You Are Only as Good for Others as You Are for Yourself Adolescent Health Conference February 5, Views may change over time. I reserve the right to revise what I say today.

Essentials of Life 6 7 SIX DIMENSIONS OF WELLNESS Introduction of New, Larger Portions 16 Television Viewing 17 Type 2 Diabetes Incidence Among U.S. Youth with Diabetes 18 Information 19 Information 20 Information Leading Causes of Death 1900

Essentials of Life 6 7 SIX DIMENSIONS OF WELLNESS Introduction of New, Larger Portions 16 Television Viewing 17 Type 2 Diabetes Incidence Among U.S. Youth with Diabetes 18 Information 19 Information 20 Information Leading Causes of Death 1997

Causes of Death: 2000 *Source: Minino AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Deaths: final data for Natl Vital Stat Rep. 2002;50:1-50, **Source: Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual Causes of Death in the United States, JAMA 2004;291(10):

Essentials of Life 6 7 SIX DIMENSIONS OF WELLNESS Introduction of New, Larger Portions 16 Television Viewing 17 Type 2 Diabetes Incidence Among U.S. Youth with Diabetes 18 Information 19 Information 20 Information The goal in life is to: “Die young, as late in life as possible”

Essentials of Life Air Water Sleep Food Activity Sex (NOT) Intimacy & Human Touch -YES!

Essentials of Life

University of Wisconsin Stevens Point Essentials of Life

University of Wisconsin Stevens Point Essentials of Life in Haiti

University of Wisconsin Stevens Point Alcohol Abuse is NOT Funny These Are Medical Emergencies!

University of Wisconsin Stevens Point

SIX DIMENSIONS OF WELLNESS

Shapers of Human Behavior

Teaching Our Children Well

Courtesy of Anne Peters Harmel, MD. USC Keck School of Medicine

Introduction of New, Larger Portions Number of large size portions introduced Courtesy of Fran Kaufman, MD Young LR, Nestle M: AJPH 2002; 92:246

Television Viewing Average Number of Hours Per Day Courtesy of Fran Kaufman, MD Task Force Report, LA County DHS, 2002 lapublichealth.org/mch

Percent of type 2 Diabetes Type 2 Diabetes Incidence Among U.S. Youth with Diabetes Courtesy of Fran Kaufman, MD Data from Kitgaw et al

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC

University of Wisconsin Stevens Point Obesity Trends No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC

University of Wisconsin Stevens Point Obesity Trends-5yr Intervals No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

University of Wisconsin Stevens Point Diabetes Trends % Source: CDC

Have we hit a plateau?

Do we need more pills?

Essentials of Life So, “What do we need to live our lives really well?” Do we need more information?

NOT!

Information Thousands of eHealth sites. How do you decide how you will allocate your “eye time”? Drinking water from a fully charged fire hose.

Information “What information consumes is rather obvious: it consumes the attention of its recipients.”

Information “Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it.” Herbert Simon Scientific American, September 1995, Page 201

I'd rather see a sermon than hear one any day; I'd rather one should walk with me than merely show the way. The eye's a better pupil, And more willing than the ear; Fine counsel is confusing, But example's always clear. I soon can learn to do it, If you'll let me see it done; I can see your hands in action, But your tongue too fast may run; And the lectures you deliver, May be very fine and true; But I'd rather get my lesson, By observing what you do. For I may misunderstand you, And the high advice you give, But there's no misunderstanding how you act and how you live. Poem by Edgar A. Guest

Thanks for being here, I will respond to questions.