Presenter Disclosures (1)The following personal financial relationships with commercial interests relevant to this presentation existed during the past.

Presenter Disclosures (1)The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: Martha Rider “No relationships to disclose”

Cultivating a Coalition to Create a Healthier Hawaii Martha Rider, PhD, MS, CHES Director, Hawaii State Physical Activity and Nutrition Coalition

The Beginning In 1999, Act 304 mandated that the Hawaii Department of Health use 25 percent of the tobacco settlement funds for health promotion and disease prevention programs, promotion of healthy lifestyles, and prevention-oriented public health programs. In collaboration with its Health and Wellness Advisory group and the CDC, the Department of Health created the Healthy Hawaii Initiative (HHI).

The Plan HHI in collaboration with over 100 stakeholders who represent public health, community organizations, school educators & administrators, healthcare professionals & providers, private industry, planners, and non- profit agencies came together to create a plan addressing healthy living, --the Physical Activity and Nutrition Plan. Available: www.healthyhawaii.com/publications www.healthyhawaii.com/publications

Hawaii's Physical Activity and Nutrition (PAN) Plan

The PAN Plan has 8 Objectives Objective 1: Establish state and county coalitions to take the lead in advocating for systemic changes in physical activity and nutrition. Strategy: Advocate for initiatives and policies that support good nutrition and regular physical activity.

Physical Activity Recommendations by the CDC and U.S. Surgeon General Age Group Exercise Type # of Minutes # of Days per Week Adults Moderate 30 or more 5 or more Vigorous 20 or more 3 or more Youth Moderate 60 or more* Most days (preferably daily) (*Previous 30 min x 5 or more days)

Percentage of Adults in Hawaii and the U.S. that Met Guidelines* for Physical Activity (BRFSS)

High School Students in Hawaii and the U.S.

Percentage of Middle School Students in Hawaii that Met Guidelines for Physical Activity (YRBS, 2005)

Nutrition: Do adults eat the recommended 5 or more servings of Fruits & Vegetables per day?

High School Students in Hawaii 5 or more servings of fruit & vegetables per day

Impact The rates of overweight and obesity have increased steadily among adults. Overweight has increased among U.S. adults eighteen and older from 33% in 1990 to 37% in 2002. Obesity has increased among U.S. adults from almost 12% in 1990 to a little over 22% in 2002. (BRFSS)

Obesity rate in adults with diabetes (51%) is higher compared to obesity rate among adults without diabetes (15.5%).

The most common actual causes of death in the U.S. were tobacco (435,000) and poor diet & physical inactivity (400,000) (CDC)

Structure of the Coalitions Coalitions Coalitions: Caroline Teruya, Coordinator for Hawaii County, caroline.kunitake@gmail.com.caroline.kunitake@gmail.com, Coordinator for Maui County,. Sandra McGuinness, Coordinator for Maui County, sandramaui@aol.com.sandramaui@aol.com Kauai County, tba Martha Rider, Director for State and County Coalitions, mrider@hawaii.edu. mrider@hawaii.edu

Our Plans Increase physical activity and improve nutrition through collaborative efforts of organizations and individuals working together Work group Initiatives and Policy Worksite WellnessWorksite Wellness Built EnvironmentBuilt Environment Schools and Childcare FacilitiesSchools and Childcare Facilities HealthcareHealthcare

MAHALO!