Investing in Health
Jen Van Den Elzen, MPH
Director, Live54218
Jen@Live54218.org
VISION:
Making the Greater Green Bay Area the
Healthiest Community in the Nation!
So where do we start?
Obesity Trends* Among U.S. Adults
BRFSS, 1985

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14...
Obesity Trends* Among U.S. Adults
BRFSS, 1987

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14...
Obesity Trends* Among U.S. Adults
BRFSS, 1988
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1989
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1991
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 1992
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 1994
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 1996
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 1997
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 1998

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14...
Obesity Trends* Among U.S. Adults
BRFSS, 1999

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14...
Obesity Trends* Among U.S. Adults
BRFSS, 2000

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14...
Obesity Trends* Among U.S. Adults
BRFSS, 2001

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14...
Obesity Trends* Among U.S. Adults
BRFSS, 2002
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 2003

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14...
Obesity Trends* Among U.S. Adults
BRFSS, 2004
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 2006
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 2007
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 2009
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 2010
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%...
Obesity Trends* Among U.S. Adults
BRFSS, 1990, 2000, 2010
(*BMI 30, or about 30 lbs. overweight for 5’4” person)

2000

1...
67% = 2.8 Million Adults in WI
Would fill Lambeau Field
to capacity 39 times –
that’s FIVE YEARS
worth of Green Bay
Packer...
The Cost of Obesity in Wisconsin

 If trends continue, close to half of
Wisconsinites will be obese by 2018
 Each year, ...
The Cost of Obesity in Wisconsin
Wisconsin health care costs
related to obesity
$4.6 billion
$2.7 billion
$1.6 billion

20...
The Impact in Brown County
 27% of our adults are obese + 40% of our adults are
overweight = 67% of adults are not at a h...
What About Our Youth?
 In Brown County, 18.4% of low-income two year olds and
19.4% of low-income four year olds are at t...
Behavior Change
% of Children
Walking/Biking to School
60

48

40
13

20
0
1969

2009

Average daily calorie
intake increa...
Five Key Behaviors
Top 10 Reasons to Eat
More Fruits & Veggies
1. Good for your health
2. Something for everyone
3. Its easy
4. Keep you at a...
Top 10 Reasons to Eat
More Fruits & Veggies
6. Be a good role model
7. They are delicious 
8. Versatile
9. You are probab...
Looking for a silver bullet?
The drink of choice
 For more than two decades soda was
the #1 drink of choice in the USA
 Per capita consumption peaked...
Screen Time

Snacking

Marketing

Inactivity

Screen
Time

Family
Meals

A study in Australia showed that adults who watch...
What is the single best thing you can
do for your health?
 In adults: Low fitness is the strongest predictor of
death – g...
Can you limit your
sitting and sleeping to
just 23 ½ hours a day?
It adds up…
Sleep More, Weigh Less
 Lack of sleep = fatigue = less likely to be active
when you are awake
 Lack of sleep = altered h...
4 Easy Ways to Sleep Better

1.
2.
3.
4.

Get rid of the TV in the bedroom
Turn off cell phones at night
Add physical acti...
Five Key Behaviors
The Built
Environment
Looking at more than just the
individual…
Worksite Wellness
Mission
To create environments in the community that support and
promote all residents daily in consuming 5 fruits and
veg...
Active Community
Support the development of an Active Community, ensuring all residents
have access to safe and attractive...
Infrastructure for Walking & Biking
Downtown Master Plan
Healthy Food System
Support the development of a Healthy Food System, ensuring all
residents have access to healthy, affor...
Knowledge, Engagement
& Access
Education & Community Outreach
Educating Policymakers
Media Advocacy

Engaging Youth &
Mentoring University Students
Measuring Collective Impact

Provide on-going coordination for standardized data collection
countywide on obesity preventi...
How Can YOU Get Involved?

 Like us on Facebook & Sign up for our e-Newsletter –
help spread the Live54218 message!
 Rep...
What does
success look like?
Questions?

Jen Van Den Elzen, MPH
Director, Live54218
Jen@Live54218.org

Making the Greater Green Bay Area
the Healthiest...
Investing in health
Investing in health
Investing in health
Investing in health
Investing in health
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Investing in health

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Where we live, learn, work and play impacts our health. By investing in health – personally, at work and in the community – we not only prevent disease, but also save dollars, strengthen businesses and improve quality of life in our community. Join Jen Van Den Elzen, director of Live54218, to learn about five key behaviors that affect your health and successful strategies for creating a worksite and a community that support you in living a long and healthy life!

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Investing in health

  1. 1. Investing in Health Jen Van Den Elzen, MPH Director, Live54218 Jen@Live54218.org
  2. 2. VISION: Making the Greater Green Bay Area the Healthiest Community in the Nation!
  3. 3. So where do we start?
  4. 4. Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  5. 5. Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  6. 6. Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  7. 7. Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  8. 8. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  9. 9. Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  10. 10. Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  11. 11. Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  12. 12. Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  13. 13. 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%
  14. 14. Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  15. 15. Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  16. 16. Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  17. 17. Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  18. 18. 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%
  19. 19. Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  20. 20. Obesity Trends* Among U.S. Adults BRFSS, 2002 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  21. 21. Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  22. 22. Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  23. 23. 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%
  24. 24. Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  25. 25. 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%
  26. 26. Obesity Trends* Among U.S. Adults BRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  27. 27. 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%
  28. 28. 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%
  29. 29. Obesity Trends* Among U.S. Adults BRFSS, 1990, 2000, 2010 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 2000 1990 2010 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  30. 30. 67% = 2.8 Million Adults in WI Would fill Lambeau Field to capacity 39 times – that’s FIVE YEARS worth of Green Bay Packer home games!
  31. 31. The Cost of Obesity in Wisconsin  If trends continue, close to half of Wisconsinites will be obese by 2018  Each year, obese adults incur $1,429 more in medical expenses than their normal-weight peers
  32. 32. The Cost of Obesity in Wisconsin Wisconsin health care costs related to obesity $4.6 billion $2.7 billion $1.6 billion 2008 2013 2020  Wisconsin spends $0 on obesity prevention  73% of Americans say obesity prevention is an important priority for the government to focus on
  33. 33. The Impact in Brown County  27% of our adults are obese + 40% of our adults are overweight = 67% of adults are not at a healthy weight
  34. 34. What About Our Youth?  In Brown County, 18.4% of low-income two year olds and 19.4% of low-income four year olds are at the 95th percentile or higher for BMI  In Wisconsin High School Students:  ¼ are overweight or obese  1/5 eat 5 or more fruits & veggies/day  ¼ watch TV for 3 or more hours/day This generation of youth will likely be the first generation in the history of our country to live shorter, sicker lives than their parents.
  35. 35. Behavior Change % of Children Walking/Biking to School 60 48 40 13 20 0 1969 2009 Average daily calorie intake increased by 24.5% (about 530 calories) between 1970 and 2000 Childhood Obesity has more than TRIPLED 1980: 7% of 6–11 year olds and 5% of 12-19 year olds 2008: 20% of 6-11 year olds and 18% of 12–19 year olds
  36. 36. Five Key Behaviors
  37. 37. Top 10 Reasons to Eat More Fruits & Veggies 1. Good for your health 2. Something for everyone 3. Its easy 4. Keep you at a healthy weight 5. FIBER!
  38. 38. Top 10 Reasons to Eat More Fruits & Veggies 6. Be a good role model 7. They are delicious  8. Versatile 9. You are probably not eating enough 10. Support a WI farmer
  39. 39. Looking for a silver bullet?
  40. 40. The drink of choice  For more than two decades soda was the #1 drink of choice in the USA  Per capita consumption peaked at 54 gallons a year in 1998  Water consumption has increased 38%, now displacing soda as America’s favorite beverage!
  41. 41. Screen Time Snacking Marketing Inactivity Screen Time Family Meals A study in Australia showed that adults who watched an average of 6 hours of TV a day can expect to live about 5 years less
  42. 42. What is the single best thing you can do for your health?  In adults: Low fitness is the strongest predictor of death – greater than smoking, obesity, diabetes, and high cholesterol  Going from zero activity to just 60 minutes a week reduced rate of heart disease in women by half  In children: the more fit the student is the better they perform on standardized tests (learning readiness PE)
  43. 43. Can you limit your sitting and sleeping to just 23 ½ hours a day?
  44. 44. It adds up…
  45. 45. Sleep More, Weigh Less  Lack of sleep = fatigue = less likely to be active when you are awake  Lack of sleep = altered hormone concentrations = increased appetite & hunger  Sufficient sleep = improved mental health – better mood, improved memory, improved self esteem
  46. 46. 4 Easy Ways to Sleep Better 1. 2. 3. 4. Get rid of the TV in the bedroom Turn off cell phones at night Add physical activity into your day Stick to a regular bedtime
  47. 47. Five Key Behaviors
  48. 48. The Built Environment
  49. 49. Looking at more than just the individual…
  50. 50. Worksite Wellness
  51. 51. Mission To create environments in the community that support and promote all residents daily in consuming 5 fruits and vegetables, drinking 4 bottles of water, having less than 2 hours of screen time, participating in at least 1 hour of physical activity, and sleeping 8 hours a night.
  52. 52. Active Community Support the development of an Active Community, ensuring all residents have access to safe and attractive places to be physically active
  53. 53. Infrastructure for Walking & Biking
  54. 54. Downtown Master Plan
  55. 55. Healthy Food System Support the development of a Healthy Food System, ensuring all residents have access to healthy, affordable food
  56. 56. Knowledge, Engagement & Access
  57. 57. Education & Community Outreach
  58. 58. Educating Policymakers Media Advocacy Engaging Youth & Mentoring University Students
  59. 59. Measuring Collective Impact Provide on-going coordination for standardized data collection countywide on obesity prevention related outcomes and behaviors in order to measure collective impact
  60. 60. How Can YOU Get Involved?  Like us on Facebook & Sign up for our e-Newsletter – help spread the Live54218 message!  Represent Live54218 and help promote healthy eating and active living at Community Events – email Melinda@Live54218.org to get on the volunteer list!
  61. 61. What does success look like?
  62. 62. Questions? Jen Van Den Elzen, MPH Director, Live54218 Jen@Live54218.org Making the Greater Green Bay Area the Healthiest Community in the Nation!

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