fighting obesity and inactivity: role of parks and community siripoom mckay, md
TRANSCRIPT
Fighting Obesity and Inactivity: Role of Parks and Community
Siripoom McKay, MD
Human Lifestyle1850s 2010?
Texas Diabetes Council, 2006: American Diabetes Association
Texas Diabetes Council, 2006: American Diabetes Association
Financial Cost of Weight in US
• Overweight and obesity– $78 billion a year
• Obesity alone– $46 billion
Obesity Res, 2004
Texas Diabetes Council, 2006: American Diabetes Association
Diseases assciated withInsulin Resistance
InsulinResistance
Hypertension
Acanthosis Nigricans PCOS
Dyslipidemia
Type 2Diabetes
Obesity & Tissue
Fatty Acids
NASHSleep Apnea
Acanthosis Nigricans
Cost of Care for teens with Obesity related health problems
• Twins teens with • 3 diabetes medicines• 1 medicine for kidney
and blood pressure• $ 4,431/yr for drugs• 4 clinic visits/yr
CDC, 2007
Prevalence of Diabetes
Year 2000 Year 2005
Texas Diabetes Council, 2006: American Diabetes Association
http://www.cdc.gov/diabetes/statistics/slides/
mmwr_county_level_maps.ppt#260,1,Slide 1
Age-adjusted percentage of adults aged ≥20 years who are obese, 2007
MMWR 58:1259-1263, 2009
http://www.cdc.gov/diabetes/statistics/slides/
mmwr_county_level_maps.ppt#260,1,Slde1
Age-adjusted percentage of adults aged ≥20 years with diagnosed diabetes, 2007
MMWR 58:1259-1263, 2009
CDC, http://www.cdc.gov/obesity/stateprog
rams/fundedstates/texas.html
Obesity and Inactivity in Texas
• Adults– 37% overweight plus 29% obese– 3 in 10 no leisure activity in past month
• Children– 16% teens overweight and 16% obese– 45% do NOT meet physical activity
recommendations– 40% watch 3+ hours of TV
Texas Diabetes Council, 2006: American Diabetes Association
Texas Diabetes Council, 2006: American Diabetes Association
Diabetes Prevention Program
Texas Diabetes Council, 2006: American Diabetes Association
Prevention and Treatment
Texas Diabetes Council, 2006: American Diabetes Association
Treatment and Prevention
Texas Diabetes Council, 2006: American Diabetes Association
Texas Diabetes Council, 2006: American Diabetes Association
The End