Becoming a Woman of Influence

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Becoming a Woman of Influence

• Mary L. Hill, RN, Esq.
• Deputy Commissioner
• Indiana State Department of Health
• marhill_at_isdh.in.gov

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Influence

• The power to affect others.
• The power to produce effects.

3
Ways to Influence

• Becoming informed
• Modeling the way
• Encouraging others
• Becoming involved

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Becoming Informed
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What factors affect our health?

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Determinants of Health and Disease
Source Dr. Steven Schroeder, New England Journal
of Medicine, Sept. 20, 2007
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Behavioral Causes of Premature Death
Source Dr. Steven Schroeder, New England Journal
of Medicine, Sept. 20, 2007
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Tobacco Use
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Tobacco Public Health Enemy 1
Leading cause of preventable illness and
premature death nationwide
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Overweight and Obesity
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Obesity is the 2nd Leading Cause of Preventable
Illness and Premature Death Nationwide
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The cover of "The Economist", Dec. 13-19, 2003.
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Obesity
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What is Obesity?

• Overweight and obesity ranges are determined by
  using weight and height to calculate a number
  called the body mass index (BMI).
• BMI is used because, for most people, it
  correlates with their amount of body fat.

http//www.cdc.gov/nccdphp/dnpa/obesity/defining.h
tm
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BMI Chart
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BMI Classification

• As recommended by the World Health Organization
  (WHO)
• Normal Range 18.5-24.9
• Overweight gt 25.0-29.9
• Obesity gt 30

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Obesity Trends Among U.S. Adults BRFSS, 1985
(BMI 30, or 30 lbs. overweight for 5 4
person)
No Data lt10 1014
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Obesity Trends Among U.S. Adults BRFSS, 1986
No Data lt10 1014
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Obesity Trends Among U.S. Adults BRFSS, 1987
No Data lt10 1014
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Obesity Trends Among U.S. Adults BRFSS, 1988
No Data lt10 1014
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Obesity Trends Among U.S. Adults BRFSS, 1989
No Data lt10 1014
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Obesity Trends Among U.S. Adults BRFSS, 1990
No Data lt10 1014
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Obesity Trends Among U.S. Adults BRFSS, 1991
No Data lt10 1014
1519
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Obesity Trends Among U.S. Adults BRFSS, 1992
No Data lt10 1014
1519
25
Obesity Trends Among U.S. Adults BRFSS, 1993
No Data lt10 1014
1519
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Obesity Trends Among U.S. Adults BRFSS, 1994
No Data lt10 1014
1519
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Obesity Trends Among U.S. Adults BRFSS, 1995
No Data lt10 1014
1519
28
Obesity Trends Among U.S. Adults BRFSS, 1996
No Data lt10 1014
1519
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Obesity Trends Among U.S. Adults BRFSS, 1997
No Data lt10 1014
1519 20
30
Obesity Trends Among U.S. Adults BRFSS, 1998
No Data lt10 1014
1519 20
31
Obesity Trends Among U.S. Adults BRFSS, 1999
No Data lt10 1014
1519 20
32
Obesity Trends Among U.S. Adults BRFSS, 2000
No Data lt10 1014
1519 20
33
Obesity Trends Among U.S. Adults BRFSS, 2001
No Data lt10 1014
1519 2024 25
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Obesity Trends Among U.S. Adults BRFSS, 2002
No Data lt10 1014
1519 2024 25
35
Obesity Trends Among U.S. Adults BRFSS, 2003
No Data lt10 1014
1519 2024 25
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Obesity Trends Among U.S. Adults BRFSS, 2004
No Data lt10 1014
1519 2024 25
37
Obesity Trends Among U.S. Adults BRFSS, 2005
No Data lt10 1014
1519 2024 2529
30
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Obesity Trends Among U.S. Adults BRFSS, 2006
No Data lt10 1014
1519 2024 2529
30
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Obesity Ranking - Indiana

• In 2006 Indiana was the 10th most obese state in
  America
• 27.8 obese
• In 2007, Indiana was the 21st most obese state
• 27.4 obese
• Indiana held the line while 11 other states
  became heavier
• CDC BRFSS data

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Childhood Obesity in the USA
Source National Health and Nutrition Examination
Survey
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Childhood Obesity in the USA
For the first time in two centuries, the current
generation of children in America may have
shorter life expectancies than their parents.
The rapid rise in childhood obesity, if left
unchecked, could shorten life spans by as much as
five years.
New England Journal of Medicine - March 2005
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Endless Sugary drink options
CHEAP Processed, high energy dense foods -
Roads without sidewalks
Unsafe neighborhoods
How did we get here?
Portion Distortion
Lack of access to healthy food
Cul-de-sacs
Changing family unit
Explosion of Restaurants
TV, Computers, Video Games
Automobile only access
Working parents
Schools outside neighborhoods
Family dinners?
Transportation
Building Design
Stair access?
High traffic 4-5 lane intersections
24/7 Fast Food
Lack of access to places to be physically active
Roads without Bike lanes
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The Obesigenic Environment
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Katz, D. Obesity be Damned, Holistic Expo, 2006
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Is healthy food a part of Indianas culture?

• Our Culture
• The Indiana State Fair
• Sugar cream pie The Official State Pie
• Breaded pork tenderloin
• Fried chicken
• Wonder Bread (1921)
• More is better

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Todays convenience stores are snack-food theme
parks
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Katz, D. Obesity be Damned, Holistic Expo, 2006
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Katz, D. Obesity be Damned, Holistic Expo, 2006
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Katz, D. Obesity be Damned, Holistic Expo, 2006
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Katz, D. Obesity be Damned, Holistic Expo, 2006
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Hunting and Gathering
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Pioneer Farming
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Modern America
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Food is everywhere!
(which isnt always a good thing)

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All you can eat!
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Calorie-Dense Foods
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Modeling the Way
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Dr. Monroes Refrigerator
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Modeling the Way
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Modeling the Way
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Modeling the Way
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Making the Healthy Choice the Easy Choice!
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• Mary L. Hill, RN, Esq.
• Deputy Commissioner
• Indiana State Department of Health
• 2 North Meridian Street
• Indianapolis, Indiana 46204
• marhill_at_isdh.in.gov
• [phone]