june 21 2012 coalition meeting

COALITIONMeeting

June 21, 2012

Source: Behavioral Risk Factor Surveillance System, CDC.

Obesity Trends* Among U.S. AdultsBRFSS, 1985

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%




No Data <10% 10%–14%




No Data <10% 10%–14% 15%–19%




No Data <10% 10%–14% 15%–19% ≥20%




No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

• Obesity-related medical costs could be up to 20% of total health costs or $500B annually

• By 2030, obesity rates will increase 42%

• By 2030, severe obesity (>80 lbs.) will more than double from 5 to 11%

• By 2030, 32M adults will be obese

• By 2030, we’ll incur $550B in added obesity- related health costs, if the trend continues

Obesity Trends

• High Blood Pressure • High Blood

Cholesterol • Coronary Heart

Disease• Gallbladder disease• Nonalcoholic Fatty

Liver Disease

• Type 2 Diabetes• Stroke• Sleep Apnea• Poor Quality of

Life• Osteoarthritis• Cancer

Health Consequences

1. Integrate Physical Activity Every Day

in Every Way2. Make Healthy Foods Available

Everywhere3. Market What Matters for a Healthy

Life4. Activate Employers and Health Care

Professionals5. Strengthen Schools as the Heart of

Health

IOM: Weight of the Nation

Obesity has Escalated in the Course of a LIFETIME.

YOURS.

• “The Obesity Era”• “Obesity is the norm…”• < 1% of Americans meet criteria

for ideal cardiovascular health• 1st generation to have a shorter

life expectancy than parents• Friend time = video games

• We need to create a plan for ourselves each day…(recommit to health daily)

• We need the collective to make change

• “In order to Win we have to Lose”• “The weight of the nation is out of

control, but we can fix it!”

To win, we have to lose. The first step starts with you. Pledge your commitment

to reversing the obesity epidemic in America today.

Starting now, I commit to reversing the obesity epidemic in America.

Pledge for Progress

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IAPO Update &Sugary Beverages overview

Presentation to FORWARD June 21, 2012

IAPO Roadmap

• 8 Policy, Systems & Environmental change objectives– Increase access to retailers who serve and/or sell

healthy and affordable food options. – Develop state-level obesity prevention resources and

infrastructure. – Increase consumption of healthy food and beverages

in relation to consumption of unhealthy food and beverages that have minimal nutritional value, such as sugar-sweetened beverages and calorie-dense, low-nutrition fast foods.

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IAPO Roadmap

• 8 Policy, Systems and Environmental Change Objectives (cont.)– Promote healthy and affordable food consumption in senior

centers, schools, parks, child care settings, and after school programs.

– Increase opportunities for safe and affordable physical activity in communities, senior centers, schools, child care settings, and after-school programs.

– Promote safe and active transportation. – Promote healthy and active lifestyles in workplaces. – Promote obesity prevention through hospitals and health

care systems.

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IAPO –Workgroups/partner initiatives

• Sugary beverages – Symposium, speakers bureau, hospital initiative, tax discussion

• White paper on BMI surveillance/IDPH discussions

• IL Fresh foods fund – announcement any day• Infant Feeding Act• Farmer’s markets in convention centers

legislation• Enhanced PE Task Force, Enhanced PE Plan• Reviewing Medicaid billing codes• Municipal challenge – healthy vending, etc.• Developing workplace wellness resources

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Rethink Your Drink: Sugar–Loaded Beverages & Obesity

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Image adapted with permission from the New York City Department of Health and Mental Hygiene. Copyright August 2010.

More than one-third of all sugars are consumed in sugary beverages – the

greatest source of added sugar in the US diet.

Beverages account for an estimated 20% - 40% of

all weight gained by Americans between 1997

and 2007.

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• Half of US population over the age of two consumes sugar-loaded beverages daily.

• Every additional serving of sugar-loaded beverages per day increased risk of obesity in children by 60%.

• Adults who drink one or more daily are 27% more likely to be overweight or obese.

• Illinoisans consumed 620 million gallons of sugar-loaded beverages in 2011.

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BEVERAGE Typical Serving

Amount of Sugar

COKE 12 oz 10 tsp

PEPSI 20 oz 17 tsp

SUNKIST ORANGE SODA

12 oz 13 tsp

SNAPPLE LEMONADE ICED TEA

16 oz 13 tsp

ROCKSTAR ENERGY DRINK

16 oz 16 tsp

RED BULL 8 oz 7 tsp

ORIGINAL GATORADE

20 oz 9 tsp

VITAMIN WATER 20 oz 8 tsp

SUNNY D 6.75 oz 4 tsp

CAPRI SUN (SMALL POUCH)

6 oz 4 tsp

American Heart Association recommends the daily intake of sugar for an adult woman should be no more than 6 teaspoons (tsp) and no more than 9 tsp for adult men. For children the recommended daily amount should not exceed 3 tsp and for teens the maximum amount is 8 tsp.

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Obesity Links

Type 2 DiabetesCardiovascular

DiseaseAsthma HypertensionOsteoporosis Kidney DamageArthritis Poor Diet QualityCancerSleep Apnea

SLB Links

Overweight/ObesityType 2 DiabetesCardiovascular DiseaseHypertension Gout Kidney DamageDental IssuesPoor Diet QualityCancer Sleep Disturbances

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Scientific Evidence

16 ounces served 3 people!

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Reducing Consumption • Change institutional settings to encourage healthy

drink options– Create Healthy Beverage Policy in workplaces, hospitals,

schools, child care and other community settings– Remove from vending machines, cafeterias, etc.

• Change mix of drinks in machines• Product placement – water is at eye level

– Pricing strategies: Water costs less than sugary drinks. – Serve drinks that are no more than 25 calories per 8 oz. at

meetings, events, conferences, etc. – Ban them on property

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Reducing Consumption• Increased education about negative health effects

of sugary drinks – Health care leaders/hospitals, doctors, nurses– Counter-marketing strategies (e.g. Rethink Your Drink &

Pouring on the Pounds)– Media outreach– Community engagement and empowerment

• Public health policy strategies – Excise tax to support a prevention fund – Restrict portion sizes (a la New York)– Restrict sales & use in schools

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Thank you!www.preventobesityil.org

Illinois Public Health Institute 954 W Washington

Suite 450 / Mail Box 10Chicago, IL 60607

(312) 850-4744For More Information: [email protected]

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http://www.preventobesityil.org/

http://www.preventobesityil.org/

Get in the Action Party

Get in the Action Days

2011/2012 Year in Review

2011/12 Highlights

FORWARD Big Ideas

Southwest Regional Big Ideas Update

Increase Fruit and Vegetable Consumption For School Age Children• Joint Use AgreementIncrease Physical Activity for School Age Children• Get in the Action Projects• Worksite WellnessIncrease Health Education Opportunities in Low Income Communities• Partnering with the faith community and food pantries to expand nutrition education and options

Northeast Regional Big Ideas Update

Promote Healthy Eating and Physical Activity• Partnering with the Elmhurst Community

Round Table to plan a city-wide initiative to offer more healthy options on restaurant menus and educate the community

Increase Physical Activity• Physical Activity Kits purchased and

available for community residents and organizations for events

Central East RegionalBig Ideas Update

Increase Physical Activity• Organized walking clubs/meet ups and publicizing

walking venues• Brain breaks and improved recess for schoolsIncrease Nutrition Education and Awareness• Translated Family Nutrition Handbook to improve

health education• Get in the Action Project to increase healthy food in

schoolsIncrease Active Transportation--biking, walking, etc.• Partnered with Active Transportation Alliance to

conduct a parent survey to remove barriers to walking to school

Southeast Regional Big Ideas Update

Increase Physical Activity• Through a community-wide health education

campaign• Get in the Action project with physical activity• Partnering with District 99 to offer intramurals• Working with DuPage Medical Group and local

employers on Wellness RXHealthy Eating• Working with local restaurants to promote a

community-wide campaign to offer/highlight 700 calorie (or less) meals

Northwest Regional

Big Ideas UpdateCreate Worksite Wellness Resources• Providing yoga and meditation sessions for District 87

Staff (928 employees)Increase Physical Activity Options for Non-athletes• Sandburg Elementary – Kids Boot Camp• Abe Lincoln School – PTA Family Fitness NightsIncreasing Healthy Food Options• Healthy Community Cook-out• Camp Hope – West Chicago Healthy Summer Camp

2011/12 Highlights

Task Force

Updates

Active Transportation

Task ForcePurpose: Enhance and Enable More Active Transportation in DuPage County.1. Increase funding for active

transportation projects 2. Promote the adoption and

enforcement of active transportation policies within and among governmental agencies and planning commissions/organizations


Task Force (cont)3. Identify and expand projects that will impact active transportation opportunities for residents of DuPage County4. Identify and expand programs to support active transportation in DuPage County. Program focus areas can include engineering, education, enforcement, or encouragement.


Municipal Strategy

• Define the components of active transportation

• Promote the value of incorporating active transportation

• Help leverage resources to increase more active transportation opportunities within municipalities

• Share innovative success stories on how others have impacted change in order to reduce redundancy and expedite expediency

Nutrition Task Force

Purpose: To enhance and enable healthy, flavorful food in DuPage County as the easy and routine choice.1. Increasing resources that support

more healthy, flavorful food in DuPage County

2. Promoting the adoption of policies and practices to reduce unhealthy food and beverage options and increase healthy, flavorful food at

affordable and competitive prices

Nutrition Task Force (cont)

3. Make Healthy Foods Available Everywhere by creating environments that ensure that healthy food and beverage options are the routine, easy choice.4. Educate to promote healthy food that can be full of flavor in schools and food panties throughout DuPage

Nutrition Municipal Strategy

• Increase resources that support healthy and flavorful food

• Promote the adoption of policies and practices to reduce unhealthy food and beverage options and increase healthy, flavorful food at affordable and competitive prices

• Make healthy foods available everywhere by creating environments that ensure that healthy food and beverage options are the routine, convenient choice

• Educate to promote that healthy food can be full of flavor

2011/12 HighlightsData

Committee

Why Data ?

• Data Drives Decision• Measures Progress• Helps to Guide Direction and

Interventions• Allow Comparison with Local, Regional

and National Efforts• Let’s Us Know When We Have Met our Goals

2011-2012 BMI Surveillance

• 2009: Snapshot of Kindergarten, 6th and 9th Grades

• 2010: 42% of Kindergarten, 6th and 9th Grades

• 2011/2012: 91.5% of Kindergarten, 6th and 9th Grades• 27,914 student records• 195 of 213 public schools submitted

data (91.5%)• Data collected from February-May

2012

Brain Break

Models That Work

“Wellness Programs

that Work”-OR-

“How to Know When Your Wellness Program Really Sucks”*

* Adapted from “whenwellnesssucks.com”

Robert Dicosola, Executive Vice President, Human Resources/Training/Diversity at Old Second Bancorp, Inc.

“Wellness Programs that Work”

First, a quick quiz:

1. When you say you have a Wellness Program, what you really mean is:

A) We held a low-carb pie eating contest.B) If someone’s a smoker, everyone starts fake-coughing the minute he walks into a meeting.C) We have a walking program where we give out pedometers.D) As part of our annual wellness planning process, employees are invited to participate in a Risk Assessment and biometric screening with annual health goals.


2. We try our best to get people motivated by:

A) Offering pedometers to anyone who knows the lyrics to “Let’s Get Physical.”B) Our President holds “Monday Morning Accountability Weigh-ins” to see if employees are on track.C) We create teams and competitions where we measure certain types of health behaviors (steps, minutes of physical activity, fruit and vegetable consumption).D) We give any employee who takes a risk assessment and screening a hefty premium discount.


3. We know our program is working because:

A) There are a few leftover donuts and apple turnovers from the complimentary Friday morning bakery delivery we provide for our employees.B) Employees have stopped using Segways to get from their desk to the copy machine.C) We can see a real difference in the kinds of things people are eating in the cafeteria, and more and more people seem to be taking the stairs.D) We analyze medical costs, absenteeism, health risks and behaviors, and program participation. The trends indicate improved health behaviors and lower costs.


4. If you took an all-expenses-paid trip to Bali for the next six months, what would happen to your wellness program?

A) Who am I kidding?? If I quit tomorrow the program would be over and no-one would notice.B) My assistant would be texting me nonstop asking everything from where are the pedometers to what is the Zumba instructor’s phone number (WHAT?? She didn’t show up??)C) So many of our employees have played a role in creating and rolling out our wellness program that I am sure the current wellness team can handle it.D) Our management team expects us to report on the economic return and other program impacts quarterly and annually, so if someone isn’t executing, I won’t have a job when I get back from Bali.


SCORING:

If you checked mostly A’s and B’sSorry. Your wellness program sucks. Badly.

If you checked mostly C’sYOU ARE ON THE RIGHT TRACK! The C’s can be great program components, but without a bit more substance, accountability and metrics, it may not be sustainable.

If you checked D’sCongratulations! Your Wellness Program has most of the components necessary for success, including top management support, motivation, employee buy-in, and quantifiable metrics.


I. Quantifiable Metrics

II. Senior Management /Employee Buy-in

III. Tangible ROI

IV. Sustainability

The Four Pillars Of a Successful Wellness Program

“Wellness Programs that Work”Pillar #1: Quantifiable metrics

A few black-and-white examples:

1. Are employees getting healthier?2. Is the WP saving the Company cash?

Are your health care expenses trending down or at least lower than the national average?

3. WP utilization levels4. Actuarial analysis of participant claims


Pillar #2: Senior Management/Employee Buy-in

Quantify the risks and benefits in detail Discuss the metrics in some detail Program must be voluntary Offer significant discounts on the

employee portion of the premium


Pillar #3: Tangible ROI

“If there is no positive financial impact to the Company’s bottom line or other Return on Investment, fold up the tent….”

Health-care expenses trending down or lower than benchmarks

WP Participation rates (we’re at 98%) Employees getting healthier (positive

screening reports, “Healthiest Company” award)

Lower absenteeism rates Anecdotal stories


Pillar #4: Sustainability

Must be a group effort Communication must be

ongoing Must be continuously refreshed Must be FUN!


Impact of Healthcare Reform on Wellness Programs

The crystal ball is cloudy….

“Wellness Programs that Work”BUT …. Some experts are predicting:

Wellness Programs may get a boost via:

Employers may be able to offer LARGER incentives for employees’ positive lifestyle/wellness initiatives

Technical assistance (government websites, web portals, call centers) to enhance wellness programs

ROI may get easier to prove

Connecting the Pieces

Donate – Volunteer – Get Involved

Kelly Brasseur, MS, RD, LDN: NIFBAmy Ozier, PhD, RD, LDN: Northern Illinois University

UNICUE:Utilizing Nutrition in the Community for Understanding and Empowering

Goal:Improve health and wellness of families in CUSD #100 through awareness and confidence building of nutrition related behaviors

UNICUE Model

1. Getting to know the people

2. Message & theoretically based program development

3. Intervention begins• School & Community Cupboard Pantry

4. Evaluate outcomes• What worked, change needed, sharing results

5. Replicate process

• Age ~ 41• 56% Hispanic• Unemployed• Nutrition education desired

Getting to Know the People

• Topics desiredShopping /stretching the food dollarHealthy food and nutrition

• Perceived barrier in eating more healthfullyCost, taste, not knowing healthy foods

• Perceived benefits of eating more healthfullyLosing weight and feeling better were the greatest.

They told us…

The Yummy Intervention

Chicken and Pasta Adapted from SNAP Ed

Serving size: 1 cup Servings: 6…Cook Time: 30 minutes

2 cans chicken (or ½ pound lean ground meat) 1 can (14 ½ ounce) tomatoes, diced 1 can (14 ½ ounce) chicken broth low sodium 2 cups whole wheat pasta, uncooked 2 cans vegetables, drained

¼ cup bread crumbs (optional) ¼ cup parmesan cheese (optional) Cook chicken in pan until lightly browned, about 5 minutes. Stir in tomatoes, chicken broth and pasta. Bring to a boil. Reduce heat to medium-low. Cover and simmer until pasta is almost tender, about 8 – 12 minutes. Place vegetables on top of pasta. Replace lid. Cook until vegetables are heated through and pasta is tender. Sprinkle bread crumbs and cheese over vegetables in skillet. Cover and let sit 3 minutes before serving. Nutrition Information per serving: Calories 265, Total Fat 7g, Sat Fat 2g, Sodium 491mg, Carbohydrates35 g, Fiber 5 , Protein 19g

Whole Grains for the Whole Family

Outcomes

• Liked the recipe

• Made it at home

• Self-efficacy better than control group

• Smiles and thank you!

Message Development

Kids corner

Public Service Announcement

Other Interventions

Wellness Curriculum

• K-5

• Theoretically based

• Topics approved by Wellness Committee

• Examples

• Parent reinforcement activities

Lessons Learned

•Know your audience

•Translator pivotal

•Provide lead time for translations

•Safeguard for attrition

•Include school foodservice

•Pilot test materials and evaluations

•Innovative methods needed incorporating wellness curriculum

Brain-BasedLearning

Can be accessed at: http://goo.gl/ERN5J

Bill CaseyNeuqua Valley High School

http://goo.gl/ERN5J

http://goo.gl/ERN5J

http://goo.gl/ERN5J

ADDISON SCHOOL DISTRICT 4

Excellence 4 ALLJohn Langton, Superintendent


The Addison School District 4 Community…• Provides a safe, nurturing and innovative learning

environment;• Empowers all students to achieve success while

embracing and celebrating individual differences; and• Develops life-long learners with a global perspective.

Mission developed by the community in 2011:

Excellence 4 ALL


1. Increase teaching and learning support.2. Provide social and emotional support for students.3. Maintain fiscal responsibility.4. Improve community involvement.

Goals developed by the community in 2011:

Excellence 4 ALL


1. Academic development of ALL children.2. Social and emotional development of ALL children.

FOCUS

Excellence 4 ALL


Northeast DuPage County elementary school district serving 10 square miles and 4,400 students in 8 schools, preschool through eighth grade.

Poverty? 60.9% low incomeEnglish Proficiency? 27.6% LEPRace/Ethnicity? 66.3% Hispanic

25.8% White

Our students…


REVENUES: $39,467,685District State (avg.)

Local revenue 71.6% 65.3%State revenue 14.9% 22.4%Federal revenue 13.5% 12.4%

Our finances…

Per Pupil Expenditures District State (avg.)Instructional $5,559 $9,047Operational $6,773 $11,537

Healthier Choicesfor our students

1. Food Service2. Transportation

Enhance Food Service

School Food Service Advisory Committees: Started in 2010. Representatives… students, parents, teachers, principal,

and Arbor Food Service management. We gained a better understanding of what we can improve. Parents wanted more healthy options! Students wanted more snack-like choices! We found ways to meet in the middle while adhering to

USDA standards. (i.e. changed our brand of milk, the type of pizza we serve and more vegetable options.)

Contributed to better eating habits

Enhance Food Service

Fruit & Veggie Bars: In an effort to promote healthy food choice options,

advisory committee recommended fruit & veggie bars. We teach the children about portion sizes and making

choices in food selection. They have a higher interest in the decision making

process. We have fruit & veggie bars in 2 elementary schools and

our junior high school. We will be rolling out 2 more in FY2013.

New Food ServiceChallenge…

New National School Lunch Program (NSLP) Guidelines: Improving child nutrition is the focal point of the Healthy, Hunger-Free Kids Act of 2010 (HHFKA).

This legislation authorizes funding and sets policy for USDA’s National School Lunch Program and School Breakfast Program.

Majority of the changes go into effect July 2012 for lunch and July 2013 for breakfast.

New Food ServiceChallenge…

National School Lunch Program

Food Group Current New Requirements

Fruits & Vegetables 1/2 - 3/4 cup of Fruit or Vegetables combined per day

3/4 - 1 cup of vegetables plus 1/2 - 1 cup of fruit per day

Vegetables No specification on type of Vegetables served

Weekly Requirement for: Dark Greens, red/orange, Legumes, Starchy, Misc.

Grains 8 Servings per week/Whole grains encouraged

At least half of the grains must be whole grain-rich and all grains must be whole

grain rich by July 2014.

Milk 1 cup of Regular, reduced, or fat-free Must be 1% or fat-free for regular milk & fat-free for flavored/chocolate milk

Transportation

• The goal to Maintain fiscal responsibility led us to identify options for decreasing expenses.

• Transportation costs were prohibitive.• Recognized that our school district was not required

to transport any student and could charge for bussing.• Options reviewed.

TRANSPORTATION GUIDELINE CHANGES

changes 2010/2011 2011/2012

distance .9 mile 1.5 mile

busfee free $100/ student

walkerfee $325/ student $500/ student

Transportation

OUTCOMES

2010/2011 2011/2012Busses

23 14

Bus Riders 2,122 students 979 students

Transportation

Transportation

Unintended Benefits: Increased number of students walking in groups. Increased number of students riding bicycles. Healthier kids!

Challenges: Installed bike racks to accommodate demand Increased number of parent drop-offs. Doubled the number of crossing guards needed.

QUESTIONS ? ADDISON SCHOOL DISTRICT 4

Excellence 4 ALL

GO BIG OR

GO HOME!

June 21, 2012

june 21 2012 coalition meeting

Health & Medicine

obesity trends