Policies are Important to Parks and

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1 Why Healthy Eating and Active Living Policies are Important to Parks and Recreation Agencies Rachel Callanan, JD, MNM Regional Vice President of Advocacy, MN & WI American Heart Association, Midwest Affiliate 1

2 Trends in the prevalence of overweight amongus children and adolescents by age and NHANES survey year Population Percent of

3 Age adjusted prevalence of obesity in adults 20to 74 years of age by sex and NHANES survey year Percent of Population Men Women

4 Direct, Indirect, and Total Costs of CVD ($ billions) $1,200 $1,000 $800 $600 $690 $1,094 $818 $400 $444 $470 $200 $0 $273 $172 $220 $ Direct Indirect Total Circulation March 1, 2011 vol. 123 no

5 Cost tto Society By 2030, 40 percent of all adult Americans will have some form of CVD By 2030, direct medical costs will triple from $273 billion to $818 billion Direct and indirect costs combined total $1.3 trillion in 2030 nearly as large as the projected federal deficit for 2011 Circulation March 1, 2011 vol. 123 no

6 The Implications Aging population drives up prevalence and costs Obesity, hypertension, diabetes could further worsen prevalence and costs Workforce may not be sufficient for new demands Health disparities must be addressed Prevention must begin early in life Hypertension should be a major focus 6

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8 Impact over the last decade 8

9 AHA 2010 Impact Goal Achievements Coronary Heart Disease 70.0 Stroke Age adjusted Death Rate (per 100,0 000) % % 1% = 25% reduction goal met 9

10 2010 AHA Goals: Room for Improvement Reduced Prevalence of Smoking by 19.8% Reduced dphysical Inactivity it by only 2.5% Obesity increased by 1.9% Diabetes increased by 1.8% o Projected to increase 102% by 2030

11 So, where do we go from here? 11

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13 2020 Impact Goal Our 2020 Impact By 2020, to improve the cardiovascular Goal health of all Americans by 20% while reducing deaths from cardiovascular diseases and stroke by 20%. Copyright AHA By 2020, to improve the cardiovascular health of all Americans by 20 % while reducing deaths from cardiovascular diseases and stroke by 20 %.

14 What is Ideal Cardiovascular Health? 1. Absence of disease 2. Favorable levels of health factors 3. Favorable health behaviors

15 Life s Simple 7 1. Never smoked or quit more than one year ago 2. Body mass index less than 25 kg/m 2 3. Physical activity of at least150 mins (moderate intensity) or 75 mins (vigorous intensity) each week 4. Four to five key components of a healthy diet consistent with current AHA guidelines 5. Total cholesterol of less than 200 mg/dl 6. Blood pressure below 120/80 mm Hg 7. Fasting blood glucose less than 100 mg/dl

16 Social Determinants of Health Our zip code may be more important to our health than our genetic code. A person s health and chances of becoming sick and dying early are greatly influenced by powerful social factors such as education, income, nutrition, housing and neighborhoods. There is more to health than health care. 16

17 tion Imp act I ncreasing Popula Counseling and Education Clinical Interventions Long lasting Protective Interventions Changing the Context to make the Default Healthy Socioeconomic Factors ndividua al Effort Inc creasing I The Health Impact Pyramid 17

18 Food Deserts 18

19 Eating Away from Home Half of our food budgets are spent on foods eaten away from home Larger portion sizes and more calories than those foods eaten at home Restaurant and school foods still high in trans fats Many schools still offer junk foods and sodas 19

20 Why aren t our kids more active? Lack of Physical Education in Schools Need for More Safe Routes to Schools Fewer opportunities for physical activity 20

21 Why Policy Change and How Policy Change? Education is an important, but rarely sufficient, part of improving health Policy, systems, and environmental change (PSE) refers to changes that t broadly affect the way that we live and shape the patterns or our life and health. Policy change means making the healthy choice the easy choice.

22 Example of Environmental Policy Change Circulation, :

23 What is a Policy? Any plan or course of action designed to influence and determine decisions.

24 Copyright AHA Define a Policy Process

25 Advocacy Nutrition Opportunities Menu labeling in restaurants Nutrition standards in schools (competitive foods and school meals) Procurement standards for foods purchased by employers and government agencies Trans fat bans in restaurants and schools Farm to school programs, community/school gardens Local school wellness policies 25

26 Physical Activity Advocacy Opportunities PE in Schools Frequency and Quality Standards Safe Routes to Schools Shared use agreements that allow community groups to use schools physical activity facilities when school is not in session Creating Walking Trails/Bike Paths/Recreational spaces 26

27 Minnesota Opportunities State Networks/Stakeholder Partners: Minnesotans for Healthy Kids Coalition Childhood Obesity Working Group MN Dept. of Health state health assessment Governor s Children s Cabinet DNR State Resources: Statewide Health himprovement Program (SHIP) Community Transformation Grants (statewide and Henn. Co.) Legacy/LCCMR funds 27

28 Tobacco Free Policies Derek kk. Larsen, Program Director Tobacco Free Youth Recreation x

29 AHA/ASA Resources American Heart Association American Stroke Association You re the Cure Advocacy Network AHA Communities Putting Prevention to Work Resources ities/communities Putting Prevention to Work_UCM_428438_Article.jsp#access AHA Walking Resources g HeartHub for Patients Procurement Policy Statement and nutrition guidelines public/@wcm/@adv/documents/downloadable/ucm_ pdf Contact me: rachel.callanan@heart.org Join the Minnesotans for Health Kids Coalition! Copyright AHA