Morehouse College January 2010 Health and Wellness Topic

Morehouse College January 2010 Health and Wellness Topic

The following slides are provided by the Centers for Disease Control and Prevention Information Taken directly from the CDC website: http://www.cdc.gov/diabetes/statistics/diabetes_slides.htm

Table 1. Age-adjusted* prevalence of overweight, obesity and extreme obesity among U.S. adults among U.S. adults, age 20 years and over NHANES III 1988-94 n=16,679 NHANES 1999-2000 n=4,117 NHANES 2001-02 n=4,413 NHANES** 2003-04 n=4,431 NHANES** 2005-06 n=4,356 Overweight (BMI greater than or equal to 25.0 and less than 30.0) 33.1 34.0 35.1 34.1 32.7 Obese (BMI greater than or equal to 30.0) 22.9 30.5 30.6 32.2 34.3 Extremely obese (BMI greater than or equal to 40.0) 2.9 4.7 5.1 4.8 5.9 *Age-adjusted by the direct method to the year 2000 U.S. Bureau of the Census estimates using the age groups 20-39, 40-59, and 60 years and over. **Crude estimates (not age-adjusted) for 2005-6 are 32.6% with a 25<=BMI<30, 34.7% with a BMI>=30 and 6% with a BMI>=40. Pregnant females were excluded from analyses.

Figure taken directly from the CDC Website: http://www.cdc.gov/nchs/data/hestat/overweight/overweight_05_0 6_fig1.GIF

Table 2. Age-adjusted* prevalence of overweight, obesity and extreme obesity among U.S. adults, age 20-74 years** NHES I 1960-62 n=6,126 NHANES I 1971-74 n=12,911 NHANES II 1976-80 n=11,765 NHANES III 1988-94 n=14,468 NHANES 1999-2000 n=3,603 NHANES 2001-02 n=3,916 NHANES 2003-04 n=3,756 NHANES 2005-06 n=3,835 Overweight (BMI greater than or equal to 25.0 and less than 30.0) 31.5 32.3 32.1 32.7 33.6 34.4 33.4 32.2 Obese (BMI greater than or equal to 30.0) 13.4 14.5 15.0 23.2 30.9 31.3 32.9 35.1 Extremely obese (BMI greater than or equal to 40.0) 0.9 1.3 1.4 3.0 5.0 5.4 5.1 6.2 *Age-adjusted by the direct method to the year 2000 U.S. Bureau of the Census estimates using the age groups 20-39, 40-59, and 60-74 years. **NHES: National Health Examination Survey; NHES included adults 18-79 years, NHANES I & II did not include individuals over 74 years of age, thus trend estimates are based on age 20-74 years. Pregnant females were excluded from analyses.

Figure taken directly from CDC Website: http://www.cdc.gov/nchs/data/hestat/overweight/overweight_05_0 6_fig2.GIF

Age-adjusted Percentage of U.S. Adults Who Were Obese or Who Had Diagnosed Diabetes Obesity (BMI 30 kg/m 2 ) 1994 2000 2008 No Data <14.0% 14.0-17.9% 18.0-21.9% 22.0-25.9% >26.0% Diabetes 1994 2000 2008 No Data <4.5% 4.5-5.9% 6.0-7.4% 7.5-8.9% >9.0% CDC s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics

State-specific Prevalence of Obesity Among U.S. Adults, by Race/Ethnicity, 2006-2008 Definitions: Obesity: Body mass index (BMI) of 30 or higher. Body mass index (BMI): A measure of an adult s weight in relation to his or her height, specifically the adult s weight in kilograms divided by the square of his or her height in meters.

State-specific Prevalence of Obesity Among U.S. Adults, by Race/Ethnicity, 2006-2008 Methods: Behavioral Risk Factor Surveillance System (BRFSS). Self-reported weights and heights. Limited to three years of data and limited to three racial/ethnic populations; non-hispanic whites, non- Hispanic blacks, and Hispanics. Age-adjusted to the 2000 U.S. standard population.

State-specific Prevalence of Obesity* Among U.S. Adults, by Race/Ethnicity, 2006-2008 White non-hispanic Black non- Hispanic Hispanic (*BMI 30)

State-specific Prevalence of Obesity* Among U.S. Adults, by Race/Ethnicity, 2006-2008 White non-hispanic (*BMI 30)

State-specific Prevalence of Obesity* Among U.S. Adults, by Race/Ethnicity, 2006-2008 Black non-hispanic (*BMI 30)

State-specific Prevalence of Obesity* Among U.S. Adults, by Race/Ethnicity, 2006-2008 Hispanic (*BMI 30)

Table: Prevalence of obesity, by region and race/ethnicity, 2006-2008: Taken directly from the CDC Website Non-Hispanic white Non-Hispanic black Hispanic Total Both sexes 23.7 35.7 28.7 Men 25.4 31.6 27.8 Women 21.8 39.2 29.4 Northeast Both sexes 22.6 31.7 26.6 Men 25.0 26.5 26.9 Women 20.0 36.1 26.0 Midwest Both sexes 25.4 36.3 29.6 Men 27.0 32.1 29.7 Women 23.8 40.1 29.2 South Both sexes 24.4 36.9 29.2 Men 26.3 32.6 28.3 Women 22.5 40.6 29.7 West Both sexes 21.0 33.1 29.0 Men 22.1 34.1 27.3 Women 19.8 32.0 30.4

Summary Non-Hispanic blacks had the highest prevalence, followed by Hispanics, and non-hispanic whites For non-hispanic blacks Overall prevalence of obesity 35.7% Higher prevalences were found in the Midwest and South Prevalence ranged from 23.0% (New Hampshire) to 45.1% (Maine) 40 states had a prevalence of 30% 5 states (Alabama, Maine, Mississippi, Ohio, and Oregon) had a prevalence of 40%

Summary (Cont d) For Hispanics Overall prevalence of obesity 28.7% Lower prevalence was observed in the Northeast Prevalence ranged from 21.0% (Maryland) to 36.7% (Tennessee) 11 states had a prevalence of 30% For non-hispanic whites Overall prevalence of obesity 23.7% Higher prevalences were found in the Midwest and South Prevalence ranged from 9.0% (DC) to 30.2% (West Virginia) Only one state (West Virginia) had a prevalence of 30% 5 states (California, Colorado, Connecticut, Hawaii, and New Mexico) and DC had a prevalence of <20%

Table 1, Aggregate Medical Spending, in Billions of Dollars, Attributable to Overweight and Obesity, by Insurance Status and Data Source, 1996 1998 Taken directly from the CDC Website: http://www.cdc.gov/obesity/causes/economics.html Insurance Category Overweight and Obesity Obesity MEPS (1998) NHA (1998) MEPS (1998) NHA (1998) Out-of-Pocket $7.1 $12.8 $3.8 $6.9 Private $19.8 $28.1 $9.5 $16.1 Medicaid $3.7 $14.1 $2.7 $10.7 Medicare $20.9 $23.5 $10.8 $13.8 Total $51.5 $78.5 $26.8 $47.5 **MEPS: Medical Expenditure Panel Survey **NHA: National Health Accounts

Morehouse College January 17 th 23 rd is Healthy Weight Week

Testimonials Diane Loffredo, Loffredo, RN RN Miami, Miami, Florida Florida Dropped 6 dress sizes Shed 65 pounds Lowered cholesterol by 40 points 19

Alex Smith Before (March 2008) Emotional eating High stress No idea how to relax, slow down, and think about ways to improve his health. Tried for many years, but could not seem to make the changes he knew he needed

Alex Smith After (October 2008) Lost 45lbs Can avoid eating out of boredom Can run up a flight of stairs without getting winded. Feels more alert Better able to handle stress Training to run the Los Angeles Marathon

Alex and Diane chose the Healthyroad

Healthyroads Your Own Personal Health Coach 1. Personalized just for you. 2. Specialty health educators such as dietitians, trainers, nurses, and others. 3. 1 x per week (ongoing and long term) 4. Goal setting and evaluation 5. Motivational interviewing approach 6. Education during teachable moments 7. Reinforcement

Up to 52 half-hour outbound sessions with a dedicated health coach Award-winning materials Get Started! Kit On going sessions with your personal health coach. 24

Personal health assessment Health improvement plan Exercise/cardio planner Meal planner 100+ e-coaching courses Health trackers Wellness library E-messaging with coaches Fitness club locator Wellness Health Portal Daily wellness e-mail 26

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Daily Wellness E-Mail Reminders Members register to receive daily wellness e- mail reminders (Mon-Fri). Topics include healthy nutrition, increasing activity and exercise, weight loss, quitting tobacco, stress management, and others. 28

Member-Oriented Personal health score Personal Health Plan Personal Health Assessment

Please see below for enrollment information or questions regarding the program: Healthyroads Coaching is a telephone and online wellness and prevention management coaching program that is offered as part of your benefits package. You ll be able to reach your goals through the advice and encouragement of your personal Healthyroads Coach. You ll be able to share your success with your coworkers. And, you ll be able to track your progress every step of the way at www.healthyroads.com As an added incentive, Healthyroads provides you with a Get Started! Kit when you complete three sessions with a coach. The kit includes tools and equipment you can use to begin traveling your personal road to better health. Call 877.330.2746 for additional questions and to set yourself up with a Healthyroads coach!