James S. Marks, M.D., M.P.H. Senior VP The Robert Wood Johnson Establishment.


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Patterns Summit on Heftiness Chicago, IL July 20 - 22, 2005 James S. Marks, M.D., M.P.H. Senior VP The Robert Wood Johnson Establishment 20 15 10 5 Ages 2-5 years Ages 6-11 years 0 1976-80 1988-94 1963-67 1966-70 1971-74 1999-2000 Avoiding Adolescence Heftiness Percent
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Patterns Summit on Obesity Chicago, IL July 20 - 22, 2005 James S. Marks, M.D., M.P.H. Senior Vice President The Robert Wood Johnson Foundation

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20 15 10 5 Ages 2-5 years Ages 6-11 years 0 1976-80 1988-94 1963-67 1966-70 1971-74 1999-2000 Preventing Childhood Obesity Percent Percentage of kids with BMI at or over the age-and sexual orientation particular 95 th percentile. Foundation of Medicine; Preventing Childhood Obesity, 2005

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what number passings? 365,000 versus 112,000 Differences in investigative philosophy Better Treatments Still an expansive number

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Estimated Adult Obesity-Attributable Medical Expenditures 2003 – Dollars in millions State expenses identified with stoutness Obesity Research , January 2004

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Both Sides of the Energy Balance Equation Energy Balance Calories In Calories Out Food Environment Activity Environment < > = Gain weight Maintain weight Lose weight

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Interventions School-based methodologies Community-based methodologies Public training crusades

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The Guide to Community Preventive Services: Recommended Physical Activity Interventions Point-of-choice prompts extensive battles School-based PE Social bolster mediations in group settings Individually adjusted wellbeing conduct change programs Creation of or upgraded access to puts for physical action joined with educational effort exercises www.thecommunityguide.org

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Brownson et al., Amer. J. Preventive Med ., 2000, 18(3): 235-241

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Paid media battle to advance strolling among stationary more seasoned grown-ups in Wheeling, WV Results 90% of region occupants presented to crusade 14% net ascent in number of inhabitants expanding their strolling contrasted with control gathering Wheeling Walks www.wheelingwalks.org/results.asp

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Child and Adolescent Trial for Cardiovascular Health (CATCH) Program included instructive, behavioral and school environment segments. Results : Less aggregate and soaked fat More physical action Effects still discovered 3 years after intercession finished www.childtrends.org

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Planet Health Two-year mediation went for diminishing TV review and high-fat nourishments, and expanding movement and foods grown from the ground utilization Results : Obesity predominance among young ladies was lessened Decreased TV survey appeared to be most vital No distinctions found among young men Gortmaker et al, Arch Pediatr. Adolesc. Med. , 1999; 153: 409-418

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30 25 20 15 Christchurch Obesity Prevention Project Control young men Control young ladies Prevalence (%) Intervention young men Intervention young ladies Baseline 12 months Mean change in % of overweight and corpulent kids age 7-11 after instruction system to lessening sugared pop utilization James et al; BMJ 2004; 328: 1237-9

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Safe Routes to School (SR2S) 30 yrs. prior, 66% of children strolled or biked to class; today, approximately 13% do In initial 2 years of Marin County SR2S program: 64% ascent in number of children strolling to class 114% expansion in number of children biking States passing SR2S enactment CA - $20 million/yr. put aside WA – all school areas must have SR2S course gets ready for elem. schools CDC, KidsWalk-to-School: A Guide to Promote Walking to School; Staunton et al, Amer. J. Bar. Wellbeing , 2003; 93(9): 1431-34

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Access to Supermarkets 3x the same number of markets in wealthier neighborhoods 1 4x the same number of in white neighborhoods as in African-American neighborhoods 1 Fruit and vegetable utilization expanded by 1/3 for each extra general store in the group. African-American ladies in Detroit who shop at grocery stores devour more new foods grown from the ground than ladies who shop at free neighborhood markets. Morland et al. “Neighborhood Characteristics Associated with the Location of Food Stores and Food Service Places.” Amer. J. . Preven. Drug , 2002; 22(1): 23-29. Morland et al. “The Contextual Effect of the Local Food Environment on Residents’ Diets: The Artherosclerosis Risk in Communities Study.” Amer. J. Bar. Wellbeing, 2002; 92(11): 1761-1767.

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Over the 2-year period between the first and third reviews, current cigarette utilization declined by 40% among center school understudies and by 18% among secondary school understudies. Bauer et al, JAMA, 2000; 284: 723-28

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VERB ™ Youth Media Campaign Paid media battle to get children age 9-13 to wind up more dynamic Cutting-edge TV, Web, shows and more Longitudinal overview results : 22% expansion in leisure time action sessions/week Kids presented to crusade had more positive states of mind about being dynamic Activity levels of unexposed youngsters diminished Highlights of the Year Two Evaluation Findings , April 2005

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What Can Policymakers Do? Limit/wipe out garbage sustenances in schools Improve access to sound nourishments in schools Improve wellbeing training educational module to give data on sustenance Link school sustenance arrangements with nourishment educational module Increase physical training direction Improve wellbeing instruction classes Wisconsin Public Health & Health Policy Institute; An Ounce of Prevention: What Can Policymakers Do About the Obesity Epidemic?

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What Can Policymakers Do? (cont’d) Eliminate deals charge exclusions on undesirable nourishments and devote the cash to wellbeing projects Promote arrangements that energize strolling and bicycling Maximize state receipt of government cash Improve working environment wellbeing projects Improve guiding by medicinal experts on eating routine and physical action Wisconsin Public Health & Health Policy Institute; An Ounce of Prevention: What Can Policymakers Do About the Obesity Epidemic?

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RWJF Active Living Programs

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Focusing on issues that request consideration Supporting projects that make significant and opportune change – assisting Americans with driving healthier lives Making a distinction in your lifetime…and t

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