indiana healthy weight initiative laura hormuth, ms, rd, cd division of nutrition & physical...
Post on 26-Dec-2015
218 Views
Preview:
TRANSCRIPT
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/
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
Obesity Trends* Among U.S. AdultsBRFSS, 1986
(*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
Obesity Trends* Among U.S. AdultsBRFSS, 1987
(*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
Obesity Trends* Among U.S. AdultsBRFSS, 1988
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1989
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1990
(*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
Obesity Trends* Among U.S. AdultsBRFSS, 1991
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 1992
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 1994
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 1996
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 1997
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 1998
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 1999
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 2001
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
Obesity Trends* Among U.S. AdultsBRFSS, 2002
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 2003
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 2004
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 2006
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 2007
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
Obesity Trends* Among U.S. AdultsBRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Source: http://www.cdc.gov/obesity/data/trends.html; retrieved 10-1-09
obesity and Indiana
0
1020
3040
50
6070
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
0
10
20
30
40
50
60
70
80
90
100
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Year
%
% of IN Adults who self-reported being either overweight or obese, 1990-2008
Source: Indiana BRFSS Data, 1990-2008
In 2008, 64% of IN adults reported being either or
overweight/obese.
0
10
20
30
40
50
60
70
80
90
100
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008
%
Indiana (Overweight) Indiana (Obese)
Source: Indiana BRFSS Data, 1990-2008
% 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?
www.inhealthyweight.org
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
ewhitt@isdh.in.gov, (317) 232-1200
Schools:Juliana Hammer, MPH, C.H.E.S.jhammer@isdh.in.gov, (317) 233-5588
Nutrition, Breastfeeding & Faith-Based Initiatives:Laura Hormuth, MS, RD, CDlhormuth@isdh.in.gov, (317) 234-3498
Data and Research:Amanda Raftery, MPH, RD, CDaraftery@isdh.in.gov, (317) 234-3798
Physical Activity & Older Adults:Mike Lindbloom, MSmlindbloom@isdh.in.gov, (317) 234-3580
Communities & Early Childhood:Marcie Memmer, MPH, C.H.E.S.mmemmer@isdh.in.gov, (317) 233-7726
Worksite Wellness:Jamie Delaneyjadelaney@isdh.in.gov, (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
www.inhealthyweight.org
Questions?
top related