The document discusses the goals and objectives of Healthy People 2020, which aims to promote health and reduce chronic disease risk through nutrition, physical activity, and healthy body weight. Some key points include: - Healthy People 2020 goals include attaining longer, healthier lives and achieving health equity for all groups. - Nutrition, physical activity, and weight status are important for health but rates of obesity have increased in the U.S. since 2010. - The program evaluates progress and revises goals and interventions periodically to best serve population health needs over the long term.

1. Nutrition, Physical Status and Obesity
Laurel Anderson
Jacksonville University

2. Nutrition, Physical Status and Obesity
• Objective of Healthy People 2020
• Healthy People 2020 comprises long-term health goals for the
betterment of national health.
• Healthy People 2020 Goals:
– Attain high-quality, longer lives free of preventable disease, disability,
injury, and premature death.
– Achieve health equity, eliminate disparities, and improve the health of all
groups.
– Create social and physical environments that promote good health for
all. (Centers for Disease Control)

3. Overview of Program
• Goal is to “promote health and reduce chronic disease risk
through the consumption of healthful diets and
achievement and maintenance of healthy body weights”
(healthypeople.gov).
• Physical activity, nutrition and weight status are all equally
important and must all be adequately maintained to achieve
actual “health”.

4. Overview of Program
• The Nutrition and Weight Status
objectives for Healthy People 2020 are
indicative of evidence supporting how
vital it is for eating healthy and being
at a healthy weight.
• Objectives also define how to change
learned behaviors to make more
mindful choices in regards to food and
exercise whether at home or at work.

5. Severity of Problem in the United States
Good nutrition and a healthy body weight can curb potential health
problems such as :
• Obesity
• Malnutrition
• Iron-deficiency anemia
• Heart disease
• Hypertension
• Pregnancy complications
Source: healthypeople.gov

6. Obesity in the United States
Overweight and Obesity among Adults Age 20 and Older, United States, 2009–2010
Estimated Percentage by BMI
■ Normal weight or underweight (BMI under 24.9): 31.2%
■ Overweight (BMI of 25 to 29.9): 33.1%
■ Obesity (BMI of 30+): 35.7%
■ Extreme obesity (BMI of 40+): 6.3%
Source: National Health and Nutrition Examination Survey

7. Monitoring Program Outcomes
• Healthy People 2010 previously included specific goals that
mirror the Healthy People 2020 goals regarding Nutrition,
Physical Status and Obesity; almost none of the goals were met
in 2010.
• Rates of obesity from 2000-2010 actually increased.
• In 2010, health disparities were also observed between racial
and ethnic groups, monetary income and disability status.

8. Desired Change in Outcomes
• Final results for 2020 goals will not be in until 2018, however, some
movement in the positive direction is happening:
• From 2008 to 2014, the rate for adults aged 18 years and over who met the
guidelines for physical activity increased by 17%, from 18.2% to 21.3%,
exceeding the Healthy People 2020 target of 20.1% (healthypeople.gov)

9. Desired Change in Outcomes
• However, between 2003–2004 and 2013–2014, the obesity rate
increased among adults aged 20 years and over, from 32.2% in
2003–2004 to 37.7% in 2013–2014, with the Healthy People 2020
goal being set at 30.6%
• Between 2005–08 and 2009–12, there was no statistically
significant change in the mean daily vegetable intake for
persons aged 2 years and over with the Healthy People 2020 goal
being set at 1.16 cup vegetables/1000 calories
(healthypeople.gov)

10. Desired Change for Healthy People 2020
Source:
Healthypeople.gov

11. Program Sustainability
• “Periodic evaluation of the social program, including
management, program outcomes and financial
solvency, becomes essential when a program has been
designed to be maintained over a long period of time”
(Milstead, 2016, p. 198).
• Healthy People 2020 was implemented to better
society as a whole and can be utilized far into the
future. This program has the potential to sustain for
as long as required to instruct and inform people
about healthy living.

12. Healthy People 2020 and the Affordable Care Act
• The Affordable Care Act was implemented to improve
health care for all individuals and the population.
• The passage of the Affordable Care Act builds on and
strengthens the foundation for prevention and wellness that
Healthy People established.
• Both promote health and wellness through prevention

13. Funding the Program
• The Office of Disease Prevention and Promotion
coordinates the Healthy People initiative, which
includes agencies from Health and Human Services and
other Federal departments.
• The National Center for Health Statistics serves as the
Healthy People data support team and provides funding
for the major national data sources used to track many
Healthy People objectives. (healthypeople.gov)

14. Program Intervention Revisions
• “It is important to evaluate periodically to ensure that the
program is progressing as designed and…revisions are made
appropriately” (Milstead, 2016, p. 199).
• Every 10 years, this program has the ability to adapt to the
health needs of the population and goals can be revised
based on the collected data.
• Collecting data to provide preventative care and information
about healthy living is essential to Healthy People 2020.

15. Conclusion
• Nutrition, Physical Status and Obesity are a large
component of Healthy People 2020
• Obesity and inadequate nutrition and exercise account for a
majority of preventable diseases
• Utilizing information found in the program can lead to
healthier, longer lives and can be used as a benchmark for
future generations and other countries to adopt healthy
practices

16. References
Fielding, J., Teutsch, S., & Koh, H. (2012). Health Reform and Healthy People Initiative. Am J Public Health,
102(1), 30-33. Retrieved February 11, 2016, from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490564/
Healthy People 2010 Final Review. (2013, January 22). Retrieved February 10, 2016, from
http://www.cdc.gov/nchs/healthy_people/hp2010/hp2010_final_review.htm
Healthy People 2020. (n.d.). Retrieved February 09, 2016, from http://www.healthypeople.gov/
Leading Health Indicators Development and Framework. (n.d.). Retrieved February 09, 2016, from
http://www.healthypeople.gov/2020/leading-health-indicators/Leading-Health-Indicators-
Development-and-Framework
Milstead, J. A. (2016). Health Policy and Politics (5th ed.). Burlington, MA: Jones and Bartlett Learning.
National Prevention Strategy: America's Plan for Better Health and Wellness. (2014, January 17). Retrieved February
09, 2016, from http://www.cdc.gov/Features/PreventionStrategy/
Overweight and Obesity Statistics. (2012, October). Retrieved February 09, 2016, from
http://www.niddk.nih.gov/health-information/health-statistics/Pages/overweight-obesity-
statistics.aspx