planting seeds obesity prevention partnerships fit city madison kathy andrusz...
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Planting seedsobesity prevention
partnerships
Fit City Madisonwww.fitcitymadison.com
Kathy [email protected]
294-5323
Heard of the obesity epidemic?
“Epidemic of physical inactivity
and poor nutrition”
Effects on health care costs
Journal of WI Medical Society
Large company (20,000+) self insuredTwo-year medical costs by BMI level (Healthy weight) < 25 $5400
25-30 $7400 (+$2000) 30-35 $8400 (+$3000) (Morbidly obese) >35 $10, 600(+$5200)
BMI Disclaimer
• Tells us about population, not individual
• Highly developed muscle = high BMI
• An no epidemic of superhero-body syndrome!?
Why the dramatic increase in obesity?
Wave of laziness/lack of self-control?
Lack of knowledge?
Genetic component?
Food Environment,Built Environment
Food availability
Marketing/information
Economics
Environment--Community/transportation design
Available daily calories, per capita 1982-2000
Food availability by recommendations
Per capita daily consumption of ADDED fats
U Illinois- Champaign-Urbana
Subjects ate more popcorn when served in “jumbo” bucket than in “medium” bucket
“Bad Popcorn in Big Buckets”
45% more fresh popcorn
34% more stale
(2 weeks old!)
http://www.foodpsychology.com/content/popcorntaste.pdf
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
One simple reason restaurant portions are so
big?
Food is least costly part of transaction
(restaurant industry doesn’t care if you eat it … as long as you buy it)
Portion Size Tool
Portion Distortion Quiz
Marketing
•Nutrition information from manufacturers
–Manufacturers influence on Food Guide– healthy messages
•Directed at children
“Hidden” Marketing
Post Cereals (Kraft)CandyNabisco products
Food Pyramid Tool
www.mypyramid.govwww.mypyramid.gov/kids
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”
Vehicle travel
Dane CountyDOT: Vehicle Miles Traveled/year
from 1990 to 2003 increased
60% (3 billion to 4.8)
Population growth = 22%
Multiple sources of problem
No simple solution• Personal choices• Education/modeling healthy
behavior• cost of food vs. cost of obesity?
(short term, long term)
Obesity Prevention Focus AreasCenters for Disease Control and
Prevention (CDC)
•Physical Activity
•Fruits and Vegetables
•Sweetened Beverages
•Television Time
•Breastfeeding
•Portion Size
… 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
Chance to Change?Personal
Be aware of opportunities for activityCalories per Hour Map My Route
American Way vs. the Way that WorksMagic bullet vs. One bite, one step at a
time
www.smallstep.gov Success StoriesNational Weight Control Registry
America on the Move
Lean Plate Club
Mindless Eating
Diet Simple
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 don’t email
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?)
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!
Chance to Change?Community
• Become an advocate
Planning meetings, PTO, when shopping/dining, conferences and public meetings
FitCityMadison
General Health Resource
Medlineplus.gov
Planting seeds for obesity prevention
Fit City Madisonwww.fitcitymadison.com
Kathy [email protected]
m294-5323