1. IN Shape Indiana Indiana State Department of Health Community Nutrition Obesity Prevention Division Community Resource Guides Project

2. Project Strategy Provide resources for community groups and others to address overweight/obesity Provide resources for community groups and others to address overweight/obesity Guide 1: What do we know about obesity? Guide 1: What do we know about obesity? Guide 2: How do you identify local needs and issues? Guide 2: How do you identify local needs and issues? Guide 3: How do you plan, initiate and assess local efforts? Guide 3: How do you plan, initiate and assess local efforts?

3. Feedback Needed On overall strategy On overall strategy On Resource Guide 1 On Resource Guide 1 Are there major areas missing? Are there major areas missing? Is there material here that is not valuable? Is there material here that is not valuable? Do you have specific comments, suggestions or edits? Do you have specific comments, suggestions or edits?

4. Guide 1

5. Obesity-Related Data in Indiana: A Resource Guide Terrell W. Zollinger, Dr.P.H. Robert M. Saywell, Jr., Ph.D., M.P.H. Jonathan C. Barclay, M.A.

6. Purpose Understand the nature of obesity Understand the nature of obesity Know the terms used to define weight status Know the terms used to define weight status Recognize why it is important to address obesity in Indiana communities Recognize why it is important to address obesity in Indiana communities Provide current statistics related to obesity in our state Provide current statistics related to obesity in our state

7. Contents Preface Preface Introduction Introduction Defining Obesity and Overweight Defining Obesity and Overweight Obesity and Risk Factor Profiles of Hoosiers Obesity and Risk Factor Profiles of Hoosiers Diseases and Other Health Problems Attributable to Obesity Diseases and Other Health Problems Attributable to Obesity Economic Impact of Obesity Economic Impact of Obesity Epilogue Epilogue

8. Introduction Introduction to the Obesity Issue Introduction to the Obesity Issue Overview of the Material Included in the Guide Overview of the Material Included in the Guide Data Sources Used Data Sources Used Behavioral Risk Factor Surveillance System Behavioral Risk Factor Surveillance System Youth Risk Behavior Survey Youth Risk Behavior Survey WIC Nutrition and Risk Data WIC Nutrition and Risk Data Indiana School Weight and Height Collection Project Indiana School Weight and Height Collection Project Other Data Sources Other Data Sources Purpose of this Resource Guide Purpose of this Resource Guide

9. Defining Obesity and Overweight Defining Terms Defining Terms Measuring Weight Status Measuring Weight Status Measuring Body Fat Measuring Body Fat

10. Obesity and Risk Factor Profiles of Hoosiers National Statistics National Statistics Trends in Obesity and Overweight in Indiana Trends in Obesity and Overweight in Indiana Findings from the 2005-2006 Indiana School Weight and Height Collection Program Findings from the 2005-2006 Indiana School Weight and Height Collection Program Demographic Characteristics of the Obese and Overweight Demographic Characteristics of the Obese and Overweight Demographic Risk Factors Associated with Obesity Demographic Risk Factors Associated with Obesity Food Intake and Eating Patterns Food Intake and Eating Patterns Physical Activity Patterns Physical Activity Patterns Weight Management Weight Management

11. Diseases and Other Health Problems Attributable to Obesity Health Consequences of Overweight and Obesity Health Consequences of Overweight and Obesity Hospital Discharge Data for Indiana Hospital Discharge Data for Indiana Self-reported Morbidity Self-reported Morbidity

12. Economic Impact of Obesity National Health, Social, and Economic Costs of Obesity National Health, Social, and Economic Costs of Obesity Obesity Costs in Relation to Co-Morbidities Obesity Costs in Relation to Co-Morbidities Likelihood of Morbidity Prevalence by Levels of Obesity Likelihood of Morbidity Prevalence by Levels of Obesity Medical Care Utilization and Costs Medical Care Utilization and Costs Non-Medical Expenses Non-Medical Expenses

13. Feedback Contact Information: Contact Information: Terry Zollinger tzolling@iupui.edu 278-0307

14. Guide 2

15. Obtaining Local Obesity Information: A Resource Guide Terrell W. Zollinger, Dr.P.H. Robert M. Saywell, Jr., Ph.D., M.P.H. Jonathan C. Barclay, M.A.

16. Purpose Understand the value of gathering and using local data Understand the value of gathering and using local data Recognize the specific community level information needed to develop support for weight control programs Recognize the specific community level information needed to develop support for weight control programs Provide specific instructions, tools and examples to collect local data Provide specific instructions, tools and examples to collect local data

17. Chapter 1: The Value of Local Data Understanding the relationship between factors and outcomes Understanding the relationship between factors and outcomes How can local data be used? How can local data be used? What are the community needs? What are the community needs? What are the community resources? What are the community resources?

18. Chapter 2: What Information is Needed? Examples Examples Number of places for people to exercise Number of places for people to exercise Utilization of existing places Utilization of existing places Perceived need for more places – where and what Perceived need for more places – where and what What are the eating patterns and food intake characteristics What are the eating patterns and food intake characteristics What are the school policies about food What are the school policies about food

19. Getting Input for Chapter 2: Obtain input from this committee on types of information that would be useful Obtain input from this committee on types of information that would be useful Review literature on information gathered and used in other communities Review literature on information gathered and used in other communities Interview experts Interview experts Interview community teams currently conducting programs Interview community teams currently conducting programs

20. Chapter 3: How to Collect Local Data Examples Examples Key Interviews Key Interviews Focus Groups Focus Groups Town Hall Meetings Town Hall Meetings Surveys Surveys Looking for Existing Data Looking for Existing Data Provide citations for standard questions Provide citations for standard questions

21. Chapter 3 Tools Provide instructions on WHO (targets) should be included in data collection efforts Provide instructions on WHO (targets) should be included in data collection efforts Provide standard protocols and examples to ensure that effective processes are used Provide standard protocols and examples to ensure that effective processes are used Provide standard instruments, probes and questions to measure the needed attributes Provide standard instruments, probes and questions to measure the needed attributes

22. Guide 3

23. Planning, Initiating and Assessing Local Programs: A Resource Guide Terrell W. Zollinger, Dr.P.H. Robert M. Saywell, Jr., Ph.D., M.P.H. Jonathan C. Barclay, M.A.

24. Purpose Understand the best practices for designing community level weight control programs Understand the best practices for designing community level weight control programs Gather “success” stories from around the state and elsewhere Gather “success” stories from around the state and elsewhere Strategically plan the local program – root cause analysis and logic models Strategically plan the local program – root cause analysis and logic models Establish goals, objectives and planned activities Establish goals, objectives and planned activities Partner for success Partner for success Assess the impact Assess the impact