Obesity Prevention Community of Practice and Taking it to the Street Campaign Ingrid K. Richards Adams, PhD RD LD Healthy Lifestyles: AAFCS Leading by Example

The Weight of the Nation Weight of the Nation

The Obesity Epidemic Most important public health problem For the first time in human history, in the year 2000 it was estimated that there were more overweight than underweight people. Source: Mendex, Monteiro, & Popkin 2005

A Nation in Crisis Our nation stands at a crossroads The present obesity epidemic threatens progress related to increasing American’s quality and years of healthy life Result – a decreased ability to compete in the global economy. Source: Surgeon General’s Vision for a Fit and Healthy Nation 2010

The Problem - Obesity One-third of U.S. adults (33.8%) are obese – 17 million Approximately 6% with a BMI over 40kg/m2 The prevalence of obesity among adults changed relatively little during the 1960s and 1970s, but it increased sharply over the ensuing decades – from 13.4% in 1980 to 34.4% in Source: Centers for Disease Control and Prevention

Sizing up the Obesity Challenge One in every three children (31.7%) ages two to 19 is overweight or obese. One-third of all children born in the year 2000 are expected to develop diabetes during their lifetime.

Sizing up the Obesity Challenge The current generation may even be on track to have a shorter lifespan than their parents Source: White House Task Force on Childhood Obesity, 2010

Obesity more Common Among Certain Racial and Ethnic Groups Obesity rates are highest among non-Hispanic black girls and Hispanic boys. Obesity is particularly common among American Indian/Native Alaskan children Source:

Military Readiness More than a third of all Americans ages are unqualified for military service because they are too heavy. The Army has started to overhaul food choices on bases. Source: White House Task Force on Childhood Obesity, 2010

Firefighters Half of incoming and current firefighters are overweight, while almost one-third are obese. More firefighters die of heart attacks while on the job than from any other cause. Source: White House Task Force on Childhood Obesity, 2010

Police Officers Potential recruits are overweight, and many have trouble passing the initial police academy fitness requirement. Source: White House Task Force on Childhood Obesity, 2010

The Obesity Epidemic It came quickly, with little fanfare, and was out of control before the nation noticed. Source: Brownell & Horgen, Food Fight

Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

Obesity Trends* Among U.S. Adults BRFSS, 1986 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

Obesity Trends* Among U.S. Adults BRFSS, 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. Adults BRFSS, 2002 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Obesity Trends* Among U.S. Adults BRFSS, 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. Adults BRFSS, 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. Adults BRFSS, 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. Adults BRFSS, 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. Adults BRFSS, 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. Adults BRFSS, 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. Adults BRFSS, 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. Adults BRFSS, 2010 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

2000 Obesity Trends* Among U.S. Adults BRFSS, 1990, 2000, 2010 (*BMI 30, or about 30 lbs. overweight for 5’4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Prevalence* of Self-Reported Obesity Among U.S. Adults BRFSS, 2011 *Prevalence reflects BRFSS methodological changes in 2011, and these estimates should not be compared to previous years. 15%–<20% 20%–<25% 25%–<30% 30%–<35% ≥35%

Adult Obesity Rates and Trends Ten years ago, no state had an obesity rate above 24 percent, now 43 states have higher obesity rates than the state that was the highest in Adult obesity rates rose in 16 states over the past year. No state decreased. Twelve states now have obesity rates above 30 percent: Alabama, Arkansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Oklahoma, South Carolina, Tennessee, Texas, and West Virginia. Four years ago, only one state was above 30 percent. Source: F as in Fat 2011

Current DAILY expenditure for obesity related diseases in the USA >$275,000,000 (CDC estimate)

Obesity projections Keeping Obesity Rates Level Could Save Nearly $550 Billion Over 2 Decades! Obesity to Rise: 65 Million More Obese Adults in the US and 11 Million More in the UK Expected by 2030! Study Suggests 86 Percent Of Americans Could Be Overweight Or Obese By 2030! Source: Science Daily

The Economics and Ecology of Food Healthy ChoicesUnhealthy Environment Food Availability Abundance Snacking Convenience Stores Vending Machines Processed Foods Cooking Less Eating Out More Large Portions Fast Food Choices Value Meals Food Courts All You Can Eat Buffets Eating to balance energy expenditure

The Economics and Ecology of Food Healthy Choices Burning calories to balance intake Unhealthy Environment Elevators Escalators Telephones Snow Blowers Remote Control Cars, Buses, Trains Computers Drive-Thru Society Television Cable Channels Video Games VCR’s Home Movies

The Economics and Ecology of Food Healthy Choices Making time for health Unhealthy Environment Living the Hurried Life Always Rushing Overscheduled Overdoing it Not Living in the Moment Working Longer Time Less Leisure Time Family Stresses Juggling Schedules Juggling Roles No Time for Family No Time for Self

We can Make a Difference AAFCS has addressed challenging social and economic issues for over 100years

What can we do? The Obesity Awareness Community and Taking it to the Streets Campaign is calling on all FCS professionals to: 1. Take part in the recommended level of physical activity each day—at least 30 minutes

Thirty minutes of any type of moderate physical activity

What can we do? Choose healthy foods each day based on the 2012 Dietary Guidelines 2

How can our Impact be felt? Thirty or more minutes of physical activity can save $500 in healthcare cost per year. If 50 members in each affiliate take part in the recommended physical activity = $25,000 of savings per affiliate each year If each affiliate gets 50 members involve = $1,250,000 of healthcare savings

8 Week Obesity Awareness campaign Begin January 5, 2013 (to coincide with New Year’s resolutions) Finish on March 5, 2013 Forms for documenting activity and healthy eating practices will be sent to each Affiliate President Each Affiliate will have a Community of Practice member contact

We need your $500 to make a difference!

When?

Healthy Lifestyles: AAFCS Leading by Example Graphics: Microsoft Online, Centers for Disease Control and Prevention Author: Ingrid Adams, Ph.D., R.D. L.D. Chair: AAFCS Obesity Prevention Community of Practice Assistant Professor, Nutrition and Food Science, University of Kentucky Extension Specialist for Nutrition and Weight Management October 2012 Policy The Cooperative Extension Service is federally mandated to take affirmative steps to ensure that its programs and services are available to all people. One step is public notification of its intention to serve all audiences. All Extension materials intended for public distribution must include the following statement: Educational programs of Kentucky Cooperative Extension serve all people regardless of race, color, age, sex, religion, disability, or national origin. Letterhead, enclosure slips, and newsletters must also include the following "cooperating" statement: UNIVERSITY OF KENTUCKY, KENTUCKY STATE UNIVERSITY, U.S. DEPARTMENT OF AGRICULTURE, AND KENTUCKY COUNTIES, COOPERATING