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Why Cant We Be Friends? Combating Obesity and Hunger Together!

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Presentation on theme: "Why Cant We Be Friends? Combating Obesity and Hunger Together!"— Presentation transcript:

1 Why Cant We Be Friends? Combating Obesity and Hunger Together!

2 About Us The Center is an Omaha based independent non-profit research organization providing nutrition research, evaluation and partnership in: childhood obesity prevention, food insecurity, and local food systems Gretchen Swanson Center for Nutrition

3 Research Areas

4 Overview Obesity Food Insecurity The Food Insecurity and Obesity Connection

5 Obesity in the U.S. Coronary heart disease Type 2 diabetes Stroke Cancers High blood pressure High levels of triglycerides Liver and Gallbladder disease Sleep apnea Respiratory disease Impact on Children 23 million children/adolescents Obesity, Adolescents 12-19 Years, US, 1976-2006 3

6 Obesity has Changed our Social Norms

7 Food Insecurity Prevalence, Correlates and Outcomes Under-nutrition Developmental issues Cognitive issues Psychosocial issues Physical impairments Poor academic performance Food Insecurity Location Race- Ethnicity PovertyEducation Family Size Sex Marital Status In 2011 51.1 Million People (14.9%) in Food Insecure Households 8.2 Million Children Food Insecure

8 The Intersect of Hunger and Obesity

9 Coexistence of Food Insecurity and Obesity Poverty Poor Education Marital Status Other Indicators of Socioeconomic Status Shared risk factors Location Race/Ethnicity Non-Hispanic Blacks Blacks Common Population Burden Food deprivation – overconsumption Nutrition deficiencies – weight gain Episodic food shortages - increased body fat Biological Mechanisms Limited variety of foods Low cost high energy foods Fewer fruits and vegetables Behavioral Mechanisms Food Insecurity Obesity Malnutrition Poor Dietary Quality

10 Hunger and Obesity Movements in Parallel

11 Obesity and Hunger: Which is more important? CNN: Global report: Obesity bigger health crisis than hunger Obesity is a bigger health crisis globally than hunger, and the leading cause of disabilities around the world… The Times: Obesity kills more than hunger in march of progress Obesity has become a bigger threat to global health than child hunger, according to a major study. Public Health Daily No: 309:780 THE WORLDS FAVORITE NEWSPAPER September 5, 2013 VS. Business Week: The Global Obesity Bomb It may seem strange to be worried about too much food when the United Nations suggests that, as the planets population continues to expand, about 1 billion people may still be undernourished. Although there are good reasons to think the 1 billion estimate might be exaggerated, it is clear that hundreds of millions do still regularly go to sleep hungry.

12 Journal of Paradoxical Relationships September 2013 Volume 100/ Number 2 ISSN 0025-8215 A premier source for the intersection of obesity and hunger. 253 Opportunities to Reduce Childhood Hunger and Obesity Restructuring the Supplemental Nutrition Assistance Program (the Food Stamp Program) David S. Ludwig, MD, PhD; Susan J. Blumenthal, MD, MPA; Walter C. Willett, MD, DrPH JAMA. 2012;308(24):2567-2568. doi:10.1001/jama.2012.45420 First Foods Most: After 18 Hour Fast, People Drawn to Starches First and Vegetables Last Brian Wansink, PhD; Aner Tal, PhD; Mitsuru Shimizu, PhD Arch Intern Med. 2012;172(12):961-963. doi:10.1001/archinternmed.2012.1278. The global obesity pandemic: shaped by global drivers and local environments Boyd A Swinburn MD, Gary Sacks, PhD, Kevin D Hall PhD, Klim McPherson PhD, Diane T Finegood PhD, Marjory L Moodie, DrPH, Steven L Gortmaker PhD. The Lancet, Volume 378, Issue 9793, Pages 804 - 814, 27 August 2011 doi:10.1016/S0140-6736(11)60813-1 SNAP and Public Health: The Role of the Supplemental Nutrition Assistance Program In Improving the Health and Well-Being of Americans Food Research and Action Council 361 366 372

13 Potential Reasons for Lack of Evidence for Food Insecurity and Obesity in Kids Mainly cross-sectional studies Not examining all the relevant factors in same study Measurement issues and defining measurement at the individual (hunger) and household (food insecurity) levels

14 Could we, should we…. compare?

15 Geographic Distribution - Obesity (U.S. Adults *BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% 30% Source: Behavioral Risk Factor Surveillance System (BRFSS, 2008)

16 Geographic Distribution - Food Insecurity Below U.S. average U.S. average Above U.S. average

17 Geographic Distribution – Poverty Percent of People Below Poverty Level in the Past 12 Months Source: U.S. Census Bureau, 2006-2008 American Community Survey

18 Geographic Distribution of Everything Else

19 Consumption ConvenienceCostTaste Nutrition Knowledge Convenience Decrease Portion Sizes Packaging Solutions More Grab and Go for Healthier food Options Cost Reformulation of Products Decease price for Healthy and Increase for Unhealthy Foods Taste Keep Taste and Good Nutrition in Mind Make Gradual Shifts Knowledge Provide Understandable Food Labels Increase Knowledge of Recommendations Teach People to Cook Convenience-Cost Tradeoff Taste-Nutrition Tradeoff Sources: Wansink, B., Huckabee, M. De-marketing obesity. 2005. California Management Review, 47: 1-13; Yaroch, A, Pinard, C. 2012. Arch Intern Med 172(12):963-964; Wansink B, Tal A, Shimizu M. First foods most: after 18-hour fast, people drawn to starches first and vegetables last. Arch Intern Med. 2012;172(12):961-963 Short-term food deprivation Over-consumption of Calorie Dense Food The experience of food insecurity, and periods of deprivation, may change how individuals consider these tradeoffs and their subsequent food choices. Pressing Issues

20 Agricultural Policy Transportation Policy Poverty Policy Food Policy Policy Interventions Resource awareness campaigns Educational campaigns Mass Marketing Campaigns Increase participation in Food Assistance (e.g., SNAP) Programs through National Organizations Promote food system participatory planning (Food Policy Councils) Promote food democracy/social justice (EBT at Farmers Market, Double Up Food Bucks) Community-wide engagement Farmers Markets, community gardens, or mobile carts or trucks that sell fruits and vegetables. Groups working together (e.g., church, schools) Education/skill building Individually tailored programs Policy Community/ Organizations Family/Home Individual Call to Action

21 Questions?

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