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Call to Action

Principle of Public Health Project. GPH714 Summer, 2012
by

Jason Moury

on 20 December 2012

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Transcript of Call to Action

University of New England
GPH714 Summer, 2012
Dada Anidiobu
Jason Moury
Permecia Winston Call to action ...that we can prevent, promote, and protect against is... One of the top public health issues
in the Commonwealth... The CDC reports that 1/3 of the populations is obese. So what is obesity So what can do.... Obesity costs us $147 Billion per year. Effects of obesity First Lady Michelle Obama's Let's Move campaign encourages people to make better choices with their food choices. First action: Promote healthy choices School lunches were once thought to be healthy and nutritious. Second action: Improve school lunches There is no better way to combat obesity than to increase the amount of physical activity. This is one of the hardest things to do. Fourth action: Promote Physical Activity 3. Education Presented to the
Commonwealth of Massachusetts
House of Representatives
and
State Senate can start by acting now. we we Obesity For adults, overweight and obesity ranges are determined by using weight and height to calculate a number called the "body mass index" (BMI). BMI is used because, for most people, it correlates with their amount of body fat.

An adult who has a BMI between 25 and 29.9 is considered overweight.
An adult who has a BMI of 30 or higher is considered obese.

Example: A 5ft 9in adult who weighs over 203 pounds is considered obese. Centers for Disease Control and Prevention. April, 2012. [Website]. Retrieved from http://www.cdc.gov/obesity/adult/defining.html How did we get here? "The physical and emotional health of an entire generation and the economic health and security of American nation is at stake. Three decades ago, most people led lives that kept them at a healthy weight." -Michelle Obama Lack of exercise Increase in sedentary lifestyles Increase in portion sizes Lack of fresh fruits and vegetables Eating more from fast food restaurants Decrease in school's physical activity Increase Eating too many with no exercise. Smoking, alcohol, unhealthy snacking are all contributors activity. physical reduces that technology in Epidemiology calories We are not controlling our portion sizes well anymore. food Do you think your plates are to blame? They might be, considering our plate sizes have increased 33% since the 1960s. We consume almost $1 billion dollars worth of fast food per year. This equates to 2,700 calories per person per day, or an increase of 25% from the 1970s Epidemiology
Triangle
of
Obesity 1980s 2010s 2000s 1990s ? 2015... of obesity Host Agent Environment Childhood Obesity Rates have TRIPLED in the past thirty years.
Socioeconomic status was thought to play a key role in obesity rates, but it does not. Obesity rates increased in ALL socioeconomic levels.
Children of lower socioeconomic classes tended to be more obese, when compared to their higher socioeconomic counterparts. The "agent" with obesity is the energy imbalance that occurs. Due to the amount of intake people are consuming today, we are eating more energy than we are using. The vector, or host, with obesity is the imbalance of excessive energy taken in by people, while not expending that energy. 2,700 calories in... ...1,762 calories out Meaning, 938 calories
per day not used Which equates to an extra 97 lbs. per year! The environment of obesity refers to the schools our children attend, the homes we live in, the supermarkets we shop at, and our workplaces. All of these environments have a common trait; they encourage inactivity. Photo from Brisbane Times Photo from offdutygamers.com Photo from: University of Aberdeen, King's College, Aberdeen Video games TV Sweetened Beverages Not breastfeeding Unhealthy school lunches Lack of school physical education Photo from loseweightintwoweeks.info.com Plate sizes This means that we spend on average 42% MORE on people who are obese, than those who are not. Financial costs are not the only type; obesity also costs us our health. Research proves that as little as a few "extra" pounds can lead to a list of medical complications. Finally, other complications and effects of obesity are less obvious. Obesity leads to less productive workers, an increase in absenteeism, and premature death. Small choices make the difference. We need to encourage people to eat a well balanced diet, full of fruits and vegetables. Bagel Cheeseburger Spaghetti
with meatballs Soda 3" Serving Size in the 1990s Serving Size Today Calories Calories 1 1 cup sauce
3 sm meatballs 6.5 ounces 140 333 500 82 6" 1 1 cup sauce
3 lrg meatballs 20 ounces 250 350 590 1,020 Photo from: letsmove.gov As the government, you have the power to improve through legislation, healthier food options. What we need YOU to do. This includes, improving the options on foods, increasing the requirements for nutritional information on ALL foods. Lastly, increasing awareness of the Guiding Stars system. This is in fact not the case in many of our schools. "Recent findings of the third School Nutrition Dietary Assessment Study (SNDA III) show that schools continue to fall short of meeting USDA requirements for fat and saturated fat. The 2004/05 school year survey showed that, on average, 34 percent of calories in most school lunches came from fat, and that only 20 percent of all schools met the guidelines for total fat in the average lunch." www.healthyschoollunches.org Improve legislation that would require ALL schools regardless of their governmental reimbursement, to comply with the standards set with the HealthierUS School Challenge (HUSSC). What we need YOU to do. This initiative would require schools to take another look at their menus, and require them to improve their food choices while improving the children's health. We need to put an end to the food "deserts". Third Action: Improve access to healthy foods "For too many American families, serving healthy food as part of a regular diet isn’t actually an option. That’s because, in many communities across the country, there is no place to purchase any groceries, much less fresh fruits and vegetables. These neighborhoods are known as food deserts, and in recent years, as economic difficulties caused grocery stores to shut their doors or consolidate locations, they have been proliferating."
- Michelle Obama Legislation to back the national movement for better access of healthy foods to all areas of the country. What we need YOU to do. Funding to support local farmers to grow crops other than corn or soy beans. Nashville Mobile Market has improved the access of fresh fruits and vegetables to the metropolitan area. This program has improved access to food to the city's disadvantaged areas. Support the National Mobile Market Photo from www.newschannel5.com The National Mobile Market is now also in Atlanta and Memphis. With new legislation that is geared at supporting the local parks and recreation centers, that could improve the areas for people to feel safe enough to get out and get active. What we need YOU to do. Improve school requirements for physical education time, with more emphasis on activities that promote movement. Photo from www.letsmove.gov Provide incentives to those who maintain healthy body weights and healthy lifestyles. New legislation that requires insurance companies to provide coverage to physical activity centers. Obesity will kill us in the end, and we need your help to improve the health of all. "To win, we have to lose" What are YOU going to do to help us win? 44% of African-Americans are obese 40% of Mexican-Americans are obese 33% of non-Hispanic Caucasians are obese 38% of Hispanics are obese 100% of the states in the
U.S. have obesity rates > 20% Midwest
27% West
23% (cc) photo by medhead on Flickr South
27% Northeast
23% Obesity Rates per region in the U.S.
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