Kansas Obesity Summit #KSObesitySummit

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1 Kansas Obesity Summit 2014 #KSObesitySummit

2 Kansas Obesity Summit 2014 Robert Moser, MD, Secretary Kansas Department of Health and Environment

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6 Obesity Trends Among Kansas Adults Percentage of adults 18 years and older who are obese, Kansas % Percentage 30% 25% 20% 15% 13% 12% 12% 16% 13% 15% 18% 19% 21% 22% 23% 23% 23% 24% 26% 28% 28% 29% 30% 10% 5% 0% Year Obesity is defined as body mass index (BMI) 30 kg/m 2. Source: Behavioral Risk Factor Surveillance System, Bureau of Health Promotion, KDHE

7 Prevalence of obesity among Kansas high school students, YRBS 20% 18% Prevalence of Obesity, KS High School (%) 16% 14% 12% 10% 8% 6% 4% 11.9% 11.1% 12.4% 10.2% 12.6% 2% 0% 2004/ / / / /13 Year

8 Prevalence of overweight and obesity among high school students in grades 9 12, Kansas 2012/2013 school year Overweight (BMI 85th but <95th percentile) 16.3% Obese (BMI 95th percentile) 12.6% Neither Overweight Nor Obese (BMI <85th percentile) 71.1% Source: 2013 Kansas Youth Risk Behavior Survey, Kansas State Department of Education.

9 Medical Complications of Obesity Source: Adapted from Yale University Rudd Center for Food Policy and Obesity

10 Selected Chronic Health Conditions Prevalence of obesity among adults 18 years and older with and without selected chronic health conditions, Kansas 2011 Diabetes No Diabetes Kidney Disease No Kidney Disease Depression No Depression Arthritis No Arthritis Cancer No Cancer Asthma No Asthma Stroke No Stroke Coronary Heart Disease No Coronary Heart Disease Heart Attack No Heart Attack High cholesterol No High cholesterol High blood pressure No high blood pressure 22.9% 26.6% 29.2% 27.4% 26.4% 29.5% 30.9% 28.5% 29.5% 32.3% 29.0% 29.2% 27.5% 39.8% 38.7% 36.3% 38.5% 41.3% 41.1% 43.1% 44.3% 57.0% 0% 10% 20% 30% 40% 50% 60% 70% 80% Prevalence of Obesity Source: 2011 Kansas Behavioral Risk Factor Surveillance System, Bureau of Health Promotion, KDHE. Horizontal bars indicate 95% confidence intervals.

11 Healthy Kansans 2020 Robert Moser, MD Secretary Kansas Department of Health and Environment

12 HK 2000 & HK 2020 Public Opinion Surveys Health Issues Voted Most Important in Kansas Healthy Kansans Cancer 2. Drug Use 3. Teenage Pregnancy 4. Alcohol 5. Heart Disease Healthy Kansans Chronic Diseases 2. Access to Care 3. Social Factors 4. Environment 5. Lifestyle Behaviors 20. Lifestyle Behaviors

13 HEALTHY KANSANS 2020 FRAMEWORK Working together, working smarter to routinely connect state and local partners across disciplines and sectors to enhance implementation of innovative systems and strategies, and improve individual and community well-being in Kansas by Cross-cutting Themes and Strategies Healthy Living Healthy Communities Access to Services Priority Strategies Priority Strategies Priority Strategies HL-1 Promote physical activity and HL-1 healthy Promote eating physical HL-2 Promote tobacco use prevention and control HL-2 HL-3 activity and healthy eating Promote tobacco use prevention and control Equip and incentivize Kansans to participate in culturally competent health and wellness programs and access appropriate health care HC-1 Promote environments and HC-1 community Promote design environments that impact health and support healthy behavior and community design that impact health and HC-2 Promote access to healthy foods and support policies healthy that promote healthy food choices behavior HC-3 Support policies that make the default choice the healthy choice AS-1 Improve access to services that address the root causes to poor health AS-2 Promote integrated health care delivery, including integrated behavioral health, social services and medical care AS-3 Effective and efficient use of health information technology (HIT) for population health improvement HL-4 Improve supports for the social and emotional development of children and families Kansans equipped to take an active role in improving their health and supporting their families and friends in making healthy choices. Kansans working together to impact the natural as well as human formed conditions that influence health and/or risk for injury. Kansans ready access to information and health and social services to achieve the best health outcomes.

14 Goal Objective Performance Indicators Activities Increase access to healthy foods Increase local food sourcing By 2020, increase to 5, the number of farmer's markets per 100,000 state residents (3.4 in 2012; Source: USDA Farmers Market Directory and Census.) By 2020, increase to 40, the number of state and local food policy councils (Baseline: 0 state, 1 local in 2011; Source: Johns Hopkins Bloomberg School of Public Health, Food Policy Network, Food Policy Council Directory: By 2020, increase to 22 percent, the percent of Kansas middle schools and high schools that have planted a school food or vegetable garden (Baseline: 13 percent in 2012; Source: School Health Profiles, Principal Survey Q35 in 2012 and 2014 Establish new, and expand existing, farmer's markets Promote and support access to and use of EBTs in farmer's markets Promote safe food handling practices (focus on fruits and vegetables) at farmer s markets Establish and support state and local food policy councils Promote and support farm-to-school and farm-toinstitution programs and policies Promote and support school and community garden initiatives Outputs Number of new farmer's markets established, number of farmer's markets that have expanded their operating hours and/or reach via satellite markets Number of EBTs in use at farmer's markets, proportion of EBT users who shop at farmer's markets Number of farmer s markets promoting safe food handling practices through signage, handouts Number of new state and local food policy councils established Number of new farm-to-school and farm-to-institution programs and policies Number of new school and community garden initiatives

15 Goal Objective Performance Indicators Promote community design to support healthy behaviors Increase the number of communities that adopt healthy community design principles By 2020, increase to 53 percent, the percentage of population covered by Complete Streets policy or resolution. (Baseline: 33 percent (957,417); Source: Complete Streets) Activities Implement Complete Streets Increase the number of trails and connectivity Educate local boards of health and planning commissions on the evidence-base and opportunities to impact health (e.g. health impact assessments) Track development, adoption and implementation of healthy community design policies Outputs Number of community or state Complete Streets policies Miles of trails; proportion of trails connected to community resources Number of educational reports created, number of decisionmakers to whom educational reports are disseminated Number of surveillance systems tracking development, adoption and implementation of healthy community design policies

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17 Obesity: Complex But Conquerable Institute of Medicine

18 THANK YOU!

19 Kansas Obesity Summit 2014 #KSObesitySummit

20 Physical Activity Champions

21 Getactivekansas.org

22 Kansas Obesity Summit 2014 #KSObesitySummit