Update from NIH/HHS: Healthy People 2020 Nutrition and Weight Status Focus Area Van S. Hubbard, M.D., Ph.D. Rear Admiral, U.S. Public Health Service NIH Division of Nutrition Research Coordination Department of Health and Human Services

2 Healthy People 2020: A Starting Point Proposed Organizing Framework  Focus areas Primary: Risk factors and determinants of health Secondary: Diseases and disorders  Emphasis on Public Health Priorities Health IT Preparedness Prevention

Objective NWS 1: Increase the proportion of adults who are at a healthy weight  Data Source: National Health and Nutrition Examination Survey  Baseline: 30.8 percent of persons age 20 years and over are at a healthy weight (baseline years ). 3

Objective NWS 2: Reduce the proportion of adults who are obese  Data Source: National Health and Nutrition Examination Survey  Baseline: 34.0 percent of persons age 20 years and over are obese (baseline years ) 4

Objective NWS 5: Reduce the proportion of children and adolescents who are considered obese a. Children aged 2 to 5 years b. Children aged 6 to 11 years c. Adolescents aged 12 to 19 years d. Children and adolescents aged 2 to 19 years  Data Source: National Health and Nutrition Examination Survey  Baseline: (baseline years ) a.10.7 percent of children aged 2 to 5 years are considered obese b percent of children aged 6 to 11 years are considered obese c percent of adolescents aged 12 to 19 years are considered obese d percent of children and adolescents aged 2 to 19 years are considered obese 5

New Objectivie: Increase the proportion of primary care physicians who regularly measure the body mass index of their patients  Sub-objective a: Increase the proportion of primary care physicians who regularly assess body mass index in their adult patients  Sub-objective b: Increase the proportion of primary care physicians who regularly assess body mass index for age and gender in their child or adolescent patients. 6

Developmental Objective: Prevention of inappropriate weight gain Total Population Age (years) NHANES III ( ) Crude Prevalence (%) NHANES Crude Prevalence (%) – Crude Prevalence for youth ( from 2 years through less than 20 years) with a BMI defined as the BMI for age and gender at or above the 95 th percentile of the growth chart or a BMI of 30 or greater

Developmental Objective: Access to Food Retail Outlets  Increase the proportion of Americans who have access to a food retail outlet that sells a variety of foods that are encouraged by the Dietary Guidelines for Americans. 8

Opportunities  Which focus areas?  Which partners?  Which objectives?  Which data sources?

10 Healthy People 2020 Resources

Strategic Plan for NIH Obesity Research  Posted at

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