North Carolina Supplemental Cardiovascular Disease Prevention Project: Design and Objectives

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Part I
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Ardipithecus - Ardi
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present
100,000 BC
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present
100,000 BC
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present
100,000 BC
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present
100,000 BC
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present
100,000 BC
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Milk
present
100,000 BC
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Milk
Sugar
present
100,000 BC
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Milk
Sugar
HFCS
present
100,000 BC
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Obesity Trends Among U.S. Adults1985
No Data lt10 1014
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Obesity Trends Among U.S. Adults1986
No Data lt10 1014
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Obesity Trends Among U.S. Adults1987
No Data lt10 1014
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Obesity Trends Among U.S. Adults1988
No Data lt10 1014
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Obesity Trends Among U.S. Adults1989
No Data lt10 1014
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Obesity Trends Among U.S. Adults1990
No Data lt10 1014
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Obesity Trends Among U.S. Adults1991
No Data lt10 1014
1519
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Obesity Trends Among U.S. Adults1992
No Data lt10 1014
1519
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Obesity Trends Among U.S. Adults1993
No Data lt10 1014
1519
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Obesity Trends Among U.S. Adults1994
No Data lt10 1014
1519
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Obesity Trends Among U.S. Adults1995
No Data lt10 1014
1519
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Obesity Trends Among U.S. Adults1996
No Data lt10 1014
1519
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Obesity Trends Among U.S. Adults1997
No Data lt10 1014
1519 20
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Obesity Trends Among U.S. Adults1998
No Data lt10 1014
1519 20
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Obesity Trends Among U.S. Adults1999
No Data lt10 1014
1519 20
32
Obesity Trends Among U.S. Adults2000
No Data lt10 1014
1519 20
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Obesity Trends Among U.S. Adults2001
No Data lt10 1014
1519 2024 25
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Obesity Trends Among U.S. Adults2002
No Data lt10 1014
1519 2024 25
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Obesity Trends Among U.S. Adults2003
No Data lt10 1014
1519 2024 25
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Obesity Trends Among U.S. Adults2004
No Data lt10 1014
1519 2024 25
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Obesity Trends Among U.S. Adults2005
No Data lt10 1014
1519 2024 2529
30
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Obesity Trends Among U.S. Adults2006
No Data lt10 1014
1519 2024 2529
30
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Obesity Trends Among U.S. Adults2007
No Data lt10 1014
1519 2024 2529
30
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Obesity Trends Among U.S. Adults2008
No Data lt10 1014
1519 2024 2529
30
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Percent of Adults Obese U.S. vs Kansas
BRFSS
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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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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
86
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Lifetime Risk of Diabetes for Children Born in
2000
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Venkat Narayan, JAMA 20032901884
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1994
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1995
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1996
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1997
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1998
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1999
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2000
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2001
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2002
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2003
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2004
63
2005
64
2006
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2007
66
Diabetes and Reduction in Lifespan
-14.3 yrs
-11.6 yrs
JAMA 20032901884-1890
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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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Part II
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Costs for Each Person
actual
8,160
Centers for Medicare and Medicaid Services
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Costs for Each Person
13,100
projected
8,160
2009
2018
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U.S. Health Care as a Percentage of the GDP
Today 16 of GDP
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in 9 years
20
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Cost by Country
KFF.org
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Infant Mortality
75
Life Expectancy by Country
WHO, 2004
76
Life Expectancy by Country
U.S.
WHO, 2004
77
Cumulative Increases in Insurance Premiums,
Inflation, and Workers Earnings
157
37
29
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Bureau of Labor Statistics
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U.S. Health Care as a Percentage of the GDP
Today 16 of GDP
80
U.S. Health Care as a Percentage of the GDP
81
U.S. Health Care as a Percentage of the GDP
82
U.S. Health Care as a Percentage of the GDP
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U.S. Health Care as a Percentage of the GDP
84
Doctor Day, January 1, 2226
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• Health care reform
• Companies closing/moving off shore
• Kidney shortages
• Chronic disease conferences
• Type III diabetes
• Obesity epidemic

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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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The Solution
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Culture of Health

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

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Individual
Family
Worksite
Community
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Reversal of Coronary Disease
July, 1999
November, 1996
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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
109
End of Life Benefits
Morbidity
Lifespan in years
110
End of Life Benefits
Morbidity
Lifespan in years
111
End of Life Benefits
Morbidity
Lifespan in years
112
End of Life Benefits
Morbidity
Lifespan in years
113
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