1. Physicians for Healthy Communities Harbor High School May 4, 2006 Dr. Presenters Name

2. The Mission: CMA Foundation: Champion improved individual and community health through a partnership of leaders in medicine, related health professions, and the community. Physicians for Healthy Communities: Prevent obesity related diseases by turning practicing physicians into community educators and advocates for healthy eating, physical activity, and policy change at the frontlines of the battle against obesity.

3. 19961991 Obesity Trends* Among U.S. Adults BRFSS, 1991, 1996, 2004 (*BMI 30, or about 30 lbs overweight for 54 person) No Data <10% 10%–14% 15%–19% 20%–24% 25% 2004

4. Obesity Trends* Among U.S. Adults BRFSS, 1985 No Data <10% 10%–14% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

5. Obesity Trends* Among U.S. Adults BRFSS, 1986 No Data <10% 10%–14% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

6. Obesity Trends* Among U.S. Adults BRFSS, 1987 No Data <10% 10%–14% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

7. Obesity Trends* Among U.S. Adults BRFSS, 1988 No Data <10% 10%–14% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

8. Obesity Trends* Among U.S. Adults BRFSS, 1989 No Data <10% 10%–14% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

9. Obesity Trends* Among U.S. Adults BRFSS, 1990 No Data <10% 10%–14% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

10. Obesity Trends* Among U.S. Adults BRFSS, 1991 No Data <10% 10%–14% 15%–19% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

11. Obesity Trends* Among U.S. Adults BRFSS, 1992 No Data <10% 10%–14% 15%–19% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

12. Obesity Trends* Among U.S. Adults BRFSS, 1993 No Data <10% 10%–14% 15%–19% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

13. Obesity Trends* Among U.S. Adults BRFSS, 1994 No Data <10% 10%–14% 15%–19% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

14. Obesity Trends* Among U.S. Adults BRFSS, 1995 No Data <10% 10%–14% 15%–19% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

15. Obesity Trends* Among U.S. Adults BRFSS, 1996 No Data <10% 10%–14% 15%–19% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

16. Obesity Trends* Among U.S. Adults BRFSS, 1997 No Data <10% 10%–14% 15%–19% 20 (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

17. Obesity Trends* Among U.S. Adults BRFSS, 1998 No Data <10% 10%–14% 15%–19% 20 (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

18. Obesity Trends* Among U.S. Adults BRFSS, 1999 No Data <10% 10%–14% 15%–19% 20 (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

19. Obesity Trends* Among U.S. Adults BRFSS, 2000 No Data <10% 10%–14% 15%–19% 20 (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

20. Obesity Trends* Among U.S. Adults BRFSS, 2001 No Data <10% 10%–14% 15%–19% 20%–24% 25% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

21. No Data <10% 10%–14% 15%–19% 20%–24% 25% (*BMI 30, or ~ 30 lbs overweight for 5 4 person) Obesity Trends* Among U.S. Adults BRFSS, 2002

22. Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI 30, or ~ 30 lbs overweight for 5 4 person) No Data <10% 10%–14% 15%–19% 20%–24% 25%

23. Obesity Trends* Among U.S. Adults BRFSS, 2004 No Data <10% 10%–14% 15%–19% 20%–24% 25% (*BMI 30, or ~ 30 lbs overweight for 5 4 person)

24. Overweight Children in California, 2004 28.1 Percentor 1/3 of all 5 th, 7 th and 9 th grade students surveyed in California in 2004 were overweight Source: California Center for Public Health Advocacy

25. Health Risks Associated with Obesity Type 2 diabetes Heart disease Stroke Asthma/ Breathing problems Many types of Cancer Depression Sleep apnea High blood pressure and cholesterol High stress levels Premature death

27. Portion DistortionPortion Distortion Do you know how food portions have changed in 20 years?

28. BAGEL 20 Years Ago Today 140 calories 3-inch diameter How many calories are in this bagel?

29. 140 calories 3-inch diameter Calorie Difference: 210 calories 350 calories 6-inch diameter BAGEL 20 Years Ago Today

30. *Based on 130-pound person Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out How long will you have to rake leaves in order to burn the extra 210 calories?

31. *Based on 130-pound person Calories In = Calories Out If you raked leaves for 50 minutes you, would burn the extra 210 calories.*

32. CHEESEBURGER 20 Years AgoToday 333 calories How many calories are in todays cheeseburger?

33. Calorie Difference: 257 calories 590 calories CHEESEBURGER 20 Years Ago Today 333 calories

34. Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out How long will you have to lift weights in order to burn the extra 257 calories?* *Based on 130-pound person

35. If you lift weights for 1 hour and 30 minutes, you will burn approximately 257 calories.* *Based on 130-pound person Calories In = Calories Out

36. FRENCH FRIES 20 Years AgoToday 210 Calories 2.4 ounces How many calories are in todays portion of fries?

37. Calorie Difference: 400 Calories FRENCH FRIES 20 Years AgoToday 210 Calories 2.4 ounces 610 Calories 6.9 ounces

38. How long will you have to walk leisurely in order to burn those extra 400 calories?* *Based on 160-pound person Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out

39. *Based on 160-pound person If you walk leisurely for 1 hour and 10 minutes you will burn approximately 400 calories.* Calories In = Calories Out

40. PEPPERONI PIZZA 20 Years AgoToday 500 calories How many calories are in two large slices of todays pizza?

41. PEPPERONI PIZZA 20 Years AgoToday 500 calories850 calories Calorie Difference: 350 calories

42. How long will you have to play golf (while walking and carrying your clubs) in order to burn those extra 350 calories?* *Based on 160-pound person Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out

43. If you play golf (while walking and carrying your clubs) for 1 hour you will burn approximately 350 calories.* *Based on 160-pound person Calories In = Calories Out

44. 85 Calories 6.5 ounces How many calories are in todays portion? SODA 20 Years AgoToday

45. Calorie Difference: 165 Calories 250 Calories 20 ounces 85 Calories 6.5 ounces SODA 20 Years AgoToday

46. How long will you have to work in the garden to burn those extra calories?* *Based on 160-pound person Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out

47. If you work in the garden for 35 minutes, you will burn approximately 165 calories.* *Based on 160-pound person Calories In = Calories Out

48. MUFFIN 20 Years AgoToday 210 calories 1.5 ounces How many calories are in todays muffin?

49. 20 Years AgoToday Calorie Difference: 290 calories 500 calories 4 ounces MUFFIN 210 calories 1.5 ounces

50. How long will you have to vacuum in order to burn those extra 290 calories?* *Based on 130-pound person Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out

51. If you vacuum for 1 hour and 30 minutes you will burn approximately 290 calories.* *Based on 130-pound person Calories In = Calories Out

52. Fuzzy Math: One Small Snack or One Full Meal? 1 bagel with cream cheese TOTAL: 500 Calories, 21 Grams of Fat OR 2 slices of toast, Two teaspoons butter 2 ounces of ham 1 orange Coffee TOTAL: 500 Calories, 21 Grams of Fat 12 Potato Chips & TOTAL: 230 Calories, 17 Grams of Fat 3 Tbsp. French Onion Dip OR 10 Large Shrimp with cocktail sauce 2 small baked clams 5 baby carrots 3/4 cup broccoli with ranch dip 3 sweet n sour meatballs TOTAL: 230 Calories, 8 Grams of Fat

53. Screen Time The Average American youth spends more time watching TV than any other activity except for sleeping < 1 ½ hours/day of TV watching has been consistently associated with a decreased interest in school activities and lower academic scores Almost any other activity uses more energy than watching TV Studies show that when you watch less TV, you are able to keep weight off Doctors recommend that you spend no more than 2 hours a day in front of the TV, computer or video games. And less is even better!

54. Importance of Physical Activity Everyone needs at least 30 minutes of exercise every day! Some of the many health benefits include: –Reducing your risk of coronary heart disease, stroke and high blood pressure –Lowering your risk of type 2 diabetes –Helping achieve and maintain a healthy body weight –Reducing feelings of depression and anxiety –Promoting psychological well-being and reducing feelings of stress –Helping build and maintain healthy bones, muscles and joints

55. What is one thing you can do to increase healthy eating and/or physical activity in your school? More fresh fruits and vegetables in school meals Start a school garden and sell produce at lunch More bike racks, better bike lanes After-hours and weekend access to gym/weight room

56. How will you put this plan into action? 1.Develop a problem statement: ABC High School does not have a wide variety of fruits and vegetables for sale at lunch 2.Make a list of steps to address the problem: 1.Find out if other high schools in the area offer fresh produce 2.Conduct a survey and taste test to see what fresh produce students would like to be offered 3.Present findings to key decision makers 3.Contact decision makers with a summary of findings and proposal for action