Division of Nutrition, Physical Activity, and Obesity DNPAO

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Division of Nutrition, Physical Activity, and
Obesity (DNPAO)
Obesity Prevention and Control Efforts May 20,
2008 Lorraine Whitehair, RN, MPH, RD Public
Health Nutritionist
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Presentation OutlineOverview of Efforts

• 1. DNPAO Principal Targets
• 2. Partnerships
• 3. Research and surveillance
• 4. Resources
• 5. Next Steps

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Overview of Primary Prevention Efforts for
Obesity and Other Chronic Diseases
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Obesity Trends Among U.S. AdultsBRFSS, 1995,
2000, 2005
(BMI ?30, or about 30 lbs overweight for 54
person)
1995
2000
No Data lt10 1014
1519 2024 2529
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DNPAOs Principal Targets

• Increase physical activity
• Increase breastfeeding
• Reduce high energy dense foods
• Increase fruits and vegetables
• Reduce sugar sweetened beverages
• Decrease television viewing

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Partnering to Address Obesity

• Convergence Partnership for Healthy Eating and
  Active Living
• Robert Wood Johnson Foundation
• W.K. Kellogg Foundation
• Kaiser Permanente
• The California Endowment
• Nemours Health and Prevention Services
• and
• Centers for Disease Control and Prevention

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Partnerships
Grants to States funds to
states for a) conduct needs assessment, b)
pick target areas, c) implement
interventions
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Strategy Development Community Guide Chapters
communityguide_at_cdc.gov www.cdc.gov/nccdphp/dnpa/ph
ysical/health_professionals/index.htm
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R2P Strategy to Address Obesity
www.cdc.gov/nccdphp/dnpa/resources.htm
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Implementation Guidelines Recommendations
www.cdc.gov/breastfeeding
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Guidelines and Translation Efforts to Address
Obesity

• Worksite Settings
• Healthy Worksite Initiative
• (www.cdc.gov/nccdphp/dnpa/hwi/index.htm)
• lean for Life (www.cdc.gov/leanforlife)
• Swift Worksite Assessment Translation

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Surveillance Efforts to Monitor Obesity

• DNPAO existing surveillance systems
• Pediatric Nutrition Surveillance System
• Pregnancy Surveillance System
• Other CDC Surveillance Systems
• Behavioral Risk Factor Surveillance System
• Youth Risk Behavior Surveillance System
• National Health and Nutrition Examination Survey

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Research on Measurement of Obesity

• Development of CDC growth charts
• WHO Growth Charts
• Expertise on assessment issues related to
  childhood overweight

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Next StepsInnovative Approaches to Address
Obesity

• Design and Innovative Strategies
• Cultural Strategies
• Social Movements Strategies
• Generational Effects Strategies

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Diabetes Primary Prevention InitiativePartnership

• Mapping obesity diabetes burden
• www.cdc.gov/diabetes/index.htm
• Native American Traditional Foods Project (Dawn
  Satterfield, RN, PhD, CDE
  Joel Kimmons, PhD)

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Resources
Pediatrics The Expert Committee
Recommendations Pediatrics 2007
120S163-288 Adults NHLBI Obesity Education
Initiative, The Practical Guide Identification,
Evaluation, Treatment of Overweight Obesity
in Adults www.cdc.gov/nccdphp/dnpa/resources.htm
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Lorraine Whitehair, RN, MPH, RD Telephone
770-488-5704 LWhitehair_at_cdc.gov