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www.YaleRuddCenter.org

Dealing With Obesity Do We Have The Courage?. www.YaleRuddCenter.org. Podcasts. eNewsletter. Slide Presentations. Resources Galore. www.YaleRuddCenter.org. No Data <10% 10%-14% 15-19%  20%. 1985. BRFSS, BMI > 30. 1986. 1987. 1988. 1989. 1990. 1991. 1992. 1993. 1994. 1995.

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  1. Dealing With Obesity Do We Have The Courage? www.YaleRuddCenter.org

  2. Podcasts eNewsletter Slide Presentations Resources Galore www.YaleRuddCenter.org

  3. No Data<10%10%-14%15-19%20% 1985 BRFSS, BMI > 30

  4. 1986

  5. 1987

  6. 1988

  7. 1989

  8. 1990

  9. 1991

  10. 1992

  11. 1993

  12. 1994

  13. 1995

  14. 1996

  15. 1997

  16. 1998

  17. 1999

  18. 2000

  19. 2001

  20. 2002

  21. 2003

  22. 2004

  23. No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% 2005

  24. A Global Crisis?

  25. EU Trends1980-2005Females

  26. Females 1980-1984 © International Obesity TaskForce 2005

  27. Females 1985-1989 © International Obesity TaskForce 2005

  28. Females 1990-1994 © International Obesity TaskForce 2005

  29. Females 1995-1999 © International Obesity TaskForce 2005

  30. Females 2000-2005 © International Obesity TaskForce 2005

  31. 134% 75.5% 36.5% Projected % Increase in Diabetes, 2000 - 2030 Yach, Stuckler, Brownell Nature Medicine, 2006

  32. 124% 19.8% % Increase in Diabetes, 2000 - 2030 Yach, Stuckler, Brownell Nature Medicine, 2006

  33. What Won’t Work

  34. Treatment Public Health Impact Efficacy Diets Self-help Commercial Lifestyle change Medication Surgery ?? ?? Modest Modest Modest High Low Low Low Low Low Low

  35. What Might Work

  36. Two Solid Contributors - Economics - Marketing One Possible Contributor - Addiction

  37. Economics • Price • Access

  38. Link of Poverty With Obesity Drewnowski & Specter Am J Clin Nutr, 2004

  39. The Cost of Calories Drewnowski & Specter Am J Clin Nutr, 2004

  40. Relative Changes in Costs (using Consumer Price Index) From 1980 - 2000 3.8% average increase in inflation rate Food prices rose less (3.4%) This is 14% drop in relative price of food Council of Economic Advisors 2004 Report

  41. 117% 46% 20% % Increase in Costs from 1985-2000 Putnam et al. Food Rev, 2002

  42. Tale of Three Cities Detroit, MI Branford, CT Chapel Hill, NC

  43. 800,000 29,000 52,440 Population Detroit Branford Chapel Hill

  44. Median Family Income Detroit $33,853 Branford $69,510 Chapel Hill $88,200

  45. Number of Large Full Service Markets Detroit 2 Branford 2 Chapel Hill 6

  46. Markets Per 50,000 People .125 Detroit Branford 3.4 Chapel Hill 5.7

  47. Improving Access More Supermarkets Zoning Enterprise zones Tax incentives Use of Existing Markets Distribution Storage Price

  48. The Perfect Economic Storm

  49. Availability Healthy Food Costs More Pricing Incentives

  50. Food Marketing

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