Preventing Obesity and Other Chronic Diseases Missouri’s Nutrition and Physical Activity Plan
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Why do we have this plan?
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Why do we have this plan? (continued)
Senate Bill 680 introduced in 2002. Department decided to go forward. Council formed and charged with the following:
Review of data regarding the extent to which children and adults in Missouri suffer from overweight and obesity.
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Why do we have this plan? (continued)
Review of a list of programs and services available at the time to address the health, mental heath, and social services needs of overweight and obese children and adults. Review of funds dedicated within the state through commercial and self-insurers, Medicaid, and other federal and state funds to maintain such programs and services.
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Why do we have this plan? (continued)
Review of data demonstrating the economic impact to the state for failure to treat overweight and obesity. Identify cultural, environmental, and socioeconomic barriers to the prevention and management of overweight and obesity.
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Why do we have this plan? (continued)
Identify specific recommendations that Missouri must implement to increase overweight and obesity prevention and management in children and adults and providing the estimated cost of implementing those recommendations. The Missouri Council on the Prevention and Management of Overweight and Obesity was formed.
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Development of the Obesity Prevention Plan
Council entered into a participatory strategic planning process.
Practical vision. Issues blocking the way to the practical vision. Key directions determined.
Crosswalk Team. Public meetings.
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Three major beliefs guide Missouri’s plan:
A balance between nutrition and physical activity efforts is required to prevent and control obesity. Science-based approaches must be used to improve nutrition and increase physical activity. For approaches to be effective, many levels of influence must support the changes being implemented.
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Specifics of Beliefs
Evidence-based Interventions Best Practices
Social-Ecological Model
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Breastfeeding
Breastfeeding protects against childhood obesity and related chronic diseases. At 65.6%, Missouri is below the Healthy People 2010 recommended breastfeeding rate of 75% for newborns.
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Fruits and Veggies
Increased intake of F/V is an effective strategy for chronic disease prevention. In 2003, only 20% of MO adults and fewer than 25% of high school students ate the recommended number of servings of F/V daily.
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Dietary Determinants
Decrease Portion Sizes:
Larger portions associated with an increase in calories consumed. Studies show adults served varied portion sizes at lunch ate more as the portion size increased.
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Dietary Determinants (continued)
20 Years Ago Today
333 calories
590 calories
Calorie difference: 257 calories
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Dietary Determinants (continued)
Decrease Sweetened Beverages:
Consumption of sweetened beverages has increased dramatically. Drinking large quantities of sweetened beverages contributes to weight gain in children and adults.
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Physical Activity
Regular physical activity reduces risk of overweight and obesity. In 2003, only 45% of Missouri adults met the recommended levels of moderate and vigorous physical activity.
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Physical Activity (continued)
Support School PE Classes:
PE classes in school are an ideal way to teach students how to develop fitness. In 2003, only 33% of Missouri high school students participated in daily PE. In 2003, just 25% of female and 26% of male middle school students had daily PE classes.
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Television Viewing
Children who watch more TV are more likely to become overweight. In 2003, 38% of MO high school students and 44% of middle school children watched TV for 3 or more hours/day.
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Plan Contents
Goal I: Increase opportunities to adopt physical activity and nutritional habits that promote good health.
Strategies for:
Schools Workplace Families Communities
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Plan Contents (continued)
Goal II: Increase the effectiveness of messages that result in the public improving nutritional habits and increasing physical activity.
Strategy for:
Consistent Messages
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Plan Contents (continued)
Goal III: Increase support for health care systems to promote physical activity and nutritional habits that prevent and control obesity and chronic disease.
Strategies for:
Health care providers and systems Health care coverage
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Plan Contents (continued)
Goal IV: Increase state-level public policies that promote physical activity and nutritional habits to prevent obesity and chronic disease.
Strategies for:
School policy State policy
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What Happened Next?
Intermediate Planning by the Missouri Council on the Prevention and Management of Overweight and Obesity. Planning Council disbanded. Working Council formed.
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Working Council
Missouri Council for Activity and Nutrition (MoCAN)
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Schools
Model local wellness policy developed. Training to school food service staff on the local wellness policy, nutrition education and F/V during the DESE summer workshops. Team Nutrition activities.
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Childcare
Assessment tool for childcare facilities on nutrition and physical activity topics. Data will be used to gather information to use in developing training for childcare that will focus on needed topics.
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Worksites
Vending project in Capitol. Pilot vending project in DHSS for expansion to other state agencies. Provide web-based resources to employers.
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Families and Communities
Formative research w/ families and leaders in 8 communities regarding barriers to a healthy lifestyle and contracts to prepare plans to address results. Plan 2B Healthy intervention in St. Joseph on F/V and physical activity in middle to older-aged women. Katy Trail Challenge with DNR.
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Healthcare
Provider toolkits for assistance in assessing and treating overweight patients.
Blue Cross/Blue Shield toolkit. Child/adolescent toolkit in final stages. Adult toolkit begun.
Policy paper on health care coverage. Disseminate cost-benefit study.
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Additional information
http://www.dhss.mo.gov/Obesity/ Call the Department of Health and Senior Services, Bureau of Health Promotion at 573-522-2820.
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