Overview of PSD Obesity Initiatives

PSD Supervisors’ Meeting Dec. 6, 2011

Strategic Partners – LiveWell Colorado, Colorado Health Foundation, Kaiser

Funders – Centers for Disease Control and Prevention, Colorado Health Foundation, MCH

Elevating Obesity as a Priority – Division Plan, A35 Funding, Chronic Disease State Plan, Local Public Health

Data and Surveillance Reports – The Weight of the State

Contextual Overview

A Chronic Disease System Dynamics Map

Smoking

Obesity

Secondhandsmoke

Healthinessof diet

Extent ofphysical activity

Psychosocialstress

Diagnosisand control

CV events & lung cancers

Deaths

Access to and marketingof smoking quit products

and services

Access to andmarketing of mentalhealth services

Sources ofstress

Access to healthyfood options

Marketing & educ’naround healthy food options

Access to physicalactivity options

Marketing of physicalactivity options

Access to andmarketing of weightloss services

Access to andMarketing ofprimary care

Particulate airpollution

Utilization ofquality primary

care

Tobaccotaxes

Sales/marketing regulation

Smoking bans at workand public places

Junk food taxes

Sales/marketingregulations

Downwardtrend in CV

event fatality

Quality of primarycare provision

Anti-smokingsocial marketing

High BP

Highcholesterol

Diabetes

Morbidity

Screening forchronic disease

Chronic disease management

Oral diseases

Colorectal cancers

Breast cancers

COPD

Obesity Trends* Among U.S. AdultsBRFSS, 1990

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

No Data <10% 10%–14%

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%

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%

(*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%

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%

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%

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%

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%

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%

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%

Obesity Trends* Among U.S. AdultsBRFSS, 2009

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

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. AdultsBRFSS, 2010

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

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Does this adult meet physical activity guidelines?

Not MovingMoving

Sleep

Leisure

Occupational

Transportation

Household

The SLOTH Model of PA

Public health improvement plans

PA portfolio project Youth intern project Joint use agreements Built environment and land use

planning Worksite Wellness PA in schools and day care

PSD Physical Activity and Active Living Initiatives

Greeley Tribune, Nov 18, 2011

FDA menu labeling Smart Meal promotion Land use planning for local

agriculture, including school and community gardens

School wellness and healthy eating Nutrition portfolio project

PSD Healthy Eating Initiatives

Cultural “climate” of Colorado—what we’ve learned from Shaping Policy for Health

“We can’t do that!” “That will never fly in Colorado.” Assumptions or facts?

How do we prepare and respond?

-50 state surveys, review of municipal ordinances-Litigation challenges and court decisions

Building a public health law focus

Law and Policy: Why This is a Vital Tool

Sugar Sweetened Beverage Research Team

Farm to School Task Force Joint Degree Program JD/MPH development with the University of Colorado

PSD Law and Policy Initiatives

Before weight begins to track upward Before co-morbidities emerge $$ Before the high price tag $$

ECOP is: Early Intervention To Prevent Obesity Before it Starts

Prior to pregnancyDuring pregnancyDuring the first few years of a child’s

life

How Early is Early?

ECOP MCH Implementation Team

WIC

CACFP

Healthy Baby Campaign

Home Visitor Programs

Self-Management Services Program

Preconception Health MIT

Local Public Health Partners

Kaiser

Other External Partners

Early Childhood Systems

Healthy Living Branch

What?

Where?• WIC & LPHAs & Other Programs• Health Care Settings• Child Care Settings

How? A Multi-sector approach.

PSD Early Childhood Obesity Initiatives

• Appropriate gestational weight gain• Healthy parenting behaviors (sleep & infant feeding)• Healthy weight between pregnancies

• Breastfeeding• Physical activity (screen time & marketing)• ECOP integration into systems and policy

Implement state and local strategies that are:

• evidence-based• systemic • population-based

• Promote consistent messaging• Form strategic external partnerships• Disseminate evidence-based practices and ECOP data

Questions?

Thank You!