2. Active Living Promotes Healthy Communities May 8th, 2003 Thomas James III, MD Humana-Kentucky Partners for a Health Louisville Practicing Physician

3. Abridged Version of Talk u Kentucky has a problem with its health from life-style issues u Activity is key to promotion of improved physical and emotional health u A healthier population promotes a stronger community u Now you can go “take a hike.”

4. Let’s look at the Statistics The Lewin Group for UAW-Ford Community Health Initiative, Oct. 2002 u ConditionHP2010Ky.USA u Hypertension 16.0%30.8%25.2% u Heart deaths 166.0 306.2 259.8 (deaths/100,000 Pop) u Stroke deaths 48.069.660.1 (deaths/100,000) u Diabetes death ---27.624.4 (deaths/100,000) u Cancer deaths 159.9 184.0 162.1 (deaths/100,000)

11. SOLUTIONS? a simple one--promote activity u Cardiovascular benefits u Weight management u Arthritis control u Diabetes improvement u ?Link to cancer prevention?

12. Cardiovascular Benefits u Reduce Coronary risk by 1/3 u Reduces hypertension by up to 10 mm Hg u Reduces stroke risk three-fold

13. Weight Management u Walking can burn up to 100 cal per mile u Exercise is key to weight loss u Regular exercise reduces diabetes risk by up to 25% u Cancer associate with obesity

14. Elements for Community Growth-- Dr. Mark Horton, Ca. PHS u Reduce exposure environmental toxins u Maximize safety in road planning u Community design to promote physical activity. u Development: “environmental justice” u Maximize aesthetics for stress relief u Include health/environmental experts in design.

15. Impacts on improved health u WIN: As an insurer--Lower medical costs, so premiums can be more competitive. u WIN: As Partners for a Healthy Louisville--Redirection of focus for business-health efforts. u WIN: As a Physician--Patient compliance with healthy activities.

16. The Bottom Line... u A healthier community makes the area more attractive to business and, more importantly, to the people who live there.