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obesity epidemic in texas

Strategy- Evaluate existing school-based nutrition and physical activity policies and programs. ... an action plan on physical activity and nutrition in Texas schools. ...

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obesity epidemic in texas

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    1. Obesity Epidemic in Texas

    Region XIII Nutrition and Health Resources Fair June 4, 2004

    2. Objectives

    Identify current trends in adult and child overweight and obesity in Texas Understand the importance of the “Strategic Plan for Prevention of Obesity in Texas” Identify obesity prevention initiatives being implemented in communities across Texas

    3. Overweight and Obesity in Adults in Texas

    Body Mass Index (BMI)= weight (kg)/height2(meters) Overweight – BMI 25 to 29.9 Obesity – BMI > or = 30

    2002 Obesity Trends* Among U.S. Adults BRFSS, 1991-2002 No Data <10% 10%–14% 15%–19% 20%–24% =25% (*BMI =30, or ~ 30 lbs overweight for 5’ 4” woman)

    5. Trends in Adult Overweight and Obesity in Texas

    1990 to 2002: 42.9% to 63% Obesity: low-income adults Overweight: high-income adults.

    6. Adult Trends - The Facts

    Obesity: African- Americans= 42% Hispanics= 30% All Texas Adults= 24.6% Obesity and overweight: Men (69%) Women (55%) 45-64 years of age (70%)

    7. Sources for Adult Statistics in Texas

    Behavioral Risk Factor Surveillance Survey http://apps.nccd.cdc.gov/brfss/Trends/TrendData.asp TDH Center for Health Statistics

    8. Overweight and Obesity in Children in Texas

    Overweight: BMI > or = 85th percentile Obesity: BMI > or = 95th percentile By age and gender Norms for BMI: NCHS/CDC, http://www.cdc.gov/growthcharts/

    9. School-aged Children Trends

    Doubled in the last 20 years Highest among minorities and males. Increasing at a rate similar to that of the adult population!

    10. Prevalence of Obesity in Teens

    1990: 22% (16-18y/o) 2001: >44% (11th graders)

    11. Prevalence of Obesity in Texas School Children

    4th grade – 22.4% (1.5 X U.S. avg.) 8th grade – 19.2% 11th grade – 15.5%

    12. Prevalence of Overweight in Texas School Children

    4th grade – 38.7% 8th grade – 37.1% 11th grade – 29.4%

    13. Prevalence of Obesity in Texas School Children

    Highest: 8th grade Hispanic boys 32.6% 4th grade African-American girls 30.8% Lowest: 11th grade White/other boys 12.7% 11th grade White/other girls 5.5%

    14. The Future of Obesity in Texas

    Overweight @ 12: 75% chance of being an overweight adult. Texas WIC program 2-5 y/o = 14% Current overall= 22.1% Future= ?

    15. Sources for Child Obesity Statistics in Texas

    Youth Risk Behavior Survey – Bureau of Chronic Disease and Tobacco Prevention School Physical Activity and Nutrition Survey WIC

    16. The Cost of Overweight & Obesity in Texas

    $10.4 billion in 2001 $4.2 billion health care $6.2 billion lost productivity Total: $8.8 to $14.2 billion Texas Dept. of Health - Preliminary Analysis, Jan. 2004

    17. Strategic Plan for the Prevention of Obesity in Texas

    February 2003 http://www.tdh.state.tx.us/phn/obesity-plan.pdf Statewide Obesity Taskforce (SOT)

    18. Strategic Plan for the Prevention of Obesity in Texas

    Vision: All Texans have a healthy weight through physical activity and healthful eating Mission: To reduce the burden of weight-related disease by decreasing the prevalence of obesity

    19. Strategic Plan for the Prevention of Obesity in Texas

    Goal 1: Increase awareness of obesity as a public health issue that impacts the quality of life of families. Goal 2: Mobilize families, schools, and communities to create opportunities to choose lifestyles that promote healthy weight.

    20. Strategic Plan for the Prevention of Obesity in Texas

    Goal 3: Promote policies and environmental changes that support healthful eating habits and physical activity. Goal 4: Monitor obesity rates and related behaviors and health conditions for planning, evaluation, and dissemination activities.

    21. Strategic Plan for the Prevention of Obesity in Texas

    Objectives Strategies Why? How? Target? Desired effect? Evaluation methods?

    22. Strategic Plan for the Prevention of Obesity in Texas

    Examples:“Mobilize...,schools,…to create opportunities to choose lifestyles that promote healthy weight.” Strategy- Evaluate existing school-based nutrition and physical activity policies and programs. Strategy- Develop an action plan on physical activity and nutrition in Texas schools. Strategy- Establish alliances between schools, health organizations, and communities.

    23. Strategic Plan for the Prevention of Obesity in Texas

    Texas State Strategic Health Partnership Goal A: “Improve the health of all Texans by promoting healthy nutrition and safe physical activity”. Next steps for implementation of the Strategic Plan.

    24. Strategic Plan for the Prevention of Obesity in Texas

    Four workgroups/4 goals Work-plans action steps, timelines, resources, and responsible parties

    25. Strategic Plan for the Prevention of Obesity in Texas

    http://www.tdh.state.tx.us/phn/obesity-plan.pdf

    26. TDH Obesity Prevention Activities

    Increasing awareness Training health professionals Promoting worksite wellness programs Promoting culturally appropriate nutrition and physical activity programs Advocating for policy and environmental changes.

    27. TDH Obesity Prevention Activities

    Providing assistance to community coalitions Promoting and supporting coordinated school health programs

    28. New Obesity Prevention Initiatives in Texas

    Monitoring obesity rates and related behaviors and health conditions Developing partnerships with local and statewide organizations

    29. Prevention Activities in Communities- Nutrition

    Breastfeeding education programs in hospitals Peer Counseling programs for breastfeeding mothers Breastfeeding Mothers’ Rooms at worksites

    30. Prevention Activities in Communities- Nutrition

    5 A Day promotion strategies Worksite/school policies Community gardening projects Coupons for farmers’ markets

    31. Prevention Activities in Communities- Physical Activity

    Implementing Walk-to-School programs Creation of or enhanced access to places for physical activity combined with informational activities Reduced television/video game time

    32. Prevention Initiative in Schools

    Senate Bill 19, 77th Texas Legislature. Physical activity Health Curriculum School Health Advisory Committee

    33. School Health Advisory Councils

    Support planned, sequential health education. Support physical education classes. Support school health services. Promote a healthy school environment. Support counseling, psychological, and social services. Support health promotion for staff. Support school nutrition services. Support the community-school connection.

    34. Resources

    http://www.cdc.gov/healthyYouth/ http://www.schoolhelath.info TDH Austin/TDH Regional Offices. http://www.tdh.state.tx.us

    35. “Never doubt that a small group of committed people can change the world. Indeed, it is the only thing that ever has.” Margaret Mead

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