Nutrition and Weight Status Healthy People 2020
description
Transcript of Nutrition and Weight Status Healthy People 2020
![Page 1: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/1.jpg)
Nutrition and Weight StatusHealthy People 2020
Marina Castanedo, Lauren Jones, Sasha Seiden
![Page 2: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/2.jpg)
Nutrition and Weight Status
• Goal1
– “Promote health and reduce chronic disease risk through the consumption of healthful diets and achievement and maintenance of healthy body weights.”
• Overview1
– Healthful diet and healthy body weight– Individual behaviors, policies, and various
environments – Household food security and hunger elimination
![Page 3: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/3.jpg)
![Page 4: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/4.jpg)
Americans With a Healthful Diet1…
• Nutrient-dense foods• Include all food groups • Limit intake of saturated and trans fats,
cholesterol, added sugars, sodium, and alcohol
• Meet caloric needs• Avoid unhealthy weight gain
![Page 5: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/5.jpg)
Americans With a Healthful Diet2
• Eating healthily and exercising regularly can help– Maintain healthy weight– Reduce risk of chronic disease– Promote overall health status– Growth and development in children
![Page 6: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/6.jpg)
Weight Loss3
• Advantages of weight loss• How to achieve weight loss– Dietary Therapy– Physical Activity– Behavior Therapy
![Page 7: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/7.jpg)
Overview of Objectives• NWS-2.2: Increase the proportion of school districts that
require schools to make fruits or vegetables available whenever other food is offered or sold
• NWS-10.2: Reduce the proportion of children and adolescents who are considered obese in children aged 6 to 11 years
• NWS-10.3: Reduce the proportion of children and adolescents who are considered obese in children aged 12 to 19 years
• NWS-12: Eliminate very low food security among children• NWS-13: Reduce household food insecurity and in doing so
reduce hunger
![Page 8: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/8.jpg)
NWS-10.2 & 10.3
• Baseline: 17.4% of children aged 6-11 years were considered obese.
• Target: 15.7%
• Baseline: 17.9% of adolescents aged 12-19 were considered obese.
• Target: 16.1%
![Page 9: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/9.jpg)
Background for 10.2 & 10.3
• Costly conditiono +$125 million/yr spent on hospital admittances9
• Lower math & reading scores in kindergarteno Increased behavioral and learning disabilities9
• In 2005-20088
o 17.4% of children (6-11 years)o 17.9% of adolescents (12-19 years)
• Increased rates, as well as heavier weights6
![Page 10: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/10.jpg)
![Page 11: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/11.jpg)
Importance of 10.2 & 10.3
• Physically, mentally, academically• Increased risk of chronic disease & premature
death• More likely to be overweight or obese adults4
• Economic impact & direct medical costs4
– $14 billion annual in direct health care expenses
![Page 12: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/12.jpg)
Importance
• Minority youth populations at risk7
o Ages 6-11: o 22% Mexican Americano 20% African Americano 14% non-Hispanic
o Ages 12-19:o 23% Mexican Americano 21% African Americano 14% non-Hispanic
o American Indian children ages 5-18o 39% overweight/at risk
![Page 13: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/13.jpg)
National Programs8
• Let’s Move!o “America’s move to raise a healthier generation of
kids”o American Academy of Pediatricso Chefs Move to Schoolo National School Lunch Program & Breakfast Programo HealthierUS School Challenge
![Page 14: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/14.jpg)
State Programs in Washington• Washington State Nutrition & Physical Activity
Plan11
o Center for Safe Routes to Schoolo Unplugged12
o 30 Days Live! – students give up TV for a month• Washington State Senate Bill 543612
o Adopt nutrition & physical policies• Washington State Senate Bill 509312
o Encourages healthy food & beverages during school hours, school sponsored activities
![Page 15: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/15.jpg)
Local Programs
• Boys & Girls Club of Whatcom County6
o SMART Girls5
o Healthy Habits5
• Child Nutrition Program6
o USDA fundedo Provide nutritious meals & snacks to childcare
centers
• Food $ense Nutrition Program in Skagit County3
![Page 16: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/16.jpg)
Gaps
• Programs aren’t fully funded2
• No programs are aimed towards minority groups• Time requirement for PE or recess vary1
• Food deserts8
• Should incorporate sleep health• Food companies market for children• Difficult to change attitudes
![Page 17: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/17.jpg)
NWS 2.2 Only 6.6% of school districts require schools to make fruits or vegetables available
![Page 18: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/18.jpg)
Importance of Objective
• School environments impact adolescent diets – 19-50% of daily calories at school12
• Too many unhealthy foods can damage brain2
– Academic impact• Motivation and attention12
• GPA9
• Obesity has more than doubled in last decade in school age children19
![Page 19: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/19.jpg)
Background12
• ¼ of WA students eat 5+ fruits & vegetables a day
• 1 in 10 teens in WA are overweight• Shortened lunch periods• 90% of students have easy access to
unhealthy food• Focus on prevention, not treatment
![Page 20: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/20.jpg)
What are kids eating at school?9
• Food brought from home• Federal school lunch or breakfast programs• Foods sold outside of meal programs– Vending Machines, snack bars, school stores• “Competitive Food”
– Much of schools revenue depends on competitive foods• Institutional fear results in unhealthy decision making
![Page 21: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/21.jpg)
Competitive Foods9
• Vending Machines found in 17% of elementary, 82% of middle, and 97% of high schools– Low nutrient, energy dense (high calorie) food– Low income vs. high income schools?
• Availability of snacks in schools higher calorie intake– Decrease in fruits and vegetables
• USDA cannot regulate what is sold outside of mealtime
![Page 22: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/22.jpg)
National Programs
• Lets Move!6 – Healthier US School Challenge17
• National School Lunch & Breakfast Program13
– Low cost/free lunches to children living in poverty
• Fresh Fruit and Vegetable Program16
– Outreach to low income schools
• Farm to School programs19 – Child Nutrition Act
![Page 23: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/23.jpg)
National Programs
• FitPick4
• Healthy Schools Program1
– Make healthy foods at competitive pricing so they are a more available option for schools
• CDC & IOM make recommendations and policies consistent with Dietary Guidelines for Americans12
– 5-9 fruits and vegetables a day
![Page 24: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/24.jpg)
State Programs in Washington
• Bills requiring nutrition and physical fitness policies in schools12
– Encourages school health advisory committees
• Farm to School programs19 – Local Farms-Healthy Kids
• WA State utilizes federal programs
![Page 25: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/25.jpg)
Local Programs
• Whatcom County Statistics– 40.4% eligible for federal program assistance
• Fit Pick12
– Clark County
• Square Foot Nutrition Project20
– Weekly lessons & vegetable growing
![Page 26: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/26.jpg)
Cultural Competence12
• Different perceptions of nutrition• Correct knowledge and attitude required
when dealing with dynamics of cultures• Delivery of information– Respect and awareness
• Goal: Reduce disparities in health outcomes
![Page 27: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/27.jpg)
Gaps
• Lack of a standard of measure to assess policy strength
• Budget cuts in schools • Nutrition programs in schools • Support for agricultural programs• Competitive food
![Page 28: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/28.jpg)
NWS-13
• “Reduce household food insecurity and in doing so reduce hunger”1
– 15% of American households unable to acquire adequate food2
– HP 2020 Target goal: 6.0 Percent– Retain 2010 Goal
• What is food security?– “access at all times to enough food for an active,
healthy life for all household members.” –USDA4
![Page 29: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/29.jpg)
Importance5
• USDA measures food security annually– Domestic food and nutrition assistance programs
• Children often shielded from insecurity– 1.3 % of households with children insecure in
2008• 1/3 of food-insecure households had very low
food security 2008– 6.7 million (5.7 percent of all U.S. households)
• Variety of coping strategies
![Page 30: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/30.jpg)
National Level• National School Lunch Program5
– Meet Dietary Guidelines for Americans• SNAP (Supplemental Nutrition Assistance
Program)6
– Food Stamp Program• WIC (Women, Infants, and Children)7
– Provides state grants to all 50 states– Targets low income, nutritionally at risk populations
• Healthy Food Financing Initiative8
– Eliminating Food Deserts in America
![Page 31: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/31.jpg)
State Programs
• Washington Basic Food Program9
• WIC10
• Department of Agriculture10
– EFAP, TEFAP, CSPF• Partners in Action12
– Strengthen food assistance programs and improve economic security for low-income families and individuals
– Improve access to and awareness of food assistance programs
![Page 32: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/32.jpg)
![Page 33: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/33.jpg)
Local Programs13
• Bellingham Food Bank14
– Free groceries, open to all.– Food Bank Farm– Food 4 Tots– Small Potatoes Gleaning Project– Milk Money– Victory Gardens
![Page 34: Nutrition and Weight Status Healthy People 2020](https://reader036.fdocuments.us/reader036/viewer/2022070411/568147c7550346895db508d9/html5/thumbnails/34.jpg)
Any Questions?