Health:

1
Health
The Cot of Weight
Wednesday, July 19, 2006 Noon to 1PM Anchorage
Legislative Information Office 716 W.
4th Ave. (Room 220) Participate via local
LIOs Call 1- 800-922-3875 for info Light lunch
served in Anchorage.
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Agenda

• Health the Cost of Weight
• July 19, 2006
• Introductions/Opening Remarks
  Rep. Sharon Cissna
  and Senator Donny Olson (if available)
• Global and National Perspectives on Obesity from
  the CDC(calling in)- Susan Anderson, Public
  Health Nutritionist, Center for Disease Control
  in Atlanta
• The Burden of Obesity in Alaska - Erin
  Peterson, Program Manager, State of AK Obesity
  Program
• Mayors Task Force on Obesity and Health 10-Year
  Plan Creating a Healthy Community - Nathan
  Johnson, Municipality of Anchorage, HSS
• Obesity and the Alaska Native Community (from the
  Fairbanks LIO) Sarah Vent, Nurse, Tanana
  Chiefs Conference - Fairbanks
• Weight and the Community Fit not Fat, Why School
  Fitness? - Peter Mjos, MD, Anchorage
  Neighborhood Health Center, Take Heart Alaska
• Addressing Obesity Through Public Policy
  - Suzanne Munier, American Heart Association
• Health and Wellness Efforts in the Schools
  - Lynda Sather, Fairbanks School District
  (from the Fairbanks LIO) Dawn
  Hensley-Maranville, Benefits Coordinator, FNSBSD
• Weight and Personal Choice - Sandy Baker,
  Manager, Anchorage Curves Heather Conway,
  Juneau Racquet Club (in Juneau LIO) Phyllis
  Finley, Anchorage Weight-Watchers
• Discussion.

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Obesity and the Alaska Native Community
Sarah Vent Nurse/Dietician Chief Andrew Isaac
Health Center, Fairbanks, Alaska
4
Fit Not FatWhy School Fitness?

• Peter O. Mjos, MD
• Take Heart, Alaska

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Life is Movement

• -Aristotle

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Lifestyle Suicide

• EPIDEMIC of inactivity and obesity
• Resulting in disease and shortened life span
• Child born today will have shorter life
  expectancy than parents

8
Lifestyle SuicideCDC A sedentary lifestyle
is hazardous to ones health

• Leading Causes of Death
• Heart Disease
• Cancer
• Stroke

• Actual Causes of Death
• Tobacco 500,000 deaths/yr
• Physical inactivity and poor diet 330,000
  deaths/yr
• Alcohol

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• I think weve made a serious error by not
  requiring physical education in grades K-12. We
  are paying a tremendous price for this physical
  inactivity. People pay with pain and suffering
  and society pays with money and lost
  productivity.
• Dr. David Satcher, U.S. Surgeon General

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• WWII Americans Physically Active 33 of Day
• 2000 Active 0.5 of the Time

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Epidemiology and Demographics

• 54 Alaskan adults sedentary CDC Epidemic
  exaggerated in rural Alaska
• Sharp decline in physical activity with age,
  exaggerated in rural Alaska
• Per cent of children overweight doubled in past
  30 years
• Each village unique five distinct climatic
  zones

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• U.S. Surgeon General, Dr. David Satcher
• Today we see a nation of young people seriously
  at risk of starting out obese and DOOMING
  themselves to the most difficult task of
  overcoming a tough illness.

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EPIDEMIC

• William Dietz, Director of Nutrition, CDC
• This is an epidemic in the U.S. the likes of
  which we have never had before in chronic
  disease. The cost to the American public health
  budget by 2020 will run into the hundreds of
  billions and make HIV, economically, look like a
  bad case of the flu.

15

• Dean of American obesity studies,
• University of Colorados James O. Hill
• If left unchecked almost all Americans will be
  obese within a few generations, a normal
  response to the American environment.

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Years of Life Lost (YLL)

• YLL difference between number of years life
  expected if individual obese vs. not obese
• Optimal BMI is 23-25 for whites 23-30 for blacks
• Younger adults gt YLL than older adults
• Maximum YLL with severe obesity level in 20-30
  year olds White men 13 women 8 Black
  men 20 women 5
• Obesity lessens life markedly, especially among
  younger adults

Source KR Fontaine, et.al. JAMA, Jan 8, 2003
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• World Health Organization Overeating is the
  fastest growing form of malnutrition in the
  world today
• Singapore Nationwide Trim and Fat Scheme reduced
  childhood obesity gt50 since 1992

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Obesity, Overweight Contribute 93 billion to
National Medical Bill

• Medicare and Medicaid financing half the burden
• Medicaid recipients highest prevalence of
  obesity 10 higher than national average
• Medicare increase 1486/year/per person
• Medicaid increase 864/year/year/person
• Private insurance increase 423/year/person
• Higher prevalence and larger increase in Medicaid
  recipients may be associated with riskier
  behaviors (lack of exercise, poor nutrition,
  smoking, alcohol use)

Source Finkelstein, Fiebelkorn Wang. Journal
of Health Affairs. May 14, 2003
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• Finkelstein The fact that the government, and
  ultimately the tax payer, is financing half the
  economic burden of obesity suggests that the
  government has a clear justification to try to
  reduce obesity rates.
• Annual medical spending associated with being
  overweight or obese is 9.1 of US medical care
  costs comparable to conditions linked to smoking

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Litany of Chronic Diseases

• Fat kids who limp
• Blounts Disease, a deformity of the tibia
• Slipped femoral capital epiphysis, a
  weight-induced dislocation of the femoral growth
  plate
• Sleep apnea one third of obese children, and
  another third with obstructive sleep. Most
  demonstrate significant decrements in learning
  and memory.

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• Early puberty for obese girls, often by age ten,
  the beginning of lifetime of hormonal bizarreness
  
• Pseudotumor cerebri, a brain tumor
• Other neurological diseases
• Gallstones
• Hypertension
• Type 2 diabetes mellitus
• Emotional illness
• Stunted growth. Partially explained, at least,
  by income, illness, education, marital status

22
Fit Kids Perform Better Academically

• Study by California Department of Education shows
  distinct relationship between academic
  achievement and physical fitness in Californias
  public school students
• Individually matched scores from Stanford
  Achievement Test and state-mandated physical
  fitness test (Fitnessgram)
• Fitnessgram assesses aerobic capacity, body
  composition, abdominal strength and endurance,
  trunk strength and flexibility, upper body
  strength and endurance, and overall flexibility

Source California Department of Education,
12/10/02
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• Fit Children
• ?
• Fit Adults
• ?
• Quality of Life
• ?
• ? Burden of Illness for Individuals and Society
• ?
• ? Longevity
• ?

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• ? Colon and Breast Cancer
• ? CV Disease, DM, HTN, Cholesterol, Osteoporosis
• ? Insomnia, Depression, Anxiety
• ? Work Performance, Clarity of Thinking
• ? Decreased Smoking
• ? Esteem, Particularly in Girls
• ? Sexuality, Diet Habits, Immune Function

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Benefits of Exercising and Being Fit for Kids

• Feel better
• Eat better
• Think better
• Look better
• Behave better

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Benefits of Exercising and Being Fit for Kids

• Enhanced self esteem
• Enhanced school performance
• Less likely to smoke
• Less likely to get pregnant as teen
• Less obesity
• Decreased cardiovascular risk

27
1.8 Percent of United States Health Budget is
Spent on Health Prevention
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Addressing Obesity Through Public Policy
Recommendations from the American Heart
Association
Suzanne Meunier Alaska Director of Advocacy,
American Heart Association
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Why Policy is Important to Preventing Obesity in
Children

• The vast majority of overweight children and
  adolescents (between 70 and 80) continue to be
  overweight in adulthood or will become obese
  adults.

US Department of Health, Human Services, 2001
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Childhood obesity predicts adult obesity
From Whitaker RC, et al. NEJM 1997337869-73
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Why Policy is Important to Preventing Obesity in
Children

• Epidemic childhood obesity rates current
  environment unhealthy?
• Policy change ?
• Changes in the environment?
• Increases in physical activity and improved
  nutrition ?
• Improvement in health outcomes

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The Current Environment Among Alaska Adolescence

• 82 do not attend physical education classes
  daily
• 32 do not meet the CDC recommendation for
  physical activity
• Only 16 consume at least 5 daily servings of
  fruits and vegetables
• Source Youth Risk Behavior Survey 2003

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The Opportunity

• Schools are ideally suited to give children and
  adolescents the skills and support they need to
  adopt daily physical activity and healthy eating
  behaviors for life.
• More than 95 of all children and adolescents
  ages 517 are enrolled in school.

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The Opportunity (cont.)

• School-based physical and nutrition education can
  help students acquire skills, attitudes, and
  knowledge supportive of healthy behaviors.
• Schools can reinforce positive eating and
  physical activity habits and offer many
  opportunities for young people to practice
  healthy eating and exercise.

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What is Needed Comprehensive School Physical
Activity Programs

• The National Association of Sports and Physical
  Education (NASPE) and the American Heart
  Association recommend that these specific
  principles be present in quality physical
  activity programs.
• School physical activity policy and practices
  should include

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Principles for Quality Physical Activity in
Schools

• Quality, daily physical education
• Classroom health education
• Daily recess period (elementary)
• Extracurricular physical activity programs
• Walk/bike to school programs

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What Is Needed Promotion of Healthy School
Nutrition
According to AHA scientific guidelines for
childhood nutrition, there are eight principles
for health school nutrition policy. School
nutrition policy and practices should
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Eight Principles for Quality Nutrition in Schools

• Support increased consumption of fruits and
  vegetables without excessive fruit juice
  consumption.
• Lead to decreased consumption of saturated and
  transfat.
• Encourage reduced consumption of refined grains
  and sugar-sweetened beverages and foods and
  encourage the consumption of adequate whole
  grains.
• Encourage consumption of non-fat or low-fat milk.

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Eight Principles (cont.)

• Encourage consumption of more non-fried fish,
  especially oily fish.
• Encourage adequate hydration without excess
  caloric consumption from beverages
• Support healthy behavior environments.
• Support nutrition education for all students in
  all grade levels.

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Parents and Teachers

• Survey of parents of school-aged children found
  a significant gap between what parents believe is
  happening and what is actually happening
• 77 of parents support requiring daily physical
  education for all children
• 62 rate their child's school as excellent or
  good on making daily physical education
  available for all students
• In reality only 5.8 to 8.0 of schools nationally
  (depending on grade level) provide students with
  daily physical education

Action for Healthy Kids (AFHK) Opinion Survey -
2005
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Parents and Teachers (cont.)

• 85 of parents and the vast majority of teachers
  favor the requirement of students
• to take physical education every day and at
  every grade level

Robert Wood Johnson Foundation Opinion Survey
2003 -800 parents and 500 public school teachers
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Parents and Teachers (cont.)

• Parents want physical education for their kids
• - 76 of parents think more school PE could help
  control or prevent childhood obesity
• - 95 think PE should be a part of school
  curriculum for all students grade K-12
• - 54 believe PE is as important or more
  important than math, science, or English

NASPE Opinion Survey - 2001
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A Complex Problem Requiring a Comprehensive and
Collaborative Approach

• Individuals
• Families
• Industry
• Schools
• Policymakers

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A Complex Problem Requiring a Comprehensive and
Collaborative Approach

• The American Heart Association is committed to
  its continued partnerships with

• AARP
• American Cancer Society
• American Lung Association
• American Diabetes Association
• State of Alaska, DHSS
• Take Heart Coalition
• Action for Healthy Kids

• Municipality of Anchorage, DHHS
• Alliance for Health, Physical Education,
• Recreation and Dance
• Healthy Futures
• Alaska Native Health Board
• Local, state and federal policy makers

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PolicymakersYoure Not Alone
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Childhood Obesity Prevention

• May 2005
• Released AHAs Obesity Sourcebook with RWJF
• Announced alliance between the AHA and the
  Clinton Foundation

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Announcement

• Beyond childhood obesity, we encourage all
  children to be healthier

The alliance is bipartisan and has teamed up
with Governor Mike Huckabee of Arkansas
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Alliance for a Healthier Generation Overall
Goals

• By 2010, halt the increasing prevalence of
  childhood obesity in the United States.
• By 2015 reduce the prevalence of childhood
  obesity by 10

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Alliance for a Healthier GenerationOverview
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Linda Sather Director of Public
Relations Fairbanks School District
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New School Board Policy regarding school wellness
adopted April 2006

• To include
• Physical activity
• Nutrition education
• Food and beverage provided by school
• Diverse school-based activities

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Personal Choice and Health Behaviors
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Sandy Baker Manager, Anchorage Area
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Curves came along and it was a blessing!
Pat Franklin
Two years ago, Pat Franklin had high blood
pressure, sleep apnea, joint pain, and swelling.
Weighing 333 pounds, she found stairs a
challenge. She joined a gym but felt out of
place. Diets failed. My doctor told me if I
wanted to live, I had to get right with my diet
and exercise, says the 42-year-old accounting
clerk. And my mom really wanted me to lose
weight. A friend suggested Curves. I had a
great feeling from the very beginning, she says.
Today Pat is fitter than ever. Her health
problems are gone. Her weight is down 138 pounds.
"My mom passed away over the holidaysand I'm
very thankful that she lived to see my weight
loss!
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Kimberly Luzier
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Fortyish Nancy Gale felt her life was full of
fatigue, sore knees, forfeited activities,
insecurity, and mistrust. I didnt experience
the joy of life, she recalls. I wanted to be
invisible. Photos from a Mexican vacation were
her wake-up call. There I was, looking miserable
when I was in paradise, Nancy explains. So she
joined Curves. Now, two years later and 151
pounds lighter, healthier, and finally, happy.
She swims, dances, and goes skiing with her
15-year-old twin sons. Her 22-year-old daughter
is no longer ashamed of her. Now her daughter's
friends say she is the coolest mom in the world!
"Curves has been a healing experience.
Nancy Gale
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• Charlotte didnt want to take a lot of time to
  stay fit. She needed to do something, she
  decided to join Curves. In just four weeks she
  is firmer, she has better muscle tone, a higher
  energy level and is sleeping better.

• T.J. was not able to get on the equipment without
  help. When she joined she was hardly able to
  walk in on her own. Now she can walk better and
  get on and off all the equipment. Her
  flexibility and range of motion has increased

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• Verna loves the travel pass policy. It helps her
  keep on track even when out of town. She has
  noticed she has more energy and her cholesterol
  was borderline and is now down. She takes the
  liquid vitamins and Cholest Eze and has also
  noticed how much more energy she has

• Mary Had a blood Sugar problem that was effecting
  every avenue of her life. She began working out
  to help that and her points have dropped 30
• Beverly joined Curves to deal with the death of
  her son. She was surprised that after a year her
  doctor found her bone density increased.

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• This is to inform you that I, Mala Kalyan have
  been a member at Curves since November 2001 and
  have thoroughly enjoyed coming to Curves for a
  workout several times a week. There are several
  reasons for this
• The staff, especially Ashley is extremely
  friendly and welcoming to every member
  personally.
• It is easy to fit in a 35-minute workout program
  into my busy daily schedule of work, teaching and
  personal life to keep fit, since exercise is very
  important for good health.
• The various hydraulic machines keep my muscles in
  good shape and keep my body limber for being 58
  years old.
• I had a rotator cuff problem and after surgery,
  one of the machines helped me get back my full
  range of motion faster.
• I also feel great and upbeat after a work out at
  Curves, and feel that my day goes better for it
  and I also feel energized due to that workout.
• I have maintained my weight of 120 pounds due to
  the workout at Curves.
• I enjoy working out with people that I have made
  friends with at Curves.
• All in all, I have been extremely healthy and
  happy, all due to Curves and have convinced
  friends to join too.
• Kudos to you for bringing Curves to Anchorage! I
  am sure that, all members of Curves will endorse
  my sentiments.

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Heather Conway Assistant Fitness Director, Juneau
Racquet Club
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Phyllis Finley Weight-Watchers Ambassador
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Co-Chairs, Sen. Donny Olson and Rep. Sharon
Cissna thank you for participating in the
Legislative Health Caucus. A copy of this
powerpoint can be found on our website
www.akdemocrats.cissna.org The audio file of
todays program can be found at
http//www.ktoo.org/gavel/audio.cfm. (type in the
date of this Caucus). For more information,
please call 1-800-922-3785