OBESITY PREVENTION

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OBESITY PREVENTION

• A COMMUNITY APPROACH

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Simple Messages That Influence Complex
Behaviors

• Increase physical activity
• Eat more nutritious food and smaller portions
• Stop smoking

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Spheres of Influence

• We all have influence in some spheres or on
  many spheres.
• Individual your familys decisions
• Social/Organizational church or organization
  leadership
• Public Policy - serving on a school/health board
  or on a state committee.

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• Get More Physical Activity
• If you had a drug that would improve your mood,
  decrease your stress, help you lose weight,
  improve almost any health problem that you
  already had would you take it?

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• Physical Activity
• Doesnt have to be hard
• Should make your heart beat faster
• Should make you breathe deeper
• You could talk but not sing
• Should be sustained over a period of time 10
  minutes (or more) at a time is the GOAL
• Something is better than nothing
• Surgeon Generals Recommendations
• Adults 30 min. a day, Children 60 min. a
  day

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• Eat More Fruits and Vegetables
• Studies show that people who eat a higher number
  of fruits and vegetables have lower overall body
  fat
• People on low carb diets can eat vegetables (vs.
  fruits)
• Fruits and vegetables are nutrient rich foods
  that have lower calories and fiber

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Support efforts to stop smoking and eliminate
secondhand smoke

• The benefits of stopping smoking are immediate
• After 20 minutes your heart rate drops.
• After 12 hours, the CO level in your blood drops
  to normal.
• After 2 weeks to 3 months, your heart attack risk
  begins to drop and your lung function begins to
  improve.
• After 1 to 9 months your coughing and shortness
  of breath decrease.
• After 1 year, your added risk of coronary heart
  disease is ½ that of a smokers.

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• Support efforts to stop smoking and
• eliminate secondhand smoke
• The benefits of stopping smoking are immediate
• After 5 years, your stroke risk is reduced to
  that of a nonsmokers 5-15 years after quitting.
• After 10 years, your lung cancer death rate is
  about ½ that of a smokers and your risk of
  cancers of the mouth, throat, esophagus, bladder,
  kidney, and pancreas decreases.
• After 15 years, your risk of coronary heart
  disease is back to that of a nonsmokers.

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Individual Sphere

• Use non-sedentary ways to be with your family
  Frisbee, walking, play games.
• Be physically active on a regular basis. The
  goal is 30 minutes a day, 5 days per week
• Incorporate active behaviors, always take the
  stairs instead of elevator, park further away,
  take opportunities to move, take short walks in
  between meeting. It benefits you but also
  influences other people.

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Individual Sphere

• Start by replacing snacks with vegetables and
  fruits think nutrient rich
• Buy fast food like potatoes, salad, grilled
  chicken that supports an economy of healthier
  foods
• Fresh fruits and vegetables are best but frozen
  or canned are almost equally beneficial
• The more convenient they are to eat, the more we
  eat them. Prepackaged and salad bar items are
  more expensive but an easier way to get
  vegetables and fruits

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Individual Sphere

• Quit Smoking Help Others to Quit
• 1-800-QUIT-NOW
• Free, statewide, telephone-based, one-on-one
  proactive counseling program
• For smokers and non-smokers whod like to help
• For more information email or call RaeAnne Davis
  at the KY Tobacco Prevention and Cessation
  Program
• RaeAnne.Davis_at_ky.gov
• [phone] ext. 3858

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Smoke outside Encourage others to smoke outside

• Smoking outside of your car, house, and other
  buildings
• increases a smokers chances of stopping smoking
  when they do decide to quit
• Improves the indoor air quality of the air people
  breath every day
• Improves health of family and friends around you.
  

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Community and Policy Sphere

• Support local school policies that promote
  physical activity. School can make decisions on a
  local level to increase the PE requirement.
• Ask legislators to mandate PE back into Kentucky
  School Program of Studies (State requires only 1
  PE class PER WEEK for elementary students).
• Dont withhold recess as a punishment strategy.
• Incorporate physically active parent/ student
  programs such as Safe Routes to School.

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Community and Policy Sphere

• Encourage the use of the Safe Routes to School
  in school districts
• Plan sidewalks into new development, especially
  around schools and shopping areas.
• Do not support exemptions from building
  sidewalks into new developments. It is much
  cheaper to build them up front then to retrofit

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Community and Policy Level

• New state legislation will require schools to
  change vending items to lower fat, lower sugar
  and higher fiber items.
• Advocate for school fund raisers that follow the
  same guidelines or do not involve food.
• Offer healthy options at concessions and school
  cafeteria.

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Support Clean Indoor Air Ordinances

• Times are changing
• At one point in time, smoking was allowed in such
  places as airplanes and no one thought twice
  about it. Doctors were even portrayed in
  advertisements to encourage patients to smoke for
  their health. Not anymore.
• Everyday, more cities, states, and countries are
  creating 100 smoke-free environments. The social
  norms surrounding smoking are changing.

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Community and Policy Sphere

• Secondhand smoke contains over 4,000 chemical
  compounds and at least 60 are known carcinogens.
• U.S. EPA labels secondhand smoke as a Class A
  carcinogen (the same as asbestos).
• When Lexington, KY became 100 smoke-free it was
  written by the Supreme Court of Kentucky that,
  the protection of public health is uniformly
  recognized as a most important municipal
  function. It is not only a right but a manifest
  duty of a city.

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Tackling Tobacco Makes Sense on an Economic Basis

• Not only does smoking result in loss of health,
  it contributes to the economic loss of Kentucky.
• Every year, more than 8,000 Kentuckians die from
  tobacco-related diseases.
• Each year, 1.2 billion in Medicaid and Medicare
  funds is being spent treating Kentuckians for
  illnesses worsened or caused by tobacco use. In
  other words, 300 is coming out of the pockets of
  each of the 4 million people living in KY due to
  tobacco use.

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Community and Policy Sphere

• Every 10 increase in the price of cigarettes,
  reduces youth smoking by close to 7 and reduces
  overall consumption by 3-5.
• A 0.75 increase in Kentuckys cigarette excise
  tax would have significantly decreased youth
  smoking. Although a 0.27 increase is a step in
  the right direction, it is not enough.

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Spheres of Influence

• First, in addition to reducing tobacco use, we
  must advocate for public health in other areas,
  such as obesityThe ball is in your court. The
  future of health care is in your hands. The
  question is... Are you ready?
• John C. Nelson, MD, MPH, President, AMA (West
  Virginia State Medical Association Healthcare
  Summit 2004)

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Available Through the Kentucky Department of
Public Health and KMA Web sitesExercise
Prescription Brochures
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Available Through the Kentucky Department of
Public Health and KMA Web sites Exercise Fact
Sheets for People With Chronic Disease and
sedentary individuals Asthma Diabetes Arthritis H
igh Blood Pressure Obesity
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Available Through the Kentucky Department of
Public Health and/or local Health Department

• Find your local health department tobacco
  coordinator on the handout
• The Cooper/Clayton Method to Stop Smoking
• 13-week support group that meets one-hour per
  week in MOST Kentucky communities
• No cost or low-cost (unless nicotine replacement
  products are used)
• School research-based programs
• Your local health department can tell you if
  youth cessation programs are
  available

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Available Through the Kentucky Department of
Public Health
Kentuckys Tobacco Quit Line 1-800-QUIT-NOW Free,
statewide, telephone-based, one-on-one
proactive counseling program For smokers and
non-smokers whod like to help For more
information email or call RaeAnne Davis at the KY
Tobacco Prevention and Cessation
Program RaeAnne.Davis_at_ky.gov [phone] ext.
3858
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