North Carolina Supplemental Cardiovascular Disease Prevention Project: Design and Objectives

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Percent of Chronic Diseases That Are Caused by
Poor Lifestyle
91
82
71
70
Sources Stampfer, 2000 Platz, 2000 Hu, 2001
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Obesity Trends Among U.S. Adults1985
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Obesity Trends Among U.S. Adults1986
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Obesity Trends Among U.S. Adults1987
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Obesity Trends Among U.S. Adults1988
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Obesity Trends Among U.S. Adults1989
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Obesity Trends Among U.S. Adults1990
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Obesity Trends Among U.S. Adults1991
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Obesity Trends Among U.S. Adults1992
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Obesity Trends Among U.S. Adults1993
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Obesity Trends Among U.S. Adults1994
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Obesity Trends Among U.S. Adults1995
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Obesity Trends Among U.S. Adults1996
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Obesity Trends Among U.S. Adults1997
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Obesity Trends Among U.S. Adults1998
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Obesity Trends Among U.S. Adults1999
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Obesity Trends Among U.S. Adults2000
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Obesity Trends Among U.S. Adults2001
No Data 1519 2024 25
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Obesity Trends Among U.S. Adults2002
(BMI ?30, or 30 lbs overweight for 54 person)
No Data 1519 2024 25
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Obesity Trends Among U.S. Adults2003
No Data 1519 2024 25
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Obesity Trends Among U.S. Adults2004
No Data 1519 2024 25
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Obesity Trends Among U.S. Adults2004
No Data 1519 2024 25
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Obesity Trends Among U.S. Adults2005
No Data 1519 2024 2529
30
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Percent of adults who are overweight or obese
67
2/3 of adults are overweight or obese
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Percent of adults who are overweight or obese
81
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Excess Body Weight and Reduction of Lifespan
-3.1
-3.3
-5.8
-7.1
Ann Intern Med. 200313824-32
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Diabetes Among Adults in the U.S.,BRFSS 1990
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Diabetes Among Adults in the U.S.,BRFSS 1992
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Diabetes Among Adults in the U.S.,BRFSS 1994
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Diabetes Among Adults in the U.S.,BRFSS 1996
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Diabetes Among Adults in the U.S.,BRFSS 1997
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Diabetes Among Adults in the U.S.,BRFSS 1998
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Diabetes Among Adults in the U.S.,BRFSS 1999
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Diabetes Among Adults in the U.S.,BRFSS 2000
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Diabetes Among Adults in the U.S.,BRFSS 2001
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Diabetes and Reduction in Lifespan
-14.3 yrs
-11.6 yrs
JAMA 20032901884-1890
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Lifetime Risk of Diabetes for Children Born in
2000
49
Venkat Narayan, JAMA 20032901884
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Life Expectancy in the U.S.
2-5 year decline in life expectancy
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Lifespan in Utah vs US
MMWR 199746444-51
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What about Utah residents?

• Low rates of cancer and heart disease compared to
  other states
• Live a little longer
• 7-9 smoke compared to 21 (US)
• Have more body fat now than at any other time in
  recorded history

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What about Utah residents?

• Low rates of cancer and heart disease compared to
  other states
• Live a little longer
• 7-9 smoke compared to 21 (US)
• Have more body fat now than at any other time in
  recorded history

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Percent of Adults Obese U.S. vs Utah
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What about Utah Mormons?

• Less physically active than non LDS
• Weight 10.5 lbs more than non LDS
• Weigh significantly more than members of other
  religions in Utah
• Eat fewer fruits and vegetables
• Similar to the rest of the nation on all other
  health risk and diseases

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How did we get this way?
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5-a-day 1 million
Food Marketing 25 Billion
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Texas Double Whopper
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• Student programs in Granite District are
  supported by a 10-year 2.5 million Pepsi
  contract.
• Mafia in New Jersey

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French Fries
20 Years Ago
Today
610 Calories 6.9 ounces
210 Calories 2.4 ounces
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Turkey Sandwich
20 Years Ago
Today
320 calories
820 calories
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Advertising
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Courtesy of Dr. Kelly Brownell
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Personal responsibility is a very important part
of this because we cant look at someone else to
solve our problems.
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we have to continue to work hard to spread the
gospel of personal responsibility.
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Its about personal responsibility
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Western Diet Pattern
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Individual Behavior

• Awareness/education
• Motivation
• Tools, strategies
• Policy and environment

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Individual
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16 oz
32 oz
44 oz
52 oz
64 oz
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Individual
Family
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Individual
Family
Worksite
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Individual
Family
Worksite
Community
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Somewhere in Georgia
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Nation/ world
Individual
Family
Worksite
Community
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Childhood Obesity

• 27 of children are overweight (CDC, 2003)

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Percent of adults who are overweight or obese by
country
US 74
Russia 50
Percent
India 16
WHO, 2007
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Why Should I Care?
Morbidity
Lifespan in years
76
0
critical illness
Ann Intern Med, 2003139455-459
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Morbidity
Lifespan in years
0
?
76
86
critical illness
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End of Life Benefits
Morbidity
Lifespan in years
10-20 Years
Morbidity
Lifespan in years
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do some thing
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