Physical Activity, Nutrition Physical Activity, Nutrition

Physical Activity, Nutrition & Obesity Program Lynda Blades, MPH, CHES Program Manager UDOH PANO Program “The healthy choice is the easy choice at home, school, work, and play in Utah” Development of the Blueprint Comprehensive Obesity Report published in August 2005 Childhood Obesity Forum held same month Healthy Weight Workgroup formed within Utah Dept. of Health Strategies developed for the Blueprint Blueprint was developed and published in May 2006 Blueprint “Kick-Off” event held September 2006 at Kick- Off” Governor’s Mansion Governor’ Utah Partnership for Healthy Weight Partnerships and leadership teams formed related to “settings” settings” within the Blueprint. 501(c)3 and Board of Directors formed. In June, 2008 Utah Dept. of Health received federal grant from CDC to support a state-level program dedicated to obesity prevention. Requirements include: Enhance state health dept. capacity Develop and refine existing public/private partnerships Enhance surveillance and evaluation capacity Develop state plan for obesity prevention Develop Surveillance and Evaluation Capacity Form an Evaluation Advisory Group for the PANO Program. Develop a comprehensive surveillance data plan. Conduct the 2010 Child Height/Weight Measurement Project. Prepare and submit one program success story to the CDC. 10-year State Plan State Plan will have: Centered around “settings” Time frame Annual Implementation Plan with tasks assigned to partners Measurable outcomes Activities addressing all 6 target areas Activities targeting priority populations Priority Populations Based on Obesity Prevalence Race/ethnicity: Pacific Islanders American Indian/Alaskan Native Blacks Socio-Economic factors: SocioLow Income Low Education Age: Children Youth Principle Target Areas • Increase breastfeeding initiation, duration, and exclusivity • Increase physical activity • Increase consumption of fruits and vegetables • Decrease consumption of sugar sweetened beverages • Reduce consumption of high energy dense foods • Decrease television viewing Program Philosophy 1. 2. 3. 4. 5. 6. 7. Long term Social change Health disparities Policy and environmental changes Social Ecological Model Social marketing planning approach Evidence-based portfolio (policies and intervention strategies) 8. Partnerships and resources Making Healthy Choices Easier Individual Environment •Culture •Skills •Knowledge •Time Healthy eating & physical activity •Affordability •Price/ Economic •Access •Policy •Legislation • Advertising Environment The Ecological Perspective Social Norms and Values Home and Family School Community Work Site Healthcare Food and Beverage Industry Sectors of Influence Agriculture Education Media Behavioral Settings Genetics Psychosocial Other Personal Factors Government Public Health Systems Healthcare Industry Business and Workers Individual Factors Food and Beverage Intake Physical Activity Land Use and Transportation Leisure and Recreation Energy Intake Energy Expenditure Energy Balance Prevention of Overweight and Obesity Among Children, Adolescents, and Adults Note: Adapted from “Preventing Childhood Obesity.” Institute of Medicine, 2005. Community Settings Faith-based Child care After school Restaurants Grocers/markets Recreational facilities Settings for the Prevention and Control of Obesity •Community •Medical •School •Work Site Obesity Prevention Requires All Sectors of Influence Working Together Science Base For Obesity Prevention Medical System Food & Beverage Industry Land Use Transportation Agriculture Community Media Work Site Schools Active Living and Healthy Eating Sample Strategies Policy change can happen at all levels and across all settings. Community: Local ordinances promoting “complete streets” Federal menu labeling acts Schools: Minimum requirement for PE in schools Regulation related to vending machines Sample Strategies Worksite: Policy to allow time for physical activity during work day Federal tax incentives to employers offering wellness programs Healthcare: Work with accrediting organizations to support clinical measurement and counseling related to BMI. Recruit medical community to advocate for policy and environmental changes in worksites, schools, communities. Working Together Across Programs • • • Joint planning Share staff Coordinate partnership development and support Enhance communities through joint resources and training Coordinate program messages Support common policies Plan cross-program data inventories and crossreporting • • • • Opportunities for Collaboration • Participate in state and local partnerships and coalitions • Advocate for policy change - local, state, and national levels • Identify and communicate promising practices • Support state and community actions Contact Lynda Blades, MPH, CHES Physical Activity, Nutrition & Obesity Program Utah Dept. of Health lblades@utah.gov (801) 538-6229 www.health.utah.gov/obesity Ongoing Focus Groups Race/Ethnicity with highest prevalence of obesity Pacific Islanders 3 in Rose Park/Gendale Park/Gendale 3 in West Jordan North Largest Race/Ethnic Groups in Utah Whites 1 in Rose Park /Glendale 1 in West Jordan North 1 in Tricounty 1 in Tooele Hispanics 1 in Rose Park/Glendale 1 in West Jordan North