Planting seeds obesity prevention partnerships

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Planting seedsobesity prevention partnerships

• Fit City Madison
• www.fitcitymadison.com
• Kathy Andrusz
• Kandrusz_at_cityofmadison.com
• 294-5323

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Heard of the obesity epidemic?
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Epidemic of physical inactivity and poor
nutrition
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Effects on health care costs

• Journal of WI Medical Society
• Large company (20,000) self insured
• Two-year medical costs by BMI level
• (Healthy weight) lt 25 5400
• 25-30 7400 (2000)
• 30-35 8400 (3000)
• (Morbidly obese) gt35 10, 600 (5200)

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BMI Disclaimer

• Tells us about population, not individual
• Highly developed muscle high BMI
• An no epidemic of superhero-body syndrome!?

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BMI Tool

• BMI Calculator

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Why the dramatic increase in obesity?

• Wave of laziness/lack of self-control?
• Lack of knowledge?
• Genetic component?

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Food Environment,Built Environment

• Food availability
• Marketing/information
• Economics
• Environment--Community/transportation design

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Available daily calories, per capita 1982-2000
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Food availability by recommendations
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Per capita daily consumption of ADDED fats

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Bad Popcorn in Big Buckets
U Illinois- Champaign-Urbana Subjects ate more
popcorn when served in jumbo bucket than in
medium bucket
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45 more fresh popcorn 34 more stale (2 weeks
old!)
http//www.foodpsychology.com/content/popcorntaste
.pdf
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Factors affecting food intake

• Proximity, visibility, abundance
• (bowl of candies, stockpiling)
• Perception of portion size
• (self-refilling soup bowl)
• http//www.foodpsychology.com/overeating.html

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One simple reason restaurant portions are so big?

• Food is least costly part of transaction
• (restaurant industry doesnt care if you eat it
  as long as you buy it)

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Portion Size Tool

• Portion Distortion Quiz

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Marketing

• Nutrition information from manufacturers
• Manufacturers influence on Food Guide
• healthy messages
• Directed at children

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Hidden Marketing

• Post Cereals (Kraft)
• Candy
• Nabisco products

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Food Pyramid Tool

• www.mypyramid.gov
• www.mypyramid.gov/kids

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Built Environment

• Fewer sidewalks, bike lanes more car trips
• Sprawling suburb vs. traditional neighborhood
• (necessities within walking distance)
• Streets less walkable (examples)
• Climate of fear

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Vehicle travel

• Dane County
• DOT Vehicle Miles Traveled/year from 1990 to
  2003 increased
• 60 (3 billion to 4.8)
• Population growth 22

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Multiple sources of problem

• No simple solution
• Personal choices
• Education/modeling healthy behavior
• cost of food vs. cost of obesity? (short term,
  long term)

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• Obesity Prevention Focus AreasCenters for
  Disease Control and Prevention (CDC)
• Physical Activity
• Fruits and Vegetables
• Sweetened Beverages
• Television Time
• Breastfeeding
• Portion Size

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where to start?

• Identify personal spheres of influence
• what you serve your birthday at the
  workplace choosing a club fundraiser requesting
  food choices or accessing nutrition info at
  establishments you patronize walk neighborhood
  kids to school park farther away

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Chance to Change?Personal

• Be aware of opportunities for activity
• Calories per Hour Map My Route
• American Way vs. the Way that Works
• Magic bullet vs. One bite, one step at a time
• www.smallstep.gov Success Stories
• National Weight Control Registry

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America on the Move
Lean Plate Club
Mindless Eating
Diet Simple
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Choose to Change?Work

• Offer healthy AND delicious snacks at meetings
  and gatherings
• 101 Ways to Workplace Wellness
• Meeting Well (American Cancer Society)
• Use stairs, walk halls on breaks, park farther
  (or bus stop), walk dont email

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Chance to Change?Home, work, school

• Use food psychology to your advantage
• (location, availability, serving bowl, portion
  size packs)
• Buying in bulk increasing your bulk
• Consider your impact on food environment at home,
  work
• (do they need more donuts, salty snacks?)

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Choose to Change? Quick tips

• Pack up half of entrée before meal
• Fundraising foods offer donation instead
• Walk and talk vs. sit and consume
• Consider alternative foods for celebration ---
  People DO enjoy healthy foods!

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Chance to Change?Community

• Become an advocate
• Planning meetings, PTO, when shopping/dining,
  conferences and public meetings
• FitCityMadison

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General Health Resource
Medlineplus.gov
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Planting seeds for obesity prevention

• Fit City Madison
• www.fitcitymadison.com
• Kathy Andrusz
• Kandrusz_at_cityofmadison.com
• 294-5323