Overview of PSD Obesity Initiatives
PSD Supervisors’ Meeting Dec. 6, 2011
Strategic Partners – LiveWell Colorado, Colorado Health Foundation, Kaiser
Funders – Centers for Disease Control and Prevention, Colorado Health Foundation, MCH
Elevating Obesity as a Priority – Division Plan, A35 Funding, Chronic Disease State Plan, Local Public Health
Data and Surveillance Reports – The Weight of the State
Contextual Overview
A Chronic Disease System Dynamics Map
Smoking
Obesity
Secondhandsmoke
Healthinessof diet
Extent ofphysical activity
Psychosocialstress
Diagnosisand control
CV events & lung cancers
Deaths
Access to and marketingof smoking quit products
and services
Access to andmarketing of mentalhealth services
Sources ofstress
Access to healthyfood options
Marketing & educ’naround healthy food options
Access to physicalactivity options
Marketing of physicalactivity options
Access to andmarketing of weightloss services
Access to andMarketing ofprimary care
Particulate airpollution
Utilization ofquality primary
care
Tobaccotaxes
Sales/marketing regulation
Smoking bans at workand public places
Junk food taxes
Sales/marketingregulations
Downwardtrend in CV
event fatality
Quality of primarycare provision
Anti-smokingsocial marketing
High BP
Highcholesterol
Diabetes
Morbidity
Screening forchronic disease
Chronic disease management
Oral diseases
Colorectal cancers
Breast cancers
COPD
Obesity Trends* Among U.S. AdultsBRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS, 2001
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
Obesity Trends* Among U.S. AdultsBRFSS, 2002
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2003
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2004
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2006
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2007
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2009
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2010
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Does this adult meet physical activity guidelines?
Not MovingMoving
Sleep
Leisure
Occupational
Transportation
Household
The SLOTH Model of PA
Public health improvement plans
PA portfolio project Youth intern project Joint use agreements Built environment and land use
planning Worksite Wellness PA in schools and day care
PSD Physical Activity and Active Living Initiatives
Greeley Tribune, Nov 18, 2011
FDA menu labeling Smart Meal promotion Land use planning for local
agriculture, including school and community gardens
School wellness and healthy eating Nutrition portfolio project
PSD Healthy Eating Initiatives
Cultural “climate” of Colorado—what we’ve learned from Shaping Policy for Health
“We can’t do that!” “That will never fly in Colorado.” Assumptions or facts?
How do we prepare and respond?
-50 state surveys, review of municipal ordinances-Litigation challenges and court decisions
Building a public health law focus
Law and Policy: Why This is a Vital Tool
Sugar Sweetened Beverage Research Team
Farm to School Task Force Joint Degree Program JD/MPH development with the University of Colorado
PSD Law and Policy Initiatives
Before weight begins to track upward Before co-morbidities emerge $$ Before the high price tag $$
ECOP is: Early Intervention To Prevent Obesity Before it Starts
Prior to pregnancyDuring pregnancyDuring the first few years of a child’s
life
How Early is Early?
ECOP MCH Implementation Team
WIC
CACFP
Healthy Baby Campaign
Home Visitor Programs
Self-Management Services Program
Preconception Health MIT
Local Public Health Partners
Kaiser
Other External Partners
Early Childhood Systems
Healthy Living Branch
What?
Where?• WIC & LPHAs & Other Programs• Health Care Settings• Child Care Settings
How? A Multi-sector approach.
PSD Early Childhood Obesity Initiatives
• Appropriate gestational weight gain• Healthy parenting behaviors (sleep & infant feeding)• Healthy weight between pregnancies
• Breastfeeding• Physical activity (screen time & marketing)• ECOP integration into systems and policy
Implement state and local strategies that are:
• evidence-based• systemic • population-based
• Promote consistent messaging• Form strategic external partnerships• Disseminate evidence-based practices and ECOP data
Questions?
Thank You!