Supporting Healthy Eating & Active Living in King County

1. Communities Putting Prevention to Work:Supporting healthy eating & active living in King CountySandy CiskeNNIP Meeting May 12, 2011

2. Specific Goals of CPPW Increase levels of physical activity Improve nutrition (e.g. increase fruit/vegetable consumption, reduce consumption of unhealthy foods) Decrease overweight/obesity prevalence

3. Funding Public Health allocated most CPPW obesity prevention ($15.5 million) dollars to: External partners such as school districts, community-based agencies, local governments, and media organizations. The focus of funding is on the communities with the greatest needs.

4. Obesity in King County • 54% Adults are overweight • 20% Adults are obese • 22% Middle and high school youth are overweight or obese

5. Adult Obesity by Race/Ethnicity Increasing over time and rising disparities: 1990: 6.2% King County adults were obese. 2009: 23.1% King County adults were obese.

6. Planning for Healthy Communities Comprehensive planning decisions can create communities that allow people to be physically active, eat healthy food, and live in safe and healthy places.

7. Planning for Healthy Communities Density and diversity of land uses to make walking or bicycling easier Convenient and frequent mass transit service Safe and accessible pedestrian and bicycle infrastructure Affordable housing available for people of all income levels Access to healthier, affordable food

8. Sugar-loaded Beverage Consumption In King County, 22% of middle and high school youth are overweight or obese… 6-13% of their daily calorie consumption comes from drinking sugar-loaded beverages, like sodas and energy drinks.

9. Sugar-loaded Beverage Consumption

10. Sugar-loaded Beverage Consumption • Restrict the sale of sugar-loaded beverages in schools and child care programs • Limit marketing of sugar-loaded beverages, especially to youth • Reduce prices of more healthful beverages; and • Increase prices of sugar-loaded beverages.

11. Healthy Places for Kids – Physical Activity Quality physical education in schools Recess before lunch Safe Routes to School Programs Joint use agreements for gyms and sports fields

12. Healthy Places for Kids – Nutritious Food Establish nutrition standards in child care and school settings Create a healthy food zone around schools Ban or replace certain foods and beverages in vending machines or restrict student access to the machines

13. Healthy Eating/Active Living Outcomes King County Board of Health (KCBOH) adopted comprehensive health and land use standards, which are incorporated into county-wide planning guidance (1.9 M residents). Land use and transportation plans in eight of lowest income cities incorporated specific elements of KCBOH Planning for Healthy Communities Guidelines, providing long term improved access to healthy food and physical activity for 600,000 residents. Worksite policy changes in low-income and immigrant communities increased healthy eating, physical activity, and access to weight control programs in 50 “early adopter” businesses and similar changes for congregations and staff of 6 churches.

14. Healthy Eating Outcomes "Healthy Foods Here" new economic development program leverages private sector investment and increases healthy food availability in corner grocery stores in 20 low-income and immigrant communities. A new urban agriculture project for low-income and immigrant farmers supplied more than 10,000 pounds of food annually to Healthy Foods Here corner stores. Access provided for 38,500 WIC participants to farmers markets. Improved nutritional quality of school meals in four of the county’s poorest school districts serving 94,000 students Improved access to healthy food for 1,800 childcare programs through adoption of model policies, changes to state licensing standards, and expansion of farm-to-table programs.