Childhood Wellness and Obesity: Childhood Wellness and Obesity: Tools to Help Schools Take ActionTools to Help Schools Take Action
Princeton, NJ Princeton, NJ • • March 31, 2006March 31, 2006
Childhood Wellness and Obesity: Childhood Wellness and Obesity: Tools to Help Schools Take ActionTools to Help Schools Take Action
Princeton, NJ Princeton, NJ • • March 31, 2006March 31, 2006
James S. Marks, M.D., M.P.H.Senior Vice President
Robert Wood Johnson Foundation
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FUTURE OF CHILDREN
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No Data <10% 10%–14%
OBESITY TRENDS* AMONG U.S. ADULTS
BRFSS, 1985(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
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OBESITY TRENDS* AMONG U.S. ADULTS
BRFSS, 1986(*BMI 30, or about 30 lbs overweight for 5’4” person)
No Data <10% 10%–14%
Source: Behavioral Risk Factor Surveillance System, CDC.
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OBESITY TRENDS* AMONG U.S. ADULTS
BRFSS, 1987(*BMI 30, or about 30 lbs overweight for 5’4” person)
No Data <10% 10%–14%
Source: Behavioral Risk Factor Surveillance System, CDC.
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OBESITY TRENDS* AMONG U.S. ADULTS
BRFSS, 1988(*BMI 30, or about 30 lbs overweight for 5’4” person)
No Data <10% 10%–14%
Source: Behavioral Risk Factor Surveillance System, CDC.
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OBESITY TRENDS* AMONG U.S. ADULTS
BRFSS, 1989(*BMI 30, or about 30 lbs overweight for 5’4” person)
No Data <10% 10%–14%
Source: Behavioral Risk Factor Surveillance System, CDC.
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OBESITY TRENDS* AMONG U.S. ADULTS
BRFSS, 1990(*BMI 30, or about 30 lbs overweight for 5’4” person)
No Data <10% 10%–14%
Source: Behavioral Risk Factor Surveillance System, CDC.
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OBESITY TRENDS* AMONG U.S. ADULTS
BRFSS, 1991(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
No Data <10% 10%–14% 15%–19%
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OBESITY TRENDS* AMONG U.S. ADULTS
BRFSS, 1992(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
No Data <10% 10%–14% 15%–19%
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OBESITY TRENDS* AMONG U.S. ADULTS
BRFSS, 1993(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
No Data <10% 10%–14% 15%–19%
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OBESITY TRENDS* AMONG U.S. ADULTS
BRFSS, 1994(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
No Data <10% 10%–14% 15%–19%
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BRFSS, 1995(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
No Data <10% 10%–14% 15%–19%
OBESITY TRENDS* AMONG U.S. ADULTS
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BRFSS, 1996(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
No Data <10% 10%–14% 15%–19%
OBESITY TRENDS* AMONG U.S. ADULTS
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BRFSS, 1997(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
OBESITY TRENDS* AMONG U.S. ADULTS
No Data <10% 10%–14% 15%–19% ≥20
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BRFSS, 1998(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
OBESITY TRENDS* AMONG U.S. ADULTS
No Data <10% 10%–14% 15%–19% ≥20
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BRFSS, 1999(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
OBESITY TRENDS* AMONG U.S. ADULTS
No Data <10% 10%–14% 15%–19% ≥20
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BRFSS, 2000(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
OBESITY TRENDS* AMONG U.S. ADULTS
No Data <10% 10%–14% 15%–19% ≥20
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BRFSS, 2001(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
OBESITY TRENDS* AMONG U.S. ADULTS
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
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BRFSS, 2002(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
OBESITY TRENDS* AMONG U.S. ADULTS
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
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BRFSS, 2003(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
OBESITY TRENDS* AMONG U.S. ADULTS
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
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BRFSS, 2004(*BMI 30, or about 30 lbs overweight for 5’4” person)
Source: Behavioral Risk Factor Surveillance System, CDC.
OBESITY TRENDS* AMONG U.S. ADULTS
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
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DIABETES TRENDS* AMONG U.S. ADULTS
Sources: Mokdad et al., Diabetes Care 2000;23(9):1278–83; JAMA 2001;286(10):1195–2000
No Data <4% 4%–6% 6%–8% 8%–10% >10%
BRFSS, 1990, 1995, 2001(*Includes Gestational Diabetes)
1990 1995
2001
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Per
cent
Percentage of children with BMI at or above theage- and gender-specific 95th percentile.
0
5
15
20
10
1963-67
1966-70
1971-741976-80
1988-94
1999-2000
Ages 6-11 yearsAges 2-5 years
Institute of Medicine; Preventing Childhood Obesity, 2005
PREVALENCE OF CHILDHOOD OBESITY
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BIGGER CASKETS, STRETCHERS
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COSTS OF OBESITY
• State budgets
• Global competitiveness
• National security
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ENERGY BALANCE
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CONSUMING MORE
• Eating out
• Bigger portion sizes
• Competitive foods in schools
• Sugar-sweetened beverages
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BURNING LESS
• Little or no P.E. in schools
• Few kids walk and bike to school
• Screen time
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IOM REPORT
• Causes and potential solutions
• Call to action for all sectors
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RWJF FOCUS
• Schools and communities
• Children ages 3-12
• Kids at greatest risk
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RWJF APPROACH
• Putting the best minds to work
• Testing innovative approaches
• Educating leaders and advocates
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HEALTHY SCHOOLS PROGRAM
• Healthier choices at same or lower cost
• Focus on schools with fewest resources
• Physical activity and nutrition standards
• School recognition program
• Staff wellness
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Important issues
Long-term commitment
Making a difference
Important issues
Long-term commitment
Making a difference
