IN Shape IndianaIN Shape IndianaIndiana State Department of HealthIndiana State Department of Health

Community Nutrition Community NutritionObesity Prevention DivisionObesity Prevention Division

Community Resource Community Resource Guides ProjectGuides Project

Project StrategyProject Strategy

Provide resources for community Provide resources for community groups and others to address groups and others to address overweight/obesityoverweight/obesityGuide 1: What do we know about Guide 1: What do we know about

obesity?obesity?Guide 2: How do you identify local needs Guide 2: How do you identify local needs

and issues?and issues?Guide 3: How do you plan, initiate and Guide 3: How do you plan, initiate and

assess local efforts?assess local efforts?

Feedback Needed Feedback Needed

On overall strategyOn overall strategyOn Resource Guide 1On Resource Guide 1

Are there major areas missing?Are there major areas missing?Is there material here that is not Is there material here that is not

valuable?valuable?Do you have specific comments, Do you have specific comments,

suggestions or edits?suggestions or edits?

Guide 1Guide 1

Obesity-Related Data Obesity-Related Data in Indiana:in Indiana:

A Resource GuideA Resource Guide

Terrell W. Zollinger, Dr.P.H.Terrell W. Zollinger, Dr.P.H.

Robert M. Saywell, Jr., Ph.D., M.P.H.Robert M. Saywell, Jr., Ph.D., M.P.H.

Jonathan C. Barclay, M.A.Jonathan C. Barclay, M.A.

PurposePurpose

Understand the nature of obesity Understand the nature of obesity Know the terms used to define Know the terms used to define

weight statusweight statusRecognize why it is important to Recognize why it is important to

address obesity in Indiana address obesity in Indiana communities communities

Provide current statistics related to Provide current statistics related to obesity in our state obesity in our state

ContentsContents

PrefacePreface Introduction Introduction Defining Obesity and OverweightDefining Obesity and Overweight Obesity and Risk Factor Profiles of Obesity and Risk Factor Profiles of

Hoosiers Hoosiers Diseases and Other Health Problems Diseases and Other Health Problems

Attributable to Obesity Attributable to Obesity Economic Impact of Obesity Economic Impact of Obesity EpilogueEpilogue

IntroductionIntroduction

Introduction to the Obesity IssueIntroduction to the Obesity Issue Overview of the Material Included in the GuideOverview of the Material Included in the Guide Data Sources Used Data Sources Used

Behavioral Risk Factor Surveillance SystemBehavioral Risk Factor Surveillance System Youth Risk Behavior SurveyYouth Risk Behavior Survey WIC Nutrition and Risk DataWIC Nutrition and Risk Data Indiana School Weight and Height Collection ProjectIndiana School Weight and Height Collection Project Other Data SourcesOther Data Sources

Purpose of this Resource Guide Purpose of this Resource Guide

Defining Obesity and Defining Obesity and Overweight Overweight

Defining TermsDefining TermsMeasuring Weight StatusMeasuring Weight StatusMeasuring Body Fat Measuring Body Fat

Obesity and Risk Factor Profiles Obesity and Risk Factor Profiles of Hoosiers of Hoosiers

National StatisticsNational Statistics Trends in Obesity and Overweight in IndianaTrends in Obesity and Overweight in Indiana Findings from the 2005-2006 Indiana School Findings from the 2005-2006 Indiana School

Weight and Height Collection ProgramWeight and Height Collection Program Demographic Characteristics of the Obese and Demographic Characteristics of the Obese and

OverweightOverweight Demographic Risk Factors Associated with Demographic Risk Factors Associated with

ObesityObesity Food Intake and Eating PatternsFood Intake and Eating Patterns Physical Activity PatternsPhysical Activity Patterns Weight Management Weight Management

Diseases and Other Health Diseases and Other Health Problems Attributable to Obesity Problems Attributable to Obesity Health Consequences of Overweight Health Consequences of Overweight

and Obesityand ObesityHospital Discharge Data for IndianaHospital Discharge Data for IndianaSelf-reported Morbidity Self-reported Morbidity

Economic Impact of Obesity Economic Impact of Obesity

National Health, Social, and National Health, Social, and Economic Costs of ObesityEconomic Costs of Obesity

Obesity Costs in Relation to Co-Obesity Costs in Relation to Co-MorbiditiesMorbidities

Likelihood of Morbidity Prevalence by Likelihood of Morbidity Prevalence by Levels of ObesityLevels of Obesity

Medical Care Utilization and CostsMedical Care Utilization and CostsNon-Medical Expenses Non-Medical Expenses

FeedbackFeedback

Contact Information:Contact Information:

Terry ZollingerTerry Zollinger

tzolling@iupui.edutzolling@iupui.edu

278-0307278-0307

Guide 2Guide 2

Obtaining Local Obtaining Local Obesity Information:Obesity Information:

A Resource GuideA Resource Guide

Terrell W. Zollinger, Dr.P.H.Terrell W. Zollinger, Dr.P.H.

Robert M. Saywell, Jr., Ph.D., M.P.H.Robert M. Saywell, Jr., Ph.D., M.P.H.

Jonathan C. Barclay, M.A.Jonathan C. Barclay, M.A.

PurposePurpose

Understand the value of gathering Understand the value of gathering and using local data and using local data

Recognize the specific community Recognize the specific community level information needed to develop level information needed to develop support for weight control programs support for weight control programs

Provide specific instructions, tools Provide specific instructions, tools and examples to collect local data and examples to collect local data

Chapter 1: The Value of Local Chapter 1: The Value of Local DataData

Understanding the relationship Understanding the relationship between factors and outcomesbetween factors and outcomes

How can local data be used?How can local data be used?What are the community needs?What are the community needs?What are the community resources?What are the community resources?

Chapter 2: What Information is Chapter 2: What Information is Needed?Needed?

ExamplesExamplesNumber of places for people to exerciseNumber of places for people to exerciseUtilization of existing placesUtilization of existing placesPerceived need for more places – where Perceived need for more places – where

and whatand whatWhat are the eating patterns and food What are the eating patterns and food

intake characteristicsintake characteristicsWhat are the school policies about food What are the school policies about food

Getting Input for Chapter 2:Getting Input for Chapter 2:

Obtain input from this committee on Obtain input from this committee on types of information that would be types of information that would be usefuluseful

Review literature on information Review literature on information gathered and used in other gathered and used in other communitiescommunities

Interview expertsInterview experts Interview community teams currently Interview community teams currently

conducting programsconducting programs

Chapter 3: How to Collect Local Chapter 3: How to Collect Local DataData

ExamplesExamplesKey InterviewsKey InterviewsFocus GroupsFocus GroupsTown Hall MeetingsTown Hall MeetingsSurveysSurveysLooking for Existing DataLooking for Existing DataProvide citations for standard questions Provide citations for standard questions

Chapter 3 ToolsChapter 3 Tools

Provide instructions on WHO Provide instructions on WHO (targets) should be included in data (targets) should be included in data collection effortscollection efforts

Provide standard protocols and Provide standard protocols and examples to ensure that effective examples to ensure that effective processes are usedprocesses are used

Provide standard instruments, probes Provide standard instruments, probes and questions to measure the and questions to measure the needed attributesneeded attributes

Guide 3Guide 3

Planning, Initiating and Planning, Initiating and Assessing Local Assessing Local

Programs:Programs:A Resource GuideA Resource Guide

Terrell W. Zollinger, Dr.P.H.Terrell W. Zollinger, Dr.P.H.

Robert M. Saywell, Jr., Ph.D., M.P.H.Robert M. Saywell, Jr., Ph.D., M.P.H.

Jonathan C. Barclay, M.A.Jonathan C. Barclay, M.A.

PurposePurpose

Understand the best practices for designing Understand the best practices for designing community level weight control programs community level weight control programs

Gather “success” stories from around the Gather “success” stories from around the state and elsewherestate and elsewhere

Strategically plan the local program – root Strategically plan the local program – root cause analysis and logic modelscause analysis and logic models

Establish goals, objectives and planned Establish goals, objectives and planned activitiesactivities

Partner for successPartner for success Assess the impactAssess the impact