# Presentation: 489464

## Division of Nutrition, Physical Activity, and Obesity (DNPAO)

- Obesity Prevention and Control Efforts
- May 20, 2008
- Lorraine Whitehair, RN, MPH, RD
- Public Health Nutritionist

## Presentation OutlineOverview of Efforts

- 1.  DNPAO:  Principal Targets
- 2.  Partnerships
- 3.  Research and surveillance
- 4.  Resources
- 5.  Next Steps

## Overview of Primary Prevention Efforts for Obesity and Other Chronic Diseases

**Overview of Primary Prevention Efforts for Obesity and Other Chronic Diseases**

## Obesity Trends* Among U.S. AdultsBRFSS, 1995, 2000, 2005

**1995**

**Obesity Trends* Among U.S. Adults****BRFSS,**** ****1995, 2000, 2005**

**(*BMI ********30, or about 30 lbs overweight for 5’4” person)**

**No Data          <10%           10%–14%****	****    15%–19%           20%–24%          25%–29%           ≥ 30%**

**2000**

## DNPAO’s Principal Targets

- Increase physical activity
- Increase breastfeeding
- Reduce high energy dense foods
- Increase fruits and vegetables
- Reduce sugar sweetened beverages
- Decrease television viewing

## Partnering to Address Obesity

**Convergence Partnership for Healthy Eating and Active Living**
**Robert Wood Johnson Foundation**
**W.K. Kellogg Foundation**
**Kaiser Permanente**
**The California Endowment**
**Nemours Health and Prevention Services**
**	****	****and**
**Centers for Disease Control and Prevention**

## Partnerships

**Partnerships**

** **
**Grants to States                       funds to states for: **
** ****a) conduct needs assessment, b) pick target areas,                 c) implement interventions**

## Strategy Development:  Community Guide Chapters

**Strategy Development:  Community Guide Chapters**

- _[communityguide@cdc.gov](mailto:communityguide@cdc.gov)_
**www.cdc.gov/nccdphp/dnpa/physical/health_professionals/index.htm**

## R2P Strategy to Address Obesity

- _[www.cdc.gov/nccdphp/dnpa/resources.htm](http://www.cdc.gov/nccdphp/dnpa/resources.htm)_

## Implementation:  Guidelines & Recommendations

**www.cdc.gov/breastfeeding**

## Guidelines and Translation Efforts to Address Obesity

- Worksite Settings
- Healthy Worksite Initiative
- 	(www.cdc.gov/nccdphp/dnpa/hwi/index.htm)
- lean for Life  (www.cdc.gov/leanforlife)
- Swift Worksite Assessment & Translation

## Surveillance Efforts to Monitor Obesity

- DNPAO existing surveillance systems:
- Pediatric Nutrition Surveillance System
- Pregnancy Surveillance System
- Other  CDC Surveillance Systems
- Behavioral Risk Factor Surveillance System
- Youth Risk Behavior Surveillance System
- National Health and Nutrition Examination Survey

## Research on Measurement of  Obesity

- Development of CDC growth charts
- WHO Growth Charts
- Expertise on assessment issues related to childhood overweight

## Next Steps:Innovative Approaches to Address Obesity

- Design and Innovative Strategies
- Cultural Strategies
- Social Movements Strategies
- Generational Effects Strategies

## Diabetes Primary Prevention InitiativePartnership

**Mapping obesity & diabetes burden**
**    ****www.cdc.gov/diabetes/index.htm**
**Native American Traditional Foods Project (Dawn Satterfield, RN, PhD, CDE                     Joel Kimmons, PhD)**

## Resources

_**Pediatrics:  **_
**	****The Expert Committee Recommendations ****	*****Pediatrics 2007; 120;S163-288***
_**Adults:**_**  **
**	****NHLBI Obesity Education Initiative, The ****	****Practical Guide Identification, Evaluation, ****	****& Treatment of Overweight & Obesity in Adults**
- _[www.cdc.gov/nccdphp/dnpa/resources.htm](http://www.cdc.gov/nccdphp/dnpa/resources.htm)_

## Lorraine Whitehair, RN, MPH, RD

**Lorraine Whitehair, RN, MPH, RD**
**Telephone:  770-488-5704**
**LWhitehair@cdc.gov**