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Obesity: Myths, Challenges, and Successes. William H. Dietz MD, PhD Former Director Division of Nutrition Physical Activity, and Obesity Centers for Disease Control and Prevention . Obesity Trends Among U.S. Adults BRFSS, 1991. Obesity Trends Among U.S. Adults BRFSS, 1993. - PowerPoint PPT Presentation
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Obesity: Myths, Challenges, and Successes
William H. Dietz MD, PhDFormer Director
Division of Nutrition Physical Activity, and ObesityCenters for Disease Control and Prevention
Obesity Trends Among U.S. AdultsBRFSS, 1991
Obesity Trends Among U.S. AdultsBRFSS, 1993
Obesity Trends Among U.S. AdultsBRFSS, 1995
Obesity Trends Among U.S. AdultsBRFSS, 1997
Obesity Trends Among U.S. AdultsBRFSS, 1999
Obesity Trends Among U.S. AdultsBRFSS, 2001
No Data <10% 10%–14% 15%–19% 20%-24% > 25%
Obesity Trends Among U.S. AdultsBRFSS, 2003
Obesity Trends Among U.S. AdultsBRFSS, 2005
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends Among U.S. AdultsBRFSS, 2007
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends Among U.S. AdultsBRFSS, 2009
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends Among U.S. AdultsBRFSS, 2010
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends Among U.S. AdultsBRFSS, 2010
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Ogden et al. 2012, NCHS data brief. Adults 20+ years
Obesity Trends in Adults over the Past 12 Years
Prevalence of Obesity in Boys NHANES 2009-2010
Ogden et al; JAMA 2012; 307:483-90
Prevalence of Obesity in Girls NHANES 2009-2010
Ogden et al; JAMA 2012; 307:483-90
Prevalence of Obesity in Girls NHANES 2009-2010
Ogden et al; JAMA 2012; 307:483-90
Obesity Trends in Youth over the Past 12 Years
Ogden et al. 2012, NCHS data brief
Year
Thousands per year
1900 1910 1920 1930 1940 1950 1960 1970 1980 1990
Great Depression
End of WW II
1st Surgeon General’s report
Broadcast advertising ban
Federal cigarettetax doubles
Fairness Doctrinemessages on TV and radio
Nonsmoker’s rightsmovement begins
1st smoking cancer concern Surgeon
General’s report onenvironmentalTobacco smoke
Master settlement agreement
Nicotine medications Available over the counter
1st World Conferenceon smoking and health
1998
1st Great American smokeout
Annual Adult per Capita Cigarette Consumption and Major Smoking and Health Events- US 1900-1998
Myths and Misconceptions
Shifts in Food Practices in the United States
Increased cost of healthful foods
Decreased cost and increased caloric density of processed foods
Increased portion sizeWidespread availabilityIncreased varietyDesigned for palatability and
shelf-life
Changes in Dietary Habits and Weight Change
Weight Change over 12-20 Years
Mozaffarian D et al. NEJM 2011364:2392
Evidence-based Community Design
Street- and community-scale urban design and land use
Strategies for a Health Care System
Social Ecological Model
tlll
Individual
Federal and State
Community
Interpersonal
Greatest Impact
SmallestImpact
Institutions
Federal, state and localpolicies to regulate and support healthy actions
Knowledge, attitudes,beliefs and behaviors
Family, peers, socialnetworks
Policy, regulations and informal structures
Policies, standards,social networks
Let’s Move Initiatives• Let’s Move Outside (Parks and Recreation)• Let’s Move Cities and Towns • Chefs Move to Schools• Let’s Move Salad Bars to Schools• Let’s Move Child Care Challenge• Let’s Move in Indian Country
Nutrition and Physical Activity Targets for a Health Care
System
Reduce energy intakeDecrease high and increase low energy dense
foods Increase fruit and vegetable intakeReduce sugar drinksDecrease television time (advertising time)
BreastfeedingIncrease energy expenditure
Increase daily physical activity
Healthy Kids Out of School: Drink Right, Snack Smart, Move
More
So How Do We Get from Here to There?
Panel Discussion
