The Burden of Obesity in North Carolina

1. The Burden of Obesity in North Carolina Healthy People 2010 Objectives, U.S.

2. Healthy People 2010, U.S. • Launched in January 2000, by The Department of Health and Human Services • A comprehensive, nationwide health promotion and disease prevention agenda • Contains objectives to increase quality and years of healthy life and to eliminate health disparities by the year 2010

3. Healthy People 2010, U.S., Obesity Goals • 19-1: By 2010, increase the percentage of adults who are at a healthy weight to 60%. • 19-2: By 2010, reduce the percentage of adults (20 years old or older) who are obese to 15%. • 19-3: By 2010, reduce the percentage of children and adolescents (age 6-19 years old) who are obese to 5%.

4. Healthy People 2010, U.S., Nutrition Goals • 19-5 By 2010, increase the percentage of persons aged 2 years and older who consume at least two daily servings of fruit to 75%. • 19-6 By 2010 increase the percentage of persons aged 2 years and older who consume at least 3 daily servings of vegetables, with at least one third being dark green or orange vegetables to 50%. • 19-7 By 2010, increase the percentage of persons aged 2 years and older who consume at least six daily servings of grain products, with at least three being whole grains to 50%. • 19-8 By 2010, increase the percentage of persons aged 2 years and older who consume less than 10 percent of calories from saturated fat to 75%. • 19-9 By 2010, increase the percentage of persons aged 2 years and older who consume no more than 30 percent of calories from total fat to 75%. • 19-10 By 2010, increase the percentage of persons aged 2 years and older who consume 2,400 mg or less of sodium daily to 65%. • 19-11 By 2010, increase the percentage of persons aged 2 years and older who meet dietary recommendations for calcium to 75%. • 19-15 By 2010, increase the proportion of children and adolescents aged 6 to 19 years whose intake of meals and snacks at school contributes to good overall dietary quality. • 19-16 By 2010, increase the percentage of worksites that offer nutrition or weight management classes or counseling to 85%. • 19-17 By 2010, increase the proportion of physician office visits made by patients with a diagnosis of cardiovascular disease, diabetes, or hyperlipidemia[1] that include counseling or education related to diet and nutrition to 75%.

5. Healthy People 2010, U.S., Physical Activity Goals • 22-1. By 2010, reduce the percentage of adults who engage in no leisure-time physical activity to 20%. (NC 2001=26.4%). • 22-2 By 2010, increase the percentage of adults aged 18 years and older who engage in regularly, preferably daily, in moderate physical activity for at least 30 minutes per day to 30%. • 22-3 By 2010, increase the percentage of adults who engage in vigorous physical activity that promotes the development and maintenance of cardio-respiratory fitness 3 or more days per week for 20 or more minutes per occasion to 30%. • 22-4 By 2010, increase the percentage of adults who perform physical activities that enhance and maintain muscular strength and endurance to 30%. • 22-5 By 2010, increase the percentage of adults who perform physical activities that enhance and maintain flexibility to 43%. • 22-6 By 2010, increase the proportion of adolescents who engage in moderate physical activity for at least 30 minutes on 5 or more of the previous 7 days to 35%. • 22-7. By 2010, increase the percentage of adolescents who engage in vigorous physical activity that promotes cardio-respiratory fitness 3 or more days per week for 20 or more minutes per occasion to 85%. • 22-8 By 2010, increase the proportion of the Nation's public and private schools that require daily physical education for all students; a 47 percent improvement for middle and junior high schools and a 150 percent improvement for senior high schools. • 22-9 By 2010, increase the percentage of adolescents who participate in daily school physical education to 50%. • 22-10 By 2010, increase the percentage of adolescents who spend at least 50 percent of school physical education class time being physically active to 50%. • 22-11 By 2010, increase the proportion of adolescents who view television 2 or fewer hours on a school day to 75%. • 22-12 By 2010, increase the percentage of the Nation’s public and private schools that provide access to their physical activity spaces and facilities for all persons outside of normal school hours (that is, before and after the school day, on weekends, and during summer and other vacations) to 75%. • 22-13 By 2010, increase the percentage of worksites offering employer-sponsored physical activity and fitness programs to 75%. • 22-14 By 2010, increase the proportion of trips made by walking ; adults aged 18 years older making trips of 1 mile or less to 25% and children and adolescents, aged 5 to 15 years, making trips to school of 1 mile or less to 50%. • 22-15 By 2010, increase the proportion of trips made by bicycling ; adults aged 18 years older making trips of 5 miles or less to 2% and children and adolescents, aged 5 to 15 years, making trips to school of 2 miles or less to 5%.

6. The Burden of Obesity in North Carolina Healthy People 2010 Objectives, North Carolina

7. Healthy People 2010, North Carolina’s Goals • North Carolina’s 2010 Health Objectives set out a comprehensive and ambitious statewide agenda that provides a direction for improving the health and well being of North Carolinians over the next decade. • In 1999, Governor James B. Hunt, Jr., appointed the Governor’s Task Force for Healthy Carolinians through an Executive Order. • A major assignment of the Governor’s Task Force for Healthy Carolinians was to develop a list of health objectives for the Year 2010.

8. Healthy People 2010, N.C., Obesity Goals • By 2010, reduce the percentage of children and adolescents who are overweight or obese to 10% (age 2-4), 10% (age 5-11), and 10% (age 2-18). • By 2010, reduce the percentage of adults who are obese to 16.8%. • By 2010, increase the proportion of adults who are at a healthy weight.

9. Healthy People 2010, N.C., Nutrition Goals • By 2010, increase the proportion of adults eating five or more servings of fruits and vegetables each day to 25.1%. • By 2010, increase the percent of middle school and high school students who eat any fruit or fruit juice on a given day to 95% for both middle and high school students. • By 2010, increase the percent of middle school and high school students who eat any vegetables on a given day to 95% for both middle and high school students. • By 2010, decrease the percent of middle school and high school students who eat high-fat meats on a given day to 50% for both middle and high school students. • By 2010, decrease the percent of students who eat high-sugar snack foods on a given day to 50% for both middle and high school students.

10. Healthy People 2010, N.C., Physical Activity Goals • By 2010, Increase the percentage of middle and high school students who report participating in vigorous physical activity for at least 20 minutes on 3 or more of the previous seven days to 80%. • By 2010, Increase the proportion of middle and high school students who report participating in moderate physical activity for at least 30 minutes on 5 or more of the previous seven days. • By 2010, Increase the percentage of adults (18 years and older) who engage in physical activity for at least 30 minutes on 5 or more days of the week to 20%. • By 2010, Reduce the percentage of adults (18 years and older) who engage in no leisure-time physical activity to 29 %.