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Puerto Rico: Overweight and Obesity Facts

Puerto Rico: Overweight and Obesity Facts. Madeline Reyes, MD, MPH Deputy Secretary Secretariat for Health Promotion Puerto Rico Department of H ealth PACO III - June 2013. Objectives. Consider the overweight and obesity problem in the Puerto Rican pediatric population.

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Puerto Rico: Overweight and Obesity Facts

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  1. Puerto Rico: Overweight and ObesityFacts Madeline Reyes, MD, MPH DeputySecretary SecretariatforHealthPromotion Puerto Rico Department of Health PACO III - June 2013

  2. Objectives • Consider the overweight and obesity problem in the Puerto Rican pediatric population. • Introduce available statistics. • Share initiatives and strategies developed and implemented in PR.

  3. ObesityPrevalence in Childrenyoungerthan 5 ysbeneficiaries of the WIC Program, Puerto Rico 2006-10 Prevalence (%) Source: CDC-National Pediatric Nutrition Surveillance System (PedNSS) reports, 2006-2010 BMI ≥ 85%

  4. Overweight and ObesityPrevalence in Second Grade Students, Puerto Rico, 2004-05 y 2008-09 Prevalence (%) Source: PR Department of Health and Alliance for Pediatric Obesity Prevention. Study to determine obesity prevalence , nutritional habits and physical activity of 2 nd grade students and families in public and private schools 2008-2009.

  5. OverweightPrevalence in 9th-12th Grade Students, PR 2005 y 2011 (Percentile: > 85ta y < 95ta ) Prevalence (%) Source: CDC-Youth Risk Behavior Surveillance System (YRBSS), 2013

  6. Overweight & Obesity Prevalence Trends, PR 1996 to 2010 HP 2010 = 40% Source: Puerto Rico Department of Health , PR-BRFSS, 1996-2010

  7. Overweight and ObesityPrevalence in AdultsOlderthan 18 ys byAgeGroup, Puerto Rico 2011 Prevalencia (18-24) (25-34) (35-44) (45-54) (55-64) (65+) (Age Group Source: Behavioral Risk Factor Surveillance System, 2013

  8. Obese Puerto Ricans 2011 and… Risk Factors Prevalence of Chronic Diseases Source: Puerto Rico Department of Health , PR-BRFSS, 2011

  9. Overweight & Obese Prevalence by … EducationPR 2011 IncomePR 2011 Source: Puerto Rico Department of Health , PR-BRFSS, 2011

  10. Initiatives and StrategiesSecretariatforHealthPromotion • CommunitiesPuttingPreventiontoWork 4 municipalities: • PhysicalActivity - Milla Verde (1 milewalkingtrail) • Nutrition – Ordinances(healthymenus in events , healthychoices in vending machines, MyPlateadapted) • Tobacco – Ordinance(no smoking in publicbldgs. entrance and exitareas, no sales in schoolsurroundings) • LowfatMilkconsumptioncampaign • Policies: Trans fat, Healthy menus, Vending machines • Educational activities

  11. Initiatives and Strategies • Intersectorial collaborations: • Alliance for Pediatric Obesity Prevention – Public Policy • First Lady “Proyectos de Vida”- public agencies • Department of Sports and Recreation “Actívate Puerto Rico” • Department of Education – menus served • Department of the Family - nutrition • CoamoSaludable – ACHIEVE “Health Promoters” • Foundations – Fundación El Angel, United Way…

  12. Challenges • Pediatric epidemiologic surveillance for PR • Public health approach to our health system with accessible chronic disease prevention and health promotion services as the number one priorities • Develop and implement policies, systems and environment changes – healthier lifestyles (nutrition, phys. activity, tobacco…) at a municipal/community level • Funding and Resources • Synchronization and integration of interagency services and resources • Early interventions

  13. Thanks! MadelineReyes, MD, MPH DeputySecretary SecretariatforHealthPromotion Puerto Rico Department of Health mareyes@salud.pr.gov 787-765-2929 Ext. 4103/4113

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