new hampshire department of health and human services division of public health services addressing...
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New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Addressing Childhood Obesity in New
HampshireTammy Levesque
Community Health EducatorLakes Region Partnership for Public Health
Power Point provided by José Thier Montero, MD Director NH DPHS
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
What is Public Health?
An Agency That :• Responds to public health threats
and emerging issues• Delivers high quality evidence-
based services• Aims to reduce suffering and death
due to chronic and communicable diseases
• Uses a population based approach to improve health
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
HEAL-Lakes Region
• HEAL is the NH Obesity Prevention Plan
• HEAL is an acronym for Healthy Eating Active Living
• The Foundation for Healthy Communities implements the HEAL plan with support, funding, and technical assistance from the DHHS Obesity Prevention Program (OPP) and several private foundations
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
NH Childhood Obesity Data Sources
• Pediatric Nutrition Surveillance System
• NH Head Start Study
• Third Grade Study
• Youth Risk Behavior Survey
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
NH Childhood Obesity Data
• Low income children, 2-5 years old 15.5%
• Head Start Children, 3-5 years old 18.4%
• Third graders in public schools 18.0%
• High school students 12.4%
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Inadequate Physical ActivityHigh school students 45.3%
males 47.1% females 62.9%
Excessive Television Viewing (>3 hrs/day)
Low income children, 2 to 5 years old 12.7%High school students 23%
males 27.1% females 18.6%
NH Obesity Risk Factor Data
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Inadequate Fruit and Vegetable Consumption High school students77.7%
Excess Soft Drink Consumption High school students22.1%
males 29.7%females 14.5%
NH Obesity Risk Factor Data
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Excess Non-Schoolwork Computer Use(>3 hrs per day)
High school students 23.9%
males 30.9%females 16.6%
NH Obesity Risk Factor Data
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
What should we do ?What should we do ?
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
How do you control obesity?
• Controlling obesity will require substantial investments by many segments of society
• Policy efforts to increase physical activity and promote healthy eating are needed
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Actions for controlling obesity?
• Use the CDC Target Areas for Obesity Prevention
• Provide technical assistance to increase policies that address each target area
• Use surveillance and data to raise awareness
• Recognize resource constraints and work with a variety of partners to help solve the problem
• Change the context to make the healthy choice the default choice
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
• Increase physical activity
• Increase consumption of fruits and vegetables
• Increase breastfeeding
CDC Target Areas for Obesity Prevention
• Decrease consumption of sugar sweetened beverages
• Decrease consumption of energy dense foods
• Decrease TV viewing
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Childhood Obesity in NH
Schools are an appropriate place for policies that improve student health and academic performance.
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Win:Win SolutionsPhysical Activity Is Associated With:
• Better academic performance - eleven peer reviewed published studies found that participation in regular physical activity is associated with improved academic performance
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Increase Physical Activity
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Movement Breaks JAM Sessions
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Sugary Beverage Education
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Extension of Fruit & Vegetable Grant into Middle School
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Positive Messaging on Portions & Choices
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
School Gardens at all 5 Schools and 8 Child care centers in region
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
We know we can’t do it all.
It takes time!!!!Assess and re-assess
Use Best PracticesFind the low hanging fruitConnect with Champions!
New Hampshire Department of Health and Human ServicesDivision of Public Health Services
Technical Assistance
NH Department of Health and Human ServicesDivision of Public Health Services
Obesity Prevention Program603-271-4551