MOA Presentation Mandsager final

Overweight and Obesity in Alaska: An Epidemic: 

Overweight and Obesity in Alaska: An Epidemic Presentation to the Mayor’s Taskforce on Obesity and Health August 3, 2005 Richard Mandsager, M.D., Alaska Division of Public Health

Slide2: 

1996 2003 Obesity Trends* Among U.S. Adults BRFSS, 1991, 1996, 2003 (*BMI 30, or about 30 lbs overweight for 5’4' person) No Data andlt;10% 10%–14% 15%–19% 20%–24% ≥25%

Slide3: 

Source: AK BRFSS Prevalence of Overweight (25.0 andlt;= BMI andlt; 30.0), Obesity (BMI andgt;=30.0) and Overweight/Obesity (BMI andgt;= 25.0), Alaskan Adults 1991-2004

Alaskan High School Students Who Are Overweight or At-Risk for Becoming Overweight YRBS 2003 : 

Alaskan High School Students Who Are Overweight or At-Risk for Becoming Overweight YRBS 2003

BMI Status:Anchorage School District Students1998 – 2003: 

BMI Status: Anchorage School District Students 1998 – 2003

BMI Status of Kindergarten and First Grade Students: Anchorage School District 1998-2003: 

BMI Status of Kindergarten and First Grade Students: Anchorage School District 1998-2003

Nutrition and Physical Activity: Alaskan Adults: 

Nutrition and Physical Activity: Alaskan Adults 19% are inactive 57% meet CDC minimum recommendations for physical activity 23% consume at least 5 daily servings of fruits and vegetables Source: BRFSS 2003

Slide8: 

Source: AK BRFSS Prevalence of Physical Inactivity by Sex, Race, and Region, Alaska 2002-2004 (combined)

Slide9: 

Source: AK BRFSS Prevalence of Inadequate Fruit andamp; Vegetable Consumption by Sex, Race, and Region, Alaska 2002-2003 (combined)

Nutrition and Physical Activity:Alaskan High School Students: 

Nutrition and Physical Activity: Alaskan High School Students 18% participate in daily physical education 27% do not meet the CDC minimum recommendations for physical activity 28% watch 3 or more hours of television on an average school day 16% consume at least 5 daily servings of fruits and vegetables Source: YRBS, 2003

Overweight and Obesity: Health Consequences: 

Overweight and Obesity: Health Consequences Adults Premature mortality Cardiovascular disease Type 2 Diabetes Musculoskeletal disorders Sleep apnea Gallbladder disease Certain types of cancer (endometrial, colon, kidney, gallbladder, postmenopausal breast) Youth Increased risk of obesity as an adult High blood pressure High cholesterol Orthopedic disorders Type 2 Diabetes Psychosocial disorders

Obesity: Economic Costs: 

Obesity: Economic Costs United States $75 billion in annual direct medical expenditures $18 billion financed by Medicare $21 billion financed by Medicaid Alaska $195 million in annual direct medical expenditures $17 million financed by Medicare $29 million financed by Medicaid Source: State-Level Estimates of Annual Medical Expenditures Attributable to Obesity. Obesity Research. 2004

The Response: 

The Response Upcoming slides will show: National initiatives Other states’ initiatives Alaska’s response

National Initiatives: 

National Initiatives Steps to a Healthier US (DHHS) $35.7 million, 22 grants to 40 communities Reduce burden of diabetes, obesity, asthma Address risk factors: poor nutrition, inactivity, tobacco use America on the Move (America On the Move Foundation) Encourage and support individual and community change Add 2,000 steps/ eat 100 fewer calories per day

National Initiatives (continued): 

National Initiatives (continued) NGA 'Healthy America' Initiative (Huckabee) 'Building a culture of physical activity, prevention and wellness in the United States' Legislation School Wellness Policies coming out of the 2004 WIC Reauthorization Act Several obesity prevention-bills introduced in most recent congressional session: Sen. Frist – Congressional Council on Childhood Obesity Sen. Harkin – Schools, Communities, Workplaces Sen. Kennedy – Childhood obesity

Other States’ Initiatives: 

Other States’ Initiatives 18 State Affiliates of America on the Move Colorado on the Move (Gov. Bill Owens launched in 2002) Florida Task Force on Obesity (Gov. Jeb Bush) 16 member panel of experts developed and presented recommendations to Governor Bush Healthy Arkansas (Gov. Huckabee) Targets: school children, Medicaid population, adults in workplaces, aging citizens MI’s Prescription for Health (Gov. Granholm) 1st State Surgeon General Targets chronic disease prevention

Alaska’s Response: 

Alaska’s Response Ongoing Chronic Disease Policy Academy ASD – work session; height andamp; weight data State Plan Mat-Su Policy Change Future School/community pilot projects School Wellness Policy Toolkit Worksite health promotion demonstration projects – public/private partnerships Need to address pre-K