Fairobesity

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Fairobesity

  1. 1. Obesity Epidemic in Texas Region XIII Nutrition and Health Resources Fair June 4, 2004
  2. 2. Objectives <ul><li>Identify current trends in adult and child overweight and obesity in Texas </li></ul><ul><li>Understand the importance of the “Strategic Plan for Prevention of Obesity in Texas” </li></ul><ul><li>Identify obesity prevention initiatives being implemented in communities across Texas </li></ul>
  3. 3. Overweight and Obesity in Adults in Texas <ul><li>Body Mass Index (BMI)= </li></ul><ul><li>weight (kg)/height 2 (meters) </li></ul><ul><li>Overweight – BMI 25 to 29.9 </li></ul><ul><li>Obesity – BMI > or = 30 </li></ul>
  4. 4. 2002 Obesity Trends* Among U.S. Adults BRFSS, 1991-2002 No Data <10% 10%–14% 15%–19% 20%–24% ≥25% (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) 1991 1995
  5. 5. Trends in Adult Overweight and Obesity in Texas <ul><li>1990 to 2002: 42.9% to 63% </li></ul><ul><li>Obesity: low-income adults </li></ul><ul><li>Overweight: high-income adults. </li></ul>
  6. 6. Adult Trends - The Facts <ul><li>Obesity: </li></ul><ul><ul><li>African- Americans= 42% </li></ul></ul><ul><ul><li>Hispanics= 30% </li></ul></ul><ul><ul><li>All Texas Adults= 24.6% </li></ul></ul><ul><li>Obesity and overweight: </li></ul><ul><ul><li>Men (69%) </li></ul></ul><ul><ul><li>Women (55%) </li></ul></ul><ul><ul><li>45-64 years of age (70%) </li></ul></ul>
  7. 7. Sources for Adult Statistics in Texas <ul><li>Behavioral Risk Factor Surveillance Survey </li></ul><ul><li>http://apps.nccd.cdc.gov/brfss/Trends/TrendData.asp </li></ul><ul><li>TDH Center for Health Statistics </li></ul>
  8. 8. Overweight and Obesity in Children in Texas <ul><li>Overweight: BMI > or = 85 th percentile </li></ul><ul><li>Obesity: BMI > or = 95 th percentile </li></ul><ul><li>By age and gender </li></ul><ul><li>Norms for BMI: NCHS/CDC, http://www.cdc.gov/growthcharts/ </li></ul>
  9. 9. School-aged Children Trends <ul><li>Doubled in the last 20 years </li></ul><ul><li>Highest among minorities and males. </li></ul><ul><li>Increasing at a rate similar to that of the adult population! </li></ul>
  10. 10. Prevalence of Obesity in Teens <ul><li>1990: 22% (16-18y/o) </li></ul><ul><li>2001: >44% (11 th graders) </li></ul>
  11. 11. Prevalence of Obesity in Texas School Children <ul><li>4 th grade – 22.4% (1.5 X U.S. avg.) </li></ul><ul><li>8 th grade – 19.2% </li></ul><ul><li>11 th grade – 15.5% </li></ul>
  12. 12. Prevalence of Overweight in Texas School Children <ul><li>4 th grade – 38.7% </li></ul><ul><li>8 th grade – 37.1% </li></ul><ul><li>11 th grade – 29.4% </li></ul>
  13. 13. Prevalence of Obesity in Texas School Children <ul><li>Highest : </li></ul><ul><ul><li>8 th grade Hispanic boys 32.6% </li></ul></ul><ul><ul><li>4 th grade African-American girls 30.8% </li></ul></ul><ul><li>Lowest : </li></ul><ul><ul><li>11 th grade White/other boys 12.7% </li></ul></ul><ul><ul><li>11 th grade White/other girls 5.5% </li></ul></ul>
  14. 14. The Future of Obesity in Texas <ul><li>Overweight @ 12: 75% chance of being an overweight adult. </li></ul><ul><li>Texas WIC program 2-5 y/o = 14% </li></ul><ul><li>Current overall= 22.1% </li></ul><ul><li>Future= ? </li></ul>
  15. 15. Sources for Child Obesity Statistics in Texas <ul><li>Youth Risk Behavior Survey – Bureau of Chronic Disease and Tobacco Prevention </li></ul><ul><li>School Physical Activity and Nutrition Survey </li></ul><ul><li>WIC </li></ul>
  16. 16. The Cost of Overweight & Obesity in Texas <ul><li>$10.4 billion in 2001 </li></ul><ul><ul><li>$4.2 billion health care </li></ul></ul><ul><ul><li>$6.2 billion lost productivity </li></ul></ul><ul><ul><li>Total: $8.8 to $14.2 billion </li></ul></ul>Texas Dept. of Health - Preliminary Analysis, Jan. 2004
  17. 17. Strategic Plan for the Prevention of Obesity in Texas <ul><li>February 2003 </li></ul><ul><li>http://www.tdh.state.tx.us/phn/obesity-plan.pdf </li></ul><ul><li>Statewide Obesity Taskforce (SOT) </li></ul>
  18. 18. Strategic Plan for the Prevention of Obesity in Texas <ul><li>Vision: All Texans have a healthy weight through physical activity and healthful eating </li></ul><ul><li>Mission: To reduce the burden of weight-related disease by decreasing the prevalence of obesity </li></ul>
  19. 19. Strategic Plan for the Prevention of Obesity in Texas <ul><li>Goal 1: Increase awareness of obesity as a public health issue that impacts the quality of life of families. </li></ul><ul><li>Goal 2: Mobilize families, schools, and communities to create opportunities to choose lifestyles that promote healthy weight. </li></ul>
  20. 20. Strategic Plan for the Prevention of Obesity in Texas <ul><li>Goal 3: Promote policies and environmental changes that support healthful eating habits and physical activity. </li></ul><ul><li>Goal 4: Monitor obesity rates and related behaviors and health conditions for planning, evaluation, and dissemination activities. </li></ul>
  21. 21. Strategic Plan for the Prevention of Obesity in Texas <ul><li>Objectives </li></ul><ul><li>Strategies </li></ul><ul><ul><li>Why? How? Target? Desired effect? Evaluation methods? </li></ul></ul>
  22. 22. Strategic Plan for the Prevention of Obesity in Texas <ul><li>Examples:“Mobilize...,schools,…to create opportunities to choose lifestyles that promote healthy weight.” </li></ul><ul><ul><li>Strategy- Evaluate existing school-based nutrition and physical activity policies and programs. </li></ul></ul><ul><ul><li>Strategy- Develop an action plan on physical activity and nutrition in Texas schools. </li></ul></ul><ul><ul><li>Strategy- Establish alliances between schools, health organizations, and communities. </li></ul></ul>
  23. 23. Strategic Plan for the Prevention of Obesity in Texas <ul><li>Texas State Strategic Health Partnership Goal A: “Improve the health of all Texans by promoting healthy nutrition and safe physical activity”. </li></ul><ul><li>Next steps for implementation of the Strategic Plan. </li></ul>
  24. 24. Strategic Plan for the Prevention of Obesity in Texas <ul><li>Four workgroups/4 goals </li></ul><ul><li>Work-plans </li></ul><ul><ul><li>action steps, timelines, resources, and responsible parties </li></ul></ul>
  25. 25. Strategic Plan for the Prevention of Obesity in Texas <ul><li>http://www.tdh.state.tx.us/phn/obesity-plan.pdf </li></ul>
  26. 26. TDH Obesity Prevention Activities <ul><li>Increasing awareness </li></ul><ul><li>Training health professionals </li></ul><ul><li>Promoting worksite wellness programs </li></ul><ul><li>Promoting culturally appropriate nutrition and physical activity programs </li></ul><ul><li>Advocating for policy and environmental changes. </li></ul>
  27. 27. TDH Obesity Prevention Activities <ul><li>Providing assistance to community coalitions </li></ul><ul><li>Promoting and supporting coordinated school health programs </li></ul>
  28. 28. New Obesity Prevention Initiatives in Texas <ul><li>Monitoring obesity rates and related behaviors and health conditions </li></ul><ul><li>Developing partnerships with local and statewide organizations </li></ul>
  29. 29. Prevention Activities in Communities- Nutrition <ul><li>Breastfeeding education programs in hospitals </li></ul><ul><li>Peer Counseling programs for breastfeeding mothers </li></ul><ul><li>Breastfeeding Mothers’ Rooms at worksites </li></ul>
  30. 30. Prevention Activities in Communities- Nutrition <ul><li>5 A Day promotion strategies </li></ul><ul><li>Worksite/school policies </li></ul><ul><li>Community gardening projects </li></ul><ul><li>Coupons for farmers’ markets </li></ul>
  31. 31. Prevention Activities in Communities- Physical Activity <ul><li>Implementing Walk-to-School programs </li></ul><ul><li>Creation of or enhanced access to places for physical activity combined with informational activities </li></ul><ul><li>Reduced television/video game time </li></ul>
  32. 32. Prevention Initiative in Schools <ul><li>Senate Bill 19, 77 th Texas Legislature. </li></ul><ul><ul><li>Physical activity </li></ul></ul><ul><ul><li>Health Curriculum </li></ul></ul><ul><ul><li>School Health Advisory Committee </li></ul></ul>
  33. 33. School Health Advisory Councils <ul><li>Support planned, sequential health education. </li></ul><ul><li>Support physical education classes. </li></ul><ul><li>Support school health services. </li></ul><ul><li>Promote a healthy school environment. </li></ul><ul><li>Support counseling, psychological, and social services. </li></ul><ul><li>Support health promotion for staff. </li></ul><ul><li>Support school nutrition services. </li></ul><ul><li>Support the community-school connection. </li></ul>
  34. 34. Resources <ul><li>http://www.cdc.gov/healthyYouth/ </li></ul><ul><li>http://www.schoolhelath.info </li></ul><ul><li>TDH Austin/TDH Regional Offices. http://www.tdh.state.tx.us </li></ul>
  35. 35. <ul><li>“ Never doubt that a small group of committed people can change the world. Indeed, it is the only thing that ever has.” Margaret Mead </li></ul>

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