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The Institute of Medicine of Chicago (IOMC) Panel on Childhood Obesity in Chicago: Causative Factors and Proposed Solutions. Dr. Choucair, along with Moderator Lisa Laurent, MD, Adam Becker, PhD, MPH, Elif Oker, MD and Karen Walker, MD discuss childhood obesity in Chicago.
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CHILDHOOD OBESITY IN CHICAGO:CAUSATIVE FACTORS AND PROPOSED
SOLUTIONS
Institute of Medicine of ChicagoNovember 14, 2013
Bechara Choucair, MDCommissioner
Chicago Department of Public Health
@Choucair #HealthyChicago
Chicago Department of Public HealthCommissioner Bechara Choucair, M.D.
City of ChicagoMayor Rahm Emanuel
During his first 100 days in office, Mayor Rahm Emanuel released “Healthy Chicago,” the City’s first-ever comprehensive public health agenda.
Obesity prevention is one of the top priorities of Healthy Chicago — and for good reason.
HEALTHY CHICAGO PUBLIC HEALTH AGENDA
Orange bars denote 95% confidence limits (i.e., the margin of error associated with each estimate).
ADJUSTED ESTIMATES OF OBESITY PREVALENCE AMONG CPS STUDENTS IN KINDERGARTEN
Non-Hispanic Asian
Non-Hispanic White
Non-Hispanic Black
Hispanic
All
0 5 10 15 20 25 30
11.3
12.1
17.4
24.9
20
National Estimate
For 2-5 year olds
2008CLOCC Estimates
(CPS & Archdiocese)
2003
RESULTS OF 2002 NEIGHBORHOOD SURVEY
Source: Margellos-Anast et al., Public Health Reports 2008. Online via http://www.suhichicago.org/files/publications/PHR_child_obesity.pdf
OBESITY PREVENTION
CHICAGO’S APPROACH TO CHILDHOOD OBESITY PREVENTION
SCHOOL-BASEDINTERVENTIONS
INTERGOVERNMENTAL
COLLABORATION
MULTI-SECTOR &
COMMUNITY DEVELOPMENT
EFFORTS
SCHOOL-BASEDINTERVENTIONS
INTERGOVERNMENTAL
COLLABORATION
SCHOOL-BASED INTERVENTIONS
MULTI-SECTOR &
COMMUNITY DEVELOPMENT
EFFORTS
CPS Hires Chief Health Officer Dually reports to CDPH CDPH creates Adolescent
and School Health Office
SCHOOL-BASED INTERVENTIONS
Revised Wellness Policy Competitive Foods Policy Enhanced PE for all
students $26M New Grants
• CTG – Healthy CPS• Teen Dating Matters• Teen Pregnancy• Farm to School • Wellness Champions
SCHOOL-BASED INTERVENTIONS
Healthier US School Challenge Certification as of December 2012 with Prevalence of Overweight or Obesity among Chicago Public School Students in Grades Kindergarten, 6, and 9
Overweight or obesityPrevalence estimate (%)
70 schools certified
75 pending certification
Report available at: http://bit.ly/YDOFEq
SCHOOL-BASED INTERVENTIONS
INTER-GOVERNMENTAL APPROACH
SCHOOL-BASEDINTERVENTIONS
INTERGOVERNMENTAL
COLLABORATION
MULTI-SECTOR &
COMMUNITY DEVELOPMENT
EFFORTS
Inter-Departmental Task Force
Produce Cart Initiative Play Streets, Bike Lanes
INTER-GOVERNMENTAL APPROACH
INTER-GOVERNMENTAL APPROACH
Increasing Healthy Food
Access
MULTI-SECTOR & COMMUNITY DEVELOPMENT APPROACH
SCHOOL-BASEDINTERVENTIONS
INTERGOVERNMENTAL
COLLABORATION
MULTI-SECTOR &
COMMUNITY DEVELOPMENT
EFFORTS
Citywide Food Plan
LISC Partnership
Report available at: http://bit.ly/X5nH90
MULTI-SECTOR & COMMUNITY DEVELOPMENT APPROACH
• Baby Friendly Expansion• Improvements to Chicago’s
Day Care Center Standards
MULTI-SECTOR & COMMUNITY DEVELOPMENT APPROACH
Obesity rates for CPS Kindergartners continues to drop!
Results include:1 in 4 (2003) 1 in 5 (2012).
1,000 more CPS kindergartners at a healthier weight
Improvements seen for every racial/ethnic group
MULTI-SECTOR & COMMUNITY DEVELOPMENT APPROACH
BUILDING ON & ENGAGING PARTNERSHIPS
WHY SHOULD YOU GET INVOLVEDPrimary Prevention
• Health care professionals have a natural incentive to improve the health of all people and the environment in which we live.
Position to Influence Behavior• Lead by Example
• People Trust Doctors with their Lives
• People look to their Doctors for Health Information
• Political Polling Demonstrates that Doctors are among the MOST RESPECTED sources of Health Information, which puts you in a Unique Position to Influence Public Policy.
• Healthcare System will Bear Burden of Chronic Disease.
ADVOCATE FOR BETTER PUBLIC AND INSTITUTIONAL POLICIESBIG P: Public Policy
• Legislation• Regulations• Zoning/Land Use• Taxes• Public Budgets
Little p: Institutional policy• Worksite policies/investments• NGO policies• Individual school policies• Norms and standards that drive other
action
• Test new policies that improve the food and beverage environment in hospitals and other workplaces.
• Test pricing and promotion strategies to encourage healthier eating and drinking in your hospitals and workplaces.
• Contribute to the evidence base by evaluating the impact of these policy changes.
• Ask if there is an open seat on the CPS School Wellness Committee for the school in your neighborhood.
EXAMPLES OF OPPORTUNITIES TO ADVANCE INSTITUTIONAL POLICIES
@ChiPublicHealth
312.747.9884
facebook.com/ChicagoPublicHealth
www.CityofChicago.org/Health
