U Can Presentation

U CAN’s Mission: U CAN’s Mission: To empower Calumet County To empower Calumet County

residents to build and embrace healthy lifestyles residents to build and embrace healthy lifestyles through education and opportunities.through education and opportunities.

CALUMET

CTI NNOW

WELCOME!

Definitions

Overweight: Body Mass Index (BMI) between 25 and 29.9

Obesity: Body Mass Index (BMI) of 30 or higher Body Mass Index (BMI): A measure of an

adult’s weight in relation to his or her height, specifically the adult’s weight in kilograms divided by the square of his or her height in meters.

BMI Chart

DefinitionsPhysical Activity RecommendationPhysical Activity Recommendation:

At least At least 30 minutes30 minutes of moderate of moderate physical activity on physical activity on most days of the most days of the weekweek is the recommended minimum. is the recommended minimum.

Nutrition Guidelines:Nutrition Guidelines: Based on Based on government guidelines (MyPyramid.gov)government guidelines (MyPyramid.gov)

Food Pyramid

Nutritional Guidelines

CURRENT STATE:

CURRENT STATE: Obesity Trends 1985-2008

The following slides show how the epidemic of obesity has spread across the United States over the past 24 years.

Note the color key indicating the % of obese people in each state:

No Data <10% 10-14% 15-19%

20-24% 25-29% >30%

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19851985

Obesity Trends Among U.S. Adults(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

19861986


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19871987


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19881988


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19891989


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19901990


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19911991


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19921992


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19931993


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19941994


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19951995


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19961996


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19971997


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19981998


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19991999


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

20002000


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

20012001


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

20022002


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

20032003


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

20042004


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

20052005


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

20062006


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

20072007


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

20082008


No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

CURRENT STATE: Wisconsin Obesity Stats

Prevalence of Overweight and Obese Adults in Wisconsin by Race

Projected Rates of Obesity in WI

0%5%

10%15%20%25%30%35%40%45%

Obesity %

200820132018

More than 60 percent of U.S. adults do not More than 60 percent of U.S. adults do not engage in the recommended amount of engage in the recommended amount of activity. activity.

Approximately 40 percent of U.S. adults are Approximately 40 percent of U.S. adults are not active at all.not active at all.

(National Center for Health Statistics. National Health Interview Survey, 1999-2001)

CURRENT STATE: Adult Physical Activity

•Nearly 23 percent of children Nearly 23 percent of children get no free-time physical get no free-time physical activity at all. activity at all.

•Six out of 10 children ages 9-Six out of 10 children ages 9-13 don’t participate in any 13 don’t participate in any kind of organized kind of organized sports/physical activity sports/physical activity program outside of school.program outside of school.

CURRENT STATE: Childhood Physical Activity

(Physical activity levels among children aged 9-13 years – United States, 2002. MMWR 2003;52[33]:785-8)

According to a national According to a national study, 92 percent of elementary study, 92 percent of elementary schools do not provide daily physical schools do not provide daily physical education classes for all students throughout education classes for all students throughout the entire school year. the entire school year.

(School Health Policies and Programs Study. Journal of School Health 2001;71[7])

Physical Activity in WI

Category WI Data US Data

% of Adults meeting minimum activity level 30 minutes of moderate activity on 5 or more days/week or 20 minutes of vigorous activity on 3+ days/week

55% 49%

% of Adults that participated in some activity in the past month 81% 77%

Source: Centers for Disease Control and Prevention: BRFSS 2007

•Fewer than 25% of Wisconsinites eat Fewer than 25% of Wisconsinites eat at least 5 servings of fruits and at least 5 servings of fruits and vegetables per day.vegetables per day.11

•In 1980, about 50 percent of high In 1980, about 50 percent of high school seniors reported eating school seniors reported eating green vegetables “nearly every green vegetables “nearly every day or more.” By 2003, that day or more.” By 2003, that figure had dropped to about figure had dropped to about 30 percent. 30 percent.22

CURRENT STATE: Nutrition

1-Centers for Disease Control and Prevention: BRFSS 2007

2-From the statistical sourcebook “A Nation at Risk: Obesity in the United States.”

Mixed Messages

(Cleveland L. U.S. Department of Agriculture; National Food Consumption Survey, 1977-78; What We Eat in America, NHANES 2001-02)

Between 1977-78 and 2000-01:Between 1977-78 and 2000-01:Milk: Milk: 39 % 39 %Fruit juice: Fruit juice: 54% 54% Fruit drink: Fruit drink: 69% 69%Soda: Soda: 137% 137%

Children’s Beverage Consumption

Studies have shown that, between 1977 and 1996, Studies have shown that, between 1977 and 1996, portion sizes for key food groups grew markedly in portion sizes for key food groups grew markedly in the United States, the United States, not only at fast-food outlets but not only at fast-food outlets but also in homes and at conventional restaurants.also in homes and at conventional restaurants.

(Nielsen SJ, Popkin BM. Patterns and trends in food portion sizes, 1977-1998. JAMA 2003;289:450-3)

French Fries 188 to 256 Calories

27%

Hamburgers389 to 486

Calories

Soft Drinks144 to 193

Calories

25%

Portion Size Explosion

(changes in standard size offerings)

27%

Children eat nearly twice as many Children eat nearly twice as many calories (770) at restaurants as they do calories (770) at restaurants as they do during a meal at home (420).during a meal at home (420).

(Zoumas-Morse C, Rock CL, Sobo EJ, Neuhouser ML. Children’s patterns of macronutrient intake and associations with restaurant and home eating. J Am Diet Assoc 2001;101-923-5)

Between 1970 and 1980:Between 1970 and 1980:•The number of fast-food The number of fast-food outlets in the US increased outlets in the US increased from about 30,000 to from about 30,000 to 140,000140,000

•Sales increased by about Sales increased by about 300 percent300 percent

•In 2001, there were about In 2001, there were about 222,000 fast-food outlets. 222,000 fast-food outlets.

(Paeratakul S, Ferdinand D, Champagne C, Ryan D, Bray G. Fast-food consumption among US adults and children. J Am Diet Assoc 2003:103:1332-8)

A Fast Food Nation is Born

“You, the individual, can do more for your health and well being than any doctor, any hospital, any drug, and any exotic medical care device.”

~Joseph Califano

“Food” for Thought

CURRENT STATE: Obesity Related Costs

•The US is expected to spend $344 billion on health care costs attributable to obesity in 2018 if rates continue to increase at their current levels. •Obesity-related direct expenditures are expected to account for more than 21% of the nation’s direct health care spending in 2018. •If obesity levels were held at their current rates, the US could save an estimated $820 per adult in healthcare costs – a savings of almost $200 billion dollars!

Current and Projected Obesity Attributable Health Care Spending

(in millions)

01000200030004000500060007000

2008 2013 2018

WI

050000

100000150000200000250000300000350000

2008 2013 2018

US

Wisconsin Health Care Spending per Adult (in dollars)

0200400600800

1000120014001600

200820132018

$381$591

$1,498

Projected Savings for Wisconsin if Obesity can be Held at 2008 Levels

(in millions)

0500

1000150020002500300035004000

20132018

$3,935

SAVINGS

$704

SAVINGS

CURRENT STATE: Change is Coming…It Has To

Photos of Waupaca’s Community Garden

Plans for a Community-School Garden Partnership are taking shape in Chilton

Chilton & Hilbert Schools Farm to School Lunch

ProgramsStuden

ts choose healthy

options fresh from the

farmA farm that supplies the Farm to School Program with produce

http://www.farmtoschool.org/

Wellness Wednesdays in Outagamie County

•Feature a Wellness Wednesday menu item as a daily special

•Promote a side salad as an exchange for fries•Put fun health facts on placemats or table tents•Promote milk instead of soda, call it “Wisconsin

Wellness Wednesday”•Offer the “senior menu” portions to any age•Use the Wellness Wednesday logo to highlight

all the healthy choices on the menu

Participating restaurants agree to:

Be Part of the Solution…

Ready to Jump In?

Please consider signing up for one of the U CAN subcommittees before you leave today.

Thank you for coming!

U Can Presentation

Health & Medicine

Transcript of U Can Presentation