The Missouri Compromise was the result of the first debate in Congress concerning the spread of slavery, occurring in 1819-1820. When Missouri applied for admission into the Union, many in Congress objected to Missouri's admission as a slave state, supporting the Tallmadge Amendment that would have made gradual emancipation a condition for admission. When the Senate and the House could not agree on whether to pass the bill with or without the Tallmadge Amendment (the slave states had more influence in the Senate), Henry Clay proposed a compromise that brought Missouri into the Union as a slave state on the condition that Maine also be brought in as a free state and that all territories in the Louisiana Purchase north of the 36˚30 parallel be closed to slavery.
While many congratulated Henry Clay on a job well done, Thomas Jefferson worried greatly from his retirement at Monticello. He believed that the Missouri debate would only be the first of several debates regarding slavery and its expansion. While an opponent of the idea of slavery in the abstract, he did not see a path toward a practical end of slavery in the immediate future. With Jefferson's predictions coming true and the period between 1820-1860 being filled with debates concerning slavery, historians have often placed the Missouri Compromise at the beginning of the Antebellum (Before the War) Period.
For more PowerPoints for history and government courses, visit my website: http://www.tomrichey.net
Obesity is defined as excessive accumulation of body fat that occurs when caloric intake exceeds physiological needs. It can be caused by genetic, behavioral, social, and medical factors. Obesity is assessed by measuring body mass index (BMI), body fat percentage, and skin fold thickness. A BMI over 30 indicates obesity and is associated with increased risk of health complications like hypertension, diabetes, heart disease, and stroke. Obesity management involves dietary changes like reducing carbohydrate and fat intake while increasing protein and fiber, regular exercise, psychological counseling, medication, and sometimes surgery.
The document discusses world hunger, providing statistics on its prevalence and effects. Over 795 million people do not have enough food globally. Hunger stunts children's growth and increases risks of chronic hunger and malnutrition. The root causes of world hunger include poverty, political instability, discrimination, and overconsumption. Proposed solutions involve reducing poverty, increasing food donations and access to education, practicing birth control, and providing help within communities. The conclusion emphasizes that decreasing poverty, such as from natural disasters, and hunger is crucial for a country's economic growth and children's education.
The document provides an overview of key events leading up to the American Revolution, including the Proclamation of 1763, Stamp Act, Quartering Act, Townshend Acts, Boston Massacre, Boston Tea Party, Intolerable Acts, and First Continental Congress. It includes summaries of each event and links to additional information. An interactive timeline allows the user to click on events to learn more details about the causes of tensions between the colonists and British.
Mateusz Filipski (IFPRI), Ben Belton (Michigan State University), and Sithu Kyaw, Eaindra Theint, and Theint Thu of CESD, Myanmar
Presented at the ReSAKSS-Asia conference “Agriculture and Rural Transformation in Asia: Past Experiences and Future Opportunities”. An international conference jointly organized by ReSAKSS-Asia, IFPRI, TDRI, and TVSEP project of Leibniz Universit Hannover with support from USAID and Deutsche Forschungsgemeinschaft (DFG) at the Dusit Thani Hotel, Bangkok, Thailand December 12–14, 2017.
Meiosis is the process of cell division that produces gametes, such as sperm and egg cells, with half the number of chromosomes as the original parent cell. It involves two cell divisions - Meiosis I and Meiosis II. In Meiosis I, homologous chromosomes pair up and separate, reducing the chromosome number by half. Meiosis II then separates the sister chromatids, resulting in four haploid daughter cells each containing a single set of chromosomes. This ensures genetic variation between gametes and allows for genetic recombination during fertilization.
This document discusses 10 common misconceptions about the Spanish language and people who speak it. It addresses each misconception by asking the reader to answer "True or False" and providing a short explanation. Some of the misconceptions addressed are that Spanish is spoken the same everywhere, English is the official language of the US, New Mexico was not originally part of Mexico, and that Taco Bell serves authentic Mexican food.
This document outlines an agenda for a presentation on hunger awareness. It includes sections on defining hunger, statistics on hunger globally and in the US, causes of hunger such as poverty and natural disasters, current efforts to address hunger from government programs and nonprofit organizations, ways to get involved in addressing hunger through volunteering or fundraising, an example of a class activity on the topic, and a works cited list of references. The overall thesis is that hunger is a widespread problem that deserves more public attention and action.
This document summarizes several factors that can lead to interpersonal attraction according to social psychology research: physical appearance/beauty, personality, proximity, and similarity. Studies discussed found that people tend to see attractive, beautiful people as more desirable and competent. Additionally, having a warm, kind, or exciting personality is attractive to others. Proximity, or spending time near others, increases comfort levels and likelihood of attraction. Similarity in characteristics and interests between people also reduces conflicts. Reciprocated liking and gaining the approval of someone who was initially unimpressed can be especially rewarding.
Having trouble falling asleep? Insomnia is one of the most common side effects of cancer treatment. This presentation provides tips for how you can get some rest without using medication.
Is healthwashing the new greenwashing? Are we placing too much faith in technology? These are just some of the questions that emerged from our conversation around making health a shared value at TEDMED 2015. Check out our blog, "Overheard at TEDMED: Let's Dance," for more details: http://blog.tedmed.com/overheard-at-tedmed/
The average Christmas dinner contains as much as 956 calories and 46g of fat.In this presentation, you will see how much weight you gained during Christmas time and what you can do to cut calories during those festive days. ~ Shared by: http://www.familychiropractic.com.sg/
Good Health is Real Wealth at WorkplaceAnkur Tandon
Companies who are aggressively planning out to create a positive work atmosphere are advised to take examples from the major brands who always try to build their work environment employees-friendly.
Read more interesting content, at www.thecareermuse.co.in - We intend to inform and inspire recruiters, job seekers and anyone with an interest in the workplace and HR technology.
Hope you enjoyed reading the Infographic.
Feel free to share your feedback with us at @CareerBuilderIn
Whether you’re fooled by a push/pull door or you unexpectedly run into an academic lecturer outside of class, the best advice we can give you? Embrace the awkward! We’ve put together the most common awkward student moments you’re likely to run into during university life and added some handy tips on how to embrace them.
Design for Change: Empathy as our Guide: Amy Cueva Keynote at Partners Center...Amy Cueva
This presentation was a part of the "Design for Change" track at the October 29, 2015 Partners Center for Connected Health Symposium. The presentation discusses how Empathy can be our guide as we seek to improve health experiences.
This document summarizes a Twitter discussion about healthy and frugal eating during the holidays. Participants shared tips like cooking at home to control calories and portion sizes, buying produce in season, shopping sales and using coupons. Favorite healthy dishes included grilled pork loin and roasted brussel sprouts. When eating out, strategies like splitting meals or taking half home were suggested to avoid overeating. Tracking calories with apps like MyFitnessPal was also discussed.
Visit
www.buildmyfitness.com
For More Useful Articles
Wondering how on earth these celebrities manage to keep the glow of their skin on for years.
Magic or expensive cosmetics?
No, the name of the magic is yoga.
Yoga is the answer to all physical, mental and spiritual development.
1. Bhujangasana (Cobra Pose):
2. Ustrasana (Camel Pose):
3. Matsyasana (Fish Pose):
4. Halasana (Plow Pose):
5. Trikonasana (Triangle pose):
6. Pavanmuktasana (Wind Relieving pose):
7. Breathing Exercise:
Glowing Skin Remedies For Normal Skin Types:
• Mix the juice of half a tomato or orange with two tsp yoghurt. Massage your face with this preparation with upward strokes for a few minutes. Keep on till it dries and then wash off with cold water.• Massage your face using the inner part of a papaya peel. When it dries, wash with cold water.
• Grind half cup cabbage or press out the juice from the resulting pulp. Apply and cleanse it off after it dries. You can do the same thing with a small carrot.• Use the inner part of apple peels to massage your face and wash off with cold water when dry.• Rub an ice cube on your face. Pat dry. This helps to improve blood circulation and brings a natural glow to the skin.
10 Easy Ways to Unleash Your Kid's Brain PowerSage HR
Do you know that a baby is born with all the brain cells he needs when he becomes an adult?
Do you know that a baby creates 700 neural connections every second in the first 1,000 days of his life?
A study conducted by Dr. Jim Heckman, a Nobel Laureate in Economics, show that early stimulation of brain function during childhood plays a critical role in a child's social and economic success. Furthermore, the neural pathways and networks that are forged during the first 1,000 days will have lasting impacts on the person's social, emotional and mental capabilities --- very important factors which dictate the kind of lifestyle, job and social interactions he will have in the future.
For parents who want nothing but the best for their children, Dr. Heckman's research show that preschool experiences and early interactions with peers and adults provide the highest return in capital investment. The benefits of which decreases dramatically after school due to aging and several other reasons.
From an economic standpoint, these words ring true. Early childhood stimulation of brain function develops fluid abilities such as memory, reasoning, speed of thought and problem solving prowess. All of which are interrelated and foreshadows high-level brain function which is key to a happy, successful life.
In this Slideshare story deck, CakeHR is proud to present 10 easy, practical ways to develop your kid's brain power. Here you will learn about the importance of play, songs and interactive toys in early childhood brain stimulation. You will also learn that the way your respond to your child's needs and cries will have a direct effect on the development of his cognitive and emotional abilities.
Learn more about CakeHR at > > > cake.hr
There’s no doubt that Valentine’s Day traditions have changed since the holiday first began. But now with the dawn of social media, things are changing once again. Learn more... http://www.temptationsdirect.co.uk/sextalk/1642-Valentines_Day_Traditions
How can cancer patients manage the symptoms of chemobrain? Learn more about this side effect of cancer treatment, which can sometimes cause decreased short-term memory, problems finding words, short attention span, and difficulty concentrating and multitasking.
1) Nearly 1 in 100 people aged 15-64 in Great Britain is considered a high-risk drug user, defined as injecting drugs or regular long-term use of opioids, cocaine, and/or amphetamines.
2) In 2013-14, there were 47,900 child assessments where alcohol or other drugs were a factor, and 435 children in foster care ran away due to substance misuse.
3) Prisoners have high rates of drug use and mental health problems, and older prisoners are more likely to have used Class A drugs before entering custody.
The Spring Festival, also known as the Chines New Year, is the most important Chinese festival celebrated each year. Many traditions have significant influence on people’s life.
Read the infographic “ Chinese New Year - the Spring Festival”.
Whether it's prescription or street drugs, when the demise includes a celebrated face, it attracts consideration regarding evil spirits that neither cash nor notoriety can tame. These 16 stars lost their lives to overdoses, yet their legacy lives on in the collection of work they deserted.
The Future of Medical Education - Top Trends Likely to Have an Impact on the ...Ogilvy Health
The document summarizes key trends that are likely to impact the healthcare industry in the next decade based on a panel discussion with experts. Three major trends are: 1) Increased accountability and use of real-world data by pharmaceutical companies as patients have more medical information. 2) The rise of the "digitally enabled patient" as wearables and devices give patients and doctors more data to self-monitor health. 3) The impact of hyper-connected learners who will increasingly personalize their medical education online.
Science of Achievement & Art of Fulfillment | Tony Robbins Tony Robbins
What does it mean to live an extraordinary life? It means living life on your own terms. And to do that, you must master two skills: The science of achievement and the art of fulfillment. Hear Tony explain why success without fulfillment is the ultimate failure.
Your Keys to an Extraordinary Life of Fulfillment:
Health, Time, Wealth, Business, Mind & Spirit, Relationships
For more insights, strategies and tools, visit: http://tonyr.co/1Ol6IJH
Visit Tony Robbins' websites:
https://www.tonyrobbins.com/
http://humanelevation.tonyrobbins.com/
https://moneymasterthegame.com/
Follow Tony Robbins @:
Facebook: https://www.facebook.com/TonyRobbins
Twitter: https://twitter.com/tonyrobbins
LinkedIn: https://www.linkedin.com/in/ajrobbins
Google+: https://plus.google.com/+TonyRobbins
Instagram: https://instagram.com/tonyrobbins/
Tony Robbins is a #1 New York Times best-selling author, entrepreneur, and philanthropist. For more than 37 years, millions of people have enjoyed the warmth, humor and dynamic presentation of Mr. Robbins' corporate and personal development events. As the nation's #1 life and business strategist, he¹s called upon to consult and coach some of the world¹s finest athletes, entertainers, Fortune 500 CEOs, and even presidents of nations.
Childhood obesity, a very complex health issue that becomes a growing problem in the U.S. In fact, “over the past three decades, childhood obesity rates have tripled in the U.S., and today, the country has some of the highest obesity rates in the world: one out of six children is obese, and one out of three children is overweight or obese.” (Child obesity, n.d.). Physical diseases and conditions are often accompanying obesity. Also, obesity may have an adverse effect on various systems in a child’s body, such as heart, lungs, muscles and bones, kidneys, digestive tract, and hormones that control blood sugar and puberty. Furthermore, it can take a toll on social life because obese kids and teenagers are more likely to have low self-esteem. “Childhood obesity is one of the most serious threats to the health of our nation.” (Building evidence to prevent childhood obesity, n.d.). Children and youth who are obese and overweight will likely remain overweight or obese into adulthood.
References
Building evidence to prevent childhood obesity. (n.d.). Retrieved from https://www.rwjf.org/content/rwjf/en/how-we-work/grants-explorer/featured-programs/healthy-eating-research.html
Childhood obesity. (n.d.). Retrieved from https://www.hsph.harvard.edu/obesity-prevention-source/obesity-trends/global-obesity-trends-in-children/
Community AssessmentMaria PribeWalden University.docxmccormicknadine86
Community Assessment
Maria Pribe
Walden University
Obesity in Wayne County, Michigan
children and adults are vulnerable populations
obese children and adults have low-income
45.9% of Wayne County population is obese (Teixeira et al., 2015)
obesity is linked to overweight, heart disease
Figure 1.0. Bar graph showing income distribution of counties
Source: https://www.pittcountync.gov/Archive/ViewFile/Item/140
Obesity in Wayne Count is a public health problem, especially among children and adults. Children aged 10 to 17 and adults with over 20 years are vulnerable to obesity. Children and adults with obesity make 45.9% of the total population, and most of them come from low-income populations where health disparity is a prevalent issue. Health determinants in Wayne County include education, poverty, income, housing, and discrimination (Teixeira et al., 2015). The obese population does not have access to clean water and live in slums, where air pollution is dominant. More than 17% of adults in Wayne County lack health insurance coverage. Blacks are poorer compared to their white counterparts and have increased chances of having obesity.
*
Results comprehensive assessment
poor diet, lack of physical activity
Wayne County ranks position 5th in Michigan (Tholen et al., 2019)
beaches, hiking trails, bike paths remain underutilized
obesity leading factor is unhealthy eating habit
the Michigan Department of Community Health (MDCH)
Obesity is prevalent as a result of poor eating habits and lack of physical activity such as walking, soccer-playing, climbing the stairs, and gardening. Most of the roads are tarmacked, and residents of Wayne Count prefer driving than walking. These residents deny themselves an opportunity for physical activity, thus becoming vulnerable to overweight. Wayne County is among the topmost counties of Michigan where obesity among children and adults is a health problem; it is ranked 5th position (Tholen et al., 2019). Wayne County is a healthy county, but most of the resources for improving physical fitness, such as hike trails, bike paths, and beaches, remain unutilized. The primary obesity leading factor is unhealthy eating, where people do not take fruits and vegetables to control obesity. Collaboration with MDCH aids the approximation of the number of obese children and adults in Wayne County.
*
(continued)
the State of Childhood Obesity website
the Bridge Michigan Health Watch
Physical activity (PA) assessment
Wayne Metropolitan Community Action (WMCA)
The State of Childhood Obesity website provides information and data on the prevalence of obesity in Michigan state. It is a public health-based organization that aims at helping all children to grow up healthy. Another useful website that assisted in locating obesity prevalence in Michigan is Bridge Michigan Health Watch. The website presents obesity epidemiology in Michigan state. Approximately 2.5 million adults and more than 400 children in Michigan Sta ...
The Surgeon General’s Vision for a Healthy and Fit Nation.docxssusera34210
The Surgeon General’s Vision
for a Healthy and Fit Nation
2010
U.S. Department of Health and Human Services
The Surgeon General’s Vision
for a Healthy and Fit Nation
2010
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
Office of the Surgeon General
Rockville, MD
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
Office of the Surgeon General
This publication is available on the World Wide Web at
http://www.surgeongeneral.gov
Suggested Citation
U.S. Department of Health and Human Services. The Surgeon General’s Vision for a Healthy and
Fit Nation. Rockville, MD: U.S. Department of Health and Human Services, Office of the Surgeon
General, January 2010.
INTRODUCTION ◊ 1
MESSAGE FROM THE SURGEON
GENERAL
Our nation stands at a crossroads. Today’s
epidemic of overweight and obesity threatens the
historic progress we have made in increasing
American’s quality and years of healthy life.
Two-third of adults1 and nearly one in three
children are overweight or obese.2 In addition,
many racial and ethnic groups and geographic
regions of the United States are
disproportionately affected.3 The sobering impact
of these numbers is reflected in the nation’s
concurrent epidemics of diabetes, heart disease,
and other chronic diseases. If we do not reverse
these trends, researchers warn that many of our
children—our most precious resource—will be
seriously afflicted in early adulthood with
medical conditions such as diabetes and heart
disease. This future is unacceptable. I ask you to
join me in combating this crisis.
Every one of us has an important role to play in
the prevention and control of obesity. Mothers,
fathers, teachers, business executives, child care
professionals, clinicians, politicians, and
government and community leaders—we must
all commit to changes that promote the health
and wellness of our families and communities.
As a nation, we must create neighborhood
communities that are focused on healthy nutrition
and regular physical activity, where the healthiest
choices are accessible for all citizens. Children
should be having fun and playing in
environments that provide parks, recreational
facilities, community centers, and walking and
bike paths. Healthy foods should be affordable
and accessible. Increased consumer knowledge
and awareness about healthy nutrition and
physical activity will foster a growing demand
for healthy food products and exercise options,
dramatically influencing marketing trends.
Hospitals, work sites, and communities should
make it easy for mothers to initiate and sustain
breastfeeding as this practice has been shown to
prevent childhood obesity. Working together, we
will create an environment that promotes and
facilitates healthy choices for all Americans. And
we will live longer and healthier lives.
In the 2001 Surgeon General’s Call to Action to
Prevent and Decrease Overwei ...
Access to Healthy Food a Critical Strategy for Successful Population Health ...Innovations2Solutions
The diet of many Americans remains unhealthy, contributing to high rates of childhood and adult obesity that are associated with health outcomes such as heart disease and stroke. To promote wellness, the healthcare industry must go beyond treating individuals with chronic conditions to also address
the risks of different population segments before they reach advanced stages of illness.
In recognition of National Childhood Obesity Awareness Month, I developed and facilitated a community-based "Lunch and Learn" session. I provide background information, statistics and informational resources pertaining to the obesity epidemic. Additionally, I provided nutrition and fitness related strategies to foster a healthy lifestyle.
Healthy People 2010 aims to improve national health through two overarching goals: increasing quality and years of healthy life, and eliminating health disparities. It monitors progress through 467 objectives across 28 focus areas. Achieving its goals requires recognizing that health is determined by interactions between individual behaviors, environments, and policies targeting factors like access to healthcare. Two successful programs that exemplify this systematic approach are Action for Healthy Kids, which promotes healthy school environments, and the 100 Black Men Health Challenge, which empowers communities through lifestyle modeling and education.
Running head PICOT STATEMENT 1PICOT STATEMENT 5.docxtoltonkendal
Running head: PICOT STATEMENT 1
PICOT STATEMENT 5
PICOT Statement: Childhood Obesity
P-I-C-O-T Statement
P- Patients who suffer from obesity (BMI of more than 30)
I- Undertaking nutritional education, diet, and exercise
C- Comparison to nutritional education, endoscopic bariatric surgical intervention
O- Improved health outcomes in terms of overall weight
T - A year’s time limit
PICOT Statement: Childhood Obesity
Introduction
Childhood obesity poses serious health problems in the US as the number of overweight and obese population increases at a rapid pace every year. The effects of this problem have arrested the attention of policymakers, societal members, and government agencies. This has resulted in ranking childhood obesity as a national health concern. The adverse impacts of this disease go beyond the health realms to include economic burden on both personal and national budgets. While there are numerous risk factors and various evidence-based interventions to address this challenge, no single approach is consistently efficacious in curbing the disease. Consequently, it is imperative that efficacious initiatives and policies be developed to address the never-ending problem of childhood obesity. Multidisciplinary approaches are often broad and cut across all dimensions of personal health problems. Instead of placing emphasis solely on biomedical models, health care professionals should also seek to promote behavior change among obesity patients and their family members. A PICOT statement can be utilized as an effective tool to seek interventions of addressing childhood obesity.
PICOT Statement
Population
In the US, obesity prevalence is highest among children aged from 6 to 11 years (Cheung et al. 2016). The disease has tripled among this age group from 4.2 percent to 15.3 percent from 1963 to 2012. In the last three decades, increased cases of obesity prevalence have been noted among children of all ages, although the differences in obesity prevalence have been recorded in terms of age, race, ethnicity, and gender (Cheung et al. 2016). In this respect, children from socioeconomically disadvantaged families and some racial and ethnic minorities experience the higher median score on obesity than the dominant white population. Higher obesity rates are often recorded among blacks and Hispanics compared to whites. For instance, a survey on girls in the Southwest revealed that the yearly cases of obesity stood at 4.5 percent among Blacks, 2 percent among Hispanics, and 0.7 percent among white girls aged from 13 to 17 years (Cheung et al. 2016). For low-income earners, American Indians rank highest at 6.3 percent, followed closely by Hispanics at 5.5 percent.
Intervention
Evidence-based interventions that seek to reduce childhood obesity incidences in the country should target two major areas: prevention and treatment. High-quality RCT has been proven as one of the most effective preventative ...
The U.S. Government’s Global Health Initiativejehill3
The document summarizes the US Global Health Initiative (GHI), which aims to invest $63 billion over six years to strengthen health systems and improve health outcomes in partner countries, with a focus on women, newborns and children. The GHI will work through coordination, integration, country ownership and health systems strengthening. It establishes targets to reduce mortality and prevalence of diseases like HIV/AIDS, tuberculosis, malaria and malnutrition by 2015. The GHI operational plan includes assessing country health plans, focusing US investments, and designating some countries for additional technical and financial support.
Overwieght and obesity whats need to be done.zakaria mohAhmedaedy
Overweight and obesity are leading causes of diabetes and non-communicable diseases in Kenya. To address this, approaches are needed to prevent obesity through policies influencing food environments, marketing of unhealthy foods, and promoting healthy diets and physical activity. Current challenges include weak multi-sectoral coordination and inadequate nutrition resources. Next steps involve strengthening multi-sectoral efforts through advocacy and leveraging other sectors to reduce obesity.
This white paper proposes developing a low-cost, nutrient-rich snack to help reduce obesity among American youth. Obesity rates among youth are approaching 20% and treatment is only modestly effective. Sedentary behaviors like TV and video games contribute to obesity. Food advertising targets youth and annual sales to them exceed $27 billion. The paper argues that making a healthy alternative snack affordable could help circumvent resistance to nutrition guidelines. Developing such a snack could help address the roots of adult obesity in childhood habits and make solving childhood obesity a priority.
This white paper proposes engineering a low-cost, nutrient-rich snack to help reduce childhood obesity in America. The prevalence of obesity among American youth is approaching 20%, yet efforts to increase nutrition education and encourage healthy eating have proven ineffective. Adolescents are heavily influenced by cheap, convenient junk foods and sugary drinks that are widely advertised and available. The paper argues that making an affordable, healthy alternative snack readily available could help circumvent resistance to nutrition guidelines and decrease obesity rates among youth.
This document discusses the relationship between childhood obesity and families receiving SNAP (Supplemental Nutrition Assistance Program) benefits. It finds that families receiving SNAP benefits have higher obesity rates than the general population, in part because unhealthy food items can be purchased with SNAP funds. The document proposes making unhealthy foods ineligible for SNAP purchase and encouraging healthier alternatives. It also discusses different food assistance programs in the US and compares the SNAP program to revisions made to the WIC program to promote healthier eating.
What is the Best Approach to Treat the Childhood Obesity Epidemic?MadisonPerry11
The document discusses approaches to treating childhood obesity. It notes that childhood obesity rates in the US are high, affecting over 13 million children. Dr. William Dietz, an expert in childhood nutrition and obesity, will discuss strategies at a summit, including making healthy foods as accessible as unhealthy options. Effective approaches may include prevention efforts targeted at low-income areas, where obesity rates are highest, through improving school foods, adding farmers markets, and creating recreational spaces. Both prevention and treatment are needed, with a focus on early childhood prevention.
The document discusses the obesity and diabetes epidemics affecting American youth. It provides statistics on the rising rates of obesity, pre-diabetes, and type 1 and type 2 diabetes among children and adolescents. It advocates for implementing coordinated school health programs that promote nutrition education, physical activity, and healthy lifestyle choices in order to prevent and manage diabetes and obesity in young people.
This document provides an executive summary of the 2018 Global Nutrition Report. It finds that while malnutrition is a global issue and progress has been slow, opportunities now exist to address it through commitments like the UN Decade of Action on Nutrition and the Sustainable Development Goals. The burden of malnutrition remains high in multiple forms among children and adults worldwide. However, countries are increasingly establishing policies and targets to tackle malnutrition, though financing remains a challenge to deliver on these commitments. Data and understanding of effective solutions are improving but must be translated into urgent, comprehensive action to achieve nutrition goals.
The document discusses the rising rates of obesity in the United States from 1985 to 2007 based on data from the CDC. It notes that the percentage of adults classified as obese increased significantly over this period across many states. The text also addresses growing rates of childhood obesity and links it to poor dietary habits, excessive screen time, and aggressive food marketing to children. Additionally, it examines the role schools can play in addressing the issue through nutrition standards, health education, and making healthy foods more available and appealing to students.
The PR campaign aims to increase awareness of sugar's harmful effects and obesity rates in Pennsylvania schools and communities. Tactics include educational school assemblies, distributing brochures and t-shirts, a mobile app, and a news release. Success will be evaluated based on pre/post surveys, sign-ups for advocacy groups, and potential policy/program changes by Fall 2016. The campaign targets multiple audiences and carefully aligns tactics to objectives to effectively educate students, parents, and health experts on sugar's impacts.
The document discusses obesity rates and causes in the Bronx county of New York. It finds that nearly 1 in 3 children and 1 in 4 adults in the South Bronx are obese. Obesity is linked to increased risk of diseases like diabetes and hypertension. Prevention strategies discussed include improving access to physical activity, nutrition education programs in schools and for parents, and making healthy foods like salad more available to children.
The Let's Move initiative was established in 2010 by First Lady Michelle Obama to address the growing issue of childhood obesity. The program has five pillars focused on nutrition, physical activity, and empowering families and communities. Data is collected from various government surveys to monitor the program's effects on decreasing obesity rates and improving health. While still early, some positive changes have been seen like more schools offering healthier meals and private companies changing policies. Ongoing evaluation is needed to assess the long-term sustainability and full impacts of the comprehensive Let's Move program.
Place matters for health! A growing body of research over the last several decades has shown the connections between place and health. From obesity and chronic disease to depression, social isolation, or increased exposure to environmental toxins and pollutants, a person’s zip code can be a more reliable determinant of health than their genetic code.
In 2016, Project for Public Spaces compiled a report of peer-reviewed research that found key factors linking pubic spaces and peoples’ health. And public spaces are more than just parks and plazas – our streets represent the largest area of public space a community has!
This webinar will introduce participants to the placemaking process, the research behind the findings linking place and health, and how to envision streets as places – not just their function in transporting people and goods, but the vital role they play in animating the social and economic life of communities.
Using case problems, this webinar will give attendees real-world examples of workplace wellness situations and help attendees learn from those situations so that they can design and implement a compliant wellness program. Through case problems, attendees will review compliance mistakes concerning HIPAA, ACA, GINA, ADA, FLSA, data privacy and tax laws. Participants will learn how to use those laws to build a better workplace wellness program.
Learning Objectives:
* Understand how to apply laws to specific factual situations.
* Identify red flags in certain common workplace wellness practices.
* Learn the basics of HIPAA, ACA, GINA, ADA, FLSA, data privacy and tax laws as those laws relate to workplace wellness programs.
This document provides an overview and update on the ADA and GINA regulations regarding workplace wellness programs. It discusses key cases like EEOC v. Flambeau that impacted the ADA rules. The final rules from the EEOC place a 30% incentive limit for wellness programs and require protections for collected medical information. GINA allows incentives for a spouse's health information with authorization but prohibits family history inquiries. Employers must comply with both laws which aim to protect employee privacy and prevent discrimination.
This document provides information about maintaining CHES and MCHES certification, including recertification requirements and processes. It discusses the need to earn continuing education contact hours (CECHs) through approved activities to renew certification annually and recertify every 5 years. A minimum of 75 CECHs must be earned each cycle, including at least 30 from Category I approved events. Category II activities can account for up to 30 CECHs. Extensions and options like retiring status or recertifying through exam are available under certain circumstances. The benefits of maintaining certification and fees are also outlined.
Looking for a healthier investment strategy? A new study by The Health Project (THP) finds that a portfolio of stock in companies that have won the prestigious C. Everett Koop National Health Award -- recognizing effective workplace health promotion programs -- has significantly outperformed the Standard & Poor's (S&P) 500 Index over the past 14 years. Since 2000, investing in Koop Award winners would have produced more than double the returns of the S&P 500, according to the new research led by THP President and CEO Dr. Ron Goetzel. Tune in to this webinar to hear more about this and related studies.
This webinar will discuss the prevalence of pre-diabetes and it’s contributing factors and the initial efforts to translate the National Diabetes Prevention Program to public health. We will also look at new approaches to providing interventions.
Learning objectives:
Scope and scale of pre-diabetes and what factors contribute to it.
Review initial efforts to translate the DPP to public health.
New approaches to providing interventions.
About The Presenter
Dr. Marrero received a B.A. (1974), M.A. (1978) and Ph.D. (1982) in Social Ecology from the University of California, Irvine. He joined the IU School of Medicine in 1984 and became the J.O. Ritchey Professor of Medicine in 2004. He was a member of the Diabetes Research & Training Center and served as Director of the Diabetes Prevention and Control Division. He is currently the Director of the Diabetes Translational Research Center. Dr. Marrero is an expert in the field of clinical trails in diabetes and translation research which moves scientific advances obtained in clinical trails into the public health sector. He helped design the Diabetes Prevention Program and the TRIAD study, which evaluated strategies to improve diabetes care delivery in managed care settings. His research interests include strategies for promoting diabetes prevention, care settings, improving diabetes care practices used by primary care providers, and the use of technology to facilitate care and education. Dr. Marrero was twice awarded the Allene Von Son Award for Diabetes Patient Education Tools by the American Association of Diabetes Educators, nominated to Who’s Who in Medicine and Health care in 2000, served as Associate Editor for Diabetes Care (1997-2002) and is currently the Associate Editor for Diabetes Forecast. He was selected as Alumni of the Year for University of California Irvine in 2006 and The Outstanding Educator in Diabetes in 2008 by the American Diabetes Association. He is the current President of the American Diabetes Association.
John Weaver, Psy.D. is a Licensed Psychologist who received his Doctor of Psychology degree from the Wisconsin School of Professional Psychology. He also has a Master of Science degree in Clinical Psychology from Marquette University and a Master of Divinity degree from St. Francis School of Pastoral Ministry.
CDC will provide an overview of their WorkLife Wellness Office services and describe how they used the HealthLead accreditation process to provide a framework to assess the comprehensiveness of their new office and existing programs and processes. Also, how the scoring of framework identified strengths and weaknesses and how the assessment plan of action is used for future strategic planning to drive new connections, data sources, and programmatic gaps as they strive to achieve HealthLead Silver. CDC will share specific examples of what was required and shared as part of the HealthLead audit during the presentation.
The way you communicate, and what you communicate, shapes how your employees feel about working there. Yet organizations often fail to prioritize corporate communication, to the detriment of their entire workplace culture.
Regular communication with employees sends the message that you value them as whole people. And consistent, meaningful communication can strengthen the employee-employer relationship. And when that relationship is strong, everyone wins: the employees, the employer, and the customers, clients, or patients.
You’ll come away from this webinar with immediately-useful tips and insider tricks from our 30+ years of experience producing engaging employee communications and leave with a blueprint of how to produce your own communications, or evaluate a vendor’s options, plus creative options.
We are reminded of the risk of workplace violence every time we hear of a tragic shooting on the news. As wellness professionals, we often have a broad contact with individuals who are struggling and with the structures of organizations that can have an influence on whether those individuals get help or act out their anger and frustration. In this session we will look at risk factors that can be identified to indicate that an individual needs additional assessment and help and at the organizational structures that can be implemented to reduce the risk of violence in your workplace. It is important that, as wellness professionals, we look at how to address this extreme form of unhealthy behavior.
This document discusses the requirements and process for maintaining CHES/MCHES certification. It covers recertification requirements including earning 75 continuing education contact hours every 5 years with a minimum of 15 hours per year. It describes the two categories of continuing education - Category I credits offered by pre-approved providers and Category II credits from non-preapproved activities. The benefits of certification and differences between certificates and certification are also summarized.
Wellness is who we are, not what we do. As Oklahoma State University’s Chief Wellness Officer, Dr. Suzy Harrington shares a comprehensive, evidence based, wellness strategy model, driving America’s Healthiest Campus®. This model is transferrable to any setting to strategize the collaboration and vision for students, employees, and in the communities in which we live, learn, work, play, and pray. In addition to the model, Dr. Harrington will share the foundational structures that must be in place to support a sustainable culture of wellness.
Have you ever wondered why it is that even people who desperately want to adopt healthier lifestyles don’t stick with them once their initial burst of motivation fades? This provocative webinar will discuss the surprising reasons this is true and also showcase a new science-based paradigm to motivate healthy behavior so it is maintained over time. Dr. Michelle Segar will explain why logic-based reasons for behavior change (e.g., better heath, disease prevention, etc.) keep people stuck in cycles of starting and stopping but not behavioral sustainability. Using story and science, she will describe an easy-to-adopt, novel approach to promoting health, wellness, and fitness behaviors that leading organizations are starting to adopt. Attendees will leave this webinar with a more strategic way to communicate about and promote the sustainable behavior necessary for achieving improved health and well-being.
This document summarizes a presentation about creating healthy workplaces. It discusses how poor health costs employers money through increased medical costs, absenteeism, and reduced productivity. Many chronic diseases are caused or exacerbated by modifiable lifestyle factors like obesity, tobacco use, poor nutrition, lack of exercise, alcohol use, and stress. Establishing a culture of health in the workplace through leadership commitment, evidence-based wellness programs, and a focus on modifying risk factors can improve employee health and reduce costs. Case studies show that comprehensive worksite wellness programs have led to reductions in health risks, health care costs, and increases in productivity at successful companies.
This webinar will discuss the major federal laws that impact workplace wellness program design, including the Affordable Care Act/HIPAA Nondiscrimination rules on the use of financial incentives, the Americans with Disabilities Act (ADA), the Genetic Information Nondiscrimination Act (GINA), federal tax laws as well as recent EEOC action such as the proposed ADA rules and lawsuits against Honeywell, Flambeau and Orion Energy Systems. Through case examples, the speaker will explain how each of these laws interact with one another, who enforces these laws, what to expect in terms of future guidance, and how health promotion professionals can use these laws as tools in designing more effective and inclusive workplace wellness programs.
Are you looking to refresh your current workplace wellness program or have you thought about starting a workplace wellness program and don't know where to begin? Check out Workplace Wellness 2.0. In 60 minutes, you'll learn the 10 easy steps to create an inexpensive, community-based, volunteer-managed, thriving wellness initiative. Hope Health's managing editor, Jen Cronin, will walk you through the effective strategy based on the custom publisher's 30-plus years of working with hundreds of organizations and their workplace wellness efforts.
Learning Objectives:
How to begin a new program, or add new life to an existing wellness program, with the Workplace Wellness 2.0 concepts
How to take advantage of inexpensive, free and readily available resources to power your wellness program
How to create a program WITH employees vs. FOR employees.
About The Presenter
Jen Cronin
Managing Editor
Hope Health
An avid runner and foodie, Jen's goal is to help others embrace — and enjoy — a healthful lifestyle by creating inspiring, engaging, and fun content that focuses on simple ways people can take care of their mind, body, and spirit. Jen has more than 18 years of writing, editing, and communications project management experience. She has worked as a health reporter, a public relations specialist at a major medical school, and a marketing communications consultant for a Blue Cross Blue Shield affiliate before coming to HOPE Health in 2009.
Samantha Harden discuss provides an overview of the RE_AIM framework which evaluates the effectiveness of interventions based on the following five dimensions:
Reach into the target population
Effectiveness or efficacy
Adoption by target settings, institutions and staff
Implementation - consistency and cost of delivery of intervention
Maintenance of intervention effects in individuals and settings over time.
We will also practice using RE-AIM in planning, implementation, and evaluation and share resources available on RE-AIM.org.
Learning Objectives
1. Understand the five RE-AIM dimensions
2. Practice using RE-AIM for planning, implementation, and evaluation
3. Explore available resources found at RE-AIM.org
Simply applying knowledge we have reliably in hand, we could prevent fully 80% of all chronic disease and premature death in modernized and modernizing countries. Standing between us and that prize is an obstacle course of competing claims, false promises, and profit-driven, pop culture nonsense. The case will be made for True Health Coalition to rally diverse voices to the cause of using what we know, even as we pursue what we do not. The challenges, operations, and promise of the endeavor will be discussed.
Shannon Polly will lead a webinar on teaching tangible techniques and exercises that help people cultivate presence. The hour-long webinar will also include information on what science is telling us about presence. Shannon Polly brings both her expertise as a professional actor, playwright and Broadway producer and her background in positive psychology as a teacher, facilitator and coach to this somatic approach to well-being and thriving.
“It’s a common myth that you either have ‘executive presence’ – that essence that helps you to command a room – or you don’t”, says Polly, “but that is simply not true. As an actor, I know there are tricks and techniques, and as a Positive Psychology Expert, I also know that how you carry yourself physically has a big impact.”
A historical journey into the origin of Emotional Intelligence (EQ) as a concept developed by Mayer & Salovey and later Daniel Goleman. A futuristic trek revealing the application of Emotional Intelligence via 8 EQ Competencies developed by the International EQ Organization, Six Seconds.
More from HPCareer.Net / State of Wellness Inc. (20)
Chair and Presenter, Stephen V. Liu, MD, Benjamin Levy, MD, Jessica J. Lin, MD, and Prof. Solange Peters, MD, PhD, discuss NSCLC in this CME/MOC/NCPD/AAPA/IPCE activity titled “Decoding Biomarker Testing and Targeted Therapy in NSCLC: The Complete Guide for 2024.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/NCPD/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/4bBb8fi. CME/MOC/NCPD/AAPA/IPCE credit will be available until July 1, 2025.
Case presentation of a 14-year-old female presenting as unilateral breast enlargement and found to have a giant breast lipoma. The tumour was successfully excised with the result that the presumed unilateral breast enlargement reverting back to normal. A review of management including a photo of the removed Giant Lipoma is presented.
Pharmacotherapy of Asthma and Chronic Obstructive Pulmonary Disease (COPD)HRITHIK DEY
This PowerPoint presentation provides an in-depth overview of the pharmacotherapy approaches for managing asthma and Chronic Obstructive Pulmonary Disease (COPD). It covers the pathophysiology of these respiratory conditions, the various classes of medications used, their mechanisms of action, indications, side effects, and the latest treatment guidelines. Designed for students, healthcare professionals, and anyone interested in respiratory pharmacology, this presentation offers a comprehensive understanding of current therapeutic strategies and advancements in the field.
Chemical kinetics is the study of the rates at which chemical reactions occur and the factors that influence these rates.
Importance in Pharmaceuticals: Understanding chemical kinetics is essential for predicting the shelf life of drugs, optimizing storage conditions, and ensuring consistent drug performance.
Rate of Reaction: The speed at which reactants are converted to products.
Factors Influencing Reaction Rates:
Concentration of Reactants: Higher concentrations generally increase the rate of reaction.
Temperature: Increasing temperature typically increases reaction rates.
Catalysts: Substances that increase the reaction rate without being consumed in the process.
Physical State of Reactants: The surface area and physical state (solid, liquid, gas) of reactants can affect the reaction rate.
Causes Of Tooth Loss
PERIODONTAL PROBLEMS ( PERIODONTITIS, GINIGIVITIS)
Systemic Causes Of Tooth Loss
1. Diabetes Mellitus
2. Female Sexual Hormones Condition
3. Hyperpituitarism
4. Hyperthyroidism
5. Primary Hyperparathyroidism
6. Osteoporosis
7. Hypophosphatasia
8. Hypophosphatemia
Causes Of Tooth Loss
CARIES/ TOOTH DECAY
Causes Of Tooth Loss
CAUSES OF TOOTH LOSS
Consequence of tooth loss
Anatomic
Loss of ridge volume both height and width
Bone loss :
mandible > maxilla
Posteriorly > anteriorly
Anatomic consequences
Broader mandibular arch with constricting maxilary arch
Attached gingiva is replaced with less keratinised oral mucosa which is more readily traumatized.
Anatomic consequences
Tipping of the adjacent teeth
Supraeruption of the teeth
Traumatic occlusion
Premature occlusal contact
Anatomic Consequences
Anatomic Consequences
Physiologic consequences
Physiologic Consequences
Decreased lip support
Decreased lower facial height
Physiologic Consequences
Physiologic consequences
Education of Patient
Diagnosis, Treatment Planning, Design, Treatment, Sequencing, and Mouth Preparation
Support for Distal Extension Denture Bases
Establishment and Verification of Occlusal Relations and Tooth Arrangements
Initial Placement Procedures
Periodic Recall
Education of Patient
Informing a patient about a health matter to
secure informed consent.
Patient education should begin at the initial
contact with the patient and should continue throughout treatment.
The dentist and the patient share responsibility for the ultimate success of a removable partial denture.
This educational procedure is especially important when the treatment plan and prognosis are discussed with the patient.
Diagnosis, Treatment Planning, Design, Treatment, Sequencing, and Mouth Preparation
Begin with thorough medical and dental histories.
The complete oral examination must include both clinical and radiographic interpretation of:
caries
the condition of existing restorations
periodontal conditions
responses of teeth (especially abutment teeth) and residual ridges to previous stress
The vitality of remaining teeth
Continued…..
Occlusal plan evaluation
Arch form
Evaluation of Occlusal relationship through mounting the diagnostic cast
The dental cast surveyor is an absolute necessity in which patients are being treated with removable partial dentures.
Mouth preparations, in the appropriate sequence, should be oriented toward the goal of
providing adequate support, stability,
retention, and
a harmonious occlusion for the partial denture.
Support for Distal Extension Denture Bases
A base made to fit the anatomic ridge form does not provide adequate support under occlusal loading.
The base may be made to fit the form of the ridge when under function.
Support for Distal Extension Denture Bases
This provides support
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptxFFragrant
Not all women with hydrosalpinx should choose laparoscopy. Natural medicine Fuyan Pill can also be a nice option for patients, especially when they have fertility needs.
Join the leading All Range PCD Pharma Franchise in India and grow your business with a trusted partner. We offer an extensive range of high-quality pharmaceutical products, competitive pricing, and comprehensive marketing support. Benefit from our expertise, wide distribution network, and excellent customer service. Elevate your pharma business with See Ever Healthcare's proven PCD franchise model.
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Embyonal Stem Cells - Properties and Classification
State of Obesity 2015
1. The State of Obesity 2015
Better Policies for a Healthier America
Richard Hamburg
Deputy Director
October 23, 2015
2. Overview
o Adult rates are stabilizing at high rates overall, with
only a handful of increases
o Significant disparities persist
o Prevention is key
n It is easier to prevent in children than reverse trends
later.
o Future progress will require we examine what is
working and bring these efforts to scale nationwide.
3. Adult Obesity Trends in 2014
o Rates increased in five states
n Kansas, Minnesota, New Mexico, Ohio, Utah
o Adult obesity (BMI > 30) now exceeds 35% in
three
n Considerable variation (Arkansas, 35.9%; Colorado
21.3%)
n In 1991, no state exceeded 20%
n In 1980, no state exceeded 15%
5. States With The Highest Obesity Rates
o 7 of the 10 states with the highest rates of adult/childhood
obesity are in the South.
6. Persisting Disparities in 2014 data
o 23 of the 25 states with the highest rates are in the South and
Midwest
o 9 out of 10 states with highest rates of diabetes are in the South
o American Indian/American Natives have highest adult
obesity rate (54 percent) of any racial or ethnic group
7. Childhood Obesity Trends
o 2011 Pediatric Nutrition Surveillance Survey (PedNSS) of
documented slight net decrease in obesity rates among 2-
to-4 year olds participating in certain federally-funded health
programs
n Documented in all subgroups, except AI/AN kids
8. Physical Activity and Obesity
o Being physically inactive is responsible for one in 10 deaths
among U.S. adults.
o A 10-year study of children found that physical activity
lowers risk for becoming overweight or obese and higher TV
time increases it.
9. Food Deserts and Healthy Weight
o More than 29 million Americans live in “food deserts.”
o Families in predominantly minority and low-income
neighborhoods have limited access to supermarkets and fresh
produce. Greater accessibility to supermarkets is consistently
linked to lower rates of overweight and obesity.
10. Income, Education Effects
o More than 33% of adults who earn less than $15,000 per year
are obese
n Compared with 24.6 percent of those who earn at least $50,000.
o 33% of adults who don’t finish high school are obese
n Versus obesity rate of 21.5 percent of those who finish college or
technical college
o Protective effect of education
extends to their children
11. Why are we still concerned?
o Despite signs of stabilizing, rates are dangerously
high
o Obesity increases the risk for dozens of health
comorbidities
n Including type 2 diabetes, various types of cancer,
cardiovascular disease, arthritis, etc.
o Baby Boomers coming on to Medicare will further
exacerbate our long-term fiscal outlook
12. Diabetes and Obesity
o More than 80 percent of people with diabetes are overweight or obese.
o Diabetes is the seventh leading cause of death in the United States, and
costs the country around $245 billion in medical costs and lost
productivity each year.
13. Poor Health, Increased Care Spending
o Current rates put 78 million Americans at increased risk of
health problems
n Cardiovascular disease, diabetes, cancer, arthritis and
many more
o Obese adults spend 42 percent more on direct healthcare costs
15. Yet why are we still concerned? (cont’d)
o Obesity carries national security risks. It has
negative implications for the education,
agricultural, and transportation sectors.
o Public health and prevention funding remains
inadequate.
n CDC funding has seesawed but has experienced a net
cut ($6.93 billion for FY2015 vs. $7.31 billion in
FY2005).
n 33 states and DC cut their public health budgets from
FY11-12 to FY12-13
17. Bringing Initial Steps to Scale
o Obesity prevention should be
considered a major priority for
reducing related health care
spending and overall health care
costs
n Community-based,
comprehensive approaches (like
CDC chronic disease prevention
programs) seem to work best.
o ROI is critical.
18. Bringing Initial Steps to Scale
o Addressing primary risk factors
n Poor Nutrition
n Inadequate Physical Activity
o Broad, sustainable funding of evidence-based
interventions, environmental, and systems changes
n Investments in Partnerships to Improve Community Health—will not
reach all Americans. Funding is in danger for FY 2016.
n Expanded diabetes and heart disease funding
o Connecting all Americans to preventive services and
a variety of treatments
19. Making Obesity a Priority: Robert Wood
Johnson Foundation’s “Five Big Bets”
o RWJF announced it will commit an additional $500 million
over the next 10 years to expand efforts to help all children
grow up at a healthy weight. The new commitment will focus
on five big bets.
n 1) Ensure that all children enter kindergarten at a healthy weight.
n 2) Make a healthy school environment the norm and not the exception across
the United States.
n 3) Eliminate the consumption of sugar sweetened beverages among 0- to 5-
year-olds.
n 4) Make physical activity a part of the everyday experience for children and
youth.
n 5) Make healthy foods and beverages the affordable, available and desired
choice in all neighborhoods and communities.
20. Systematic Federal Review
2015 report reviews federal policies and programs in
five key areas:
o Early Childhood
o Schools
o Communities
o Nutrition Assistance and Education
o Quality, Affordable Healthcare
21. Federal Policy Successes
o More than 31 million students participate in the National School Lunch
and Breakfast Program each school day.
o More than 95 percent of schools report meeting the updated nutrition
standards required by the Healthy, Hunger-Free Kids Act of 2010 for
school meals.
o The Healthy, Hunger-Free Kids Act of 2010 strengthened the
requirements for school districts to develop and implement local wellness
plans
o Community Eligibility Provision- allows qualifying low-income schools
can provide free meals to all students without cumbersome paperwork.
o Safe Routes to Schools programs operate in all 50 states, benefiting close
to 15,000 schools.
22. More Federal Policy Successes
o The Fresh Fruit and Vegetable Program (FFVP) is a federal program that
provides free fruits and vegetables to participating elementary schools
during the school day, outside of the school meal programs. Started as a
pilot program it is now a permanent program in all 50 states.
o The Department of Defense Fresh Fruit and Vegetable program was
started in 1994 as part of an effort to find ways to provide more fresh
produce to schools. At least 48 states, Washington, D.C., Puerto Rico, the
Virgin Islands and Guam participate in the program using commodity
entitlement funds.
o USDA awards up to $5 million in competitive grants annually for
training, supporting operations, planning, purchasing equipment,
developing school gardens, developing partnerships and implementing
farm-to-school programs. Forty states have also adopted such programs.
23. Progress at the State Level
o Many states have physical education requirements
for students, and 17 states require schools to provide
physical activity or recess during the school day.
o 28 States have laws supporting shared use of
facilities
o 21 States have legislation that requires BMI
screening or other weight-related assessments
o 40 States have enacted farm-to-school programs
o 48 States require schools to provide health education
24. For Further Information
o The full text of The State of
Obesity and many other interactive
features are available at:
http://www.StateofObesity.org
o Please contact Richard Hamburg,
Deputy Director,
rhamburg@tfah.org, if you have
any further questions
25. State of Obesity:
Increasing Physical Activity, Improving
Nutrition, and Preventing Obesity for a
Healthier America
Capt Heidi Blanck, PhD
Chief, Obesity Prevention and Control Branch
Division of Nutrition, Physical Activity and Obesity
National Center for Chronic Disease Prevention & Health Promotion
Centers for Disease Control & Prevention
October 23, 2015
The findings and conclusions in this presentation are
those of the author and not necessarily the CDC
26. Who We are:
Department of Health & Human Services
Centers for Disease Control & Prevention
27. CDC
Division of Nutrition, Physical
Activity, and Obesity
Who We Are: Primary Federal Public Health Division
focused on improving nutrition, increasing physical
activity, and preventing obesity through population-
based work.
What our work does:
q Assists mothers who want to breastfeed
q Helps People Stay Active
q Ensure healthier foods are available for children in
education settings and for consumers who want to
eat better to maintain health
28. What We Do: Making Healthy Choices Easier
Environment
• Access, Availability, Quality
• Affordability & Price
• Information & Marketing
• Social
• Skills, Knowledge
• Time, resources
• Parenting styles/rules
Individual/Family
Healthy
eating &
physical
activity
Environment
29. Where We Work:
Social Ecological Model
t
lll
Individual
Federal and State
Community
Interpersonal
Greatest
Reach*
Smallest
reach
Institutions
Federal, state and local
policies to regulate and
support healthy actions
Knowledge, attitudes,
beliefs and behaviors
Family, peers, social
networks
Policy, regulations
and informal structures
Policies, standards,
social networks
* $45M Budget, 100 staff
30. Where We Work:
§ States, Indian Country, local Counties, and US
territories – we provide technical assistance,
training, resources, and grants
§ In hospitals, worksites, and communities we
promote breastfeeding
§ In early care and education (child care), and
schools we promote good nutrition & physical
activity
§ In workplaces we encourage physical activity
and nutrition standards for cafeterias/snack
shops
§ In neighborhoods, we help local govts support
healthier retail offerings & walkability
31. How We Do It:
§ Surveillance –-Monitor trends in behaviors,
obesity
§ Applied research, evaluation & translation –-
understand what works to promote health
§ Training, tools, guidance -- for grantees and
partners to stay up-to-date on key strategies and
best practices
§ Strategic communications and partnerships -- to
build networks of support and change social
norms
Partnerships Health Equity
32. Breastfeeding Support Strategies
§ Maternity care practices in hospitals
§ Support from health care
professionals
§ Support for breastfeeding in
communities, workplaces,
and childcare
State and National Coalitions
The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies
http://www.cdc.gov/breastfeeding
33. Early Care and Education (ECE)
§ Provide nutritious meals/snacks.
§ Adequate, age-appropriate
physical activity.
§ Limit screen time.
§ Support breastfeeding mothers
and babies.
http://www.cdc.gov/obesity/strategies/childcareece.html
http://www.letsmove.gov/
State Licensing, QRIS, CACFP, Professional
Development Learning Collaborative, $4M , 9 states -
Nemours
34. Healthy Eating Playbook
§ Better for Us Foods:
• Implement nutrition standards in worksites,
schools, ECE, recreation centers
• Increase affordable, healthy options in retail in
underserved areas including rural
• Engagement of food advisory coalitions
§ Beverages
• Ensure access to safe and good-tasting water
http://www.cdc.gov/healthyyouth/npao/pdf/Water_Access_in_Schools.pdf
§ Fruits and vegetables
• Install salad bars in schools, worksites
• Support USDA efforts – markets, Farm to
Institution
35. Facility level intervention supported by District
Wellness Policy, PTA Promotions
Salad Bar
in School
Efforts
36. Food Service Guidelines
Find the Health and Sustainable Guidelines at:
www.cdc.gov/chronicdisease/pdf/guidelines_for_federal_concessions_and
_vending_operations.pdf
http://www.cdc.gov/obesity/strategies/food-serv-guide.html Case Studies,
State Success Stories
37. Promoting Walking and Walkable
Communities
§ Support a national
movement on walking
§ Increase opportunities and
incentives for physical
activity
§ Make communities more
walkable through
transportation and
community design.
38. Step it Up!
6 Sections of the Call to Action
1. Physical Activity: An Essential
Ingredient for Health
2. Why Focus on Walking as a Public
Health Strategy?
3. Why Don’t People Walk More?
4. How to Increase Walking and
Improve Walkability
5. Gaps in Surveillance, Research,
and Evaluation
6. The Call to Action
www.surgeongeneral.gov/stepitup
39. Goals of the Call to Action
1. Make walking a national priority.
2. Design communities that make it safe and easy
to walk for people of all ages and abilities.
3. Promote programs and policies to support
walking where people live, learn, work, and play.
4. Provide information to encourage walking
and improve walkability.
5. Fill surveillance, research, and
evaluation gaps related to walking
and walkability.
40. How: 1305 State Funding for Nutrition,
Physical Activity and Obesity Prevention
Strategies
Average Award Per State: Basic $135,000; Enhanced $433,000
42. Vital Signs: Oct 6, 2015 -- Percent of hospitals implementing
more than half of the Ten Steps of Baby Friendly to
Support Breastfeeding
<20% 20– <40% 40 – <60% ≥60%
DC
PR
DC
PR
IT
DC
PR
IT
DC
PR
IT
2007 2009
2011 2013
43. Community Programs to Reduce Obesity
in High-Obesity Areas, FY15, 3 yr
States with a program
Eligible states: have
counties with >40%
obesity
Ineligible states
“Alabama will not look the same in 3 years as it does today; in part due
to CDC’s efforts and those of the ALProHealth team and their
Community Coalition members. Thanks for this win-win collaboration,
especially for Alabama citizens. “ Barb Struempler Auburn University
Principal Investigator
44. States and Communities Reporting Decreases in the
Prevalence of Childhood Obesity
El Paso, TX
NM
CA
MS
Anchorage, AK
Chula Vista, CA
Kearney, NE
WV
Vance, NC
Granville, NC
Philadelphia, PA
New York
City
Fitchburg, MA
Somerville, MA
Cambridge, MA
Portland, ME
DuPage County, IL
OH
San Diego, CA
MA
Source: Adapted from Dietz, 2014
KP:
SoCA
46. Prevention Matters
Energy Deficits Necessary to Achieve the Healthy
People 2010 Goal (Prevalence = 5%) by 2020
Age HP2010
2-5 y 33 Kcal/day
6-11 y 149 Kcal/day
12-19 y 177 Kcal/day
Wang YC, Orleans CT, Gortmaker SL. Reaching the Healthy People
Goals for Reducing Childhood Obesity Closing the Energy Gap. Am
J Prev Med. May 2012;42(5):437-444.
47. • Mean kilocalories from sugary drinks for ages 2 and over, United
States 2005-2008 (NHANES)
NCHS
According to 2007-2010 NHANES data
6 in 10 children don’t eat enough fruit
9 in 10 children don’t eat enough vegetables
51. Why We Do it: Policy and Systems create
Healthy Environments that reach People
DOH Land Use Guidelines 2.1 Million Residents
DOH Vending Guidelines 2.1 Million Residents
Business Worksite Food Service
Guidelines (Hospitals, City Govt)
5 major worksites (University,
Hospitals, Industry): 110,000
employees
Healthy Churches 9,500 Congregation Members
Farmers Market WIC Access 38,500 Participants
Physical Activity/Nutrition Schools 6 School Districts: 124,400
Students; 6,000 staff
Healthy Childcare 1,800 Childcare Facilities: 26,000
preschoolers