CARTER BLAKEY: During today’s webinar you
will hear from several distinguished speakers. Assistant Secretary for Health, Howard Koh
will introduce this month’s LHI topic, nutrition, physical activity and obesity. You will also
hear remarks from HHS Regional Director for Region VI, Marjorie McColl Petty. And from
CATCH Texas, Deanna Hoelscher will discuss the coordinated approach to child health or
CATCH, which is an evidence-based primary prevention intervention designed to instruct
children, their schools and their families in healthy eating and physical activity. Dr. Hoelscher will also talk about the success
CATCH Texas has had implementing CATCH across the state. So what is Healthy People? For
those of you who aren’t familiar, for four decades now Healthy People has provided a
comprehensive set of national 10-year objectives that has served as a framework for public
health activities at all levels and across all sectors of the public health community.
Often called a roadmap for nationwide health promotion and disease prevention efforts,
Healthy People is about understanding where we are now and taking informed actions to
get to where we want to go over a 10-year period. Then the Leading Health Indicators, the focus
of this series, represent critical health issues that, if addressed appropriately, will
dramatically reduce the leading causes of preventable deaths and illness. These indicators,
or critical health issues, are linked to specific Healthy People 2020 objectives. They have
been selected to communicate high priority health issues to the public along with actions
that can be taken to address them with the overall goal of improving the health of the
entire population. There are 12 leading health indicator topics,
and this month we are focusing on Nutrition, Physical Activity, and Obesity. For the complete
list of the leading health indicators and to view our past webinars, please visit
And with that, I’d like to turn the podium over to Dr. Koh. DR. HOWARD KOH: Thank you so much, Carter.
We’re all so grateful for your leadership and passion in this area for so many years,
so thank you for helping us kick off this webinar. Thank you everyone for attending
the webinar and for your interest in Healthy People and the LHIs. So I’m delighted to
just spend a couple minutes giving you an overview on this month’s topic, Nutrition,
Physical Activity, and Obesity. The issues of overweight and obesity have
tremendous impact, not just on our health, but also on our economic condition, so promoting
physical activity and nutrition is absolutely critical to reducing the risk of overweight
and obesity and reducing the risk of disease. Research has shown us that people who are
overweight and obese have higher risks of certain conditions such as heart disease,
type 2 diabetes and certain cancers, and you have probably heard the estimates that medical
costs associated with obesity are around $147 billion. So we have been very active as a department
and as an Office of Disease Prevention and Health Promotion to put forward guidelines
for Americans to incorporate physical activity and dietary guidelines. The 2008 Physical
Activity Guidelines for Americans put out by our Office of Disease Prevention and Health
Promotion puts forward the benefits of physical activity and its related health benefits in
areas such as lowering risk of early death, heart disease, stroke, type 2 diabetes and
high blood pressure. And the 2010 Dietary Guidelines for Americans
that we unveiled in collaboration with the U.S. Department of Agriculture puts forward
guidelines with respect to balancing calories with physical activity and encouraging Americans
to consume healthier foods like fruits, vegetables and whole grains. The indicators for Nutrition,
Physical Activity, and Obesity serve as a call to action for all of us, and there are
four objectives that we are following closely. First, adults who meet current federal physical
activity guidelines, the ones that we just mentioned that were put forward in 2008; second,
the percentage of adults who are obese defined as a body mass index over 30; third, children
and adolescents who are considered obese who are in the 95th percentile of weight and above;
and fourth, total vegetable intake for persons aged two years and older. So let’s look closer at the obesity trends,
particularly in adults and children over the next couple slides. On this slide you see
the prevalence in obesity among children and adolescents; that’s defined as people ages
2- 19 and adults; that’s defined as people aged 20 and above, by sex in this country
from 1988 up through 2010. The top two lines have to do with obesity rates in adult women
and men. The women are in the top line, the blue line,
and men are in the orange line, and you can see from 1999 where the adult obesity prevalence
was about 30 percent to 2009-2010, just a decade later, the obesity rates have risen
to close to 36 percent. That’s a 17 percent increase in just a decade. Similarly, you
see increases for boys and girls. Those are the lower two lines from roughly an obesity
rate of about 14 percent in 1999 to close to 17 percent by 2009-2010. That’s a 22
percent increase. Of interest, the rate and rise has been significant
for boys and men, but not as striking as for women. Just last month, we had a Weight of
the Nation Conference here in D.C. sponsored by the CDC and it was announced there that
it’s projected that the number of Americans who will be obese by 2030 will rise to 42
percent, so these are stunning numbers that show the gravity of the epidemic that the
country is facing. On the next slide we see child and adolescent
obesity in 2009-2010. The total is the top line. Currently it’s about 17 percent as
I mentioned, and we want to get it down to closer to 15 percent. That’s the Healthy
People target noted in the black vertical line. And then we see disparities by race
and also by family income. First, the middle set of bars by race, we see that the Black
non-Hispanic childhood and adolescent obesity rates are the highest of any racial ethnic
group, more than one and a half times what you see with White non-Hispanics. And then in the lower set of bars, you’ll
see that obesity is directly linked to family income, that families with income under 100
percent federal poverty level have the highest rates of obesity compared to those with much
higher incomes. So these disparities by race and income are very striking for kids and
adolescents as summarized on this slide. So the way to go forward to address this has
got to be a broad public health approach, and that’s summarized on the next slide. We need environmental factors, access to safe
places to exercise and affordable healthy food. We need to address these factors where
people live, learn, work and play, the so called social determinants approach. These
are the underlying themes of the First Lady’s Let’s Move! initiative as well, and we are
very delighted that the program CATCH has been highlighted today and we’ll be hearing
more from Dr. Hoelscher in just a second. And then the final slide that I’m presenting
just gives a summary of federal actions with respect to nutrition, physical activity and
obesity. The Let’s Move! initiative pioneered by the First Lady has really catalyzed and
galvanized the country. We’re very proud to be a part of that. The National Prevention
Strategy was unveiled last year as required by the Affordable Care Act has involved some
17 federal agencies across government. I already mentioned the 2010 Dietary Guidelines for
Americans and the 2008 Physical Activity Guidelines for Americans. And then we also have a revitalized President’s
Council on Fitness, Sports and Nutrition that is putting forth a series of PALA challenges,
that’s Presidential Active Lifestyle Award challenges. In 2010 we put forward the challenge
of whether a million people could sign up and follow the physical activity guidelines
for six weeks, going on to make public your commitment, and we were
thrilled when 1.7 million people actually signed up and implemented this challenge. That was well exceeding our goal. So we now
have a PALA+ challenge that incorporates objectives for physical fitness and nutrition, and these
are just some of the ways that we are as a department working to get the message out
about these key issues.

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Methew Wade

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