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Division of Nutrition, Physical Activity, and Obesity

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Today’s Learning Objectives

Today’s discussion will focus on:

Overview of DNPAO and our priorities

Major updates across the division

Future Direction of DNPAO

…

Division of Nutrition, Physical Activity, and

Obesity (DNPAO)

Ruth PetersenDirector

Ann O’ConnorDeputy Director

Paulette MurphyActing Management Official

Janet FultonBranch Chief

CAPT Heidi BlanckBranch Chief

Rafael (Rafa) Flores-Ayala Branch Chief

Terry O’TooleBranch Chief (Acting)

Janelle GunnAssociate Director for Policy

Deborah GaluskaAssociate Director for Science

Nutrition BranchObesity Prevention and Control Branch

Program Development and Evaluation Branch

Physical Activity and Health Branch

Office of the Associate Director for Science

Office of Policy, Partnerships, and Communications

DNPAO Budget History – FY 2013-2017

FY13 FY14 FY 15 FY 16 FY 17

Budget Activity/

DescriptionEnacted Enacted Enacted Enacted Enacted

Nutrition, PA, and Obesity $41,052* $5,085 $12,585 $49,920 $49,803

High Obesity Counties $0 $4,986

(non-add)$7,500

(non-add)$10,000

(non-add)$9,977

(non-add)

Nutrition, PA and Obesity

(PPHF)$0 $35,000 $35,000 $0 $0

National Early Childcare

Collaborative (PPHF)$4,000 $4,000 $4,000 $4,000 $4,000

Hospital Promoting BF

(PPHF)$2,500 $8,000 $8,000 $8,000 $8,000

REACH (PPHF) $34,950**

Total$47,552

Million

$52,085

Million

$59,585

Million

$61,920

Million

$96,753

Million

*Includes 5% sequestration and 0.2% recession**FY 2017 Budget includes REACH, which was not previously a part of the DNPAO budget. The appropriation was $50,950 of which $34,950 was segmented off for DNPAO. Does not include CORD ($25M 2011-2015; $10M 2016-2018)Source: FY2013-2017 CDC Operating Plans

DNPAO Strategic Priorities

Breastfeeding

Early Child Nutrition

Vitamins & Minerals

First 1,000 Days

Adults & Older

Adults Maintaining

a Healthy Lifestyle

Reaching All Americans Across the Lifespan by Supporting

Children & Youth

Growing Up Strong

& Healthy

A Healthy Start

for Infants

Good Nutrition & Healthy Food Environments

Physical Activity & Access to Environments Designed

for Physical Activity

Healthy Weight Management & Obesity Prevention

Certain populations are more at risk for

obesity and some health-related behaviors

– Hispanics and non-Hispanic blacks have a

higher prevalence of obesity (47%) than

non-Hispanic whites (38%) and non-

Hispanic Asians (13%)

– Women have a higher prevalence of

obesity than men among non-Hispanic

black, non-Hispanic Asian, and Hispanic

adults

– Compared to adults living in metropolitan

counties, adults in more rural areas are

more likely to -

• Be current smokers

• Not have a normal body weight

• Not meet the aerobic physical activity

recommendations

DNPAO is committed to addressing health disparities

Our goal is to help

support Americans’

journey to good

health, especially

those most

vulnerable to

chronic disease

National Leadership • Surveillance • Applied Research • Evaluation • Program Development •

Technical Assistance • Evidence-Based Practice • Training • Partnership Development •

Policy Analysis • Communications • Media Relations

Moving the Needle:

DNPAO Overview

National Leadership • Surveillance • Applied Research • Evaluation • Program Development •

Technical Assistance • Evidence-Based Practice • Training • Partnership Development •

Policy Analysis • Communications • Media Relations

Nutrition

Major Updates

Rafael Flores-Ayala, DrPH, MApStat

Branch Chief

Nutrition Branch

A Healthy Start for Infants

Breastfeeding Highlights

– Supported EMPower, working with 93 hospitals

in 24 states to improve maternity care practices

– Worked with the American Academy of Pediatrics

(AAP) to improve physician education and training

in breastfeeding support

– Analyzed mPINC 2015 data and produced individual

reports for 2,582 participating hospitals

– Provided technical assistance to 1305 and ASTHO grantees through

networking calls and learning sessions

– Analyzed NIS data to describe national and state trends in breastfeeding

rates

A Healthy Start for Infants

Early Child Nutrition Highlights

– Continued to foster partnerships with federal

agencies and non-federal organizations

– Developed a CDC Early Child Nutrition website

– Supported development of education and training

materials for pediatricians and families

– Monitored and reported on data related to key

areas of early child nutrition

– Advanced the planning of Infant Feeding Practices Study III: Birth to Two

Years

A Healthy Start for Infants

Vitamin & Mineral Malnutrition

– Published Biomarkers Reflecting Inflammation

and Nutrition Determinants of Anemia (BRINDA)

project and supplement

– Supported domestic and international nutrition

surveillance

– Provided survey technical assistance for 13 surveys

in 10 countries and monitoring technical assistance

to 3 countries

– Published 37 manuscripts/book chapters, 7 reports, and one monitoring

manual

– Developed technical resources of wide impact

– Fostered formal and informal nutrition collaborations

National Leadership • Surveillance • Applied Research • Evaluation • Program Development •

Technical Assistance • Evidence-Based Practice • Training • Partnership Development •

Policy Analysis • Communications • Media Relations

Physical Activity

Major Updates

Janet Fulton, PhD

Branch Chief

Physical Activity and Health Branch

Physical Activity & Access to Environments

Designed for Physical Activity

– Developed the Youth Compendium of Physical

Activities in collaboration with and non-federal

organizations

– Disseminated the new Community Guide Built

Environment Task Force Recommendations

– Delivered Walkability Action Institute, Complete

Streets, and other trainings and technical assistance in a variety of settings

– Provided tools and technical assistance for monitoring physical activity for a

variety of partners

Children & Youth Growing Up Strong & Healthy

Adults & Older Adults Maintaining a Healthy Lifestyle

Physical Activity & Access to Environments

Designed for Physical Activity

– Produced Active People, Healthy NationSM materials

– Sustained partnerships to support the National

Walking movement and active transportation

– Evaluated novel approaches to promote walking

– Developing a national Physical Activity Surveillance

Plan

– Disseminated research and surveillance findings related to behavior and

policy, systems, and environmental approaches

– Developing and monitoring the nation’s 36 Healthy People 2020 physical

activity objectives

– Supporting the upcoming 2018 Physical Activity Guidelines

National Leadership • Surveillance • Applied Research • Evaluation • Program Development •

Technical Assistance • Evidence-Based Practice • Training • Partnership Development •

Policy Analysis • Communications • Media Relations

Obesity

Major Updates

CAPT Heidi Blanck, PhD, MS

Branch Chief

Obesity Prevention and Control Branch

Children & Youth

Growing Up Strong & Healthy

Early Care and Education (ECE) Setting(breastfeeding, nutrition, physical activity, screen time)

– Provided technical assistance to grantees and

unfunded partners

– Disseminated the first ECE State Indicator Report

and awarded a State ECE Surveillance Pilot contract

– Expanded the facility level Learning Collaboratives’

project and state integration for sustainability with

Nemours

– Supported state action institutes and Train the Trainers

– Supported targeted state ECE system improvements through the Mini CoIIN

(Collaborative Improvement Innovation Network)

– Supported farm to childcare, Salad Bars To Schools

– Released new resources

Children & Youth

Growing Up Strong & Healthy

Health Services: Pediatric Weight Management

& Obesity Prevention

– Advanced healthy weight practices for low-income

children aged 2-12

– Addressed evidence gaps and spread lessons

with key partners

– Supported use of innovative health information

technology/EHRs for clinical and population health

data needs (Wiltz et al., 2017 PCD)

Childhood Obesity Epi & Surveillance Work

– Published trends in obesity among low-income infants and toddlers in WIC,

severe obesity toddlers

– Disseminated improved obesity tracking measures for children with severe

obesity (Freedman et al. 2016, 2017)

Adults & Older Adults Maintaining a Healthy Lifestyle

Good Nutrition & Healthy Food Environments

– Released 2017 Food Service Guidelines for Federal

Facilities

– Published data on food service guidelines policies

at state and local level, support of worksite wellness

nutrition, kids’ meals, Guam Epi-Aid on

Stores/Restaurants

– Hosted DoD/CDC-DNPAO Fellows

– Supported the release of USDA funding for Food Insecurity Nutrition

Incentive (FINI), Farm to School, Use of Supplemental Nutrition Assistance

Program Education (SNAP-ED) for policy, system, and environment (PSE)

changes

– Supported National Collaborative on Childhood Obesity Research (NCCOR)

projects

– Evaluations of nutrition policy innovations through Nutrition and Obesity

Policy Research and Evaluation Network (NOPREN)

Adults & Older Adults Maintaining a Healthy Lifestyle

Tackling Hunger

– Clinical-Community Partnerships to Identify Patients

With Food Insecurity and Address Food Needs

(Lundeen et al. Nov. 2017 PCD)

– Food Insecurity as part of Community Health Needs

Assessment (CHNA) and Screening Tools for Adults: https://nopren.org/working_groups/hunger-safety-net/

Adult Epi & Surveillance Work

– Published 2016 BRFSS Adult Obesity State Maps and 2014-2106

Race/Ethnicity Adult Obesity Maps

– Published research on Sugar-Sweetened Beverage (SSB) intake and

knowledge of health risk (Park S et al. 2017)

– MMWR on fruit and vegetable intake recommendations Nov. 2017

Disparities in fruit and vegetable intake among adults, BRFSS

– The Federal Nutrition research Roadmap

– Obesity Related Cancers MMWR (DCPC and DNPAO)

National Leadership • Surveillance • Applied Research • Evaluation • Program Development •

Technical Assistance • Evidence-Based Practice • Training • Partnership Development •

Policy Analysis • Communications • Media Relations

Program

Major Updates

Terry O’Toole, PhD

Acting Branch Chief

Program Development and Evaluation Branch

~857,000 babies are born each year in

hospitals that now use best practices to

support breastfeeding

Rates of breastfeeding initiation have

increased from 73% in 2003 to 81% in

2013

Now there is a Baby-Friendly hospital in

every state, DC, and Puerto Rico

Getting a Healthy Start

Our

Impact

More than 22,500 ECE providers

voluntarily pledged to adopt obesity

prevention practices in childcare centers

Over 8,000 ECE providers across the

nation completed 2 hours of

professional development training on

promoting physical activity among

young children

Growing Up Strong & Healthy

Our

Impact

29

All 50 state health agencies now

partner with worksites, hospitals, and

schools to encourage healthy food

offerings in cafeterias, snack shops, or

vending machines

1 in 5 elementary schools now have a

“Safe Routes to Schools” program

More than 900 communities or

regions adopted “Complete Streets”

policies that make it easier to cross the

street, walk to shops, and bicycle to

work

Maintaining Good Nutrition & Keeping Active

Our

Impact

Future

Direction

National Leadership • Surveillance • Applied Research • Evaluation • Program Development •

Technical Assistance • Evidence-Based Practice • Training • Partnership Development •

Policy Analysis • Communications • Media Relations

Finding Our Resources

DNPAO Fact Sheets Now Online

https://www.cdc.gov/nccdphp/dnpao/division-information/aboutus/index.htm

Infographics and Fact Sheet on Key Topics

https://www.cdc.gov/physicalactivity/downloads/unfit-to-serve.pdf

https://www.cdc.gov/obesity/downloads/ECE-infographic.pdf

https://www.cdc.gov/obesity/downloads/acting-early-to-prevent-obesity.pdf

(Co-branded with Mission: Readiness) (In collaboration with Nemours)

Visit us online at:

@CDCMakeHealthEZ

@CDCObesity

Facebook.com/CDCEatWellBeActive

CDC.gov/nccdphp/dnpao

Let’s Stay Connected

NCCDPHP Success Stories

https://nccd.cdc.gov/nccdsuccessstories/

Search for REACH

success stories using

the “Refine Your

Search” tool

Communication

Packets

Partner Meetings

Congressional

Briefings

Federal, State, and

Local Requests

Sharing Success Stories At Every Opportunity

Who is telling my story?

We Are!

Tell your story about

population level changes in

your communities that

support a healthier outcome

for everyone

Share the positive changes

that last a lifetime

And remind people that

diseases can be prevented

We Challenge You to Tell Us EveryoneYour Story

The change

may be

slow, but

you can

ensure it’s

steady

…

x

For more information, contact: DNPAOPolicy@cdc.gov

Help us keep America healthy and strong. See how at: cdc.gov/nccdphp/dnpao

The findings and conclusions in this report are those of the authors and do not

necessarily represent the official position of the Centers for Disease Control and

Prevention.

Thank You!