrition Task Force.To help us understand the value of healthy and flavorful food and how that can impact out Health FORWEARD created the Nutrition Task Force. I would like to welcome ChrisTheilman, co-chair of the Task Force. Chris is also a chief, instructor and Coordinator of Culinary and Hospitality Management COD. You may have all seen his new Culinary Center…beautiful! Chris….
CHRIS: Good Morning. In the winter of 2011, FORWARD asked myself, the Northern Illinois Food Bank, the University of Illinois Extension, Seven Generations Ahead, Il-NET, Center for Excellence in the Elimination of Disparities, and several other dieticians and nutritionists in DuPage, to help launch FORWARD’s Nutrition Task Force. The purpose of this group is to leverage local and statewide expertise to enhance and enable more healthy flavorful food in DuPage as the easy and routine choice. As a result of the recent Institutes of Medicine Report (mentioned earlier) we will be focusing efforts on 4 strategic areas: Increasing resources that support more healthy, flavorful food in DuPage County.Make a variety of beverage options, including healthy options that are competitively priced and readily available in public places 2. Promoting the adoption of policies and practices to reduce unhealthy food and beverage options and increase healthy, flavorful food at affordable and competitive prices by:Adopting policies and implementing practices to reduce overconsumption of sugar-sweetened beverages. And Limiting the concentration of unhealthy food venues (such as Barb mentioned earlier that Woodridge is trying to work with restaurants to offer 700 calorie meals that meet the Dietary Guidelines)
CHRIS: 3. Make Healthy Foods Available Everywhere by creating environments that ensure that healthy food and beverage options are the routine, easy choice. By Expanding the number of schools and food pantries that offer healthy, flavorful food options by increasing the availability of lower-calorie and healthier food and beverage options. Substantially increasing the availability of nutrient dense foods /portion control meals served to students in schools and through food pantries.Substantially expand the number of affordable and competitively priced healthier options available for students and adults to choose from in school settings including vending, afterschool and at school events.Ensure that all foods and beverages sold or provided through the government entities/settings are aligned with the age-specific recommendations in the Dietary Guidelines for Americans.Adopt nutrition standards for all federal child nutrition programs including breakfasts, lunches and snacks and beverages. 4. Educate to promote healthy food that can be full of flavorful in schools and food panties throughout DuPage, by:Adopt consistent nutrition education that explicitly encourages the provision of advice about types of foods to reduce in the diet, consistent with the Dietary Guidelines for Americans.Ensure the implementation and monitoring of sequential food literacy and nutrition science education, is provided in grades K-12, based on the food and nutrition recommendations in the Dietary Guidelines for Americans.
The Task Force also agrees making healthy flavorful foods available and accessible in a County like DuPage is also complex. We must work with local leaders and empower local decision makers as to the benefits and value of making healthy food the routine and easy choice . The above outlines a broad plan with regard to Healthy Eating---To Advance the health of all residents, FORWARD will work in partnership with the DuPage Mayors and Managers Conference (DMMC) and its member municipalities to advance local decision making to:Increase resources that support healthy and flavorful food-community gardens, restaurant zoning, etc..Promote the adoption of policies and practices to reduce unhealthy food and beverage options and increase healthy, flavorful food at affordable and competitive pricesMake healthy foods available everywhere by creating environments that ensure that healthy food and beverage options are the routine, convenient choiceEducate to promote that healthy food can full be full of flavor.As Dan mentioned, all of these will not only support effort mentioned earlier to create change locally, but help to brand DuPage County as a hub for health and a regional healthy food and active living destination.
ANN:Something here about the heath educators group and the power of this force.All of these efforts have been and will continue to be driven by FORWARD’s Data Collection. This meeting marks the three year anniversary of FORWARD. From the beginning we brought together a team of epidemiologists, physicians and researchers to help FORWARD identify the need and hit that mark. I would like to introduce Dr. David Dungan, a member of the FORWARD Advisory Board, Co-chair of the Data Committee and a pediatrician with Dupage Medical Group to talk about our Data collection efforts and the newest work that FORWARD is doing to better support our health care providers through our Action Network. David….
DAVID: FORWARD Made an Early Commitment to Measuring Our Progress Through DataData Drives DecisionMeasures ProgressHelps to Guide Direction and InterventionsAllow Comparison With Local, Regional and National EffortsLet’s Us Know When We Have Met our Goals
We’re pleased to report that we’ve completed our 2011-2012 BMI Data Surveillance. All public schools with a Kindergarten, Sixth or Ninth grade in DuPage County (213 public schools) were invited to participate; of those, 195 of 213 (91.5%) submitted data.We collected a total of 27,914 student records.This gives FORWARD nearly 40,000 student BMI data points.Data collected by FORWARD is for surveillance purposes only. For confidentiality reasons, we do not track the same children over time. Therefore, correlations from year to year are not reported unless there is statistical significance.
Our rates indicate that nearly one in three Kindergarteners, Sixth Graders, or Ninth Graders in DuPage County were overweight or obese.31% were overweight or obese and 15% were obese. This same prevalence rate for both obese or overweight and obese was observed among the 2010-2011 group of K, 6th and 9th Graders sampled in DuPage County last year. This in no way reflects the same children sampled in previous years
The prevalence of overweight and obesity in K, 6 and 9 graders by sex indicates that boys have slightly higher rates of overweight and obesity.Females in our sample this year had a 4% lower rate of overweight or obese and a 3% lower rate of obese than males. FORWARD will continue to extrapolate the data to try to understand the factors contributing to these differences.
The Sixth Grade students sampled had a higher rate of overweight or obese than the other grade levels; overweight or obese rates were 2% higher than in Ninth Graders and 4% higher than in Kindergartners. As a follow up to this report, FORWARD will be continuing our data surveillance efforts yearly, revising the Data Snapshot from 2009, and looking at BMI data from early childhood education and private/parochial schools for 2012.
While I’m up here, I do want to highlight one very special new project that FORWARD is focusing our efforts on. To help support the work of healthcare providers across DuPage County, FORWARD is building an Action Network. FORWARD received $120,000 in 2012 from Healthy Kids, Healthy Families of Blue Cross and Blue Shield of Illinois (BCBSIL). Through the Network, FORWARD will accelerate best practices among providers and improve clinical and community linkages and referral sources for the prevention and treatment of obesity in children aged 2-19, especially for the lower socioeconomic population. FORWARD will use the Healthy Kids, Healthy Families funds to:•Increase accessibility of prevention and treatment resources for children and families identified as at risk.•Provide training and education to healthcare providers to accelerate and share best practices.•Expand clinical resources available in DuPage County for families struggling with unhealthy weight.•Adopt and spread a county-wide education campaign using the 5-4-3-2-1 Go! prevention messaging.
ANN: Thank you Dr. Dungan and the entire Data Committee for all of your support and efforts in this partnership.We are going to take a few minute break now. I would like to invite Bobbie Adams, certified Tai Chi Instructor to come up and lead us.
ANN:Introduce the Panel
Briefly discuss RMHC grant and Feeding America
June 21 2012 Coalition Meeting
Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults BRFSS, 2010 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends• Obesity-related medical costs could be up to 20% of total health costs or $500B annually• By 2030, obesity rates will increase 42%• By 2030, severe obesity (>80 lbs.) will more than double from 5 to 11%• By 2030, 32M adults will be obese• By 2030, we’ll incur $550B in added obesity- related health costs, if the trend continues
Health Consequences• High Blood Pressure • Type 2 Diabetes• High Blood Cholesterol • Stroke• Coronary Heart Disease • Sleep Apnea• Gallbladder disease • Poor Quality of Life• Nonalcoholic Fatty Liver • Osteoarthritis Disease • Cancer
IOM: Weight of the Nation1. Integrate Physical Activity Every Day in Every Way2. Make Healthy Foods Available Everywhere3. Market What Matters for a Healthy Life4. Activate Employers and Health Care Professionals5. Strengthen Schools as the Heart of Health
Obesity has Escalated in the Course of a LIFETIME. YOURS.
• “The Obesity Era”• “Obesity is the norm…”• < 1% of Americans meet criteria for ideal cardiovascular health• 1st generation to have a shorter life expectancy than parents• Friend time = video games
• We need to create a plan for ourselves each day…(recommit to health daily)• We need the collective to make change• “In order to Win we have to Lose”• “The weight of the nation is out of control, but we can fix it!”
Pledge for ProgressTo win, we have to lose. The first step starts with you. Pledge your commitment to reversing the obesity epidemic in America today.Starting now, I commit to reversing the obesity epidemic in America.
IAPO Roadmap • 8 Policy, Systems & Environmental change objectives – Increase access to retailers who serve and/or sell healthy and affordable food options. – Develop state-level obesity prevention resources and infrastructure. – Increase consumption of healthy food and beverages in relation to consumption of unhealthy food and beverages that have minimal nutritional value, such as sugar- sweetened beverages and calorie-dense, low-nutrition fast foods. 19
IAPO Roadmap • 8 Policy, Systems and Environmental Change Objectives (cont.) – Promote healthy and affordable food consumption in senior centers, schools, parks, child care settings, and after school programs. – Increase opportunities for safe and affordable physical activity in communities, senior centers, schools, child care settings, and after- school programs. – Promote safe and active transportation. – Promote healthy and active lifestyles in workplaces. – Promote obesity prevention through hospitals and health care systems. 20
IAPO –Workgroups/partnerinitiatives • Sugary beverages – Symposium, speakers bureau, hospital initiative, tax discussion • White paper on BMI surveillance/IDPH discussions • IL Fresh foods fund – announcement any day • Infant Feeding Act • Farmer’s markets in convention centers legislation • Enhanced PE Task Force, Enhanced PE Plan • Reviewing Medicaid billing codes • Municipal challenge – healthy vending, etc. • Developing workplace wellness resources 21
Rethink Your Drink:Sugar–Loaded Beverages &Obesity 22
age adapted with mission from thew York Citypartment of Healthd Mental Hygiene.pyright August10. 23
More than one-third of all sugars are consumed in sugary beverages – thegreatest source of added sugar in the US diet.Beverages account for anestimated 20% - 40% of all weight gained byAmericans between 1997 and 2007. 24
• Half of US population over the age of two consumes sugar-loaded beverages daily.• Every additional serving of sugar-loaded beverages per day increased risk of obesity in children by 60%.• Adults who drink one or more daily are 27% more likely to be overweight or obese.• Illinoisans consumed 620 million gallons of sugar-loaded beverages in 2011. 25
American Heart Association BEVERAGE Typical Amount of Sugarrecommends the daily intake Servingof sugar for an adult woman COKE 12 oz 10 tspshould be no more than 6 PEPSI 20 oz 17 tspteaspoons (tsp) and no morethan 9 tsp for adult men. For SUNKIST ORANGE 12 oz 13 tspchildren the recommended SODAdaily amount should not SNAPPLE 16 oz 13 tspexceed 3 tsp and for teens the LEMONADE ICEDmaximum amount is TEA8 tsp. ROCKSTAR 16 oz 16 tsp ENERGY DRINK RED BULL 8 oz 7 tsp ORIGINAL 20 oz 9 tsp GATORADE VITAMIN WATER 20 oz 8 tsp SUNNY D 6.75 oz 4 tsp CAPRI SUN 6 oz 4 tsp (SMALL POUCH) 26
Reducing Consumption• Change institutional settings to encourage healthy drink options – Create Healthy Beverage Policy in workplaces, hospitals, schools, child care and other community settings – Remove from vending machines, cafeterias, etc. • Change mix of drinks in machines • Product placement – water is at eye level – Pricing strategies: Water costs less than sugary drinks. – Serve drinks that are no more than 25 calories per 8 oz. at meetings, events, conferences, etc. – Ban them on property 30
Reducing Consumption• Increased education about negative health effects of sugary drinks – Health care leaders/hospitals, doctors, nurses – Counter-marketing strategies (e.g. Rethink Your Drink & Pouring on the Pounds) – Media outreach – Community engagement and empowerment• Public health policy strategies – Excise tax to support a prevention fund – Restrict portion sizes (a la New York) – Restrict sales & use in schools 31
Thank you!www.preventobesityil.org Illinois Public Health Institute 954 W Washington Suite 450 / Mail Box 10 Chicago, IL 60607 (312) 850-4744 For More Information: Elissa.Bassler@iphionline.org 32
Southwest Regional Big Ideas UpdateIncrease Fruit and Vegetable Consumption For School Age Children• Joint Use AgreementIncrease Physical Activity for School Age Children• Get in the Action Projects• Worksite WellnessIncrease Health Education Opportunities in Low IncomeCommunities• Partnering with the faith community and food pantries to expand nutrition education and options
Northeast Regional Big Ideas UpdatePromote Healthy Eating and Physical Activity• Partnering with the Elmhurst Community Round Table to plan a city-wide initiative to offer more healthy options on restaurant menus and educate the communityIncrease Physical Activity• Physical Activity Kits purchased and available for community residents and organizations for events
Central East Regional Big Ideas UpdateIncrease Physical Activity• Organized walking clubs/meet ups and publicizing walking venues• Brain breaks and improved recess for schoolsIncrease Nutrition Education and Awareness• Translated Family Nutrition Handbook to improve health education• Get in the Action Project to increase healthy food in schoolsIncrease Active Transportation--biking, walking, etc.• Partnered with Active Transportation Alliance to conduct a parent survey to remove barriers to walking to school
Southeast Regional Big Ideas UpdateIncrease Physical Activity• Through a community-wide health education campaign• Get in the Action project with physical activity• Partnering with District 99 to offer intramurals• Working with DuPage Medical Group and local employers on Wellness RXHealthy Eating• Working with local restaurants to promote a community-wide campaign to offer/highlight 700 calorie (or less) meals
Northwest Regional Big Ideas UpdateCreate Worksite Wellness Resources• Providing yoga and meditation sessions for District 87 Staff (928 employees)Increase Physical Activity Options for Non-athletes• Sandburg Elementary – Kids Boot Camp• Abe Lincoln School – PTA Family Fitness NightsIncreasing Healthy Food Options• Healthy Community Cook-out• Camp Hope – West Chicago Healthy Summer Camp
Active Transportation Task ForcePurpose: Enhance and Enable More ActiveTransportation in DuPage County.1. Increase funding for active transportation projects2. Promote the adoption and enforcement of active transportation policies within and among governmental agencies and planning commissions/organizations
Active Transportation Task Force (cont)3. Identify and expand projects that will impact active transportation opportunities for residents of DuPage County4. Identify and expand programs to support active transportation in DuPage County. Program focus areas can include engineering, education, enforcement, or encouragement.
Active Transportation Municipal Strategy• Define the components of active transportation• Promote the value of incorporating active transportation• Help leverage resources to increase more active transportation opportunities within municipalities• Share innovative success stories on how others have impacted change in order to reduce redundancy and expedite expediency
Nutrition Task ForcePurpose: To enhance and enable healthy, flavorfulfood in DuPage County as the easy and routinechoice.1. Increasing resources that support more healthy, flavorful food in DuPage County2. Promoting the adoption of policies and practices to reduce unhealthy food and beverage options and increase healthy, flavorful food at affordable and competitive prices
Nutrition Task Force (cont)3. Make Healthy Foods Available Everywhere by creating environments that ensure that healthy food and beverage options are the routine, easy choice.4. Educate to promote healthy food that can be full of flavor in schools and food panties throughout DuPage
Nutrition Municipal Strategy• Increase resources that support healthy and flavorful food• Promote the adoption of policies and practices to reduce unhealthy food and beverage options and increase healthy, flavorful food at affordable and competitive prices• Make healthy foods available everywhere by creating environments that ensure that healthy food and beverage options are the routine, convenient choice• Educate to promote that healthy food can be full of flavor
Why Data ?• Data Drives Decision• Measures Progress• Helps to Guide Direction and Interventions• Allow Comparison with Local, Regional and National Efforts• Let’s Us Know When We Have Met our Goals
2011-2012 BMI Surveillance• 2009: Snapshot of Kindergarten, 6th and 9th Grades• 2010: 42% of Kindergarten, 6th and 9th Grades• 2011/2012: 91.5% of Kindergarten, 6th and 9th Grades • 27,914 student records • 195 of 213 public schools submitted data (91.5%) • Data collected from February-May 2012
“Wellness Programs that Work” -OR- “How to Know When Your Wellness Program Really Sucks”*Robert Dicosola, Executive Vice President, * Adapted from “whenwellnesssucks.com”Human Resources/Training/Diversity at OldSecond Bancorp, Inc.
“Wellness Programs that Work”First, a quick quiz:1. When you say you have a Wellness Program,what you really mean is: A) We held a low-carb pie eating contest. B) If someone’s a smoker, everyone starts fake- coughing the minute he walks into a meeting. C) We have a walking program where we give out pedometers. D) As part of our annual wellness planning process, employees are invited to participate in a Risk Assessment and biometric screening with annual health goals.
“Wellness Programs that Work”2. We try our best to get people motivated by: A) Offering pedometers to anyone who knows the lyrics to “Let’s Get Physical.” B) Our President holds “Monday Morning Accountability Weigh-ins” to see if employees are on track. C) We create teams and competitions where we measure certain types of health behaviors (steps, minutes of physical activity, fruit and vegetable consumption). D) We give any employee who takes a risk assessment and screening a hefty premium discount.
“Wellness Programs that Work”3. We know our program is working because: A) There are a few leftover donuts and apple turnovers from the complimentary Friday morning bakery delivery we provide for our employees. B) Employees have stopped using Segways to get from their desk to the copy machine. C) We can see a real difference in the kinds of things people are eating in the cafeteria, and more and more people seem to be taking the stairs. D) We analyze medical costs, absenteeism, health risks and behaviors, and program participation. The trends indicate improved health behaviors and lower costs.
“Wellness Programs that Work”4. If you took an all-expenses-paid trip to Bali for thenext six months, what would happen to your wellnessprogram? A) Who am I kidding?? If I quit tomorrow the program would be over and no-one would notice. B) My assistant would be texting me nonstop asking everything from where are the pedometers to what is the Zumba instructor’s phone number (WHAT?? She didn’t show up??) C) So many of our employees have played a role in creating and rolling out our wellness program that I am sure the current wellness team can handle it. D) Our management team expects us to report on the economic return and other program impacts quarterly and annually, so if someone isn’t executing, I won’t have a job when I get back from Bali.
“Wellness Programs that Work”SCORING:If you checked mostly A’s and B’sSorry. Your wellness program sucks. Badly.If you checked mostly C’sYOU ARE ON THE RIGHT TRACK! The C’s can be greatprogram components, but without a bit more substance,accountability and metrics, it may not be sustainable.If you checked D’sCongratulations! Your Wellness Program has most of thecomponents necessary for success, including topmanagement support, motivation, employee buy-in, andquantifiable metrics.
“Wellness Programs that Work” The Four Pillars Of a Successful Wellness ProgramI. Quantifiable MetricsII. Senior Management /Employee Buy-inIII. Tangible ROIIV. Sustainability
“Wellness Programs that Work” Pillar #1: Quantifiable metrics A few black-and-white examples: 1. Are employees getting healthier? 2. Is the WP saving the Company cash? Are your health care expenses trending down or at least lower than the national average? 3. WP utilization levels 4. Actuarial analysis of participant claims
“Wellness Programs that Work” Pillar #2: Senior Management/Employee Buy-in Quantify the risks and benefits in detail Discuss the metrics in some detail Program must be voluntary Offer significant discounts on the employee portion of the premium
“Wellness Programs that Work” Pillar #3: Tangible ROI “If there is no positive financial impact to the Company’s bottom line or other Return on Investment, fold up the tent….” Health-care expenses trending down or lower than benchmarks WP Participation rates (we’re at 98%) Employees getting healthier (positive screening reports, “Healthiest Company” award) Lower absenteeism rates Anecdotal stories
“Wellness Programs that Work” Pillar #4: Sustainability Must be a group effort Communication must be ongoing Must be continuously refreshed Must be FUN!
“Wellness Programs that Work”Impact of Healthcare Reform on Wellness Programs The crystal ball is cloudy….
“Wellness Programs that Work”BUT …. Some experts are predicting:Wellness Programs may get a boost via: Employers may be able to offer LARGER incentives for employees’ positive lifestyle/wellness initiatives Technical assistance (government websites, web portals, call centers) to enhance wellness programs ROI may get easier to prove
Donate – Volunteer – Get Involved Kelly Brasseur, MS, RD, LDN: NIFBAmy Ozier, PhD, RD, LDN: Northern Illinois University
UNICUE: Utilizing Nutrition in the Community for Understanding and EmpoweringGoal:Improve health and wellness of families in CUSD #100through awareness and confidence building of nutritionrelated behaviors
UNICUE Model1. Getting to know the people2. Message & theoretically based program development3. Intervention begins • School & Community Cupboard Pantry4. Evaluate outcomes • What worked, change needed, sharing results5. Replicate process
Getting to Know the People• Age ~ 41• 56% Hispanic• Unemployed• Nutrition education desired
They told us…• Topics desired Shopping /stretching the food dollar Healthy food and nutrition• Perceived barrier in eating more healthfully Cost, taste, not knowing healthy foods• Perceived benefits of eating more healthfully Losing weight and feeling better were the greatest.
Chicken and Pasta Adapted from SNAP Ed Serving size: 1 cup Servings: 6…Cook Time: 30 minutes2 cans chicken (or ½ pound lean ground meat)1 can (14 ½ ounce) tomatoes, diced1 can (14 ½ ounce) chicken broth low sodium2 cups whole wheat pasta, uncooked2 cans vegetables, drained¼ cup bread crumbs (optional)¼ cup parmesan cheese (optional)Cook chicken in pan until lightly browned, about 5 minutes. Stir in tomatoes, chicken broth and pasta.Bring to a boil.Reduce heat to medium-low. Cover and simmer until pasta is almost tender, about 8 – 12 minutes.Place vegetables on top of pasta. Replace lid. Cook until vegetables are heated through and pasta istender. Sprinkle bread crumbs and cheese over vegetables in skillet. Cover and let sit 3 minutes beforeserving.Nutrition Information per serving: Calories 265, Total Fat 7g, Sat Fat 2g, Sodium 491mg,Carbohydrates35 g, Fiber 5 , Protein 19g
Lessons Learned•Know your audience•Translator pivotal•Provide lead time for translations•Safeguard for attrition•Include school foodservice•Pilot test materials and evaluations•Innovative methods needed incorporating wellnesscurriculum
Bill Casey Neuqua Valley High SchoolCan be accessed at: http://goo.gl/ERN5J
ADDISON SCHOOL DISTRICT 4 Excellence 4 ALL John Langton, Superintendent
ADDISON SCHOOL DISTRICT 4 Excellence 4 ALLMission developed by the community in 2011:The Addison School District 4 Community…• Provides a safe, nurturing and innovative learning environment;• Empowers all students to achieve success while embracing and celebrating individual differences; and• Develops life-long learners with a global perspective.
ADDISON SCHOOL DISTRICT 4 Excellence 4 ALLGoals developed by the community in 2011:1. Increase teaching and learning support.2. Provide social and emotional support for students.3. Maintain fiscal responsibility.4. Improve community involvement.
ADDISON SCHOOL DISTRICT 4 Excellence 4 ALL FOCUS1. Academic development of ALL children.2. Social and emotional development of ALL children.
ADDISON SCHOOL DISTRICT 4Our students…Northeast DuPage County elementary school districtserving 10 square miles and 4,400 students in 8schools, preschool through eighth grade.Poverty? 60.9% low incomeEnglish Proficiency? 27.6% LEPRace/Ethnicity? 66.3% Hispanic 25.8% White
ADDISON SCHOOL DISTRICT 4Our finances…REVENUES: $39,467,685 District State (avg.)Local revenue 71.6% 65.3%State revenue 14.9% 22.4%Federal revenue 13.5% 12.4%Per Pupil Expenditures District State (avg.)Instructional $5,559 $9,047Operational $6,773 $11,537
Enhance Food ServiceSchool Food Service Advisory Committees: Started in 2010. Representatives… students, parents, teachers, principal, and Arbor Food Service management. We gained a better understanding of what we can improve. Parents wanted more healthy options! Students wanted more snack-like choices! We found ways to meet in the middle while adhering to USDA standards. (i.e. changed our brand of milk, the type of pizza we serve and more vegetable options.) Contributed to better eating habits
Enhance Food ServiceFruit & Veggie Bars: In an effort to promote healthy food choice options, advisory committee recommended fruit & veggie bars. We teach the children about portion sizes and making choices in food selection. They have a higher interest in the decision making process. We have fruit & veggie bars in 2 elementary schools and our junior high school. We will be rolling out 2 more in FY2013.
New Food ServiceChallenge…New National School Lunch Program (NSLP) Guidelines:Improving child nutrition is the focal point of theHealthy, Hunger-Free Kids Act of 2010 (HHFKA).This legislation authorizes funding and sets policy forUSDA’s National School Lunch Program and SchoolBreakfast Program.Majority of the changes go into effect July 2012 forlunch and July 2013 for breakfast.
New Food ServiceChallenge… National School Lunch Program Food Group Current New Requirements 1/2 - 3/4 cup of Fruit or Vegetables 3/4 - 1 cup of vegetables plus 1/2 - 1 cup Fruits & Vegetables combined per day of fruit per day No specification on type of Vegetables Weekly Requirement for: Dark Greens, Vegetables served red/orange, Legumes, Starchy, Misc. At least half of the grains must be whole 8 Servings per week/Whole grains Grains grain-rich and all grains must be whole encouraged grain rich by July 2014. Must be 1% or fat-free for regular milk & Milk 1 cup of Regular, reduced, or fat-free fat-free for flavored/chocolate milk
Transportation• The goal to Maintain fiscal responsibility led us to identify options for decreasing expenses.• Transportation costs were prohibitive.• Recognized that our school district was not required to transport any student and could charge for bussing.• Options reviewed.
Transportation OUTCOMES 2010/2011 2011/2012 Busses 23 14 Bus Riders 2,122 students 979 students
TransportationUnintended Benefits: Increased number of students walking in groups. Increased number of students riding bicycles. Healthier kids!Challenges: Installed bike racks to accommodate demand Increased number of parent drop-offs. Doubled the number of crossing guards needed.
QUESTIONS ?ADDISON SCHOOL DISTRICT 4 Excellence 4 ALL
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