Obesity prevention initiatives

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Leah Gecheo

Boot camp presentation 2012

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Outline

 Cause of obesity

 National statistics

 Obesity prevention initiatives

 Funding agencies

 How to apply for funding

 Obesity prevention in WV- Dr. Murphy, Kristin

McCartney.

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Cause of obesity: The ̏Thrifty gene” hypothesis

Obesity?

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Cause of obesity: our environment

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How bad is it?

 1 in 3 children/adolescent is overweight or obese

 Below 2 yr. old- 10%

 2-5 yr. old; 14%

 10-17 yr old: 18.2%

 Obese children have 70-80% probability of being obese adults

 Overweight and obese adults outnumber healthy adults

 Cost of obesity: $147B.

 Reduced work productivity

5 http://www.heart.org/HEARTORG/

A growing problem

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How obese is our country?

35.7% of Americans are obese, 7/10 are overweight or obese

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Initiatives to fight the obesity epidemic

 Federal government initiatives- CDC

 Non-profit organizations- AHA

 Department of health

 Private/charitable organizations- Coke, PepsiCo,

Hershey, Kraft foods

 Community-based initiatives

 State initiatives*

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CDC funded initiatives

1.

Division of Nutrition, Physical Activity and

Obesity (DNPAO)

 reduce obesity through state programs, research, intervention and policy changes

 Monitor nutritional status through PedNSS (pediatric nutrition surveillance system and PNSS (pregnancy surveillance systems)

 Promote fruits and vegetable consumption

 Improve breastfeeding

 Global collaborations

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Programs under DNPAO

BAM! Body and mind

 Interactive site for 9-13 yr olds; stress and physical fitness http://www.bam.gov/

 ‘Fruits and veggies-more matter’ initiative

 Healthier worksite initiative (HWI)

 Kit for employers to improve employees health http://www.cdc.gov/nccdphp/dnpao/hwi/index.htm

 Kidswalk-to-school

 Identify safe walking routes to school

 CDC’S LEAN works

Identify science-based interventions that works.

Obesity cost calculator for employers

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CDC funded initiatives

2. Childhood obesity demonstration program

Target: 2-12 year olds covered by CHIP (children’s health insurance program)

Goal: improve children’s nutrition and physical activity through effective healthcare and community strategies.

Preventive medicine, retail food stores, safe parks.

Ongoing project; completion 2015

Location: UT, Houston, San Diego state university,

Massachusetts state department of public health.

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CDC funded initiatives

4. Communities putting prevention to work

Target: Rural, tribal area, small urban groups to tackle obesity and tobacco use

Goal: Implement environmental changes to make healthier living easier.

 Improve active means of transport.

5. Community transformation grant:

Target: Communities overburdened by chronic diseases

Goal: Community levels effort to reduce chronic diseases related to obesity.

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America Heart Association (AHA) initiatives

What is AHA? A non-profit organization that fosters cardiac care to reduce death and disability caused by heart disease

 Goal :

Improve cardiovascular health of all Americans by

20% and reduce deaths due to CVD by 20% by 2020

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AHA initiatives :

NFL PLAY60 challenge

 Collaboration of NFL and AHA

 Recommend 60 minutes /daily physical activity

 Encourage physically active lifestyle year-round

 Participating schools:

Teacher’s guide

Lesson plan

Game plan

Classroom scoreboard certificate

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AHA initiatives:

Hoops for hearts

 Engage middle school students in basketball and raise money for stroke/ heart disease research.

Jump rope for hearts

 Engage elementary students to jump rope while raising money for stroke/heart disease research.

 School teams sign up for the 6-weeks program

 Learn the skill and also heart health education

 Fundraising

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AHA initiatives:

Alliance for a healthier generation

Collaboration of AHA and William J Clinton foundation

Ongoing project to inspire young people to adopt a lifestyle of healthy habits

Reduce childhood obesity by 2015

14,000 schools enrolled

 Program assess school progress in changing policies, practice and environment that are in favor of healthy lifestyle

 Focus on 3 key initiatives;

 Healthy schools program, EmpowerME kid’s movement, Industry and healthcare

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Alliance for a healthier generation

Key Initiatives:

1.

Healthy schools program

 Provide expert advice to school professionals, teachers and students

2 . EmpowerME kid’s movement (8-12 yr.o)

 incorporating physical activity in after school programs.

 8 lessons on healthy eating and physical activity

 Goal is to make healthy lifestyle cool for kids by kids.

 1.3M kids enrolled

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Alliance for a healthier generation focus

3 . Industry and healthcare

 voluntary agreements with leaders in food, beverage, fitness and healthcare to create access of healthier food and affordable healthcare benefits

Healthcare:

 17,500 pediatricians to give free book- “The very hungry

caterpillar”, associated with learning tools that promote healthy eating.

 Alliance healthcare initiative to reimburse doctors and dietitians who provide obesity-related care counseling to children

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Alliance for a healthier generation focus

3 . Industry and healthcare

Industry:

 Voluntary agreement with industry to provide healthier school meals at the price not higher than ‘classic’ meals

Companies that have signed the agreement:

 AdvancePierre foods, Domino’s pizza, JTM food groups,

McCain Foods, Rich products corporation, Schwan’s foods and Trident seafoods.

 4950 schools enrolled

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Let’s move initiative:

Goal: solve obesity within a generation, be advocating healthy lifestyle so that children born today can reach adulthood at a healthy weight.

 Healthier food in schools

 Better food labeling

 More physical activity

 Presidential memorandum

 Childhood obesity taskforce to review current initiatives and develop a national plan

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 Campaign to create awareness and start the obesity conversation in the community.

 Collaboration of Institute of Medicine (IOM), CDC,

NIH and HBO.

 3 years of research on the science and economics of obesity.

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http://theweightofthenation.hbo.com/films/mainfilms/Consequences

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The big picture:

The weight of the nation is not healthy. And to get healthy, we’re all going to have to do our part”

-Dr. Thomas, director, CDC.

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The role of a community dietitians

 Explore means to fight the pandemic

 Create nutritional intervention project

 Research

 Community education

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Grants and funding

Major funding agencies

 National Institute of Health (NIH)

 USDA

 Grants.gov

 Academy of Nutrition and Dietetics(AND)

 Private agencies

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Grant writing

 Identify the agency

 Identify award/funding opportunity

 Determine eligibility

 Proposal requirements

 Submission deadlines

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Components of a grant proposal

 Executive summary

 Biographical sketch

 Narrative

 Budget

 Budget justification

 Chronogram

 bibliography

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Executive summary

 Specific objectives

 Novelty

 Broader impact

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NAME credential,

EDUCATION/TRAINING

INSTITUTION AND LOCATION

BIOGRAPHICAL SKETCH

POSITION TITLE

DEGRE

E

(if applicabl e)

MM/YY FIELD OF STUDY

A. Personal Statement

B. Positions and Honors

Positions and Employment

Other Experience and Professional Memberships

Honors

C. Selected Peer-reviewed Publications (in chronological order)

D. Research

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Narrative

 Statement of need

 Study rationale

 Study description and methodology

 Expected outcome

 Potential Impact

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Salary:

Senior Personnel

PI

Other Personnel

Fringe Benefits

Equipment

Travel

Participant Cost

Materials/Supplies

Other Direct cost

Publication Costs/Documentation

Equipment maintenance (service)

TOTAL DIRECT COSTS

TOTAL INDIRECT COSTS(% rate of institution)

Budget

Yr

Rate

Yr 1

2010

Yr 2

2011

Yr 3

2012 Cumulative

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Budget justification

 Justification of every component of the budget in a narrative format.

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Chronogram

Activity recruiting

1 st phase of sampling and in vitro incubation of samples

2 nd phase of sampling and in vitro incubation

3 rd phase of sampling and in vitro incubation

Gas liquid chromatography analysis residual carbohydrate analysis bomb calorimetry

Statistical analysis of data prepare manuscripts

Publications and presentation of findings

Year 1 Year 2 Year 3

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Bibliography

Literature cited in the narrative and in the executive summary.

Grants writing class:

PLSC 550:Grants and grantsmanship.

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Health people 2010: Lower obesity to 15%.

Obesity in West Virginia

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Questions?

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