The Burden of Obesity in The Burden of Obesity in North CarolinaNorth Carolina

Physical InactivityPhysical Inactivity

Physical Activity RecommendationsPhysical Activity RecommendationsAdultsAdults ChildrenChildren

Children and adolescents should do 60 minutes (1 hour) or more of physical activity each day.

Physical ActivityPhysical Activity

Physical activityPhysical activity is any bodily movement is any bodily movement produced by skeletal muscles that results in an produced by skeletal muscles that results in an expenditure of energy. expenditure of energy. Moderate physical activityModerate physical activity refers to a level of effort refers to a level of effort

in which a person should experience some increase in which a person should experience some increase in breathing or heart rate. in breathing or heart rate.

Vigorous physical activityVigorous physical activity refers to a level of effort refers to a level of effort that may be intense enough to represent a substantial that may be intense enough to represent a substantial challenge to an individual and a large increase in challenge to an individual and a large increase in breathing or heart rate. breathing or heart rate.

Physical EducationPhysical Education

Physical EducationPhysical Education is a course taught by a is a course taught by a certified physical education teacher, that certified physical education teacher, that provides the environment where students learn, provides the environment where students learn, practice, and receive assessment on practice, and receive assessment on developmentally appropriate motor skills, social developmentally appropriate motor skills, social skills and knowledge as defined in the North skills and knowledge as defined in the North Carolina Healthful Living Standards Course of Carolina Healthful Living Standards Course of Study. (HSP-S-000)Study. (HSP-S-000)

Physical Inactivity in ChildrenPhysical Inactivity in Children

Less than half (44%) of North Carolina high Less than half (44%) of North Carolina high school students and just over half (55%) of school students and just over half (55%) of middle school students were physically active for middle school students were physically active for a total of at least 60 minutes per day on five or a total of at least 60 minutes per day on five or more of the past seven days.more of the past seven days.

Recommendation: Children and adolescents should do 60 minutes (1 hour) or more of physical activity each day.

N.C. Children and YouthN.C. Children and YouthPhysical ActivityPhysical Activity

Percentage of N.C. Children (Age 6-17) who met the Recommendation of 60 minutes of Physical Activity on a

typical day by Gender and Age group (2007)

84% 77%93% 87%

76%65%

0

20

40

60

80

100

Male Female Under 5 5-10 11-13 14-17

Per

cen

tag

e o

f C

hil

dre

n a

nd

Y

ou

th

Data Source: North Carolina Child Health Assessment and Monitoring Program (CHAMP) Survey Data (2007): State Center for Health Statistics, Raleigh NC.

Age (years)

Physical Inactivity in ChildrenPhysical Inactivity in Children

Among children and Among children and youth, youth, lack of physical lack of physical activityactivity is one of the is one of the most marked causes most marked causes of obesity, diabetes, of obesity, diabetes, and cardiovascular and cardiovascular disease.disease.

Trends in U.S. SchoolsTrends in U.S. Schools

U.S. Schools U.S. Schools requiring physical requiring physical education:education: 50% in grades 1-550% in grades 1-5 25% in grade 825% in grade 8 5% in grade 125% in grade 12

Overall, 22% of Overall, 22% of schools did not schools did not require students to require students to take any physical take any physical education. education.

The National Association of Sports The National Association of Sports and Physical Education (NASPE)and Physical Education (NASPE)

NASPENASPE recommends: recommends:

Elementary school studentsElementary school students At least one 20-minute recess period dailyAt least one 20-minute recess period daily 150 minutes of physical education weekly 150 minutes of physical education weekly

Middle school and high school studentsMiddle school and high school students 225 minutes of physical education weekly 225 minutes of physical education weekly

N.C. Healthy Active Children PolicyN.C. Healthy Active Children Policy

30 minutes of physical activity per day in K-8 30 minutes of physical activity per day in K-8 through:through: Regular physical education class Regular physical education class RecessRecess DanceDance Classroom energizers Classroom energizers Curriculum-based physical education activity Curriculum-based physical education activity

programsprograms

No withholding recess for punishment or to do No withholding recess for punishment or to do extra workextra work

No severe physical activity for punishmentNo severe physical activity for punishment

Walking to SchoolWalking to School

Nationally, 10% Nationally, 10% of children walk of children walk to school, versus to school, versus 80% who walked 80% who walked during their during their parents’ parents’ generation.generation.

In 2006, only 5% In 2006, only 5% of N.C. children of N.C. children walked or biked walked or biked to school.to school.

Safe Routes to SchoolSafe Routes to School

Assist communities in developing successful Safe Routes programs and strategies

http://www.saferoutesinfo.org/

Distance from SchoolDistance from School"How far does your child live from

school*?" (2006)6%

11%

30%

24%

29%

less than 1 mile

1-2 miles

2-5 miles

5-10 miles

10+ miles

*These data are for children 5 years old or older and enrolled in public or private school. Source: North Carolina Child Health Assessment and Monitoring Program Data and North Carolina Behavioral Risk Factor Surveillance System Survey, North Carolina Center for Health Statistics. (2006).

Walking to School in N.C.Walking to School in N.C.

"How many days per week does your child walk or ride a bicycle to school*?"

(2006)

94%

1% 1%

1%

3%

1 day

2 days

3 days

4+ days

0 days

*These data are for children 5 years old or older and enrolled in public or private school. Source: North Carolina Child Health Assessment and Monitoring Program Data and North Carolina Behavioral Risk Factor Surveillance System Survey, North Carolina Center for Health Statistics. (2006).

Physical Inactivity in AdultsPhysical Inactivity in Adults

Nearly 40% of N.C. adults get no leisure-time Nearly 40% of N.C. adults get no leisure-time physical activity.physical activity.

In 2007, 56% of N.C. adults did not meet the In 2007, 56% of N.C. adults did not meet the recommendation for physical activity.recommendation for physical activity.

Recommendation = Moderate physical activity for 30 or Recommendation = Moderate physical activity for 30 or more minutes per day, five or more days per week more minutes per day, five or more days per week OROR vigorous physical activity for 20 or more minutes vigorous physical activity for 20 or more minutes per day, three or more days per week.per day, three or more days per week.

N.C. Adults who did N.C. Adults who did NOTNOT get any Leisure get any Leisure Time Physical Activity by Gender and AgeTime Physical Activity by Gender and Age

Percentage of N.C. Adults who did NOT get any Leisure Time Physical Activity by Gender and Age

(2007)

24% 21% 28%18% 21% 23% 26% 26% 29% 34%

0

20

4060

80

100

AllAdults

Male Female 18-24 25-34 35-44 45-54 55-64 65-74 75+Per

cen

tag

e o

f A

du

lts

Source: North Carolina Behavioral Risk Factor Surveillance System Survey, N.C. State Center for Health Statistics, N.C. Department of Health and Human Services, (2007).

N.C. Adults who did N.C. Adults who did NOTNOT get any Leisure get any Leisure Time Physical Activity by Education and Time Physical Activity by Education and

IncomeIncome

Percentage of N.C. Adults who did NOT get any Leisure Time Physical Activity by Education and Income (2007)

43%31%

21% 12%

45%34% 29% 21% 16% 11%

020

4060

80100

Lessthan H.S.

H.S. orG.E.D.

SomePost-H.S.

CollegeGraduate

Lessthan

$15,000

$15,000-24,999

$25,000-34,999

$35,000-49,999

$50,000-74,999

$75,000+Per

cent

age

of A

dults

Source: North Carolina Behavioral Risk Factor Surveillance System Survey, N.C. State Center for Health Statistics, N.C. Department of Health and Human Services, (2007).

U.S. Transportation TrendsU.S. Transportation Trends

Between 1977-1995, trips Between 1977-1995, trips made by walking declined by made by walking declined by 40%, while driving trips 40%, while driving trips increased to almost 90%.increased to almost 90%.

One-in-four trips people make One-in-four trips people make are one mile or less, yet are one mile or less, yet three-fourths of these short three-fourths of these short trips are made by car. trips are made by car.

U.S. Transportation TrendsU.S. Transportation Trends

Almost 70% of all Almost 70% of all children and youth’s children and youth’s trips were by car. trips were by car.

Parents driving their Parents driving their children and youth to children and youth to school represents school represents between 20 and 30% between 20 and 30% of peak-hour morning of peak-hour morning traffic.traffic.

““Walkability” = quality of the Walkability” = quality of the walking conditions walking conditions

In the U.S., 43% In the U.S., 43% percent of people percent of people with safe places to with safe places to walk met walk met recommended recommended activity levels, activity levels, compared with 27% compared with 27% of those without safe of those without safe places to walk.places to walk.

Importance of WalkabilityImportance of Walkability

People who live in People who live in low-density counties:low-density counties: Walk lessWalk less Weigh more Weigh more Are more likely to be Are more likely to be

obese obese Are more likely to have Are more likely to have

hypertensionhypertension

than people living in than people living in high-density counties.high-density counties.