Physicians for Physicians for Healthy CommunitiesHealthy Communities

Harbor High School May 4, 2006

Dr. Presenter’s Name

The Mission: CMA Foundation:

Champion improved individual and community health through a partnership of leaders in medicine, related health professions, and the community.

Physicians for Healthy Communities: Prevent obesity related diseases by turning practicing physicians into community educators and advocates for healthy eating, physical activity, and policy change at the frontlines of the battle against obesity.

19961991

Obesity Trends* Among U.S. AdultsBRFSS, 1991, 1996, 2004

(*BMI 30, or about 30 lbs overweight for 5’4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

2004

Obesity Trends* Among U.S. AdultsBRFSS, 1985

No Data <10% 10%–14%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1986

No Data <10% 10%–14%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1987

No Data <10% 10%–14%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1988

No Data <10% 10%–14%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1989

No Data <10% 10%–14%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1990

No Data <10% 10%–14%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1991

No Data <10% 10%–14% 15%–19%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1992

No Data <10% 10%–14% 15%–19%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1993

No Data <10% 10%–14% 15%–19%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1994

No Data <10% 10%–14% 15%–19%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1995

No Data <10% 10%–14% 15%–19%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1996

No Data <10% 10%–14% 15%–19%

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

Obesity Trends* Among U.S. AdultsBRFSS, 1997

No Data <10% 10%–14% 15%–19% ≥20

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

Obesity Trends* Among U.S. AdultsBRFSS, 1998

No Data <10% 10%–14% 15%–19% ≥20

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

Obesity Trends* Among U.S. AdultsBRFSS, 1999

No Data <10% 10%–14% 15%–19% ≥20

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

Obesity Trends* Among U.S. AdultsBRFSS, 2000

No Data <10% 10%–14% 15%–19% ≥20

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

Obesity Trends* Among U.S. AdultsBRFSS, 2001

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

(*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% 15%–19% 20%–24% ≥25%

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

Obesity Trends* Among U.S. AdultsBRFSS, 2002

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

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

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

  Overweight Children in California, 2004

28.1 Percent—or 1/3—of all 5th, 7th and 9th grade students surveyed in California in 2004 were overweight

Source: California Center for Public Health Advocacy

Health Risks Associated with Obesity

Type 2 diabetes Heart disease Stroke Asthma/ Breathing problems Many types of Cancer Depression Sleep apnea High blood pressure and cholesterol High stress levels Premature death

Portion DistortionDo you know how food portions have changed in 20

years?

BAGEL

20 Years Ago

Today

140 calories 3-inch diameter

How many calories are in this bagel?

140 calories 3-inch diameter

Calorie Difference: 210 calories

350 calories 6-inch

diameter

BAGEL

20 Years Ago

Today

*Based on 130-pound person

Maintaining a Healthy Weight is a Balancing ActCalories In = Calories Out

How long will you have to rake leaves in order to burn the extra

210 calories?

*Based on 130-pound person

Calories In = Calories Out

If you raked leaves for 50 minutes you, would burn the extra 210 calories.*

CHEESEBURGER

20 Years Ago Today

333 caloriesHow many calories are in today’s cheeseburger?

Calorie Difference: 257 calories

590 calories

CHEESEBURGER

20 Years Ago Today

333 calories

Maintaining a Healthy Weight is a Balancing Act

Calories In = Calories Out

How long will you have to lift weights in order to burn the extra

257 calories?* *Based on 130-pound person

If you lift weights for 1 hour and 30 minutes,

you will burn approximately 257 calories.*

*Based on 130-pound person

Calories In = Calories Out

FRENCH FRIES

20 Years Ago

Today

210 Calories2.4 ounces

How many calories are intoday’s portion of fries?

Calorie Difference: 400 Calories

FRENCH FRIES

20 Years Ago

Today

210 Calories

2.4 ounces

610 Calories 6.9

ounces

How long will you have to walk leisurely in order to burn those

extra 400 calories?*

*Based on 160-pound person

Maintaining a Healthy Weight is a Balancing Act

Calories In = Calories Out

*Based on 160-pound person

If you walk leisurely for 1 hour and 10 minutes

you will burn approximately 400 calories.*

Calories In = Calories Out

PEPPERONI PIZZA

20 Years Ago Today

500 caloriesHow many calories are in two large slices of today’s pizza?

PEPPERONI PIZZA20 Years Ago Today

500 calories 850 calories

Calorie Difference: 350 calories

How long will you have to play golf (while walking and carrying

your clubs) in order to burn those extra 350 calories?*

*Based on 160-pound person

Maintaining a Healthy Weight is a Balancing Act

Calories In = Calories Out

If you play golf (while walking and carrying your clubs) for 1 hour you

will burn approximately 350 calories.*

*Based on 160-pound person

Calories In = Calories Out

85 Calories

6.5 ounces

How many calories are in today’s

portion?

SODA20 Years Ago

Today

Calorie Difference: 165 Calories

250 Calories 20 ounces

85 Calories

6.5 ounces

SODA

20 Years Ago

Today

How long will you have to work in the garden to burn those extra calories?*

*Based on 160-pound person

Maintaining a Healthy Weight is a Balancing Act

Calories In = Calories Out

If you work in the garden for 35 minutes,

you will burn approximately 165 calories.*

*Based on 160-pound person

Calories In = Calories Out

MUFFIN

20 Years Ago Today

210 calories 1.5 ounces

How many calories are in today’s

muffin?

20 Years Ago Today

Calorie Difference: 290 calories

500 calories 4 ounces

MUFFIN

210 calories 1.5 ounces

How long will you have to vacuum in order to burn those

extra 290 calories?*

*Based on 130-pound person

Maintaining a Healthy Weight is a Balancing ActCalories In = Calories Out

If you vacuum for 1 hour and 30 minutes you will burn approximately

290 calories.*

*Based on 130-pound person

Calories In = Calories Out

Fuzzy Math: One Small Snack or One Full Meal?

1 bagel with cream cheese TOTAL: 500 Calories, 21 Grams of Fat

OR

2 slices of toast, Two teaspoons butter

2 ounces of ham

1 orange

Coffee TOTAL: 500 Calories, 21 Grams of Fat

12 Potato Chips & TOTAL: 230 Calories, 17 Grams of Fat

3 Tbsp. French Onion Dip

OR

10 Large Shrimp with cocktail sauce

2 small baked clams

5 baby carrots

3/4 cup broccoli with ranch dip

3 sweet ‘n’ sour meatballs TOTAL: 230 Calories, 8 Grams of Fat

Screen Time• The Average American youth

spends more time watching TV than any other activity except for sleeping

• < 1 ½ hours/day of TV watching has been consistently associated with a decreased interest in school activities and lower academic scores

• Almost any other activity uses more energy than watching TV

• Studies show that when you watch less TV, you are able to keep weight off

• Doctors recommend that you spend no more than 2 hours a day in front of the TV, computer or video games. And less is even better!

Importance of Physical Activity

• Everyone needs at least 30 minutes of exercise every day!

• Some of the many health benefits include:– Reducing your risk of coronary heart

disease, stroke and high blood pressure– Lowering your risk of type 2 diabetes– Helping achieve and maintain a

healthy body weight– Reducing feelings of depression and

anxiety– Promoting psychological well-being

and reducing feelings of stress– Helping build and maintain healthy

bones, muscles and joints

What is one thing you can do to increase healthy eating and/or physical activity in your school?

• More fresh fruits and vegetables in school meals

• Start a school garden and sell produce at lunch

• More bike racks, better bike lanes

• After-hours and weekend access to gym/weight room

How will you put this plan into action?

1. Develop a problem statement: ABC High School does not have a wide variety of fruits and vegetables for sale at lunch

2. Make a list of steps to address the problem:

1. Find out if other high schools in the area offer fresh produce

2. Conduct a survey and taste test to see what fresh produce students would like to be offered

3. Present findings to key decision makers

3. Contact decision makers with a summary of findings and proposal for action