1. School Name Presentation Date Name of Presenter Physicians for Healthy Communities

2. The Mission: CMA Foundation: Champions improved individual and community health through a partnership of leaders in medicine, related health professions, and the community. Physicians for Healthy Communities: Prevent obesity related diseases by turning practicing physicians into community educators and advocates for healthy eating, physical activity, and policy change at the frontlines of the battle against obesity.

3. 19961991 Obesity Trends* Among U.S. Adults BRFSS, 1991, 1996, 2004 (*BMI 30, or about 30 lbs overweight for 54 person) No Data <10% 10%–14% 15%–19% 20%–24% 25% 2004

4. Overweight Children in California, 2004 28.1 Percent of all 5 th, 7 th and 9 th grade students surveyed in California in 2004 were overweight Source: California Center for Public Health Advocacy

5. Health Risks Associated with Obesity Type 2 diabetes Heart disease Stroke Asthma/ Breathing problems Many types of Cancer Depression Sleep apnea High blood pressure and cholesterol High stress levels Premature death

7. Portion DistortionPortion Distortion Do you know how food portions have changed in 20 years?

8. FRENCH FRIES 20 Years AgoToday 210 Calories 2.4 ounces How many calories are in todays portion of fries?

9. Calorie Difference: 400 Calories FRENCH FRIES 20 Years AgoToday 210 Calories 2.4 ounces 610 Calories 6.9 ounces

10. How long will you have to walk leisurely in order to burn those extra 400 calories?* *Based on 160-pound person Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out

11. *Based on 160-pound person If you walk leisurely for 1 hour and 10 minutes you will burn approximately 400 calories.* Calories In = Calories Out

12. 85 Calories 6.5 ounces How many calories are in todays portion? SODA 20 Years AgoToday

13. Calorie Difference: 165 Calories 250 Calories 20 ounces 85 Calories 6.5 ounces SODA 20 Years AgoToday

14. How long will you have to work in the garden to burn those extra calories?* *Based on 160-pound person Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out

15. If you work in the garden for 35 minutes, you will burn approximately 165 calories.* *Based on 160-pound person Calories In = Calories Out

16. Fuzzy Math: One Small Snack or One Full Meal? 1 bagel with cream cheese TOTAL: 500 Calories, 21 Grams of Fat OR 2 slices of toast, Two teaspoons butter 2 ounces of ham 1 orange Coffee TOTAL: 500 Calories, 21 Grams of Fat 12 Potato Chips & TOTAL: 230 Calories, 17 Grams of Fat 3 Tbsp. French Onion Dip OR 10 Large Shrimp with cocktail sauce 2 small baked clams 5 baby carrots 3/4 cup broccoli with ranch dip 3 sweet n sour meatballs TOTAL: 230 Calories, 8 Grams of Fat

17. Screen Time The Average American youth spends more time watching TV than any other activity except for sleeping Doctors recommend that you spend no more than 2 hours a day in front of the TV, computer or video games. And less is even better! Almost any other activity uses more energy than watching TV

18. Importance of Physical Activity Everyone needs at least 30 minutes of exercise every day! Some of the many health benefits include: –Reducing your risk heart disease –Lowering your risk of type 2 diabetes –Reducing feelings of depression, anxiety, and stress –Helping build and maintain healthy bones, muscles and joints

19. What is one thing you can do to increase healthy eating and/or physical activity in your school? More fresh fruits and vegetables in school meals Start a school garden and sell produce at lunch More bike racks, better bike lanes After-hours and weekend access to gym/weight room

20. How will you put this plan into action? 1.Develop a problem statement. Example: ABC High School does not have a wide variety of fruits and vegetables for sale at lunch 2.Make a list of steps to address the problem: 1.Find out if other high schools in the area offer fresh produce 2.Conduct a survey and taste test to see what fresh produce students would like to be offered 3.Present findings to key decision makers 3.Contact decision makers with a summary of findings and proposal for action