Obesity. Why should we care?. What is Obesity? Obesity is considered 30 pounds overweight. Today’s children weigh 10 pounds more than the children did.

Obesity.Obesity.

Why should we care?Why should we care?

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What is Obesity?What is Obesity?Obesity is considered 30 pounds overweight.Obesity is considered 30 pounds overweight.

Today’s children weigh 10 pounds more than Today’s children weigh 10 pounds more than the children did 10 years ago.the children did 10 years ago.

Obesity Trends* Among U.S. Obesity Trends* Among U.S. Adults, BRFSS 1990 Adults, BRFSS 1990 (1)(1)

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

no data < 10% 10%-14%

Source: Behavioral Risk Factor Surveillance System, CDC

Obesity Trends* Among U.S. Obesity Trends* Among U.S. Adults, BRFSS 1991Adults, BRFSS 1991



no data < 10% 10%-14% 15%-19%



no data < 10% 10%-14% 15%-19%




no data < 10% 10%-14% 15%-19%




no data < 10% 10%-14% 15%-19%




no data < 10% 10%-14% 15%-19%




no data < 10% 10%-14% 15%-19%




no data 10%-14% 15%-19%


≥20%< 10%



no data < 10% 10%-14% 15%-19%


≥20%



no data < 10% 10%-14% 15%-19%


≥20%



no data < 10% 10%-14% 15%-19%


≥20%



no data < 10% 10%-14% 15%-19%


20%-24% ≥25%



no data 10%-14% 15%-19%


20%-24% ≥25%< 10%



no data 15%-19%


20%-24% ≥25%< 10% 10%-14%



no data


20%-24% ≥25%< 10% 10%-14% 15%-19%



no data


20%-24% 25%-29%< 10% 10%-14% 15%-19% ≥30%



no data


20%-24% 25%-29%< 10% 10%-14% 15%-19% ≥30%



no data


20%-24% 25%-29%< 10% 10%-14% 15%-19% ≥30%



no data


20%-24% 25%-29%< 10% 10%-14% 15%-19% ≥30%



no data


20%-24% 25%-29%< 10% 10%-14% 15%-19% ≥30%

Prevalence and Trends DataPrevalence and Trends Data

OBESITY RATES IN FLORIDA

In 1995 In 2011 In 2030 if we continue

In 2030 if BMI Decreases by 5%

23.3% 26.6% 58.6% 51.1%

Obesity-Related Health Care Costs in Florida

Potential Savings by 2020 if BMI is Reduced by 5%

(cumulative)

Potential Savings by 2030 if BMI is Reduced by 5%

(cumulative)

$12,541,000,000 $34,436,000,000

REDUCING THE AVERAGE BODY MASS INDEX (BMI) INFLORIDA BY 5% COULD LEAD TO HEALTH CARE SAVINGS OFMORE THAN $12 BILLION IN 10 YEARS AND $34 BILLION IN 20YEARS

Top Obesity Related Health Top Obesity Related Health ProblemsProblems

2010 # of Cases

Potential Cases

Avoided by 2020 if BMI is Reduced by

5% (cumulative)*

Potential Cost

Savings by2020, if BMI is Reduced

by 5%(cumulative)

Potential Cases

Avoided by2030 if BMI is Reduced by

5%(cumulative)

Potential CostSavings by

2030, if BMI is Reduced by

5%(cumulative)

Type 2 Diabetes 1,722,671 260,135* $4,459,000,000 501,976 $14,074,000,000

Obesity Related Cancers

352,183 24,965 $328,000,000 43,451 $656,000,000

Coronary HeartDisease &

Stroke

1,412,354 234,408 $5,913,000,000 465,385 $14,684,000,000

Hypertension 4,372,354 235,932 $827,000,000 401,924 $2,175,000,000

Arthritis 4,225,434 117,776 $1,013,000,000 218,399 $2,849,000,000

2010 baseline for potential cases, costs and savings* National Heart Forum provided the total cases and cases avoided per 100,000 people, and TFAH used the state’s 2011 census data to translate to the full population-based estimates.^Top obesity-related cancers include endometrial (uterine), esophageal, kidney, colon and post-menopausal breast cancer.

The Problem:The Problem:

And that’s risky and expensive.And that’s risky and expensive.

Chronic Diseases related to obesity is a leading cause of deathChronic Diseases related to obesity is a leading cause of death

Obesity related diseases costs the U.S. $270 billion a yearObesity related diseases costs the U.S. $270 billion a year

• We’re too sedentary• We don’t eat well

Financial Work Related Cost of ObesityFinancial Work Related Cost of Obesity

Indirect Costs:Indirect Costs: Value of Lost WorkValue of Lost Work Insurance Premiums and CompensationsInsurance Premiums and Compensations Lower WagesLower Wages

Obesity-related absenteeism costs employers as much Obesity-related absenteeism costs employers as much as as $6.4 billion $6.4 billion a yeara year

The annual cost of obesity-related loss of productivity is The annual cost of obesity-related loss of productivity is as much as as much as $30 billion $30 billion each year. each year. (Forbes 2013)(Forbes 2013)

Starts at ChildhoodStarts at Childhood Today, one in three American kids and Today, one in three American kids and

teens are overweight or obese, nearly teens are overweight or obese, nearly triple the rate in 1963. triple the rate in 1963.

Childhood obesity is now the No. 1 Childhood obesity is now the No. 1 health concern among parents in the health concern among parents in the United States, topping drug abuse and United States, topping drug abuse and smoking smoking

Source: Centers for Disease Control and Prevention

The Food EnvironmentThe Food Environment

Increased number of fast food Increased number of fast food establishments in the U.S. establishments in the U.S.

Lack of access to full service grocery Lack of access to full service grocery stores selling affordable healthful foodsstores selling affordable healthful foods

Less healthy food & beverage advertising Less healthy food & beverage advertising aimed at childrenaimed at children

Dietary BehaviorsDietary Behaviors

Increased consumption of sugar Increased consumption of sugar

sweetened beveragessweetened beverages

Continued low consumption of fruitsContinued low consumption of fruitsand vegetablesand vegetables

Factors of ObesityFactors of Obesity Hectic/busy schedulesHectic/busy schedules

turn to fast foodturn to fast food

Children watching more TV/video gamesChildren watching more TV/video games Less activeLess active Likely to consume more soda and junk foodLikely to consume more soda and junk food Parents and children forgot how to “play” Parents and children forgot how to “play”

Poor neighborhoods and lack of physical activityPoor neighborhoods and lack of physical activity May not have easy access to nutritional foodMay not have easy access to nutritional food May not be as safe for walking and playingMay not be as safe for walking and playing

Source: Stanford Prevention Research Center

Physical ActivityPhysical Activity 76.4% of adults in Pinellas County did not meet the weekly 76.4% of adults in Pinellas County did not meet the weekly

recommendation for leisure-time aerobic or muscle strengthening recommendation for leisure-time aerobic or muscle strengthening physical activity in the 30 days.physical activity in the 30 days.

74% of white adults in Pinellas County had not met the weekly 74% of white adults in Pinellas County had not met the weekly recommendation compared to 93% of blacks.recommendation compared to 93% of blacks.

22.4% of adults were sedentary overall, but it jumps to 35% for 22.4% of adults were sedentary overall, but it jumps to 35% for adults who made less than $25,000 adults who made less than $25,000

Even though a recent grant that ended, Communities Putting Even though a recent grant that ended, Communities Putting Prevention to Work, helped to increase opportunities for physical Prevention to Work, helped to increase opportunities for physical

activity, the data still shows significant disparities.activity, the data still shows significant disparities.

(Centers for Disease Control and Prevention BRFSS 2012)(Centers for Disease Control and Prevention BRFSS 2012)

Community Design & the Built Community Design & the Built EnvironmentEnvironment

Standardized Share of Mode for Trips to School:Standardized Share of Mode for Trips to School:National Personal Transportation SurveyNational Personal Transportation Survey

Car

Bus

Walk/bike

Public Transit

McDonald NC. Am J Prev Med 2007;32:509

0

10

20

30

40

50

60

1969 1977 1983 1990 1995 2001

Year

% o

f Tri

ps

Children Walking to SchoolChildren Walking to School1969 – 50%1969 – 50%Now – 14% Now – 14%

ChallengesChallenges Environmental factors beyond the control of individuals

contribute to increased obesity rates by reducing the likelihood of healthy eating and active living behaviors.

Environmental factors that influence physical activity behavior (26, 27):

Lack of infrastructure supporting active modes of transportation, i.e. sidewalks & bike facilities

Access to safe places to play and be active Access to public transit Mixed use & Transit Oriented Developments

WHY?WHY?Does the current environment Does the current environment inadvertently inadvertently encourageencourage this?this?

How can we incentivize How can we incentivize healthierhealthier behaviors?behaviors?

Pre-contemplation

“Never”

Contemplation

“Maybe”

Preparation

“Soon”

Action

“Now”

Maintenance

“Always”

Take Ownership.Take Ownership.

The obesity epidemic The obesity epidemic IS IS

everyone’s problem. everyone’s problem.

It will take It will take EVERYONEEVERYONE to solve it. to solve it.

What we What we DON’TDON’T need to do need to do

Tell people how to find fruits and Tell people how to find fruits and veggies near their home veggies near their home (They know how)(They know how)

Tell people parks are nearby Tell people parks are nearby (They know)(They know)

Tell them to get healthy Tell them to get healthy (They think they are fairly healthy)(They think they are fairly healthy)

Tell them exercise and physical Tell them exercise and physical activity are good for their healthactivity are good for their health(We all know this already)(We all know this already)

Thinking In Thinking In NewNew Ways Ways The choice to sustain good health must be supported by the The choice to sustain good health must be supported by the

environment we live in. environment we live in. Leaders must make decisions that impact the environment in Leaders must make decisions that impact the environment in

healthy ways. healthy ways. Leaders must make decisions in ways they have not thought Leaders must make decisions in ways they have not thought

of previously in community planning. of previously in community planning.

Employee Wellness PoliciesEmployee Wellness Policies Healthy Vending PoliciesHealthy Vending Policies Fitness ZonesFitness Zones Added bike racks Added bike racks Farmers Markets/Produce StandsFarmers Markets/Produce Stands

The Focus:The Focus: Change systems, infrastructure and policies so Change systems, infrastructure and policies so

they encourage – not discourage – healthy eating they encourage – not discourage – healthy eating and physical activity.and physical activity.

Broad leadership team that includes elected Broad leadership team that includes elected officials, non-profit organization and the private officials, non-profit organization and the private sector.sector.

Partner with local governments, transportation Partner with local governments, transportation authorities, schools, Early Childhood authorities, schools, Early Childhood programs/organizations, after school programs, programs/organizations, after school programs, local businesses, community and faith-based local businesses, community and faith-based groups in partnerships.groups in partnerships.

Making Healthy Living Easier

QUESTIONS?QUESTIONS?

Megan CarmichaelMegan CarmichaelHealthy Pinellas Program ManagerHealthy Pinellas Program Manager

Florida Department of Health - PinellasFlorida Department of Health - Pinellas

(727) 588-4040 x3118(727) 588-4040 x3118

[email protected]@flhealth.gov

Obesity. Why should we care?. What is Obesity? Obesity is considered 30 pounds overweight. Today’s children weigh 10 pounds more than the children did.

Documents

cdc slide

obesity trends

person source

data source

pounds overweight

todays children