1. You Are Only as Good for Others as You Are for Yourself Adolescent Health Conference February 5, 2010 19612010 Views may change over time. I reserve the right to revise what I say today.

2. 1 2 3 4 5 Essentials of Life 6 7 SIX DIMENSIONS OF WELLNESS 8 9 10 11 12 13 14 15 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 21 22 23 24 25 26 27 28 29 30 Leading Causes of Death 1900

3. 1 2 3 4 5 Essentials of Life 6 7 SIX DIMENSIONS OF WELLNESS 8 9 10 11 12 13 14 15 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 21 22 23 24 25 26 27 28 29 30 Leading Causes of Death 1997

4. Causes of Death: 2000 *Source: Minino AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Deaths: final data for 2000. 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, 2000. JAMA 2004;291(10):1238-45. 01210515

5. 1 2 3 4 5 Essentials of Life 6 7 SIX DIMENSIONS OF WELLNESS 8 9 10 11 12 13 14 15 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 21 22 23 24 25 26 27 28 29 30 The goal in life is to: “Die young, as late in life as possible”

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

9. Essentials of Life

11. University of Wisconsin Stevens Point Essentials of Life

12. University of Wisconsin Stevens Point Essentials of Life in Haiti

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

14. University of Wisconsin Stevens Point

15. SIX DIMENSIONS OF WELLNESS

16. Shapers of Human Behavior

18. Teaching Our Children Well

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

20. Introduction of New, Larger Portions 0 10 20 30 40 50 60 70 1970198019902000 Number of large size portions introduced Courtesy of Fran Kaufman, MD Young LR, Nestle M: AJPH 2002; 92:246

21. Television Viewing 0 1 2 3 4 1970198019902000 Average Number of Hours Per Day Courtesy of Fran Kaufman, MD Task Force Report, LA County DHS, 2002 lapublichealth.org/mch

22. 0 5 10 15 20 25 30 35 40 45 50 Percent of type 2 Diabetes 1970198019902000 Type 2 Diabetes Incidence Among U.S. Youth with Diabetes Courtesy of Fran Kaufman, MD Data from Kitgaw et al

23. University of Wisconsin Stevens Point Obesity Trends - 1985 No Data <10% 10%–14% Source: CDC

24. University of Wisconsin Stevens Point Obesity Trends - 1986 No Data <10% 10%–14% Source: CDC

25. University of Wisconsin Stevens Point Obesity Trends - 1987 No Data <10% 10%–14% Source: CDC

26. University of Wisconsin Stevens Point Obesity Trends - 1988 No Data <10% 10%–14% Source: CDC

27. University of Wisconsin Stevens Point Obesity Trends - 1989 No Data <10% 10%–14% Source: CDC

28. University of Wisconsin Stevens Point Obesity Trends - 1990 No Data <10% 10%–14% Source: CDC

29. University of Wisconsin Stevens Point Obesity Trends - 1991 No Data <10% 10%–14% 15%–19% Source: CDC

30. University of Wisconsin Stevens Point Obesity Trends - 1992 No Data <10% 10%–14% 15%–19% Source: CDC

31. University of Wisconsin Stevens Point Obesity Trends - 1993 No Data <10% 10%–14% 15%–19% Source: CDC

32. University of Wisconsin Stevens Point Obesity Trends - 1994 No Data <10% 10%–14% 15%–19% Source: CDC

33. University of Wisconsin Stevens Point Obesity Trends - 1995 No Data <10% 10%–14% 15%–19% Source: CDC

34. University of Wisconsin Stevens Point Obesity Trends - 1996 No Data <10% 10%–14% 15%–19% Source: CDC

35. University of Wisconsin Stevens Point Obesity Trends - 1997 No Data <10% 10%–14% 15%–19% 20%–24% Source: CDC

36. University of Wisconsin Stevens Point Obesity Trends - 1998 No Data <10% 10%–14% 15%–19% 20%–24% Source: CDC

37. University of Wisconsin Stevens Point Obesity Trends - 1999 No Data <10% 10%–14% 15%–19% 20%–24% Source: CDC

38. University of Wisconsin Stevens Point Obesity Trends - 2000 No Data <10% 10%–14% 15%–19% 20%–24% Source: CDC

39. University of Wisconsin Stevens Point Obesity Trends - 2001 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% Source: CDC

40. University of Wisconsin Stevens Point Obesity Trends - 2002 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% Source: CDC

41. University of Wisconsin Stevens Point Obesity Trends - 2003 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% Source: CDC

42. University of Wisconsin Stevens Point Obesity Trends - 2004 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% Source: CDC

43. University of Wisconsin Stevens Point Obesity Trends - 2005 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC

44. University of Wisconsin Stevens Point Obesity Trends - 2006 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC

45. University of Wisconsin Stevens Point Obesity Trends - 2007 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC

46. University of Wisconsin Stevens Point Obesity Trends - 2008 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC

47. University of Wisconsin Stevens Point Obesity Trends-5yr Intervals 2008 20031998 19931988 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC

48. University of Wisconsin Stevens Point Diabetes Trends - 1994 9% Source: CDC

49. University of Wisconsin Stevens Point Diabetes Trends - 1995 9% Source: CDC

50. University of Wisconsin Stevens Point Diabetes Trends - 1996 9% Source: CDC

51. University of Wisconsin Stevens Point Diabetes Trends - 1997 9% Source: CDC

52. University of Wisconsin Stevens Point Diabetes Trends - 1998 9% Source: CDC

53. University of Wisconsin Stevens Point Diabetes Trends - 1999 9% Source: CDC

54. University of Wisconsin Stevens Point Diabetes Trends - 2000 9% Source: CDC

55. University of Wisconsin Stevens Point Diabetes Trends - 2001 9% Source: CDC

56. University of Wisconsin Stevens Point Diabetes Trends - 2002 9% Source: CDC

57. University of Wisconsin Stevens Point Diabetes Trends - 2003 9% Source: CDC

58. University of Wisconsin Stevens Point Diabetes Trends - 2004 9% Source: CDC

59. University of Wisconsin Stevens Point Diabetes Trends - 2005 9% Source: CDC

60. University of Wisconsin Stevens Point Diabetes Trends - 2006 9% Source: CDC

61. University of Wisconsin Stevens Point Diabetes Trends - 2007 9% Source: CDC

62. University of Wisconsin Stevens Point Diabetes Trends - 2008 9% Source: CDC

63. Have we hit a plateau?

64. Do we need more pills?

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

66. NOT!

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

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

69. 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

70. 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

71. Thanks for being here, I will respond to questions.