Let’s work together
to prevent
July 26, 2005
Health and Physical Activity Institute
Jeremy Akers, MS, Obesity Prevention Nutritionist
Rachael Kennedy, MEd, Obesity Prevention Coordinator
Kathy Sergent, MA, RD, Nutrition Liaison
Our goals for today:
Goals:
• Participants will increase their knowledge
of obesity in Virginia.
• Participants will learn how to use
“SuperSize Me” as an educational tool.
Our agenda:
• 9:00-9:10…………… Introduction……………….. Kathy Sergent
• 9:10-9:30…………… Burden of Obesity………… Jeremy Akers
• 9:30-9:45…………… Physical Activity Break....... Volunteers
• 9:45-10:30………….. “SuperSize Me”…………… Rachael Kennedy
- Introduction to movie & how to use it
- Lesson number 4
- Cafeteria Counter
-Pop Quiz game
• 10:30-10:45…………. Physical Activity Break…… Volunteers
Burden of
Obesity
What is BMI?
What is
is BMI?
BMI?
What
• Body Mass Index is a tool for indicating weight status
in adults.
• It is a measure of weight for height. wt [kg] / ht [m]2
• For adults over 20 years old, BMI falls into one of these
categories:
BMI
Below 18.5
18.5 – 24.9
25.0 – 29.9
30.0 and Above
Weight Status
Underweight
Normal
Overweight
Obese
Body Mass Index:
BMI for Children and Teens
Underweight
BMI-for-age < 5th percentile
At risk of overweight
BMI-for-age 85th to < 95th percentile
Overweight
BMI-for-age > 95th percentile
National Child Data
Percentage of Overweight Children and Teens
1963–70
1971–74
1976–80
1988–94
1999–2000
16
14
12
Percent
10
8
6
4
2
0
Boys 6-11
Girls 6-11
Male Teens
12-19
Female Teens
12-19
Source: Ogden et al. JAMA 2002;288(14):1728-32
Trends in Child and Adolescent Overweight
Percent
Percent
20
20
15
15
Males 12-19
10
10
Males 6-11
Females 12-19
5
5
Females 6-11
0
1963-67 1966-70
1971-74 1976-80
1988-94
1999-2000
0
Note: Overweight is defined as BMI >= gender- and weight-specific 95th percentile from the 2000 CDC Growth Charts for the United
States.
Source: National Health Examination Surveys II (ages 6-11) and III (ages 12-17), National Health and Nutrition Examination Surveys I,
II, III and 1999-2000, NCHS, CDC.
Overweight: By Body Mass Index
Virginia
45.0%
Percentage
40.0%
35.0%
30.0%
25.0%
20.0%
1990
1991
1992
1993
1994
1995
1996
Year
1997
1998
1999
2000
2001
2002
Obese: By Body Mass Index
Virginia
25.0%
Percentage
20.0%
15.0%
10.0%
5.0%
0.0%
1990
1991
1992
1993
1994
1995
1996 1997
Year
1998
1999
2000
2001
2002
Overweight and Obese: By BMI
Virginia
60.0%
Percentage
55.0%
50.0%
45.0%
40.0%
35.0%
1990
1991 1992
1993
1994
1995
1996 1997
Year
1998
1999
2000 2001
2002
Contributing Factors
Issues within your region that
lead to or promote high rising
obesity rates.
Genetics
Energy Imbalance
Energy Intake
Energy Expenditure
Energy Expenditure
Inactivity
Energy Expenditure
Increased Screen Time
Behavior
Nutrition:
Quality vs. Quantity
Environment
Choices, Choices, Choices
Environment
Culture/ Perceptions
Instant Gratification
Energy Intake
Perceptions
How do portions today compare to
portions sizes 20 years ago?
– Food choices
– Portion sizes
– Number of meals daily
Muffin
20 Years Ago
210 Calories
1.5 ounces
Today
500 Calories
How many calories are
5 today’s
ouncesmuffin?
in
Calorie Difference: 310 calories
You
will long
you have
to vacuum
How
will you
have to
1 hour
and to
20to
minutes
to
vacuum
burn* 310
burn*
310 calories!
calories?
*Based on 150 pound person
Coffee
20 Years Ago
(Coffee with milk)
45 Calories
8 ounces
Today
Cafe Latte
(Coffee and milk)
How
calories are
350 many
Calories
in
20today’s
ouncescoffee?
Calorie Difference: 305 calories
YouHow
will have
to walk
long will
you briskly
have to
for walk
1 hour
and 10
briskly
to minutes
to burn* to
to burn*
305 calories?
305 calories?
*Based on 150 pound person
French Fries
20 Years Ago
210 Calories
2.4 ounces
Today
610
Calories
How
many
calories are
ounces
in 6.9
these
fries?
Calorie Difference: 400 calories
To burn*
How 400
longcalories:
will you have to
Walk leisurely for 1 hr 10 minutes
walk to burn* 400 calories?
*Based on 150 pound person
Soda
20 Years Ago
85 Calories
6 ½ ounces
Today
How Calories
many calories
250
areounces
in this soda?
20
Calorie Difference: 165 calories
To
burn*
calories:
How
long165
would
you have
Garden
for to
35burn
Minutes
to garden
165
calories?.
*Based on 150 pound person
Cheeseburger
20 Years Ago
330 Calories
Today
How
many
calories are in
590
Calories
this cheeseburger?
Calorie Difference: 257 calories
long
would
you have to lift
ToHow
burn*
257
calories:
Lift
weights
for 1up
hour
and 30
weights
to burn
257 calories?
minutes
*Based on 130 pound person
Chicken Stir Fry
20 Years Ago
435 calories
2 cups
Today
865 calories
caloriesare in
How many
½ cups stir fry?
today’s4 chicken
Calorie Difference: 430 calories
You
How
will
long
youwill
have
you
tohave
do aerobic
to do aerobic
dance
fordance
1 hour
to to
burn*
burn*
430
430
calories?
calories?
*Based on 150 pound person
Caesar Side Salad
(romaine lettuce, croutons, dressing, and parmesan cheese)
Today
20 Years Ago
140 calories
1 ½ cups
How470
many
calories are in
calories
today’s
Side Salad?
3 Caesar
½ cups
Calorie Difference: 330 calories
To
burn*
330
you
How
long
docalories
you have
tomust
walk
walk
for 1 330
hr and
35
the the
dog dog
to burn*
calories?
minutes.
*Based on 150 pound person
Popcorn
(cooked in vegetable shortening, without extra butter)
20 Years Ago
270 Calories
5 cups
Today
630
Calories
How many
calories are in
11
cupspopcorn?
today’s
Calorie Difference: 360 calories
You will have to do water
How to long do you have to
aerobics for 1 hour and 20
do water aerobics to burn*
minutes to burn* 360 calories.
360 calories?
*Based on 150 pound person
Total Intake
20 years ago Diet
• Breakfast
– Muffin
– Coffee
Today’s Diet
• Breakfast
210 kcal
– Muffin
Difference
of
2,540
45 kcal
– Calories
Coffee
• Lunch
500 kcal
350 kcal
• Lunch
– Cheeseburger
– Fries
– Soda
210 kcal
85 kcal
330 kcal
– Cheeseburger
– Fries
– Soda
590 kcal
610 kcal
250 kcal
– Caesar Side Salad
140 kcal
– Caesar Side Salad
470 kcal
You would have to jog 3.6 hours@ 6 mph
• Dinner
• Dinner
to burn*
of
the calorie– Chicken
difference.
– Chicken
Stir Fry
435 kcal
Stir Fry
865 kcal
• Snack
• Snack
– Popcorn
• TOTAL
270 kcal
1,725 Kcal
*Based on 150 pound person
– Popcorn
• TOTAL
630 kcal
4,265 Kcal
The Cost of Obesity is Comparable to other
Chronic Diseases
Direct Cost of Chronic Diseases in the U.S. (2003)
Billions, $
Obesity 1
Type 2 Diabetes* 2
Coronary heart disease 3
Hypertension 4
Arthritis 5
Breast Cancer 6
1 Finkelstein EA, Obes Res 2004;12
2 ADA Diabetes Care, 2003;26:917
3 Hodgeson TA et al. Medical Care 1999:37:994.
104
75.0
73.7
52.4
28.2
23.9
7.1
4. Hodgson TA et al. Med Care 2001;39:599
5 Yelin & Callahan. Arthritis Rheum 1995;38:1351
6 Brown ML, et al. Medical Care; 2002;40(suppl): IV-
Cost of Obesity in Virginia (2003)
• $1.64 billion annually
• 5.7% of adult medical expenditures
• 42% financed by Medicare & Medicaid
• VA had the 14th highest costs compared
to all of the other states
Source: Finkelstein et al. Obes. Res. 2004;12
How is VA Doing?
• Obesity Related Standards in Schools?
– 2 out of 5
• State Initiatives for All Residents?
– 2 out of 6
7
Trust for American’s Health. “F as in Fat: How Obesity Policies are Failing in America. Issue Report. October 2004.
Virginia’s Grade
8 University of Baltimore. National Report Card Shows States ‘Failing’ to Check Obesity. August 9, 2004.
www.ubalt.edu/glance/ur_releases/2004/08_09_04_obesity.html.
We welcome you to contact us:
• Jeremy.akers@vdh.virginia.gov
804-864-7842, information on nutrition initiatives
addressing obesity and data
• Rachael.kennedy@vdh.virginia.gov
804-864-7789, information on obesity prevention & health
promotion initiatives, success stories from the field
• Kathleen.sergent@vdh.virginia.gov
804-864-7832, information on nutrition programs and
nutrition science
The educationally enhanced version can be purchased
•by internet: www.supersizeme.com, click on “learn more about
the EE version” on the right side of the screen.
•by phone: 800-444-0653
•by email us at: eesupersize@hartsharpvideo.com
*Cost is $39.99+$4.95 s/h (2- 4 wks) or $9.95 s/h (1 week)*