LHI Webinar: Nutrition, Physical Activity, and Obesity (Part 1 of 5)

CARTER BLAKEY: During todays webinar youwill hear from several distinguished talkers. Assistant Secretary for Health, Howard Kohwill introduce this months LHI topic, nutrition, physical undertaking and obesity. You will also sounds statements from HHS RegionalDirector for Region VI, Marjorie McColl Petty. And from CATCH Texas, Deanna Hoelscher willdiscuss the coordinated approach to child health or CATCH, which is an evidencebasedprimary prevention intervention designed to instruct children, their schools and theirfamilies in healthy eating and physical task. Dr. Hoelscher will likewise talk about the successCATCH Texas has had implementing CATCH across the country. So what is Healthy People? For those of you who arent acquainted, forfour decades now Healthy People has provided a comprehensive set of national 10 year objectivesthat has provided as a framework for public health activities at all levels and acrossall sectors of the public health community.Often called a roadmap for nationwide healthpromotion and disease prevention struggles, Healthy People is about understanding wherewe are now and taking informed actions to get to where we want to go over a 10 yearperiod. Then the Leading Health Indicators, the focusof this serial, represent critical state the questions that, if addressed appropriately, willdramatically reduce the leading causes of preventable extinctions and illness. These shows, or critical health matters, are is in relation to specific Healthy People 2020 objectives. They have been selected to communicate highpriority state issues to the public along with activities that can be taken to addressthem with the overall goal of improving the health of the entire population.There are 12 guiding state indication topics, and this month we are focusing on Nutrition, Physical Activity, and Obesity. For the complete list of the leading healthindicators and to contemplate our past webinars, please visit http :// And with that, Id like to turn the podiumover to Dr. Koh. DR. HOWARD KOH: Thank you so much better, Carter. Were all so grateful for your leadershipand indignation in this area for so many years, so thank you very much for helping us kick off thiswebinar. Thank you everyone for attending the webinarand for your interest in Healthy People and the LHIs. So Im delighted to simply spend a coupleminutes giving you an overview on this months topic, Nutrition, Physical Activity, and Obesity.The issues of overweight and obesity havetremendous affect , not only on our state, but also on our fiscal provision, so promotingphysical undertaking and nutrition is absolutely critical to reducing the risk of overweightand obesity and reducing the risk of infection. Investigate has demonstrated that people who areoverweight and obese have higher jeopardies of certain conditions such as heart disease, sort 2 diabetes and specific cancers, and you have probably heard the estimates that medicalcosts associated with obesity are around $ 147 billion. So we have been very active as a departmentand as an Office of Disease Prevention and Health Promotion to put forward guidelinesfor Americans to incorporate physical pleasure and dietary recommendations. The 2008 Physical Activity Guidelines forAmericans put out by our Office of Disease Prevention and Health Promotion puts forwardthe benefits of physical act and its related health benefits in areas such as loweringrisk of early death, myocardial infarction, motion, sort 2 diabetes and high blood pressure. And the 2010 Dietary Guidelines for Americansthat we unveiled of collaborating with the U.S. Department of Agriculture puts forwardguidelines with respect to balancing calories with physical work and encouraging Americansto consume healthier menus like fruit, vegetables and entire grains.The gauges for Nutrition, Physical Activity, and Obesity serve as a call to action for all of us, and there are four objectives thatwe are following closely. First, adults who satisfy current federal physicalactivity guidelines, the ones that we just mentioned that were put forward in 2008; second, percentages per of adults who are obese defined as a body mass index over 30; third, childrenand adolescents who are considered obese who are in the 95 th percentile of load and above; and fourth, total vegetable intake for parties aged two years and older. So gives seem closer at the obesity vogues, particularly in adults and children over the next couple slides. On this move you assure the prevalence in obesityamong children and adolescents; thats defined as people senilities 2 19 and adults; thatsdefined as beings aged 20 and above, by sexuality in this country from 1988 up through 2010. The top two routes have to do with obesityrates in adult women and men. The dames are still in top way, the blue line, and men are in the orange line, and you can see from 1999 where the adult obesity prevalencewas about 30 percentage to 2009 2 010, really a decade last-minute, the obesity charges have risento close to 36 percentage. Thats a 17 percentage increase in simply a decade. Similarly, you see increases for boys andgirls. Those are the lower two strands from roughlyan obesity charge of about 14 percent in 1999 to close to 17 percent by 2009 2 010. Thats a 22 percent addition. Of interest, the rate and rise has been significantfor boys and men, but not as spectacular as for women. Just last-place month, we had a Weight of the NationConference here in D.C. sponsored by the CDC and it was announced there that its projectedthat the number of Americans who will be obese by 2030 will rise to 42 percent, so theseare stunning multitudes that display the severity of the epidemic that the country is facing.On the next move we meet child and adolescentobesity in 2009 2 010. The total is the top order. Currently its about 17 percent as I mentioned, and we want to get it down to closer to 15 percentage. Thats the Healthy People target noted inthe blacknes horizontal direction. And then we check imbalances by race and alsoby family income. First, the midriff prepared of forbids by race, wesee that the Black nonHispanic childhood and adolescent obesity rates are the highestof any racial ethnic group, more than one and a half times what you construe with White nonHispanics.And then in the lower placed of prohibits, youllsee that obesity is directly linked to family income, that pedigrees with income under 100 percentage federal poverty level have the highest rates of obesity compared to those with muchhigher incomes. So these imbalances by scoot and income arevery stunning for girls and adolescents as summarized on this slither. So the way to go forward to address this hasgot to be a expansive public health approach, and thats summarized on the next move. We need environmental causes, be made available to safeplaces to exert and cheap healthful menu. We need to address these factors where peoplelive, learn, design and play, the so announced social determinants approach. These are the underlying themes of the FirstLadys Let Move! initiative as well, and we are very delighted that the programCATCH has been highlighted today and well be hearing more from Dr.Hoelscher in justa second. And then the final slither that Im presentingjust applies a summing-up of federal activities with respect to nutrition, physical pleasure andobesity. The Let Move! initiative pioneered bythe First Lady has really catalyzed and galvanized the two countries. Were very proud to be a part of that. The National Prevention Strategy was unveiledlast year as required by the Affordable Care Act has involved some 17 federal agenciesacross government. I already mentioned the 2010 Dietary Guidelinesfor Americans and the 2008 Physical Activity Guidelines for Americans. And then we also have a regenerated PresidentsCouncil on Fitness, Sports and Nutrition that is putting forth a series of PALA challenges, thats Presidential Active Lifestyle Award challenges. In 2010 we put forward the challenge of whethera million people could sign up and follow the physical pleasure the guiding principles for six weeks, going on http :// to made publicly available your commitment, and “were just” thrilled when1. 7 million people actually signed up and implemented this challenge. That was well exceeding our aims. So we now have a PALA+ challenge that incorporatesobjectives for physical fitness and nutrition, and these are just some of the ways that weare as a department working to get the message out about these key issues.

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