obesity a growing problem!

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Obesity a Growing Problem! CAPT Martha Culver Acting Deputy Regional Administrator Nurse Consultant CDR Madelyn Reyes Senior Nurse Consultant Health Resources and Services Administration Department of Health and Human Services

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Obesity a Growing Problem!. CAPT Martha Culver Acting Deputy Regional Administrator Nurse Consultant CDR Madelyn Reyes Senior Nurse Consultant Health Resources and Services Administration Department of Health and Human Services. - PowerPoint PPT Presentation

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Page 1: Obesity a Growing Problem!

Obesity a Growing Problem!CAPT Martha Culver

Acting Deputy Regional AdministratorNurse Consultant

CDR Madelyn Reyes Senior Nurse Consultant

Health Resources and Services AdministrationDepartment of Health and Human Services

Page 2: Obesity a Growing Problem!

The Prevalence of Childhood Obesity

• Childhood Obesity has tripled in last 30 years

• Increased from 6% in 1980 to 20% among children ages 6 to 11 and 5% to 18% among adolescents ages 12 to 19.

Page 3: Obesity a Growing Problem!

Source: Singh GK, Kogan MD. Book Chapter. Global Perspectives On Childhood Obesity. Elsevier Press. Sept 2010.

5.7

19.7

30.7

36.1

0

5

10

15

20

25

30

35

40

1976-1980 1988-1994 1999-2000 2001-2002 2003-2004 2005-2006 2007-2008

Obese, TotalObese, MaleObese, FemaleOverweight, TotalOverweight, MaleOverweight, Female

Trend in Obesity Prevalence, US Children Aged 6-17, 1976-2008Measured Height & Weight Data from NHANES

Page 4: Obesity a Growing Problem!

Source: Singh GK, Kogan MD. Book Chapter. Global Perspectives On Childhood Obesity. Elsevier Press. Sept 2010.

Obesity and Overweight Prevalence (%), U.S. Children Aged 10-17 Years

Page 5: Obesity a Growing Problem!

Source: Singh GK, Siahpush M, Kogan MD. Annals of Epidemiology. Vol. 20, No. 1. January 2010 .

Obesity Prevalence (%) by Family Income/Poverty Level U.S. Children Aged 10-17 Years, 2003-2007

2122

19

910

15

27

14

5

10

15

20

25

30

<100% 100-199% 200-399% ≥400%

2007 2003

Page 6: Obesity a Growing Problem!

<12.45

12.45-13.63

13.64-15.37

15.38-18.60

18.61-21.89

Source: Singh GK, Kogan MD, van Dyck PC. Archives of Pediatrics & Adolescent Medicine. May 2010 .

2007 Obesity Prevalence, Children Aged 10-17 Years

Page 7: Obesity a Growing Problem!

Source: Singh GK, Kogan MD, van Dyck PC. Archives of Pediatrics & Adolescent Medicine. May 2010.

Page 8: Obesity a Growing Problem!

Impact to our Society

• $78 billion a year is spent to treat medical conditions including:

• Heart disease

• Certain cancers

• Type II diabetes

• Stroke

• Arthritis

• Breathing Problems

• Psychological Disorders

Page 9: Obesity a Growing Problem!

Social and Emotional Health

Obese Children

• Have a lower self-esteem

• Are more likely to suffer from depression

• Are at a greater risk for Bullying and Teasing

• Perform at a lower academic level

Page 10: Obesity a Growing Problem!

How did we get Here?

• Dietary Patterns

• Physical Activity Patterns

• Environmental Factors

• Changing Lifestyle

• Communities at Risk

• Health Disparities

Page 11: Obesity a Growing Problem!

HRSA Activities Related to Childhood Obesity Prevention

• Health Center Program

• Partnership with NIH on We Can! Initiative

• Bright Futures in Practice: Nutrition

• National Initiative for Children’s Healthcare Quality

Page 12: Obesity a Growing Problem!

Health Center Program

• In 2008, federally-funded health centers served over 17 million individuals, including more than 6 million age 19 or under.

• Due to obesity prevalence and its comorbidities, centers are implementing initiatives related to nutrition, obesity, and physical fitness.

• A variety of strategies are being used, including but not limited to early screening and diagnosis, presentations in schools, nutritional counseling for children and families, case management and outreach.

Page 13: Obesity a Growing Problem!

Partnership with NIH on We Can!

• National outreach program designed for families and communities to help children age 8 to 13 maintain a healthy weight.

• Administered by NIH, the program focuses on three important behaviors:

• improved food choices

• increased physical activity

• reduced screen time

• Over 100 health centers and State-based associations of health centers are participating in the We Can! initiative.

Page 14: Obesity a Growing Problem!

National Initiative for Children’s Healthcare Quality

• The Center will launch the Healthy Weight Collaborative to share evidence-based, community-based and clinical interventions in preventing and treating obesity.

• Collaborative teams will be recruited to help states and local communities develop practical approaches that link public health and primary care.

• The Center will oversee and provide technical assistance to the team, composed of health departments, community-based organizations, HHS and HRSA grantees, and other related entities.

Page 15: Obesity a Growing Problem!

Let's Move! • Create a healthy start on life for

our children, from pregnancy through early childhood

• Empower parents and caregivers to make healthy choices for their families

• Serve healthier food in schools

• Ensure access to healthy, affordable food

• Increase opportunities for physical activity

Page 16: Obesity a Growing Problem!

School Based Health Clinics• Treat overweight and obesity comprehensively

• Organize groups of high-risk children and adolescents to help foster cohesion and peer support toward healthy lifestyle goals

• Ensures that the emotional risk factors for obesity and overweight – depression, stress, and low self-esteem – are not overlooked

• Are most effective when they reinforce and coordinate overall policy and environmental changes that encourage physical activity and healthy eating

• Offer families support, encouragement, and materials, which enhance the efforts of a healthy lifestyles

• Are evaluation sites for monitoring the effectiveness of strategies to prevent obesity and improve nutrition and health

Page 17: Obesity a Growing Problem!

Contact InformationCAPT Martha Culver Acting Deputy Regional Administrator/Nurse ConsultantHRSA/ORO1301 Young St., Suite 1030Dallas, TX [email protected]

CDR Madelyn Reyes Senior Nurse ConsultantHRSA/MCHB/DHSPS5600 Fishers LaneRoom 18-12, Parklawn Building Rockville, MD [email protected]