- Rates of overweight and obesity have increased dramatically in the US over the past few decades, with over 2/3 of American adults now overweight and about 1/3 obese. - This epidemic is primarily due to lifestyle and environmental changes that have led to poor nutrition habits like increased fast food consumption and sugary drinks, as well as less physical activity due to more sedentary jobs and communities designed around automobile use. - Community design features like walkability, mixed land use, and access to transit and active transportation can significantly impact physical activity levels and obesity rates by supporting healthier lifestyle choices.

1. Health and Community Design

3. Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

4. Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

5. 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%

6. 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

7. 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

8. (*BMI  30, or ~ 30 lbs overweight for 5’4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25% (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Obesity Trends* Among U.S. Adults BRFSS, 2002

9. Obesity Trends* Among U.S. Adults BRFSS, 2004 No Data <10% 10%–14% 15%–19% 20%–24% ≥25% (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

14. Percentage of Trips in Urban Areas Made by Walking and Bicycling: North America and Europe 1995

16. 20% to 30% of morning peak traffic is parents driving kids to school

17. Increasing Vehicle Travel

23. Improving Health through Community Design

24. Traffic Calming

25. Street Lighting

26. Improving Street Crossings

27. Compact/ Mixed Use Development

28. Attractive Street Design

29. Street Design & Connectivity

30. Transit-Oriented Development

34. Acute Asthma Events Among Children and Youth During the 1996 Summer Olympic Games Data Source Type of Asthma Event Mean No. of Events Per Day % Change Baseline Period* Olympic Period+ GA Medical Claims Emergency care and hospitalizations 4.23 2.47 -41.6 HMO Emergency care, urgent care and hospitalizations 1.36 0.76 -44.1 Emergency Departments Emergency care and hospitalizations 4.77 4.24 -11.1 GA Hospital Discharges Hospitalizations 2.04 1.65 -19.1

35. Best Practices

43. California Assembly Bill 437 Authorizes the county health officer to provide assistance to cities and counties with local land use planning and transportation planning processes as they relate to public health.