Creating a Culture of Wellness

1
Creating a Culture of Wellness

• Wayne Altman, MD, FAAFP
• Associate Professor, Department of Public Health
  and Family Medicine
• Family Medicine Pre-Doctoral Director
• Tufts University School of Medicine

2
Denial?

• The Cupcake Scandal
• Nachos running out
• Friday pizza

3
Obesity Trends Among U.S. Adults Between 1990 and
2004

• During the past 20 years there has been a
  dramatic increase in obesity in the United
  States.
• In 1991, only 4 states had obesity prevalence
  rates of 15-19. No states had rates gt20.
• In 2004, 33 states had rates of 2024 percent
  and 9 states had rates more than 25 percent.

4
Obesity Trends Among U.S. AdultsBRFSS, 1991
(BMI 30, or 30 lbs overweight for 5 4
person)
5
Obesity Trends Among U.S. AdultsBRFSS, 1992
(BMI 30, or 30 lbs overweight for 5 4
person)
6
Obesity Trends Among U.S. AdultsBRFSS, 1993
(BMI 30, or 30 lbs overweight for 5 4
person)
7
Obesity Trends Among U.S. AdultsBRFSS, 1994
(BMI 30, or 30 lbs overweight for 5 4
person)
8
Obesity Trends Among U.S. AdultsBRFSS, 1995
(BMI 30, or 30 lbs overweight for 5 4
person)
9
Obesity Trends Among U.S. AdultsBRFSS, 1996
(BMI 30, or 30 lbs overweight for 5 4
person)
10
Obesity Trends Among U.S. AdultsBRFSS, 1997
(BMI 30, or 30 lbs overweight for 5 4
person)
11
Obesity Trends Among U.S. AdultsBRFSS, 1998
(BMI 30, or 30 lbs overweight for 5 4
person)
12
Obesity Trends Among U.S. AdultsBRFSS, 1999
(BMI 30, or 30 lbs overweight for 5 4
person)
13
Obesity Trends Among U.S. AdultsBRFSS, 2000
(BMI 30, or 30 lbs overweight for 5 4
person)
14
Obesity Trends Among U.S. AdultsBRFSS, 2001
(BMI 30, or 30 lbs overweight for 5 4
person)
No Data lt10 1014
1519 2024 25
15
Obesity Trends Among U.S. AdultsBRFSS, 2002
(BMI 30, or 30 lbs overweight for 5 4
person)
(BMI ?30, or 30 lbs overweight for 54 person)
No Data lt10 1014
1519 2024 25
16
Obesity Trends Among U.S. AdultsBRFSS, 2003
(BMI 30, or 30 lbs overweight for 5 4
person)
No Data lt10 1014
1519 2024 25
17
Obesity Trends Among U.S. AdultsBRFSS, 2004
(BMI 30, or 30 lbs overweight for 5 4
person)
No Data lt10 1014
1519 2024 25
18
2005?2010?2020?
19

• Overweight adolescents have a 70 chance of
  becoming overweight or obese adults. This
  increases to 80 if one or more parent is
  overweight or obese.

20

• Overweight or obese adults are at risk for a
  number of health problems including heart
  disease, type 2 diabetes, high blood pressure,
  high cholesterol, and some cancers.

21

• Type 2 diabetes, previously considered an adult
  disease, has increased dramatically in children
  and adolescents.
• Overweight and obesity are closely linked to type
  2 diabetes.

22

• The most immediate consequence of overweight as
  perceived by the children themselves is social
  discrimination. This is associated with poor
  self-esteem and depression.

23

• According to new report by the CDC, one in three
  American children born in 2000 will develop
  diabetes in his or her lifetime.

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What can be done to reverse the childhood obesity
trend?

• Metanoia
• Changing the mind
• Changing the culture