Schwartz Slides 2005 Obesity Conf

Environmental SolutionsTo Obesity in America’s Youth : 

Environmental Solutions To Obesity in America’s Youth David A. Schwartz, M.D. Director National Institute of Environmental Health Sciences

Environmental Factors that Influence Risk for Obesity: 

Environmental Factors that Influence Risk for Obesity Access to affordable healthy food, physical fitness activities, and health education Air and water quality Transportation choices Land use and community design Crime and public safety Environmental chemicals that influence hormonal balances

Prevalence of Overweight Among US Children and Adolescents: 

Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health and Nutrition Examination Survey Prevalence of Overweight Among US Children and Adolescents NHES II andamp; III 1963-1970 NHANES I 1971-1974 NHANES II 1976-1980 NHANES III 1988-1994 NHANES 1999

Overweight Prevalence by Race/Ethnicity for Adolescent Boys and Girls: 

Overweight Prevalence by Race/Ethnicity for Adolescent Boys and Girls

Multilevel Approach to Obesity in Children: 

Multilevel Approach to Obesity in Children Community support: Safe places to play and exercise School locations, lunches, and physical education programs Zoning, planning, and environmental regulations Transportation systems Marketplace responsibility: Food availability and pricing Advertising Individual choices: Increase physical activity Make healthier food choices and monitor consumption

President’s Council on Physical Fitness: 

President’s Council on Physical Fitness President Kennedy speaks at the Conference on Physical Fitness of Youth in 1961 'We have become more and more not a nation of athletes but a nation of spectators.' John F. Kennedy, 1961

Suggested Approaches to Overweight Children: 

Suggested Approaches to Overweight Children Strategies to help families with overweight children and adolescents: Controlling the environment Monitoring behavior Setting goals Rewarding successful changes in behavior New England Journal of Medicine, May 19, 2005; 352:2100-9. These strategies also apply to prevention

NIEHS Initiatives to Address Obesity : 

NIEHS Initiatives to Address Obesity Research Joint NIH-CDC effort of $5M; awards this summer Impact of environmental factors on obesity Effectiveness of improving access to healthy foods and physical activity Support multidisciplinary research teams to understand the causes and effective interventions Partnership with Robert Wood Johnson Foundation Evaluation of Active Living by Design, programs in 25 communities throughout the U.S. Education Funded 'Fitness Fighters,' an interactive video and educational tool for kids

Slide9: