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BOARD OF SUPERVISORS Gloria Molina First District Yvonne Brathwaite Burke Second District

BOARD OF SUPERVISORS Gloria Molina First District Yvonne Brathwaite Burke Second District Zev Yaroslavsky Third District Don Knabe Fourth District Michael D. Antonovich Fifth District. Los Angeles County Blue Ribbon Task Force “Children and Youth Physical Fitness”.

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BOARD OF SUPERVISORS Gloria Molina First District Yvonne Brathwaite Burke Second District

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  1. BOARD OF SUPERVISORS Gloria Molina First District Yvonne Brathwaite Burke Second District Zev Yaroslavsky Third District Don Knabe Fourth District Michael D. Antonovich Fifth District Los Angeles County Blue Ribbon Task Force “Children and Youth Physical Fitness” Paving the Way for Physically Fit and Healthy Children

  2. History and Purpose of Task Force • January 29, 2002 - The Board of Supervisors established the LA County Task Force • The Task Force charge • Hold hearings • Research the status of physical fitness • Report recommendations to the Board to improve children’s fitness.

  3. 1991 1995 2000 No Data <10% 10%-14% 15-19% 20% Obesity* Trends Among U.S. Adults BRFSS, 1991, 1995 and 2000 (*BMI 30, or ~ 30 lbs overweight for 5’4” person) Source: Mokdad A H, et al. JAMA1999;282:16, 2001;286:10.

  4. L.A. County Youth9-12th Graders • 12.4% overweight • 10.5% U.S. • 16.5% at risk for becoming overweight • 13.6% U.S. Source:Centers for Disease Control and Prevention., Youth Risk Behavior Surveillance System: 2001 Results.

  5. Prevalence of Overweight* Among Children (2-17 years old) Receiving a CHDP Exam, Los Angeles County, March 2000 (n = 35,978) *  95th percentile for age- and sex- specific BMI

  6. Prevalence of Overweight* California Physical Fitness Testing, 2001 *Public school children, grades 5, 7, and 9, using standardized body mass index-for-age growth charts by CDC

  7. Risk Behaviors Related to Diet and Physical Activity

  8. Comorbidities of Obesity • Asthma • Cancer • Hypertension – ten times the rate in obese • Hyperinsulinism – Syndrome X • Type 2 Diabetes • Dyslipidemias • Orthopedic Abnormalities • Sleep Apnea – 1/3 have it and it impairs learning • Gall Bladder Problems – 1/3 from obesity • Hyperandrogenism • Eating Disorders, Depression, Psychological Disorders

  9. The Cost • 300,000 deaths/year (second to tobacco) • $117 billion/year • $61 billion in direct costs, including healthcare • $56 billion in indirect costs, including lost of productivity and earning lost

  10. Task Force Response • Four workgroups were established • Individuals and families • Communities • Schools • Health care • Community Forum was held to obtain public input • Extensive Literature review

  11. Contributing Factors • Individuals and Families • Communities • Schools • Healthcare • Food Industry

  12. Task Force Recommendations • Overarching Strategies • Policy • Programs and Initiatives • Research and Evaluation • Public Awareness Campaigns

  13. Formation of Recommendations • 4 settings/ under overarching themes: • Community (includes individuals and families) - 31 action steps • Schools – 10 action steps • Healthcare – 8 action steps • Worksite – 4 action steps • 53 total recommendations/ specific action steps to be taken within the 4 settings

  14. 6 Key Recommendations  Secure funding for programs, research, public awareness and policies  Promote joint use facilities with schools, parks, libraries, health clinics, community organizations

  15. 6 Key Recommendations  Support passage of legislation to increase Physical Education, Physical Education training, decrease class size, increase equipment  Schools adopt SB 19 nutritional standards for items outside federal meal program with <35% of calories from fat, <35% sugar,and only milk, water and juice >50% fruit juice sold

  16. 6 Key Recommendations  Implement a model comprehensive worksite wellness program  Appoint accountable County department personnel to work in collaboration with community-based committees and agencies to develop an implementation plan of the recommendations and to monitor the plan’s progress.

  17. Lessons Learned • A comprehensive approach is required to combat physical inactivity and unhealthy eating • Recommendations must be meaningful and achievable on a multitude of levels • Recommendations need to include a means for accountability

  18. Barriers to Implementation • Finding funding for program development • Convincing individuals who are not interested in physical activity or healthy eating that the consequences necessitate change requiring their interest

  19. For Your Copy of the Report • For persons interested in a copy of the full report detailing the Task Forces’ findings and recommendations, download the report from: www.lapublichealth.org/mch Paving the Way for Physically Fit and Healthy Children: Findings and Recommendations

  20. To Contact the Presenters: Cynthia Harding: charding @dhs.co.la.ca.us Valerie Ruelas: vruelas@dhs.co.la.ca.us Tel: (213) 639-6400 Fax: (213) 639-1033 Maternal, Child and Adolescent Health Programs Los Angeles County - Department of Health Services 600 S. Commonwealth Avenue, Suite 800 Los Angeles, CA 90005

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