3. Obesity Trends* Among U.S. Adults
BRFSS, 1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Source: Behavioral Risk Factor Surveillance System, CDC.
4. Obesity Trends* Among U.S. Adults
BRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Source: Behavioral Risk Factor Surveillance System, CDC.
5. Obesity Trends* Among U.S. Adults
BRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Source: Behavioral Risk Factor Surveillance System, CDC.
6. Obesity Trends* Among U.S. Adults
BRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Source: Behavioral Risk Factor Surveillance System, CDC.
7. Obesity Trends* Among U.S. Adults
BRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Source: Behavioral Risk Factor Surveillance System, CDC.
8. Obesity Trends* Among U.S. Adults
BRFSS, 2007
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Source: Behavioral Risk Factor Surveillance System, CDC.
9. Obesity Trends* Among U.S. Adults
BRFSS, 2009
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Source: Behavioral Risk Factor Surveillance System, CDC.
10. Obesity Trends* Among U.S. Adults
BRFSS, 2010
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Source: Behavioral Risk Factor Surveillance System, CDC.
11. Obesity Trends
• Obesity-related medical costs could be up to
20% of total health costs or $500B annually
• By 2030, obesity rates will increase 42%
• By 2030, severe obesity (>80 lbs.) will more
than double from 5 to 11%
• By 2030, 32M adults will be obese
• By 2030, we’ll incur $550B in added obesity-
related health costs, if the trend continues
12. Health Consequences
• High Blood Pressure • Type 2 Diabetes
• High Blood Cholesterol • Stroke
• Coronary Heart Disease • Sleep Apnea
• Gallbladder disease • Poor Quality of Life
• Nonalcoholic Fatty Liver • Osteoarthritis
Disease • Cancer
13. IOM: Weight of the Nation
1. Integrate Physical Activity Every Day in Every Way
2. Make Healthy Foods Available Everywhere
3. Market What Matters for a Healthy Life
4. Activate Employers and Health Care Professionals
5. Strengthen Schools as the Heart of Health
15. • “The Obesity Era”
• “Obesity is the norm…”
• < 1% of Americans meet criteria for ideal
cardiovascular health
• 1st generation to have a shorter life
expectancy than parents
• Friend time = video games
16. • We need to create a plan for ourselves each
day…(recommit to health daily)
• We need the collective to make change
• “In order to Win we have to Lose”
• “The weight of the nation is out of control,
but we can fix it!”
17. Pledge for Progress
To win, we have to lose. The first step starts with you.
Pledge your commitment to reversing the obesity
epidemic in America today.
Starting now, I commit to reversing
the obesity epidemic in America.
18. IAPO Update &
Sugary Beverages overview
Presentation to FORWARD
June 21, 2012
18
19. IAPO Roadmap
• 8 Policy, Systems & Environmental change
objectives
– Increase access to retailers who serve and/or sell healthy
and affordable food options.
– Develop state-level obesity prevention resources and
infrastructure.
– Increase consumption of healthy food and beverages in
relation to consumption of unhealthy food and beverages
that have minimal nutritional value, such as sugar-
sweetened beverages and calorie-dense, low-nutrition fast
foods.
19
20. IAPO Roadmap
• 8 Policy, Systems and Environmental Change
Objectives (cont.)
– Promote healthy and affordable food consumption in senior
centers, schools, parks, child care settings, and after school
programs.
– Increase opportunities for safe and affordable physical activity in
communities, senior centers, schools, child care settings, and after-
school programs.
– Promote safe and active transportation.
– Promote healthy and active lifestyles in workplaces.
– Promote obesity prevention through hospitals and health care
systems.
20
21. IAPO –Workgroups/partner
initiatives
• Sugary beverages – Symposium, speakers bureau,
hospital initiative, tax discussion
• White paper on BMI surveillance/IDPH discussions
• IL Fresh foods fund – announcement any day
• Infant Feeding Act
• Farmer’s markets in convention centers legislation
• Enhanced PE Task Force, Enhanced PE Plan
• Reviewing Medicaid billing codes
• Municipal challenge – healthy vending, etc.
• Developing workplace wellness resources
21
23. age adapted with
mission from the
w York City
partment of Health
d Mental Hygiene.
pyright August
10.
23
24. More than one-third of all
sugars are consumed in
sugary beverages – the
greatest source of added
sugar in the US diet.
Beverages account for an
estimated 20% - 40% of
all weight gained by
Americans between 1997
and 2007.
24
25. • Half of US population over the age of two consumes
sugar-loaded beverages daily.
• Every additional serving of sugar-loaded beverages per
day increased risk of obesity in children by 60%.
• Adults who drink one or more daily are 27% more likely to
be overweight or obese.
• Illinoisans consumed 620 million gallons of sugar-loaded
beverages in 2011.
25
26. American Heart Association BEVERAGE Typical Amount of Sugar
recommends the daily intake Serving
of sugar for an adult woman COKE 12 oz 10 tsp
should be no more than 6 PEPSI 20 oz 17 tsp
teaspoons (tsp) and no more
than 9 tsp for adult men. For SUNKIST ORANGE 12 oz 13 tsp
children the recommended SODA
daily amount should not SNAPPLE 16 oz 13 tsp
exceed 3 tsp and for teens the LEMONADE ICED
maximum amount is TEA
8 tsp.
ROCKSTAR 16 oz 16 tsp
ENERGY DRINK
RED BULL 8 oz 7 tsp
ORIGINAL 20 oz 9 tsp
GATORADE
VITAMIN WATER 20 oz 8 tsp
SUNNY D 6.75 oz 4 tsp
CAPRI SUN 6 oz 4 tsp
(SMALL POUCH)
26
30. Reducing Consumption
• Change institutional settings to encourage healthy drink
options
– Create Healthy Beverage Policy in workplaces, hospitals, schools,
child care and other community settings
– Remove from vending machines, cafeterias, etc.
• Change mix of drinks in machines
• Product placement – water is at eye level
– Pricing strategies: Water costs less than sugary drinks.
– Serve drinks that are no more than 25 calories per 8 oz. at
meetings, events, conferences, etc.
– Ban them on property
30
31. Reducing Consumption
• Increased education about negative health effects of
sugary drinks
– Health care leaders/hospitals, doctors, nurses
– Counter-marketing strategies (e.g. Rethink Your Drink & Pouring
on the Pounds)
– Media outreach
– Community engagement and empowerment
• Public health policy strategies
– Excise tax to support a prevention fund
– Restrict portion sizes (a la New York)
– Restrict sales & use in schools
31
32. Thank you!
www.preventobesityil.org
Illinois Public Health Institute
954 W Washington
Suite 450 / Mail Box 10
Chicago, IL 60607
(312) 850-4744
For More Information: Elissa.Bassler@iphionline.org
32
40. Southwest Regional
Big Ideas Update
Increase Fruit and Vegetable Consumption For School Age Children
• Joint Use Agreement
Increase Physical Activity for School Age Children
• Get in the Action Projects
• Worksite Wellness
Increase Health Education Opportunities in Low Income
Communities
• Partnering with the faith community and food
pantries to expand nutrition education and options
41. Northeast Regional
Big Ideas Update
Promote Healthy Eating and Physical Activity
• Partnering with the Elmhurst Community Round Table to
plan a city-wide initiative to offer more healthy options on
restaurant menus and educate the community
Increase Physical Activity
• Physical Activity Kits purchased and available for
community residents and organizations for events
42. Central East Regional
Big Ideas Update
Increase Physical Activity
• Organized walking clubs/meet ups and publicizing walking venues
• Brain breaks and improved recess for schools
Increase Nutrition Education and Awareness
• Translated Family Nutrition Handbook to improve health education
• Get in the Action Project to increase healthy food in schools
Increase Active Transportation--biking, walking, etc.
• Partnered with Active Transportation Alliance to conduct a
parent survey to remove barriers to walking to school
43. Southeast Regional
Big Ideas Update
Increase Physical Activity
• Through a community-wide health education campaign
• Get in the Action project with physical activity
• Partnering with District 99 to offer intramurals
• Working with DuPage Medical Group and local employers on
Wellness RX
Healthy Eating
• Working with local restaurants to promote a community-wide
campaign to offer/highlight 700 calorie (or less) meals
44. Northwest Regional
Big Ideas Update
Create Worksite Wellness Resources
• Providing yoga and meditation sessions for District 87 Staff (928
employees)
Increase Physical Activity Options for Non-athletes
• Sandburg Elementary – Kids Boot Camp
• Abe Lincoln School – PTA Family Fitness Nights
Increasing Healthy Food Options
• Healthy Community Cook-out
• Camp Hope – West Chicago Healthy Summer Camp
46. Active Transportation
Task Force
Purpose: Enhance and Enable More Active
Transportation in DuPage County.
1. Increase funding for active transportation
projects
2. Promote the adoption and enforcement of active
transportation policies within and among
governmental agencies and planning
commissions/organizations
47. Active Transportation
Task Force (cont)
3. Identify and expand projects that will impact active
transportation opportunities for residents of DuPage
County
4. Identify and expand programs to support active
transportation in DuPage County. Program focus
areas can include engineering, education,
enforcement, or encouragement.
48. Active Transportation
Municipal Strategy
• Define the components of active transportation
• Promote the value of incorporating active
transportation
• Help leverage resources to increase more active
transportation opportunities within municipalities
• Share innovative success stories on how others have
impacted change in order to reduce redundancy and
expedite expediency
49.
50. Nutrition Task Force
Purpose: To enhance and enable healthy, flavorful
food in DuPage County as the easy and routine
choice.
1. Increasing resources that support more healthy,
flavorful food in DuPage County
2. Promoting the adoption of policies and practices
to reduce unhealthy food and beverage options
and increase healthy, flavorful food at
affordable and competitive prices
51. Nutrition Task Force
(cont)
3. Make Healthy Foods Available Everywhere by
creating environments that ensure that healthy
food and beverage options are the routine, easy
choice.
4. Educate to promote healthy food that can be full
of flavor in schools and food panties
throughout DuPage
52. Nutrition
Municipal Strategy
• Increase resources that support healthy and flavorful food
• Promote the adoption of policies and practices to reduce
unhealthy food and beverage options and increase healthy,
flavorful food at affordable and competitive prices
• Make healthy foods available everywhere by creating
environments that ensure that healthy food and beverage
options are the routine, convenient choice
• Educate to promote that healthy food can
be full of flavor
54. Why Data ?
• Data Drives Decision
• Measures Progress
• Helps to Guide Direction and Interventions
• Allow Comparison with Local, Regional and
National Efforts
• Let’s Us Know When We Have Met
our Goals
55. 2011-2012
BMI Surveillance
• 2009: Snapshot of Kindergarten, 6th and 9th Grades
• 2010: 42% of Kindergarten, 6th and 9th Grades
• 2011/2012: 91.5% of Kindergarten, 6th and 9th
Grades
• 27,914 student records
• 195 of 213 public schools submitted data (91.5%)
• Data collected from February-May 2012
62. “Wellness
Programs that
Work”
-OR-
“How to Know When Your Wellness
Program Really Sucks”*
Robert Dicosola, Executive Vice President, * Adapted from “whenwellnesssucks.com”
Human Resources/Training/Diversity at Old
Second Bancorp, Inc.
63. “Wellness Programs that Work”
First, a quick quiz:
1. When you say you have a Wellness Program,
what you really mean is:
A) We held a low-carb pie eating contest.
B) If someone’s a smoker, everyone starts fake-
coughing the minute he walks into a meeting.
C) We have a walking program where we give out
pedometers.
D) As part of our annual wellness planning process,
employees are invited to participate in a Risk
Assessment and biometric screening with annual
health goals.
64. “Wellness Programs that Work”
2. We try our best to get people motivated by:
A) Offering pedometers to anyone who knows the
lyrics to “Let’s Get Physical.”
B) Our President holds “Monday Morning
Accountability Weigh-ins” to see if employees are on
track.
C) We create teams and competitions where we
measure certain types of health behaviors (steps,
minutes of physical activity, fruit and vegetable
consumption).
D) We give any employee who takes a risk
assessment and screening a hefty premium discount.
65. “Wellness Programs that Work”
3. We know our program is working because:
A) There are a few leftover donuts and apple
turnovers from the complimentary Friday morning
bakery delivery we provide for our employees.
B) Employees have stopped using Segways to get
from their desk to the copy machine.
C) We can see a real difference in the kinds of things
people are eating in the cafeteria, and more and
more people seem to be taking the stairs.
D) We analyze medical costs, absenteeism, health
risks and behaviors, and program participation. The
trends indicate improved health behaviors and lower
costs.
66. “Wellness Programs that Work”
4. If you took an all-expenses-paid trip to Bali for the
next six months, what would happen to your wellness
program?
A) Who am I kidding?? If I quit tomorrow the program
would be over and no-one would notice.
B) My assistant would be texting me nonstop asking
everything from where are the pedometers to what is
the Zumba instructor’s phone number (WHAT?? She
didn’t show up??)
C) So many of our employees have played a role in
creating and rolling out our wellness program that I
am sure the current wellness team can handle it.
D) Our management team expects us to report on
the economic return and other program impacts
quarterly and annually, so if someone isn’t executing,
I won’t have a job when I get back from Bali.
67. “Wellness Programs that Work”
SCORING:
If you checked mostly A’s and B’s
Sorry. Your wellness program sucks. Badly.
If you checked mostly C’s
YOU ARE ON THE RIGHT TRACK! The C’s can be great
program components, but without a bit more substance,
accountability and metrics, it may not be sustainable.
If you checked D’s
Congratulations! Your Wellness Program has most of the
components necessary for success, including top
management support, motivation, employee buy-in, and
quantifiable metrics.
68. “Wellness Programs that Work”
The Four Pillars
Of a Successful Wellness Program
I. Quantifiable Metrics
II. Senior Management
/Employee Buy-in
III. Tangible ROI
IV. Sustainability
69. “Wellness Programs that Work”
Pillar #1: Quantifiable metrics
A few black-and-white examples:
1. Are employees getting healthier?
2. Is the WP saving the Company cash?
Are your health care expenses trending
down or at least lower than the national
average?
3. WP utilization levels
4. Actuarial analysis of participant claims
70. “Wellness Programs that Work”
Pillar #2: Senior Management/Employee
Buy-in
Quantify the risks and benefits in detail
Discuss the metrics in some detail
Program must be voluntary
Offer significant discounts on the
employee portion of the premium
71. “Wellness Programs that Work”
Pillar #3: Tangible ROI
“If there is no positive financial impact to the
Company’s bottom line or other Return on
Investment, fold up the tent….”
Health-care expenses trending down or
lower than benchmarks
WP Participation rates (we’re at 98%)
Employees getting healthier (positive
screening reports, “Healthiest Company”
award)
Lower absenteeism rates
Anecdotal stories
72. “Wellness Programs that Work”
Pillar #4: Sustainability
Must be a group effort
Communication must be
ongoing
Must be continuously refreshed
Must be FUN!
73. “Wellness Programs that Work”
Impact of Healthcare Reform on Wellness Programs
The crystal ball is cloudy….
74. “Wellness Programs that Work”
BUT …. Some experts are predicting:
Wellness Programs may get a boost via:
Employers may be able to offer LARGER
incentives for employees’ positive
lifestyle/wellness initiatives
Technical assistance (government
websites, web portals, call centers) to
enhance wellness programs
ROI may get easier to prove
75.
76. Donate – Volunteer – Get Involved
Kelly Brasseur, MS, RD, LDN: NIFB
Amy Ozier, PhD, RD, LDN: Northern Illinois University
77. UNICUE:
Utilizing Nutrition in the Community for
Understanding and Empowering
Goal:
Improve health and wellness of families in CUSD #100
through awareness and confidence building of nutrition
related behaviors
78. UNICUE Model
1. Getting to know the people
2. Message & theoretically based program development
3. Intervention begins
• School & Community Cupboard Pantry
4. Evaluate outcomes
• What worked, change needed, sharing results
5. Replicate process
79. Getting to Know the
People
• Age ~ 41
• 56% Hispanic
• Unemployed
• Nutrition education desired
80. They told us…
• Topics desired
Shopping /stretching the food dollar
Healthy food and nutrition
• Perceived barrier in eating more healthfully
Cost, taste, not knowing healthy foods
• Perceived benefits of eating more healthfully
Losing weight and feeling better were the greatest.
82. Chicken and Pasta
Adapted from SNAP Ed
Serving size: 1 cup Servings: 6…Cook Time: 30 minutes
2 cans chicken (or ½ pound lean ground meat)
1 can (14 ½ ounce) tomatoes, diced
1 can (14 ½ ounce) chicken broth low sodium
2 cups whole wheat pasta, uncooked
2 cans vegetables, drained
¼ cup bread crumbs (optional)
¼ cup parmesan cheese (optional)
Cook chicken in pan until lightly browned, about 5 minutes. Stir in tomatoes, chicken broth and pasta.
Bring to a boil.
Reduce heat to medium-low. Cover and simmer until pasta is almost tender, about 8 – 12 minutes.
Place vegetables on top of pasta. Replace lid. Cook until vegetables are heated through and pasta is
tender. Sprinkle bread crumbs and cheese over vegetables in skillet. Cover and let sit 3 minutes before
serving.
Nutrition Information per serving: Calories 265, Total Fat 7g, Sat Fat 2g, Sodium 491mg,
Carbohydrates35 g, Fiber 5 , Protein 19g
84. Outcomes
• Liked the recipe
• Made it at home
• Self-efficacy better than control group
• Smiles and thank you!
85. Other Interventions
Message Development Public Service
Announcement
Kids corner
86. Wellness Curriculum
• K-5
• Theoretically based
• Topics approved by Wellness Committee
• Examples
• Parent reinforcement activities
87. Lessons Learned
•Know your audience
•Translator pivotal
•Provide lead time for translations
•Safeguard for attrition
•Include school foodservice
•Pilot test materials and evaluations
•Innovative methods needed incorporating wellness
curriculum
88.
89.
90. Bill Casey
Neuqua Valley High School
Can be accessed at: http://goo.gl/ERN5J
91.
92. ADDISON SCHOOL
DISTRICT 4
Excellence 4 ALL
John Langton, Superintendent
93. ADDISON SCHOOL
DISTRICT 4
Excellence 4 ALL
Mission developed by the community in 2011:
The Addison School District 4 Community…
• Provides a safe, nurturing and innovative learning
environment;
• Empowers all students to achieve success while
embracing and celebrating individual differences; and
• Develops life-long learners with a global perspective.
94. ADDISON SCHOOL
DISTRICT 4
Excellence 4 ALL
Goals developed by the community in 2011:
1. Increase teaching and learning support.
2. Provide social and emotional support for students.
3. Maintain fiscal responsibility.
4. Improve community involvement.
95. ADDISON SCHOOL
DISTRICT 4
Excellence 4 ALL
FOCUS
1. Academic development of ALL children.
2. Social and emotional development of ALL children.
96. ADDISON SCHOOL
DISTRICT 4
Our students…
Northeast DuPage County elementary school district
serving 10 square miles and 4,400 students in 8
schools, preschool through eighth grade.
Poverty? 60.9% low income
English Proficiency? 27.6% LEP
Race/Ethnicity? 66.3% Hispanic
25.8% White
97. ADDISON SCHOOL
DISTRICT 4
Our finances…
REVENUES: $39,467,685
District State (avg.)
Local revenue 71.6% 65.3%
State revenue 14.9% 22.4%
Federal revenue 13.5% 12.4%
Per Pupil Expenditures District State (avg.)
Instructional $5,559 $9,047
Operational $6,773 $11,537
99. Enhance Food Service
School Food Service Advisory Committees:
Started in 2010.
Representatives… students, parents, teachers, principal,
and Arbor Food Service management.
We gained a better understanding of what we can
improve.
Parents wanted more healthy options!
Students wanted more snack-like choices!
We found ways to meet in the middle while adhering to
USDA standards. (i.e. changed our brand of milk, the type
of pizza we serve and more vegetable options.)
Contributed to better eating habits
100. Enhance Food Service
Fruit & Veggie Bars:
In an effort to promote healthy food choice options,
advisory committee recommended fruit & veggie bars.
We teach the children about portion sizes and making
choices in food selection.
They have a higher interest in the decision making
process.
We have fruit & veggie bars in 2 elementary schools and
our junior high school.
We will be rolling out 2 more in FY2013.
101. New Food Service
Challenge…
New National School Lunch Program (NSLP) Guidelines:
Improving child nutrition is the focal point of the
Healthy, Hunger-Free Kids Act of 2010 (HHFKA).
This legislation authorizes funding and sets policy for
USDA’s National School Lunch Program and School
Breakfast Program.
Majority of the changes go into effect July 2012 for
lunch and July 2013 for breakfast.
102. New Food Service
Challenge…
National School Lunch Program
Food Group Current New Requirements
1/2 - 3/4 cup of Fruit or Vegetables 3/4 - 1 cup of vegetables plus 1/2 - 1 cup
Fruits & Vegetables
combined per day of fruit per day
No specification on type of Vegetables Weekly Requirement for: Dark Greens,
Vegetables
served red/orange, Legumes, Starchy, Misc.
At least half of the grains must be whole
8 Servings per week/Whole grains
Grains grain-rich and all grains must be whole
encouraged
grain rich by July 2014.
Must be 1% or fat-free for regular milk &
Milk 1 cup of Regular, reduced, or fat-free
fat-free for flavored/chocolate milk
103. Transportation
• The goal to Maintain fiscal responsibility led us to
identify options for decreasing expenses.
• Transportation costs were prohibitive.
• Recognized that our school district was not required
to transport any student and could charge for
bussing.
• Options reviewed.
105. Transportation
OUTCOMES
2010/2011 2011/2012
Busses 23 14
Bus Riders 2,122 students 979 students
106. Transportation
Unintended Benefits:
Increased number of students walking in groups.
Increased number of students riding bicycles.
Healthier kids!
Challenges:
Installed bike racks to accommodate demand
Increased number of parent drop-offs.
Doubled the number of crossing guards needed.
I had the privilege of representing FORWARD at the Weight of the Nation Conference in Washington DC last month along with Dr. David Dungan and Krystal Kleinschmidt.FORWARD was invited to present a poster session on our BMI surviellience (thanks in part to one of our Advisory Board members, Rob Bisceglie who served as co-chair of the schools track--you will hear from both shortly)While some might say this is a “Public Health Issue” ----put on by the CDC at a public health conference, I say it was again confirmation of what we have all known here at FORWARD --thanks to our foundersThe Weight of the Nation is out of control…but we can fix it!
Quickly, you may have seen these figures before, but I think it is important to review them again.This is CDC data, starting back in 1985. Rates of obesity were practically non existent
Obesity related medical costs are likely underestimated. Could be up to 20% of total health costs or $500B annually.By 2030, obesity rates will increase 42%.By 2030, severe obesity (>80 lbs.) will more than double from 5-11%.By 2030, 32M adults obese.By 2030, we’ll incur $550B in added obesity related health costs, if the trend continues.
While in DC two significant eventsThe IOM released it recommendations for Accelerating Obesity PreventionThey include:PA dailyMaking healthy choice the easy choice with regards to foodMarketing healthy options is importantEmployers (especially the Health care sector) are critical settings to impact change (like employee wellness and what you will learn about shortly FORWARD’s Provider Network for health care professionalsSchools must be an setting of focus for healthy eating and active livingFORWARD has taken these recommendations and updated our strategic plan to address all 5 goals. You will hear about progress to date in a few minutes.
The second significant release was a series of documentary films created in partnership with HBO, CDC, Kaiser, Dell, and NIH.I sent an email a few weeks ago asking each of you to please look at, at least one. There are 4 films and a series of “shorts” How many have??Well, to wet your whistle today, we have a preview of a special 10 minute version…..
What did we learn from this clip??
What can we do?I hope you will these documentaries are valuable tools that can help us get the message out to our friends, family colleagues and neighbors.
This is more than a public health issue. This is everyone’s issue
IAPO convened and managed by IPHI, 115 groups.
NARRATIVE: SLBs increase hunger, decrease satiety and decrease fullness. (Ranawana, Henry. Int J Food Sci Nutr. 20011 feb;62(1):71-81) Bodies don’t compensate for liquid calories in the same way as solid food. Sugar highs and lows. Sugary foods and drinks tend to hold you over for 10 – 15 minutes. A lean protein of a complex carb can hold you over for 3 hours. They add calories without providing nutrients.
REFERENCES: Bullet #1: Ogden CL, Kit BK, Carroll MD, Park S. (2011) Consumption of sugar drinks in the United States, 2005–2008. NCHS data brief, no 71. Hyattsville, MD: National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/data/databriefs/db71.pdf Bullet #2: xi Yale Rudd Center for Food Policy and Obesity (2009) Rudd Report: Soft Drink Taxes Policy Brief. Retrieved from http://www.yaleruddcenter.org/resources/upload/docs/what/reports/RuddReportSoftDrinkTaxFall2009.pdf Bullet #3: xii Ludwig, D.S., Peterson, K.E., & Gortmaker, S.L. “Relationship between Consumption of Sugar-Sweetened Beverages and Childhood Obesity: A Prospective, Observational Analysis”, Lancet, 2001.357.505-508. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/11229668 Bullet #4: Chaloupka Report vi Chaloupka, F., Wang, Y.C., Powell, L., Andreyeva, T., Chriqui, J., Rimkus, L. (2011) Estimating the Potential Impact of Sugar-Sweetened and Other Beverage Excise Taxes in Illinois.
A woman who drinks a 20 oz Pepsi has had almost three times the maximum amount. A teenager who drinks a Rockstar Energy drink has doubled the max. .
.
NARRATIVE: The original Coke bottle size was 6.5 ounces in the 1920s; smaller than the bottle on the left side of the slide which is 8 oz. 12 ounce cans were introduced in the 1960x. 20 oz bottles were introduced in the early 1990s and I liters in the late 1990s. Source: New York document
.NARRATIVE: Here is an old Coca Cola ad. At one time, the message sent was that 16 ounces served 3 people. We are a long way away from that now. Marketing to kids:From 2008-2010, exposure to TV ads for full calorie soda doubled for children and teens. 2/3 of all radio ads heard by teens were for full calorie soda. In 2010, teens saw 18% more energy drink tv ads and heard 46% more radio ads than adults. 63% of all full calorie soda and energy drink ads on national TV include sponsorship of an athlete, sports league or team, event or cause. Black children and teens saw 80% to 90% more ads than white youth.Latino pre-schoolers saw more ads for Coca-Cola Classic, Kool-Aid, 7 Up and Sunny D than Latino children and teens.
Excise Tax on Sugar-loaded Beverages Generate more moneyEasier to administerReflected in the shelf prices that would lower consumptionProvides stable revenueA one-cent per ounce excise tax on sugar-loaded beverages would produce: 23.5% drop in consumption; 185,127 fewer obese Illinoisans (9.3% reduction in the number of obese youth between the ages of 2 -17 and 5.2% reduction in number of obese adults); 3,442 fewer people with diabetes; Reduction in health care costs related to diabetes and other obesity related diseases totaling $171.5 million in the first year; and New tax revenues totaling $606.7 million to invest in prevention
Next, I would like to ask Rob Bisceglie, CEOAFHKs and a member of the FORWARD Advisory Boardup to talk about the Partnership that FORWARD has established with AFHKs.
Good Morning…How many of you were at the Get in the Action Party in September??Well, Last year, Action for Healthy Kids, a national organization dedicated to reducing and preventing childhood obesity and undernourishment by working with schools, families and communities across the US to help our kids learn to be healthier and be ready to learn, partnered with FORWARD to host an inaugural “Get in the Action Party.”
The Party:Raised over $45,000 Helped to increase our partnerships and grow the FORWARD Coalition by adding more than 100 membersBrought together over 191 local partners at Mays Lake-another Forest Preserve siteHosted some very special guests--NBC 5 Fitness Club Coach,Saran Dunmore; NBC's Season 7, The Biggest Loser Couple, Jerry and Estella Hayes; Former Wide Receiver for the Chicago Bears, Anthony Morgan; Representative Robyn Gabel; Representative Patti Bellock; Boogie Woogie Innovator/Pianist Erwin Helfer; and marathoners Seth and Karen KopfAnd we recognized the first DuPage County, Healthy School Hero—Paul Zientarski!
We then turned around and disbursed funds raised in partnership with FORWARD and all of our sponsors (see signage) to conduct Get in the Action Days---Get in the Action gives ordinary people an opportunity to get involved in their own communities, creating the kinds of healthy changes in schools that make it possible for kids to be physically active and to eat nutritious food every day. From the cafeteria to the playground, volunteers are rolling up their sleeves, pulling out their paint brushes and tools to build or renovate school facilities so kids have healthy school environments.
The 5 Get in the Action Days were held in 5 DuPage schools one in each FORWARD region in partnership with the 5 DuPage YMCAs last fall:At Schafer Elementary School Day of Action project in Villa Park-Staff were trained in brain break curriculum and students enjoyed healthy food tasting as a means to improve school lunch/breakfast menusAt Fairmount School Day of Action Project in Downers Grove-Teachers and volunteers were trained on the importance of physical activity and its impact on learning and the school received new recess equipment to keep kids moving during recess.At Field School Day of Action Project in Elmhurst-students and staff were introduced to new playground games and activity stations for use during inclement weather.At Beebe School Day of Action Project in Naperville-Staff and volunteers helped students increase understand PA through the purchase of student pedometers for use in and after school and now enjoy a joint use agreement for shared physical activity space.At West Chicago Middle School West Chicago-Students received a new stainless steel commercial refrigerator that was purchased to support healthy after school snacks.
I am excited to announce today that FORWARD will continue these Get in the Action efforts in the upcoming year through additional funding received through Cadence and Edward Hospital. In August, community organizations and schools will have the opportunity to apply for funding between $500-5000 for Get in the Action projects to create healthy sustainable changes in schools, neighborhoods and communities throughout Dupage.The announcement will be posted on the FORWARD website and released to coalition members. AFHKs and FORWARD are excited to be able to continue this partnership and help bring needed resources to make it possible for kids and families to be more physically active and to eat nutritious food every day.
ANN: Moving right along, you can see already that we have been very busy this year. Our YMCA partners not only helped us with et in the Action Days, but they also worked in partnership with 10 municipalities last year to bring together community leaders, access the communities using the CHLI, and then identify the bold changes that they were willing to work towards to improve the health of their communities and residents.I am please to invite Barbara Taylor, ED of the Indian Boundary YMCA and the Director of the Southeast FORWARD Regional Office to present an update on all of the the Big Ideas that we announced last spring
BARB: FORWARD’s South West Region, is lead by the Fry Family YMCA in Naperville. They have been working in Naperville and Aurora. Over the past year. Who is here for those communities??? To date the success realized include:A joint use agreement between the YMCA and after school providers and the school food service provider to increase healthy foods available after school. The Aurora and Naperville leadership teams would now like to focus efforts to spread this vision to the school lunch and breakfast programs in their respective districts.Expansion of physical activity opportunities began with the Get in the Action projects in the schools that Rob mentioned earlier. These two municipalities have now joined forces and will be working collaboratively with employers to increase opportunities for employees in Naperville and Aurora businesses to have access to healthy worksites.Finally efforts are underway to work with the faith community and food panties to provide not only education but increased access wo healthy food options. You will hear later some work that is being done through the Northern Illinois Food Bank to support this concept.
FORWARD’s North East Region, is lead by the Elmhurst YMCA. They have been working in both Elmhurst and Addison. Who is here for those communities???To date the success realized in Elmhurst includes:Developing a city-wide plan in Elmhurst to increase education to community on healthy food options and a challenge to restaurants to offer at least one healthy menu option that meet the US Dietary Guidelines.Physical activity kits are available to community residents for events and parties to increase physical activityAddison is now looking at pulling their Core leadership Team together to address similar issues. You will hear from their superintendent shortly about the changes already underway due to his leadership.
FORWARD’s Central Region, is lead by the Tri-town YMCA in Lombard. They have been working in Lombard and Villa Park. Who is here for those communities??? This group deserves special kudos--- as they applied for and received a Pioneering Healthier Communities grant for Villa Park. In fact Leaders form the Villa Park community are meeting this afternoon to do some strategic planning for this effort.To date the success realized include:A focus on increasing physical activity through walking activities and brain breaks for local schoolsImproving nutrition education through materials and eventsIncreasing opportunities for more physical activity through improvements to the built environment-walking to school, better bike crossings and funding to support alternative tarnsportation.
I am so proud of the work we are doing in FORWARD’s Central Region! This is my region and lead by the Indian Boundary YMCA in Downers Grove. We have been working in Downers and Woodridge. Who is here for those communities??? To date the success realized include:Increasing physical activity through the schools---offering intermural sports (after the program was cut for budgetary reasons) and educating the community on the importance of PA.Improving the workplaces throughout these communities by partnering with DMG to offer Wellness RX (explain)Increasing options to eat healthier but working on a community-wide effort to challenge restaurants to offer 700 calories or less meals that meet the Dietary guidelines for salt, sugar and fat.We will be spreading this work in the fall to Wooddale.
Lastly, FORWARD’s North west Region is being led by BR Ryall YMCA in Glenn Ellyn. They have been working in Glen Ellyn and West Chicago. Who is here for those communities???They have focusing efforts on:Improving the worksite of District 87—one of the largest employers in the community by offering worksite physical activity optionsIncreasing the PA for students through non-athletesIncreasing healthy food and education through community-wide events and campsLets recognize all of these municipalities and others that have identified the b=need and are working inpertnership to make healthy sustainable changes!
ANN: All of these efforts have been through municipal volunteers, community groups and residents, that have risen to the call and want to help make their schools, neighborhoods, business and communities healthier and better places to live. FORWARD realizes that they cannot do this in isolation. So in the Fall we created two Task Forces and a Workgroup to help us move these local efforts along. I would like to introduce Dan Thomas, Trails Coordinator / Principal Planner for the DuPage County Division of Transportation.Dan not only agreed co-chair the Active Transportation Task Force, shortly after he began in his position with the County last summer but has also joined the FORWARD Advisory Board. Dan…
Dan: Good Morning. In the fall and winter of 2011, FORWARD asked myself, the DuPage Mayors and Managers conference, the Forest Preserve, the Illinois Bicycle Federation, the Convention and Visitors Bureau, CMAP, and with guidance for the Active Transportation Alliance launched the Active Transportation Task Force. The purpose of this group is to leverage local and statewide expertise to enhance and enable more active transportation in Dupage County. We agreed that we would do this by:Increasing funding for active transportation projects in DuPage County, by:Identifying and communicating the economic benefit and by setting targets to fund pedestrian, bicycle and alternate transportation projects (we are already in conversation with the Dupage Mayors and Managers Conference to looking at a modified funding methodology projects that include active transportation)Promoting the adoption and enforcement of active transportation policies within and among governmental agencies and planning commissions/organizations such as:Expanding the number of municipalities that have Complete Streets policiesEnsuring that municipalities are enforcing Complete Streets policiesMonitoring and ensure the application of Complete Streets policies at the County levelAnd , in partnership with the Active Transportation Alliance, monitor and ensure the application of Complete Streets policies through Illinois Department of Transportation for DuPage County
3. Identifying and expand projects that will impact active transportation opportunities for residents of DuPage County, such as:Studying and identifying the trail system crossingsStudying the trail system use in order to make recommendations on areas for expansionStudying bike/walk trips to Metra stations in DuPage in order to make recommendations on needed equipment (bike racks) and expanded routesAND4. Identifying and expand programs to support active transportation in DuPage County. Such as:Studying and marketing Bike Friendly designations in municipalities in order to enhance and expand the number and reach
At our most recent meeting the Task Force has agreed to develop a Municipal Strategy, recognizing that active transportation in suburban communities is complex. We must work with local leaders and empower local decision makers as to the benefits and value of active transportation. The above outlines out broad plan with regard to transportation---To Advance the health of all residents, FORWARD will work in partnership with the DuPage Mayors and Managers Conference (DMMC) and its member municipalities to advance local decision making to:Define the components of active transportation,Promote the value of incorporating active transportation,Help leverage resources to increase more active transportation opportunities within municipalities, andShare innovative success stories on how have others have impacted change in order to reduce redundancy and expedite expediency. All of these will not only support the local efforts mentioned earlier, but help to brand the DuPage active transportation infrastructure to encourage its use, raise local awareness and market DuPage County as a hub for health and regional active living destination.
ANN: Now to change themes a bit but stay with me on this focus on county-wide expertise and local decision making. Do we have any local elected leaders here today…??? (I should mention that we have mayors Brummel and Muelleron the Active Trans Task Force and we are looking for local leaders for the Nutrition Task Force.To help us understand the value of healthy and flavorful food and how that can impact out Health FORWEARD created the Nutrition Task Force. I would like to welcome ChrisTheilman, co-chair of the Task Force. Chris is also a chief, instructor and Coordinator of Culinary and Hospitality Management COD. You may have all seen his new Culinary Center…beautiful! Chris….
CHRIS: Good Morning. In the winter of 2011, FORWARD asked myself, the Northern Illinois Food Bank, the University of Illinois Extension, Seven Generations Ahead, Il-NET, Center for Excellence in the Elimination of Disparities, and several other dieticians and nutritionists in DuPage, to help launch FORWARD’s Nutrition Task Force. The purpose of this group is to leverage local and statewide expertise to enhance and enable more healthy flavorful food in DuPage as the easy and routine choice. As a result of the recent Institutes of Medicine Report (mentioned earlier) we will be focusing efforts on 4 strategic areas: Increasing resources that support more healthy, flavorful food in DuPage County.Make a variety of beverage options, including healthy options that are competitively priced and readily available in public places 2. Promoting the adoption of policies and practices to reduce unhealthy food and beverage options and increase healthy, flavorful food at affordable and competitive prices by:Adopting policies and implementing practices to reduce overconsumption of sugar-sweetened beverages. And Limiting the concentration of unhealthy food venues (such as Barb mentioned earlier that Woodridge is trying to work with restaurants to offer 700 calorie meals that meet the Dietary Guidelines)
CHRIS: 3. Make Healthy Foods Available Everywhere by creating environments that ensure that healthy food and beverage options are the routine, easy choice. By Expanding the number of schools and food pantries that offer healthy, flavorful food options by increasing the availability of lower-calorie and healthier food and beverage options. Substantially increasing the availability of nutrient dense foods /portion control meals served to students in schools and through food pantries.Substantially expand the number of affordable and competitively priced healthier options available for students and adults to choose from in school settings including vending, afterschool and at school events.Ensure that all foods and beverages sold or provided through the government entities/settings are aligned with the age-specific recommendations in the Dietary Guidelines for Americans.Adopt nutrition standards for all federal child nutrition programs including breakfasts, lunches and snacks and beverages. 4. Educate to promote healthy food that can be full of flavorful in schools and food panties throughout DuPage, by:Adopt consistent nutrition education that explicitly encourages the provision of advice about types of foods to reduce in the diet, consistent with the Dietary Guidelines for Americans.Ensure the implementation and monitoring of sequential food literacy and nutrition science education, is provided in grades K-12, based on the food and nutrition recommendations in the Dietary Guidelines for Americans.
The Task Force also agrees making healthy flavorful foods available and accessible in a County like DuPage is also complex. We must work with local leaders and empower local decision makers as to the benefits and value of making healthy food the routine and easy choice . The above outlines a broad plan with regard to Healthy Eating---To Advance the health of all residents, FORWARD will work in partnership with the DuPage Mayors and Managers Conference (DMMC) and its member municipalities to advance local decision making to:Increase resources that support healthy and flavorful food-community gardens, restaurant zoning, etc..Promote the adoption of policies and practices to reduce unhealthy food and beverage options and increase healthy, flavorful food at affordable and competitive pricesMake healthy foods available everywhere by creating environments that ensure that healthy food and beverage options are the routine, convenient choiceEducate to promote that healthy food can full be full of flavor.As Dan mentioned, all of these will not only support effort mentioned earlier to create change locally, but help to brand DuPage County as a hub for health and a regional healthy food and active living destination.
ANN:Something here about the heath educators group and the power of this force.All of these efforts have been and will continue to be driven by FORWARD’s Data Collection. This meeting marks the three year anniversary of FORWARD. From the beginning we brought together a team of epidemiologists, physicians and researchers to help FORWARD identify the need and hit that mark. I would like to introduce Dr. David Dungan, a member of the FORWARD Advisory Board, Co-chair of the Data Committee and a pediatrician with Dupage Medical Group to talk about our Data collection efforts and the newest work that FORWARD is doing to better support our health care providers through our Action Network. David….
DAVID: FORWARD Made an Early Commitment to Measuring Our Progress Through DataData Drives DecisionMeasures ProgressHelps to Guide Direction and InterventionsAllow Comparison With Local, Regional and National EffortsLet’s Us Know When We Have Met our Goals
We’re pleased to report that we’ve completed our 2011-2012 BMI Data Surveillance. All public schools with a Kindergarten, Sixth or Ninth grade in DuPage County (213 public schools) were invited to participate; of those, 195 of 213 (91.5%) submitted data.We collected a total of 27,914 student records.This gives FORWARD nearly 40,000 student BMI data points.Data collected by FORWARD is for surveillance purposes only. For confidentiality reasons, we do not track the same children over time. Therefore, correlations from year to year are not reported unless there is statistical significance.
Our rates indicate that nearly one in three Kindergarteners, Sixth Graders, or Ninth Graders in DuPage County were overweight or obese.31% were overweight or obese and 15% were obese. This same prevalence rate for both obese or overweight and obese was observed among the 2010-2011 group of K, 6th and 9th Graders sampled in DuPage County last year. This in no way reflects the same children sampled in previous years
The prevalence of overweight and obesity in K, 6 and 9 graders by sex indicates that boys have slightly higher rates of overweight and obesity.Females in our sample this year had a 4% lower rate of overweight or obese and a 3% lower rate of obese than males. FORWARD will continue to extrapolate the data to try to understand the factors contributing to these differences.
The Sixth Grade students sampled had a higher rate of overweight or obese than the other grade levels; overweight or obese rates were 2% higher than in Ninth Graders and 4% higher than in Kindergartners. As a follow up to this report, FORWARD will be continuing our data surveillance efforts yearly, revising the Data Snapshot from 2009, and looking at BMI data from early childhood education and private/parochial schools for 2012.
While I’m up here, I do want to highlight one very special new project that FORWARD is focusing our efforts on. To help support the work of healthcare providers across DuPage County, FORWARD is building an Action Network. FORWARD received $120,000 in 2012 from Healthy Kids, Healthy Families of Blue Cross and Blue Shield of Illinois (BCBSIL). Through the Network, FORWARD will accelerate best practices among providers and improve clinical and community linkages and referral sources for the prevention and treatment of obesity in children aged 2-19, especially for the lower socioeconomic population. FORWARD will use the Healthy Kids, Healthy Families funds to:•Increase accessibility of prevention and treatment resources for children and families identified as at risk.•Provide training and education to healthcare providers to accelerate and share best practices.•Expand clinical resources available in DuPage County for families struggling with unhealthy weight.•Adopt and spread a county-wide education campaign using the 5-4-3-2-1 Go! prevention messaging.
ANN: Thank you Dr. Dungan and the entire Data Committee for all of your support and efforts in this partnership.We are going to take a few minute break now. I would like to invite Bobbie Adams, certified Tai Chi Instructor to come up and lead us.
