Indiana Healthy Weight Initiative Laura Hormuth, MS, RD, CD Division of Nutrition & Physical Activity Indiana State Department of Health Purdue 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, ofessionals/statereport.html

Logo and Website

Fruits & Veggies—More Matters

obesity in America

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

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

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

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

(*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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

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% Source: retrieved http://

obesity and Indiana

53% of IN adults report being a normal weight in 1990 % of IN Adults who Self-Report Being at a Normal Weight, Source: Indiana BRFSS Data, Only 36% of IN adults reported being a normal weight in 2008

% of IN Adults who self-reported being either overweight or obese, Source: Indiana BRFSS Data, In 2008, 64% of IN adults reported being either or overweight/obese.

Source: Indiana BRFSS Data, % of Indiana Adults who Self-Report being Overweight or Obese, % 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 unit explosion 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?

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 partnerstask force 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 Vision, Mission and Goals have been approved by the CDC Workgroups are currently working on objectives

Indiana State Department of Health Division of Nutrition and Physical Activity Ellen Whitt, JD Director (317) Schools: Juliana Hammer, MPH, C.H.E.S. (317) Nutrition, Breastfeeding & Faith-Based Initiatives: Laura Hormuth, MS, RD, CD (317) Data and Research: Amanda Raftery, MPH, RD, CD (317) Physical Activity & Older Adults: Mike Lindbloom, MS (317) Communities & Early Childhood: Marcie Memmer, MPH, C.H.E.S. (317) Worksite Wellness: Jamie Delaney (317)

Task Force Membership State-wide organizations with a stake in obesity prevention 148 individuals 83 organizations

Task Force Workgroups –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 Vision All Hoosiers practice and enjoy a lifestyle of healthy eating and physical activity within an environment that supports health, wellness and vitality. Mission To 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 Goals 1.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

Questions?