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Community Action Partnership at 45: Keeping Our Promise Why is Obesity Prevention an Important Anti-Poverty Strategy

Community Action Partnership at 45: Keeping Our Promise Why is Obesity Prevention an Important Anti-Poverty Strategy. Dolores Barrett Director of Partnerships and Services Community Action Partnership of Orange County September 4, 2009. Prevent. Obesity Trends* Among U.S. Adults BRFSS, 1985.

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Community Action Partnership at 45: Keeping Our Promise Why is Obesity Prevention an Important Anti-Poverty Strategy

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  1. Community Action Partnership at 45: Keeping Our PromiseWhy is Obesity Prevention an Important Anti-Poverty Strategy Dolores Barrett Director of Partnerships and Services Community Action Partnership of Orange County September 4, 2009

  2. Prevent

  3. Obesity Trends* Among U.S. AdultsBRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  4. Obesity Trends* Among U.S. AdultsBRFSS, 1986 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  5. Obesity Trends* Among U.S. AdultsBRFSS, 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  6. Obesity Trends* Among U.S. AdultsBRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  7. Obesity Trends* Among U.S. AdultsBRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  8. Obesity Trends* Among U.S. AdultsBRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  9. Obesity Trends* Among U.S. AdultsBRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  10. Obesity Trends* Among U.S. AdultsBRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  11. Obesity Trends* Among U.S. AdultsBRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  12. Obesity Trends* Among U.S. AdultsBRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  13. Obesity Trends* Among U.S. AdultsBRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  14. Obesity Trends* Among U.S. AdultsBRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  15. Obesity Trends* Among U.S. AdultsBRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  16. Obesity Trends* Among U.S. AdultsBRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  17. Obesity Trends* Among U.S. AdultsBRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  18. Obesity Trends* Among U.S. AdultsBRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  19. Obesity Trends* Among U.S. AdultsBRFSS, 2002 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  20. Obesity Trends* Among U.S. AdultsBRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  21. Obesity Trends* Among U.S. AdultsBRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  22. Obesity Trends* Among U.S. AdultsBRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  23. Obesity Trends* Among U.S. AdultsBRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  24. Obesity Trends* Among U.S. AdultsBRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  25. Obesity Trends* Among U.S. AdultsBRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  26. Obesity Trends* Among U.S. AdultsBRFSS,1990, 1999, 2008 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 1999 1990 2008 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  27. In 1990, among states participating in the Behavioral Risk Factor Surveillance System, ten states had a prevalence of obesity less than 10% and no states had prevalence equal to or greater than 15%. • By 1999, no state had prevalence less than 10%, eighteen states had a prevalence of obesity between 20-24%, and no state had prevalence equal to or greater than 25%. • In 2008, only one state (Colorado) had a prevalence of obesity less than 20%.Thirty-two states had a prevalence equal to or greater than 25%; six of these states (Alabama, Mississippi, Oklahoma, South Carolina, Tennessee, and West Virginia ) had a prevalence of obesity equal to or greater than 30%.

  28. Diabetes Coronary Heart Disease Dyslipidemia (high cholesterol, high triglycerides) Stroke Gynecological problems (abnormal menses, infertility) Hypertension (high blood pressure) Cancer (endometrial, breast, colon, pancreatic) Liver and Gallbladder Disease Sleep Apnea and respiratory disease Osteoarthritis Health Risks

  29. Costs Obvious Costs Costs in health care doubled in less than a decade to $147 billion (CDC) Hidden Costs Transportation and fuel costs Insurance Premiums Physical Environment

  30. Health Disparities • The proportion of adolescents from poor households who are overweight or obese is twice that of adolescents from middle- and high-income households. Obesity is especially prevalent among women with lower incomes and is more common among African American and Mexican American women than among white women.

  31. Health Disparities • Compared with white youth, black and Hispanic youth have higher prevalences of asthma, overweight, and type 2 diabetes. • Among youth aged 10–19 years, American Indians have the highest prevalence of type 2 diabetes of any racial/ethnic group. • In 2005, after adjusting for population age differences, Mexican-Americans were 1.7 times more likely to have diabetes than non-Hispanic whites

  32. Health Disparities • In 2000, rates of death from diseases of the heart were 29 percent higher among African American adults than among white adults, and death rates from stroke were 40 percent higher. • During 2003-2004, 24% of non-Hispanic black females aged 2-19 years were overweight, compared with 15% of non-Hispanic white.

  33. “Despite obesity having strong genetic determinants, the genetic composition of the population does not change rapidly. Therefore, the large increase (obesity)…must reflect major changes in non genetic factors.”Hill & Towbridge, Childhood Obesity future directions and research priorities. Pediatrics 1998

  34. Weight is a simple equation Physical Activity – energy out Food/Calories – energy in

  35. Framing the Issue

  36. The issue is not individual weight loss.

  37. PLACE MATTERS

  38. Individual & Environment Success – Policy, Systems & Environmental Change

  39. physical activity break

  40. California Dreamin’ *Adapted from NC Energizers

  41. Climb up a redwood tree. Climb up a Redwood Tree

  42. Do a touchdown dance like a 49’er.

  43. Swim like a fish in the Monterey Bay Aquarium

  44. Wave and pose for your fans like an actor in L.A.

  45. Surf the Pacific in the O.C.

  46. Swing your golf club in Palm Springs

  47. Sit down in your beach chair and enjoy the sunset on a San Diego Beach

  48. If given enough time, people can walkanywhere. WALKING

  49. But why would they? Unless…

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