Healthy Lifestyles: AAFCS Leading by Example

Obesity Prevention Community of Practice

and Taking it to the Street Campaign

Ingrid K. Richards Adams, PhD RD LD

Healthy Lifestyles: AAFCS Leading by Example

The Weight of the NationWeight of the Nation

http://theweightofthenation.hbo.com/films/trailer#./trailer

The Obesity EpidemicMost important public health

problem

For the first time in human history, in the year 2000 it was estimated that there were more overweight than underweight people.

Source: Mendex, Monteiro, & Popkin 2005

A Nation in CrisisOur nation stands at a crossroadsThe present obesity epidemic

threatens progress related to increasing American’s quality and years of healthy life

Result – a decreased ability to compete in the global economy.

Source: Surgeon General’s Vision for a Fit and Healthy Nation 2010

The Problem - Obesity One-third of U.S.

adults (33.8%) are obese – 17 million

Approximately 6% with a BMI over 40kg/m2

The prevalence of obesity among adults changed relatively little during the 1960s and 1970s, but it increased sharply over the ensuing decades – from 13.4% in 1980 to 34.4% in 2008.

Source: Centers for Disease Control and Prevention

Sizing up the Obesity ChallengeOne in every three children (31.7%) ages

two to 19 is overweight or obese.One-third of all children born in the year

2000 are expected to develop diabetes during their lifetime.

Sizing up the Obesity ChallengeThe current generation may even be on

track to have a shorter lifespan than their parents

Source: White House Task Force on Childhood Obesity, 2010

Obesity more Common Among Certain Racial and Ethnic GroupsObesity rates are

highest among non-Hispanic black girls and Hispanic boys.

Obesity is particularly common among American Indian/Native Alaskan children

Source:

Military ReadinessMore than a third of all Americans ages 17-

24 are unqualified for military service because they are too heavy.

The Army has started to overhaul food choices on bases.


FirefightersHalf of incoming and

current firefighters are overweight, while almost one-third are obese.

More firefighters die of heart attacks while on the job than from any other cause.


Police OfficersPotential recruits are overweight, and many

have trouble passing the initial police academy fitness requirement.


The Obesity EpidemicIt came quickly, with little fanfare,

and was out of control before the nation noticed.

Source: Brownell & Horgen, 2004- Food Fight

Obesity Trends* Among U.S. AdultsBRFSS, 1985

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

No Data <10% 10%–14%



No Data <10% 10%–14%



No Data <10% 10%–14%



No Data <10% 10%–14%



No Data <10% 10%–14%



No Data <10% 10%–14%



No Data <10% 10%–14% 15%–19%



No Data <10% 10%–14% 15%–19%



No Data <10% 10%–14% 15%–19%



No Data <10% 10%–14% 15%–19%



No Data <10% 10%–14% 15%–19%



No Data <10% 10%–14% 15%–19%



No Data <10% 10%–14% 15%–19% ≥20%



No Data <10% 10%–14% 15%–19% ≥20%



No Data <10% 10%–14% 15%–19% ≥20%



No Data <10% 10%–14% 15%–19% ≥20%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% 25%–29 % ≥30%



No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%



No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%



No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%



No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%



No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

2000

Obesity Trends* Among U.S. AdultsBRFSS, 1990, 2000, 2010

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

2010

1990

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Prevalence* of Self-Reported Obesity Among U.S. AdultsBRFSS, 2011

*Prevalence reflects BRFSS methodological changes in 2011, and these estimates should not be compared to previous years.

15%–<20% 20%–<25% 25%–<30% 30%–<35% ≥35%

Adult Obesity Rates and Trends2008- 2010

Ten years ago, no state had an obesity rate above 24 percent, now 43 states have higher obesity rates than the state that was the highest in 2000.

Adult obesity rates rose in 16 states over the past year. No state decreased.

Twelve states now have obesity rates above 30 percent: Alabama, Arkansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri,Oklahoma, South Carolina, Tennessee, Texas, and West Virginia.

Four years ago, only one state was above 30 percent.Source: F as in Fat 2011

Current DAILY expenditure for obesity related diseases in the USA

>$275,000,000 (CDC estimate)

Obesity projections

• Keeping Obesity Rates Level Could Save Nearly $550 Billion Over 2 Decades!

• Obesity to Rise: 65 Million More Obese Adults in the US and 11 Million More in the UK Expected by 2030!

• Study Suggests 86 Percent Of Americans Could Be Overweight Or Obese By 2030!

Source: Science Daily

The Economics and Ecology of Food

Healthy ChoicesUnhealthy Environment Food Availability Abundance Snacking Convenience Stores Vending Machines Processed Foods Cooking Less Eating Out More Large Portions Fast Food Choices Value Meals Food Courts All You Can Eat Buffets

Eating to balance energy expenditure


Healthy Choices

Burning calories to balance intake

Unhealthy Environment Elevators Escalators Telephones Snow Blowers Remote Control Cars, Buses, Trains Computers E-mail Drive-Thru Society Television Cable Channels Video Games VCR’s Home Movies


Healthy Choices

Making time for health

Unhealthy Environment Living the Hurried Life Always Rushing Overscheduled Overdoing it Not Living in the Moment Working Longer Time Less Leisure Time Family Stresses Juggling Schedules Juggling Roles No Time for Family No Time for Self

We can Make a DifferenceAAFCS has addressed challenging social and economic issues for over 100years

What can we do? The Obesity Awareness Community and Taking it to the Streets Campaign is calling on all FCS professionals to:

1.Take part in the recommended level of physical activity each day—at least 30 minutes

Thirty minutes of any type of moderate physical activity

What can we do? Choose healthy foods each day based on the 2012 Dietary Guidelines2

How can our Impact be felt?Thirty or more minutes of physical

activity can save $500 in healthcare cost per year.

If 50 members in each affiliate take part in the recommended physical activity = $25,000 of savings per affiliate each year

If each affiliate gets 50 members involve = $1,250,000 of healthcare savings

8 Week Obesity Awareness campaignBegin January 5, 2013 (to coincide

with New Year’s resolutions)Finish on March 5, 2013Forms for documenting activity

and healthy eating practices will be sent to each Affiliate President

Each Affiliate will have a Community of Practice member contact

We need your $500 to make a difference!

When?

Healthy Lifestyles: AAFCS Leading by Example

Graphics: Microsoft Online, Centers for Disease Control and Prevention

Author: Ingrid Adams, Ph.D., R.D. L.D.Chair: AAFCS Obesity Prevention Community of PracticeAssistant Professor , Nutrition and Food Science, University of KentuckyExtension Specialist for Nutrition and Weight Management

October 2012

PolicyThe Cooperative Extension Service is federally mandated to take affirmative steps to ensure that its programs and services are available to all people. One step is

public notification of its intention to serve all audiences.All Extension materials intended for public distribution must include the following statement:

Educational programs of Kentucky Cooperative Extension serve all people regardless of race, color, age, sex, religion, disability, or national origin.Letterhead, enclosure slips, and newsletters must also include the following "cooperating" statement:

UNIVERSITY OF KENTUCKY, KENTUCKY STATE UNIVERSITY, U.S. DEPARTMENT OF AGRICULTURE, AND KENTUCKY COUNTIES, COOPERATING

Documents

Healthy Lifestyles: AAFCS Leading by Example