1. LIFESTYLE AND BEHAVIORAL IMPACTS ON CURRENT OBESITY RATES Amy Mullins, MS, RD, LD/N UF IFAS/ Leon County Extension

3. 17% of youth in the US are overweight or obese Conclusion: “Overall, there have been no significant changes in obesity prevalence in youth or adults between 2003-2004 and 2011-2012. Obesity prevalence remains high and thus it is important to continue surveillance.”

4. How Does Florida Compare? Children

5. What are the consequences of childhood obesity? High blood pressure and high cholesterol, which are risk factors for cardiovascular disease (CVD) Increased risk of impaired glucose tolerance, insulin resistance and type 2 diabetes Breathing problems, such as sleep apnea, and asthma Joint problems and musculoskeletal discomfort Fatty liver disease, gallstones, and gastro-esophageal reflux (i.e., heartburn) Obese children and adolescents have a greater risk of social and psychological problems, such as discrimination and poor self-esteem, which can continue into adulthood Obese children are more likely to become obese adults If children are overweight, obesity in adulthood is likely to be more severe

6. How Does Florida Compare? Adults

8. Obesity is a Complex Condition What are the factors influencing obesity? Biological Genetic Social Cultural Behavioral Environmental Primary factors responsible for current US weight problems lead to: Excess calorie intake Inadequate physical activity US Department of Health and Human Services

9. Factors Contributing to Excess Calorie Intake Increased consumption of sugar-sweetened beverages Increased snacking Larger portion sizes Higher calorie-density of foods More meals consumed/purchased away from home More exposure to advertising encourages food consumption/promotes unhealthy foods Value-sizing of less nutritious foods Food Research and Action Center

11. Factors Contributing to Inadequate Amounts of Physical Activity Labor-saving technological advances Increased media use Automobile-oriented communities Food Research and Action Center Limited access to safe, convenient recreation facilities or walking areas Limited opportunities for activity during the workday Limited time for daily physical education and recess in schools

12. Are Low-Income and Food Insecure People Vulnerable to Overweight/Obesity? YES! They are especially vulnerable 1. Limited Resources 2. Lack of access to healthy, affordable foods Neighborhoods frequently lack full-service grocery stores and farmers’ markets Often limited to small convenience and corner stores Food budgets are often stretched by purchasing cheap, energy- dense/filling foods; usually have lower nutritional quality “healthy” foods are often more expensive and poorer quality in these environments Greater availability of fast food restaurants, especially near schools Food Research and Action Center

13. Low-Income and Food Insecure 3. Fewer opportunities for physical activity Fewer available resources including parks, green spaces, bike paths, recreational facilities Available resources may be physically unattractive with more visible signs of trash and disrepair Crime, traffic, unsafe playground equipment Children are less likely to participate in organized sports due to expense and transportation barriers 4. Cycles of food deprivation and overeating Chronic cycles of skipping meals/eating less to stretch food $ leads to overeating when food is available resulting in metabolic changes promoting fat storage and obesity Food Research and Action Center

14. Low-Income and Food Insecure 5. High levels of stress Financial and emotional pressures of food insecurity, low-wage work, lack of access to health care, inadequate transportation, poor housing, neighborhood violence May lead to weight gain through stress-induced hormonal and metabolic changes and unhealthy eating behaviors Chronic stress may trigger anxiety and depression, both associated with child and adult obesity 6. Greater exposure to marketing of obesity-promoting products 7. Limited access to health care Unavailable, unaffordable, or lower quality Not seeking basic healthcare results in lack of diagnosis and treatment of emerging chronic health problems (like obesity) Food Research and Action Center

15. Income and Obesity

16. Income and Physical Activity Rates for adults meeting the physical activity guidelines 2012 10.2% for those with incomes under the poverty threshold 13.6% for those with incomes 100% to 199% of the poverty threshold 18.6% for those with incomes 200% to 399% of the poverty threshold 25.7% for those with incomes 400% to 599% of the poverty threshold 33.4% for those with incomes over 600% of the poverty threshold www.healthypeople.gov

17. Education and Physical Activity

18. www.ahealthieramerica.org

25. WHAT CAN YOU DO? Keep Being a HERO in Your Community!