Physical Activity, Nutrition Physical Activity, Nutrition by KarlPratt

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									  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
            Kick- Off”
Blueprint “Kick-Off” event held September 2006 at
Governor’
Governor’s Mansion
Utah Partnership for Healthy Weight

  Partnerships and
  leadership teams formed
              settings”
  related to “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-
    Socio-Economic factors:
       Low 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. Long term
 2. Social change
 3. Health disparities
 4. Policy and environmental changes
 5. Social Ecological Model
 6. Social marketing planning approach
 7. Evidence-based portfolio (policies and
    intervention strategies)
 8. Partnerships and resources




Making Healthy Choices Easier

 Individual                Environment
                           •Affordability
 •Culture                  •Price/ Economic
 •Skills                   •Access
 •Knowledge                •Policy
 •Time          Healthy    •Legislation
                eating &   • Advertising
                physical
                activity




                       Environment
 The Ecological Perspective
                                       Social Norms
                                        and Values
  Home and Family                                                                     Food and
                                                                                      Beverage Industry
  School
                                       Sectors of                                     Agriculture
  Community                            Influence
                                                                                      Education
  Work Site
                                                                                      Media
  Healthcare
                                                                                      Government
                                        Behavioral
                                         Settings                                     Public Health
                                                                                      Systems
  Genetics                                                                            Healthcare
                                                                                      Industry
  Psychosocial                          Individual
                                         Factors                                      Business and
  Other Personal                                                                      Workers
  Factors
                                                                                      Land Use and
                            Food and                 Physical                         Transportation
                          Beverage Intake             Activity
                                                                                      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                            •School
•Medical                              •Work Site




 Obesity Prevention Requires All Sectors
 of Influence Working Together


    Science                              Medical
                           Food &
     Base                                System       Land
                          Beverage
  For Obesity              Industry                   Use
   Prevention
                                                                 Trans-
                Agriculture                                     portation




                     Community                               Schools

                                                                             Active Living
                                      Media        Work                          and
                                                   Site                     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

                            •           cross-
                                   Plan cross-program data inventories and
                                   reporting




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
                Park/Gendale
      3 in Rose 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

								
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