1. Community Forums and Survey Summary May 31, 2005

2. Increased Prevalence of Obesity Has increased 70% over the last decade alone Has increased 70% over the last decade alone Increase occurred for all population subsets Increase occurred for all population subsets 2/3 of adult Americans are now overweight or obese 2/3 of adult Americans are now overweight or obese

3. Body Mass Index Below 18.5 – Under weight 18.5 – 24.9 - Normal 25.0 - 29-9 - Overweight 30.0 - Up - Obese

6. Community Forums Bedford Bedford Jefferson Jefferson Ames Ames Spencer Spencer Ottumwa Ottumwa Estherville Estherville West Union West Union Donnellson Donnellson Cedar Rapids Cedar Rapids

7. Discussion Questions What do you see in your community that indicates there is an overweight problem? What do you see in your community that indicates there is an overweight problem? What are family/cultural conditions that impact this issue? What are family/cultural conditions that impact this issue? What is currently being done in your community to address this issue and what is working? What is currently being done in your community to address this issue and what is working?

8. Discussion Questions What can the state do for you? What can the state do for you? What can you do locally? What can you do locally? What strategies do you feel would benefit your community? What strategies do you feel would benefit your community?

9. Indication of a Problem

10. Indications of the problem…. Look around! Look around! Bigger everything……. Bigger everything……. Data Data Community Health Assessment Community Health Assessment Increase in related diseases – diabetes Increase in related diseases – diabetes

11. Family/Cultural Parents working outside home Parents working outside home Pace of life Pace of life Work and play is sedentary Work and play is sedentary Super size it! Super size it! Fast food everywhere Fast food everywhere Lack of understanding of diverse cultural beliefs and customs Lack of understanding of diverse cultural beliefs and customs

12. Currently being done….. Fitness and exercise programs Fitness and exercise programs Local collaborations Local collaborations Some workplace incentives (few) Some workplace incentives (few) Juice and milk in vending machines Juice and milk in vending machines Local competitions Local competitions Building trails Building trails

13. What is working? “Lighten Up Iowa”, “Go the Distance”, “Lighten Up Iowa”, “Go the Distance”, Local walking programs Local walking programs Local challenges Local challenges Y Programming Y Programming Pick a Better Snack (Grant) Pick a Better Snack (Grant) Better hours at fitness center Better hours at fitness center WIC WIC Healthy choices in vending machines Healthy choices in vending machines

14. What can the state do for you? Money Money Consistent message Consistent message Educational resources Educational resources Location of data and educational resources Location of data and educational resources Make grants less competitive and simpler RFPs Make grants less competitive and simpler RFPs Wellness programs for business Wellness programs for business Media Tool Kit Media Tool Kit

15. What can you do locally? Work with legislators and local policy makers Work with legislators and local policy makers Better communication between public and private Better communication between public and private Collaborate Collaborate Provide mechanisms to get the message out Provide mechanisms to get the message out Work with faith community, county fairs, Work with faith community, county fairs, 4-H, chamber, hospital wellness programs 4-H, chamber, hospital wellness programs

16. Strategies? Education, media campaigns and social marketing (additional discussion regarding promotional materials included consistent messages coming from the state). Education, media campaigns and social marketing (additional discussion regarding promotional materials included consistent messages coming from the state). Using schools to impact children and families through education and awareness. Using schools to impact children and families through education and awareness. Increasing the requirements for physical activity, reducing vending machines in schools or having healthy food choices Increasing the requirements for physical activity, reducing vending machines in schools or having healthy food choices Workplace incentives to promote individual and family healthy lifestyles Workplace incentives to promote individual and family healthy lifestyles

17. For Individual Community Priorities jananwunsch@mchsi.com or call or call515-490-6222