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Obesity in Arkansas: From Contemplation to Action

Obesity in Arkansas: From Contemplation to Action. Carole Garner, MPH, RD, LD Assistant Professor UAMS College of Public Health. Transtheoretical Model & Politics/Policy. Precontemplation Contemplation Preparation Action Maintenance. Precontemplation.

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Obesity in Arkansas: From Contemplation to Action

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  1. Obesity in Arkansas: From Contemplation to Action Carole Garner, MPH, RD, LD Assistant Professor UAMS College of Public Health

  2. Transtheoretical Model & Politics/Policy • Precontemplation • Contemplation • Preparation • Action • Maintenance

  3. Precontemplation • No intention to change behavior in the foreseeable future.

  4. 2000 1994 JADA 1990 AARP 2001

  5. Contemplation • Aware that a problem exists • Seriously thinking about overcoming it

  6. AR Policy - Legislative History • 1991 – School Breakfast Program • 1993 – 5 a Day • 1995 – ADE & schools to support nutrition goals • 1997 – Child & adolescent nutrition policy

  7. Comprehensive Child & Adolescent Nutrition Policy • Food insecurity • Anemia • Obesity • Low-birthweight • Breastfeeding • Nutrition education • Nutrition surveillance • Physical activity • Food safety Shall be used as a guide for the development of future legislation and policy concerning nutrition in the State of Arkansas.

  8. The Impact of Obesity • Raise awareness to problems & solutions • Ensure nutrition education & PE K-12 • Worksite wellness • Create a statewide obesity council • Develop legislation • Work with industry • Prevention programs • Insurance

  9. Preparation • Intending to take action

  10. AR Nutrition & Physical Activity Summit • Healthier school environment • State office on nutrition and physical activity • Obesity on school district report cards • Fitness test on school district report cards • Calories on restaurant menus • BMI vital sign on clinical charts 14 recommendations

  11. Action • Overt behavioral changes • Requires considerable commitment of time and energy.

  12. Act 122084th General Assembly 2003 • Establish a state level Child Health Advisory Committee (CHAC) • Beginning Fall 2003 – prohibits vending machine sales in elementary schools • Beginning Fall 2003 – requires report on amount and source of funds/expenditures from food & beverage contracts

  13. Act 122084th General Assembly 2003 • Beginning Fall 2003 – requires BMI-for-age on every child and a report sent to parents • Beginning Fall 2004 – create district level Nutrition & Physical Activity Advisory Committees (NPAAC)

  14. August 20, 2003 In Arkansas, Schools Plan To Score Children's Weights By BETSY MCKAY Staff Reporter Schoolchildren are used to getting grades in math, science and English. Now, Arkansas state officials want to score them on their weight. Alarmed at the growing number of overweight children in their state -- Arkansas has a higher percentage of overweight high-school students than the national average -- state health experts have pressured lawmakers to do something about it. A law enacted in April calls for the state's 308 public schools to record their students' weights and heights and then send the results home.

  15. BMI Classification AR students PreK-12 2004

  16. Dispensing Junk:How School Vending Undermines Efforts to Feed Children Well

  17. Child Nutrition Reauthorization Act 2004 – Wellness Policies

  18. The gestation & birthing of Act 1220 • CHAC developed recommendations • August 2003 first meeting • June 2004 sent to Board of Education • ADE converted to proposed rules • Two sections • Certification & professional development of child nutrition staff • Nutrition and physical activity standards • BOE approved for public comment 3-14-05 to 4-25-05

  19. The birthing continues: • BOE approved for public comment 6-28-05 to 7-20-05 • BOE approved Rules 8-8-05 • Not there yet …. • Legislature Rules Committee • 9/1/05 rejected • 9/6/05 approved

  20. Maintenance • Work to prevent relapse • Consolidate the gains attained during action

  21. Toddler Supports • Legislative Activities • January – AFHK Essay Contest • Restaurant Menu Labeling • Conferences • Implementing Policy Changes (NPAAC) • Health Action Teams • Obesity & the Law • 3rd Nutrition & Physical Activity • Technical Assistance – Tobacco Settlement Funds • Community Health Nurses • Community Health Promotion Specialists

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