obesity epidemic in texas

1. Obesity Epidemic in Texas

Region XIII Nutrition and Health Resources Fair June 4, 2004

2. Objectives

Identify current trends in adult and child overweight and obesity in Texas Understand the importance of the �Strategic Plan for Prevention of Obesity in Texas� Identify obesity prevention initiatives being implemented in communities across Texas

3. Overweight and Obesity in Adults in Texas

Body Mass Index (BMI)= weight (kg)/height2(meters) Overweight � BMI 25 to 29.9 Obesity � BMI > or = 30

5. Trends in Adult Overweight and Obesity in Texas

1990 to 2002: 42.9% to 63% Obesity: low-income adults Overweight: high-income adults.

6. Adult Trends - The Facts

Obesity: African- Americans= 42% Hispanics= 30% All Texas Adults= 24.6% Obesity and overweight: Men (69%) Women (55%) 45-64 years of age (70%)

7. Sources for Adult Statistics in Texas

Behavioral Risk Factor Surveillance Survey http://apps.nccd.cdc.gov/brfss/Trends/TrendData.asp TDH Center for Health Statistics

8. Overweight and Obesity in Children in Texas

Overweight: BMI > or = 85th percentile Obesity: BMI > or = 95th percentile By age and gender Norms for BMI: NCHS/CDC, http://www.cdc.gov/growthcharts/

9. School-aged Children Trends

Doubled in the last 20 years Highest among minorities and males. Increasing at a rate similar to that of the adult population!

10. Prevalence of Obesity in Teens

1990: 22% (16-18y/o) 2001: >44% (11th graders)

11. Prevalence of Obesity in Texas School Children

4th grade � 22.4% (1.5 X U.S. avg.) 8th grade � 19.2% 11th grade � 15.5%

12. Prevalence of Overweight in Texas School Children

4th grade � 38.7% 8th grade � 37.1% 11th grade � 29.4%

13. Prevalence of Obesity in Texas School Children

Highest: 8th grade Hispanic boys 32.6% 4th grade African-American girls 30.8% Lowest: 11th grade White/other boys 12.7% 11th grade White/other girls 5.5%

14. The Future of Obesity in Texas

Overweight @ 12: 75% chance of being an overweight adult. Texas WIC program 2-5 y/o = 14% Current overall= 22.1% Future= ?

15. Sources for Child Obesity Statistics in Texas

Youth Risk Behavior Survey � Bureau of Chronic Disease and Tobacco Prevention School Physical Activity and Nutrition Survey WIC

16. The Cost of Overweight & Obesity in Texas

$10.4 billion in 2001 $4.2 billion health care $6.2 billion lost productivity Total: $8.8 to $14.2 billion Texas Dept. of Health - Preliminary Analysis, Jan. 2004

17. Strategic Plan for the Prevention of Obesity in Texas

February 2003 http://www.tdh.state.tx.us/phn/obesity-plan.pdf Statewide Obesity Taskforce (SOT)

Vision: All Texans have a healthy weight through physical activity and healthful eating Mission: To reduce the burden of weight-related disease by decreasing the prevalence of obesity

Goal 1: Increase awareness of obesity as a public health issue that impacts the quality of life of families. Goal 2: Mobilize families, schools, and communities to create opportunities to choose lifestyles that promote healthy weight.

Goal 3: Promote policies and environmental changes that support healthful eating habits and physical activity. Goal 4: Monitor obesity rates and related behaviors and health conditions for planning, evaluation, and dissemination activities.

Objectives Strategies Why? How? Target? Desired effect? Evaluation methods?

Examples:�Mobilize...,schools,�to create opportunities to choose lifestyles that promote healthy weight.� Strategy- Evaluate existing school-based nutrition and physical activity policies and programs. Strategy- Develop an action plan on physical activity and nutrition in Texas schools. Strategy- Establish alliances between schools, health organizations, and communities.

Texas State Strategic Health Partnership Goal A: �Improve the health of all Texans by promoting healthy nutrition and safe physical activity�. Next steps for implementation of the Strategic Plan.

Four workgroups/4 goals Work-plans action steps, timelines, resources, and responsible parties

http://www.tdh.state.tx.us/phn/obesity-plan.pdf

26. TDH Obesity Prevention Activities

Increasing awareness Training health professionals Promoting worksite wellness programs Promoting culturally appropriate nutrition and physical activity programs Advocating for policy and environmental changes.

27. TDH Obesity Prevention Activities

Providing assistance to community coalitions Promoting and supporting coordinated school health programs

28. New Obesity Prevention Initiatives in Texas

Monitoring obesity rates and related behaviors and health conditions Developing partnerships with local and statewide organizations

29. Prevention Activities in Communities- Nutrition

Breastfeeding education programs in hospitals Peer Counseling programs for breastfeeding mothers Breastfeeding Mothers� Rooms at worksites

30. Prevention Activities in Communities- Nutrition

5 A Day promotion strategies Worksite/school policies Community gardening projects Coupons for farmers� markets

31. Prevention Activities in Communities- Physical Activity

Implementing Walk-to-School programs Creation of or enhanced access to places for physical activity combined with informational activities Reduced television/video game time

32. Prevention Initiative in Schools

Senate Bill 19, 77th Texas Legislature. Physical activity Health Curriculum School Health Advisory Committee

33. School Health Advisory Councils

Support planned, sequential health education. Support physical education classes. Support school health services. Promote a healthy school environment. Support counseling, psychological, and social services. Support health promotion for staff. Support school nutrition services. Support the community-school connection.

34. Resources

http://www.cdc.gov/healthyYouth/ http://www.schoolhelath.info TDH Austin/TDH Regional Offices. http://www.tdh.state.tx.us

35. �Never doubt that a smallgroup of committed peoplecan change the world.Indeed, it is the only thingthat ever has.�Margaret Mead

obesity epidemic in texas

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