Indiana Healthy Weight Initiative Laura Hormuth, MS, RD, CD Division of Nutrition & Physical Activity Indiana State Department of Health Purdue Extension

Indiana Healthy Weight Initiative

Laura Hormuth, MS, RD, CDDivision of Nutrition & Physical ActivityIndiana State Department of HealthPurdue Extension Bi Annual Conference November 4, 2009

Presentation Outline

I. The new State Indicator Report on Fruits and Vegetables, 2009

II. Fruits & Veggies—More Matters logo and Website video center

III. The Indiana Healthy Weight Initiative

Objectives for Today

I. You will know where to find Indiana data on Fruits and Vegetable consumption and policy and environmental support

II. You will understand how to use the video center on the Fruits & Veggies—More Matters Website

III. Learn what Indiana is doing to improve the health and weight of Indiana residents through the Indiana Healthy Weight Initiative

NEW State Indicator Report on Fruits and Vegetables, 2009

http://www.fruitsandveggiesmatter.gov/health_professionals/statereport.html



Logo and Website

Fruits & Veggies—More Matters

http://www.fruitsandveggiesmorematters.org/

http://www.fruitsandveggiesmorematters.org/

www.inhealthyweight.org

http://www.inhealthyweight.org/

obesity in America

Obesity Trends* Among U.S. AdultsBRFSS, 1985

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

No Data <10% 10%–14%

Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09

http://www.cdc.gov/obesity/data/trends.html



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%


obesity and Indiana

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1020

3040

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8090

100

%

53% of IN adults report being a

normal weight in 1990

% of IN Adults who Self-Report Being at a Normal Weight, 1990-

2008

Source: Indiana BRFSS Data, 1990-2008

Only 36% of IN adults reported being a normal weight in 2008

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1990

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2008

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%

% of IN Adults who self-reported being either overweight or obese, 1990-2008


In 2008, 64% of IN adults reported being either or

overweight/obese.

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1990 1992 1994 1996 1998 2000 2002 2004 2006 2008

%

Indiana (Overweight) Indiana (Obese)


% of Indiana Adults who Self-Report being Overweight or Obese,

1990-2008

27%37%

Current State

• 64 % of Indiana adults are considered overweight or obese (BRFSS)

• 29 % of Indiana High School students are considered overweight or obese (YRBS)

• Of Indiana children 2-4 participating in WIC, 31% are overweight or obese (PedNSS)

endless sugary drink options

cul-de-sacs

schools outside neighborhoods

transportation

portion distortion

changing family unitexplosion of restaurants

24/7 fast food

building design

stair access?

roads without sidewalks

roads without bike lanes

automobile only access

high traffic – 4-5 lane intersections

working parents

unsafe neighborhoods

CHEAP processed, high energy dense foods

lack of access to healthy food

lack of access to places to be physically active

TV, computers,video games

family dinners?

How did this happen?


Funded States

The Purpose

The purpose of the Indiana Healthy Weight Initiative is to improve healthy eating and physical activity to prevent and control overweight and obesity and other chronic diseases among Indiana residents

Six Priority Areas

1. Increased physical activity 2. Increased consumption of fruits and vegetables 3. Increased breastfeeding (initiation, duration, and

exclusivity) 4. Decreased consumption of high energy-dense foods

(e.g., candy, chips, cookies) 5. Decreased consumption of sugar-sweetened

beverages 6. Decreased television/screen time

Initiatives Activities

The activities include:• Plan, implement and evaluate a state plan for

encouraging healthy weight • Organize and maintain a task force of statewide

partners • Build and sustain statewide capacity for addressing

overweight and obesity

Initiative’s Progress to Date

• Added staff to the DNPA• Organized a task force with 8 workgroups that

meet monthly/bimonthly• Created a Website www.inhealthyweight.org• Vision, Mission and Goals have been approved

by the CDC• Workgroups are currently working on

objectives

Indiana State Department of HealthDivision of Nutrition and Physical Activity

Ellen Whitt, JDDirector

[email protected], (317) 232-1200

Schools:Juliana Hammer, MPH, [email protected], (317) 233-5588

Nutrition, Breastfeeding & Faith-Based Initiatives:Laura Hormuth, MS, RD, [email protected], (317) 234-3498

Data and Research:Amanda Raftery, MPH, RD, [email protected], (317) 234-3798

Physical Activity & Older Adults:Mike Lindbloom, [email protected], (317) 234-3580

Communities & Early Childhood:Marcie Memmer, MPH, [email protected], (317) 233-7726

Worksite Wellness:Jamie [email protected], (317) 234-2923

Task ForceMembership

• State-wide organizations with a stake in obesity prevention

• 148 individuals

• 83 organizations

Task ForceWorkgroups

– Breastfeeding– Communities– Early

Childhood/Childcare– Faith-Based– Healthcare– Schools– Older Adults– Worksites

Organization

• 8 workgroups – including the school setting

• 2 advisory committees

• 1 steering committee

Indiana Healthy Weight Initiative

VisionAll Hoosiers practice and enjoy a lifestyle of healthy eating and physical activity within an environment that supports health, wellness and vitality.

MissionTo enhance the health and quality of life of Hoosiers by promoting good nutrition, regular physical activity and a healthy weight through policy, environment and lifestyle change.

State Plan: Overarching Goals1. Increase access to and consumption of healthy foods and

beverages. 2. Increase opportunities for and engagement in regular

physical activity.3. Increase efforts aimed at achieving a healthy weight.4. Reduce disparities related to breastfeeding, nutrition,

physical activity, overweight, obesity, and chronic diseases.5. Increase the capacity of communities and settings to

develop and sustain a healthy lifestyle and culture.6. Increase strategic partnerships to share resources, identify

and reach priority populations, and increase capacity to prevent and control obesity and chronic diseases.

Current Recommendations for Interventions

• Population-based approaches affecting a large # of different populations simultaneously

• Must be sustainable

Policy

Systems

Environment

Centers for Disease Control and Prevention

– Institute smaller portion size options in public service venues

– Limit advertisements of less healthy foods and beverages

– Discourage consumption of sugar-sweetened beverages

– Increase support for breastfeeding

– Require physical education in schools

– Increase the amount of physical activity in physical education programs in schools

– Increase opportunities for extracurricular physical activity

– Reduce screen time in public service venues

– Improve access to outdoor recreational facilities

Next Steps for the Division of Nutrition and Physical Activity

• Finish writing the state plan (Summer 2010)• Work with Indiana communities to implement

strategies in the state plan• Provide training and technical assistance to

communities• Report success stories on the Indiana Healthy

Weight Initiative Website


Questions?

Documents

Indiana Healthy Weight Initiative Laura Hormuth, MS, RD, CD Division of Nutrition & Physical Activity Indiana State Department of Health Purdue Extension