Fighting Obesity: An Action Plan For Improving Fighting Obesity: An .
Fighting Fighting Obesity: Obesity: An An Action Action Plan Plan for for Improving Improving Health Health Outcomes in Sullivan & the Region Outcomes in Sullivan CountyCounty & the Region 2013-2014 Regional Fellows Presentation: Valerie Belton Ethan Cohen Maureen Doran Dewayne Haygood Carrie Jones Ross Kyle Kirchhoff Casey MacDonald Jennifer Shamah PROJECT SPONSORS: MVP Healthcare Crystal Run Healthcare
The Numbers: RWJF County Health Rankings Sullivan County vs. Hudson Valley Health Outcomes Sullivan Rockland Orange Ulster Dutchess Putnam Westchester 61 3 11 4 7 7,799 4,329 5,266 4,491 4,441 60 6 21 29 9 4 Adult obesity % of Adults with BMI above 30 29% 24% 24% 27% 26% 31% 17% Food Environment Index Index of factors that contribute to a healthy food environment 8.1 8.8 8.8 8.5 8.7 9.5 9.1 Food Insecurity Percent of people who do not have adequate access to food during the past year 12% 9% 10% 10% 9% 6% 10% Limited Access to Healthy Food Percent of population who are low-income and do not live close to a grocery store 6% 5% 4% 6% 6% 5% 1% Access to Exercise Opportunities Percent of the population with adequate access to locations for physical activity 61% 89% 74% 75% 85% 73% 98% Physical Inactivity Percent of adults aged 20 and over reporting no leisure-time physical activity 26% 24% 25% 21% 22% 22% 20% Premature Death Years of potential life lost before age 75 per 100,000 population (ageadjusted) Health Factors 23 29 5,774 6,159 5 Robert Wood Johnson Foundation’s County Health Rankings measure “Health Outcomes” and “Health Factors” for every county in the US and rank them by state.
Why Obesity? Link to Chronic Disease, An Economic Imperative 1. Sullivan County ranks highest in chronic disease prevalence, specifically diabetes, coronary heart disease, congestive heart failure and cardiovascular disease, leading to stroke, in the 7county Mid-Hudson Region. 2. Sullivan County Public Health Services’ 2013 Community Health Assessment (CHA) identified “primary health issues” as nutrition, physical inactivity and chronic diseases such as diabetes, heart disease and cancer. Each of these health issues has a connection to obesity. 3. Obesity and overweight are currently the second leading cause of preventable death in the United States and may soon overtake tobacco as the leading preventable cause of death. 4. Three-quarters of every dollar spent in the US on healthcare is used to treat chronic disease. According to CDC, by 2008 estimated cost of medical care related to obesity in US had doubled to 147 billion in 10 years 5. Estimated annual cost of treating obesity related illnesses in New York State is upwards of 6.7 billion annually. Without a change in upward trend, we will see a 14.8% increase in that cost in New York.
Causes of the Obesity Epidemic: CDC’s Social Ecological Model, Individual & Environmental Factors USDA Designated Food Deserts in the Borscht Belt: Liberty, Monticello, Fallsburg & Ellenville (Ulster County)
Finding Solutions: Striking a Balance, What is Working Locally, Nationally and in the Region? Sullivan County Wellness Committee: Changes in School Cafeteria offerings (through grants and training) and Workplace Wellness Programs Healthy Communities Initiative (CDC) supports obesity prevention by addressing environmental changes, policies and systems in communities around the US. RWJF: Alliance for a Healthier Generation focuses on lowering childhood obesity rates with nutrition and exercise programs National School Lunch Reform: Improved nutritional standards, various farm to school programs, cash reimbursements for meals and healthier foods being served to kids. Poughkeepsie is using grants funds in a program to train health education specialists, coaches and mentors for building public awareness about healthy eating habits. Kingston-area convenient stores host fresh produce from Midtown Farmer’s Market and Cornell Cooperative Extension through Fresh Connects grant. Summer 2014, Midtown Farmer’s market will have mobile carts of produce in dispersed locations. “Food Hubs” in Kingston, Woodstock, Poughkeepsie, New Paltz bridge the gap between farmer and the consumer.
Recommendations for Action Collaboration & Cooperation to Rebuild Healthy Communities Create a champion to lead and motivate coalition Local government to support policies and programming to improve land use and zoning for recreation and accessibility of farm markets Collaboration of municipalities and county agencies to create short and long term goals Create a food “oasis” by incentivizing access to healthy foods in food desert areas through subsidies Healthcare providers will work together to improve access to healthcare for residents Support technology-counseling for family health Schools and workplaces/businesses can join their counterparts to promote wellness behaviors Community Advisory group to collaborate with grants, funds, public and private sectors SPONSORS: MVP Healthcare Crystal Run Healthcare
According to CDC, by 2008 estimated cost of medical care related to obesity in US had doubled to 147 billion in 10 years 5. Estimated annual cost of treating obesity related illnesses in New York State is upwards of 6.7 billion annually. Without a change in upward trend, we will see a 14.8% increase in that cost in New York.
Prevalence of obesity and severe obesity in US children, 1999‐2014. Obesity, 2016 May;24(5):1116-23. Wang et al. What childhood obesity prevention programmes work? A systematic review and meta-analysis. Obes Rev, 2015 Langford et al. Obesity prevention and the Health Promoting Schools framework: essential components and barriers to .
Obesity and the environment: regulating the growth of fast food outlets 3 1. The importance of action on obesity In 2011 the government published 'Healthy lives, healthy people: a call to action on obesity in England',1 which described the scale of the obesity epidemic and set out plans for action across England.*
Obesity Obesity is a disease where a person’s weight is in an unhealthy range (BMI of 30.0-39.9). It is a disease that can lead to other health problems. Talk with your healthcare provider to better understand and treat obesity. Severe Obesity Someone who is more than 100 pounds over their
2. Obesity trends and co-morbid consequences. 3. Poverty, obesity and food econo-mics. 4. Genetics and Caribbean culture. 5. The cost of obesity to develop-ment. Dimensions 1- Obesity Epide-miology: Prevalence, Age and Gender Relationships The most striking features of Figure 1 are (a) the high prevalence of overweight (BMI 25) and obesity
i HOOD OBESITY AcnONPLAN JIll Page 4 APPROACHING THE CHALLENGE CONTINUED Goals Objectives With the overarching goal ofimproving the health ofchildren and families in San Diego County the objectives of the Childhood Obesity Action Plan include the fallowing Building awareness about the problem ofchildhood obesity Serving as a guide for all those in San Diego County who are interested in .
of obesity is related to the increase of metabolic syndrome, a cluster of central obesity, insulin resistance, hypertension and dyslipidemia. Metabolic syndrome is a known risk factor for the cardiovascular disease and diabetes in the adolescents and adults. Adolescent obesity is a strong precursor of obesity and related morbidity in adulthood .
Obesity Medicine Association Education Syllabus Health Professional Students Course Title: Obesity Medicine Health Professional Student Rotation – Study Material Mission: To provide foundational information and training in obesity medicine for health professional students in an online format Purpose: Obesity is the most common disease encountered in medical practice.
Grade 2 collected 25 books. Grade 3 collected 15 books. Grade 4 collected 10 books. The school had a book drive to support the local shelter. Grades 1, 2, 3, and 4 collected books. Organize the book data into the pictograph above. 1. Who collected the most books? _ 2. What was the total amount of books collected? _ 3. Which grade .
