Grissom

Overweight and Obesity Interagency Roundtable18 May 2006: 

Overweight and Obesity Interagency Roundtable 18 May 2006 Col Joyce Grissom, USAF, MC Medical Director, TMA

Healthy Weight is A StrategicMHS Goal: 

Healthy Weight is A Strategic MHS Goal

Impact of Overweight: 

Impact of Overweight 3% of AD are obese; 60% are overweight 18.9% of DoD dependent adolescents are obese Approximately 2/3 of non-AD beneficiaries are overweight; 1/3 are obese 2005 Health Behaviors Survey Impact of Overweight $ 1B per yr in excess health costs/ 3000 separations per yr Increased musculoskeletal injury1 Increased daytime sleepiness2,3 Poor heat tolerance and increased risk of heat injury4,5 Increased military fitness test failure6,7 Increased surgical risk, and poor wound healing8,9 Increased rates of depression, suicide10, 11 1 Reynolds 2002, 2 Stoohs 1994, 3 Kryger 2004, 4 Chung 1994, 5 Wallace 2006, 6 Zajdowicz 2003, 7 Robbins 2001, 8 Cottam 2003,, 9 Lamas 2002, 10 Kress, 11 Magnusson 2006

DHP Cost of Weight LossSurgery: 

DHP Cost of Weight Loss Surgery 2001 $17.7 M 2004 $55.6 M 2005 $29.4 M

DoD Dependent Children: 

DoD Dependent Children 1986-1990 : 25.5% of military dependents in San Antonio were obese 2002: MHS study demonstrates 18.9% obesity among DoD dependents 6-18 y/o 2003: 39.8% of pediatric patients age 9-12 in Norfolk, VA area are obese Overweight and Television 3 or More Hours/Day 2005 Health Behaviors Survey

Service Programs and Efforts: 

Service Programs and Efforts Army 'Weigh to Stay' Live and Internet Weight Management Programs Research into use of meal replacement, use of interactive weight management website, PDAs Air Force Body Composition Improvement Program Installation environmental assessment Navy 'Ship Shape' weight management program 'Crews into Shape' group health competition 'Healthy Alternatives' vending machine program

Achievements: 

Achievements Defense Commissary Agency (DeCA)- TRICARE collaboration NEXCOM Healthy Alternatives Program DoD/VA Clinical Practice Overweight/Obesity Guideline Obesity screening selected for monitoring on the Business Planning Tool Cross-Service participation in Navy-sponsored 'Crews into Shape' group wellness competition TRICARE Weight Management Demonstration

DeCA-TRICARE “Its Your Choice-Make it Healthy”: 

DeCA-TRICARE 'Its Your Choice-Make it Healthy' Meals away from home have doubled! Partnership promotes 'healthy lifestyle' (weight loss, nutrition, wellness, etc.) Ties in with new wellness areas in stores, organics Promote awareness of 2005 Dietary Guidelines Americans Health fairs, commissary tours, industry tie-ins, posters, buttons, Cooking demos on Armed Forced television overseas Soft launched - March 2005

“Shelf Talkers”: 

'Shelf Talkers' Launched January 2006 Tied in with New Year’s resolution Does not endorse specific products or brands On shelves for 11 categories DoD Nutrition Committee andamp; USDA reviewed

NEXCOM: Healthy Alternatives: 

NEXCOM: Healthy Alternatives 13 years of experience Navy Environmental Health Center (NEHC) and Naval Exchange Service Command (NEXCOM) partnership Healthy snack food provided and identified in vending machines Working on initiative to increase visibility of healthy choices offered by vendors in NEX food courts Healthy Alternative Animal Crackers Pretzels Nature Valley Oat andamp; Honey Granola Bar Nuts Baked Chips Snackwell Vanilla Cookies Trail Mixes Clif Bars Breakfast Cookies

“Crews into Shape”Group Challenge: 

'Crews into Shape' Group Challenge Existing month long group/competition with points awarded for exercise; weight loss or maintenance; consumption of water, fruits, vegetables Entry/tracking forms all downloadable Marketing and participation broadened to AF in 2005 and 2006 Potential promotion through MWR, DeCA Potential extension to all Services with minimum effort Exercise component could be coordinated with President’s Physical Fitness Challenge

DoD/DVA Overweight/Obesity CPG: 

DoD/DVA Overweight/Obesity CPG NEW: Management of Overweight and Obesity

TRICARE Weight Demo: 

TRICARE Weight Demo 4-states (Indiana, Illinois, Ohio, Michigan) Telephone and internet interactive behavioral support + education at varying levels of coaching intensity Medication IAW NIH guideline recommendations Lessons learned may apply to AD, Guard or Reserve without access to military installation HEALTH Healthy Eating and Active Living in TRICARE Households

Health Enrollment: 

Health Enrollment

MHS/Community and Family Support Opportunities: 

MHS/Community and Family Support Opportunities Retail environment (DeCA; NEXCOM, AAFES) Consumer information/education Vendor requirement for, and identification of healthy choices Build on existing experience/successful collaboration DoD Educational Activity Collaboration on local wellness policy/Healthier US Schools challenge Morale, Recreation, Welfare Family events; group/unit competition; President’s Challenge Military Family Assistance (Military One Source) Information MHS and other resources (MHS WM Demo; VA MOVE website)

Contact Information: 

Contact Information Col Joyce Grissom, USAF, MC Medical Director, TMA (703) 681-0064 joyce.grissom@tma.osd.mil Lt Col Glenda Mitchell, USAF, NC Deputy Director, Population Health (703) 681-0064 glenda.mitchell@tma.osd.mil