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The Burden of Poor Nutrition and Physical Inactivity: Need for Action

The Burden of Poor Nutrition and Physical Inactivity: Need for Action. Paul Simon, MD, MPH Director, Chronic Disease and Injury Prevention Los Angeles County Department of Public Health February 24, 2010. Actual Causes of Death in the United States in 2000.

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The Burden of Poor Nutrition and Physical Inactivity: Need for Action

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  1. The Burden of Poor Nutrition and Physical Inactivity: Need for Action Paul Simon, MD, MPH Director, Chronic Disease and Injury Prevention Los Angeles County Department of Public Health February 24, 2010

  2. Actual Causes of Death in the United States in 2000 Source: Mokdad et. Al., JAMA 2004

  3. Los Angeles County Public Health, Office of Health Assessment and Epidemiology Average Weight Among Adults in Los Angeles County, 1997-2007 The county’s adult population gained 51 million lbs from 1997-2007. Source: Los Angeles County Health Survey

  4. Prevalence of Obesity and Diabetes Among Adults in Los Angeles County, 1997-2007 Los Angeles County Department of Public Health Los Angeles County Health Survey Department of Public Health

  5. Percentage of Adults Who Are Physically Inactive Los Angeles County, 2002-2007 Los Angeles County Department of Public Health Los Angeles County Health Survey Department of Public Health

  6. Economic Costs of Overweight, Obesity & Physical Inactivity, Among Adults in Los Angeles County, 2006 Overweight and Obesity Physical Inactivity BillionsBillions Health Care $3.60 $2.39 Lost Productivity $2.38 $3.51 Total: $5.98 $5.90 Total Cost: $11.88 BILLION 6 Source: California Center for Public Health Advocacy, 2009.

  7. Obesity Prevalence Among Public School Children in Los Angeles County, 1999-2008 Healthy People 2010 Goal: 5% Source: California Physical Fitness Testing Program, California Department of Education. Includes 5th, 7th, and 9th graders enrolled in Los Angeles County public schools.

  8. What’s at Stake? • Overweight children overweight adults • Overweight during adulthood associated with heart disease, stroke, diabetes, arthritis, and cancer • Adverse effects during childhood • medical (hypertension, dyslipidemia, type 2 diabetes, insulin resistance, asthma, hormonal changes) • psychosocial (reduced HRQOL, stigma and social marginalization, poor school performance) • Inflation-adjusted hospital costs associated with obesity among children tripled during the 1980s and 1990s (Wang & Dietz, Pediatrics, 2002) • Obesity epidemic and related medical conditions accounted for 12% of the growth in per capita health care spending in the U.S. from 1987 to 2001 (Thorpe, et al. Health Affairs, 2004)

  9. Benefits of Physical Activity • Increased life span and improved function • Reduced hypertension, heart disease, and stroke • Prevention of diabetes and related complications • Decreased risk of colon cancer • Improved mental health • Body weight maintenance and obesity control • Increased bone mass • Improved immune function • Reduced health care costs Surgeon General’s Report, 1996

  10. Percentage of Children (Age 1 to 17 years) Whose Parents Report Not Having a Park, Playground, or Other Safe Place They Can Get to Easily, by Household Income, Los Angeles County, 2007 2007 Los Angeles County Health Survey Department of Public Health *Federal Poverty Level

  11. 2012 goal for reducing the percentage of Los Angeles County adults (18+) who do not meet guidelines for recommended levels of physical activity, 33.9% Goal: 5% Reduction *Projected prevalence of Adults Not Meeting Guidelines, assuming a linear trend

  12. Percentage of 5th, 7th, and 9th grade public school students not in the “Healthy Fitness Zone” on at least 5 of 6 fitness tests, Los Angeles County.

  13. 2012 goal for reducing the percentage of 5th grade public school students not in the “Healthy Fitness Zone” on at least 5 of 6 fitness tests, Los Angeles County. 38% Goal: 5% Reduction *Projected percentage of 5th grade students not in HFZ, assuming a linear trend

  14. 2012 goal for reducing the percentage of 7th grade public school students not in the “Healthy Fitness Zone” on at least 5 of 6 fitness tests, Los Angeles County. 35.3% Goal: 5% Reduction *Projected percentage of 7th grade students not in HFZ, assuming a linear trend

  15. 2012 goal for reducing the percentage of 9th grade public school students not in the “Healthy Fitness Zone” on at least 5 of 6 fitness tests, Los Angeles County. 25.1% Goal: 5% Reduction *Projected percentage of 9th grade students not in HFZ, assuming a linear trend

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