1U.S.DepartmentofHealthandHumanServicesNationalInstitutesofHealthNationalHeart,Lung,andBloodInstituteNationalInstituteofDiabetesandDigestiveandKidneyDiseasesNationalInstituteofChildHealthandHumanDevelopmentANationalObesity-PreventionProgramDevelopedbytheNationalInstitutesofHealthYourLogoHereNationalCancerInstitute西安服装设计培训!VarietyofsettingsAnationaleducationprogramtargetingyouth,ages8–13,andtheirparentsandcaregiversinhomeandcommunitysettingstomeettheoverallgoalofpreventingoverweightandobesity.Turnkey!Science-basedprogramfortheentirecommunityFosterscollaboration!3ANationalCollaborationWeCan!isacollaborativeeffortoffourInstituteswithintheNationalInstitutesofHealth(NIH):NationalHeart,Lung,andBloodInstitute(NHLBI)NationalInstituteofDiabetesandDigestiveandKidneyDiseases(NIDDK)NationalInstituteofChildHealthandHumanDevelopment(NICHD)NationalCancerInstitute(NCI)4WhyWeCan!Nationaltrendsandstatisticsshowalarmingchangesin:OverweightandobesityratesCalorieintakeFoodandbeverageconsumptionTelevisionviewing5PercentageofU.S.ChildrenandAdolescentsWhoAreOverweight*44716191751717.615115176024681012141618201963-65;1966-701971-19741976-19801988-19941999-20002001-20022003-20042003-2006Ages6-11Ages12-19*95thpercentileforBMIbyageandsexbasedon2000CDCBMI-for-agegrowthcharts**Dataarefrom1963-65forchildren6-11yearsofageandfrom1966-70foradolescents12-17yearsofageSource:NationalCenterforHealthStatistics6TrendsinOverweight*forChildren(2-19Yrs)05101520251999-20002001-20022003-20042003-2006All(2-19Yrs)Non-HispanicWhiteNon-HispanicBlackMexicanAmerican*BMI≥95thpercentileofBMI-for-age,2000CDCgrowthchartsSource:NHANES1999-2004Ogdenetal.JAMA2006.%7WhytheIncrease?MultiplecausesLifestyle,environment,andgenesBottomline=ENERGYBALANCE(caloriesandphysicalactivity)MorecaloriesconsumedLargerfoodportionsandsizesEatingoutmoreoftenIncreasesinsoda,pizza,andcandyconsumptionFewercaloriesbeingusedupDeclinesinphysicallyactivityIncreasesinsedentarylifestyleandscreentimeComputersandtelevisiontime8FoodAwayFromHomeBetween1970and1995Foodawayfromhomewentfrom25%offoodspendingto45%Betweenthelate'70sandmid'90sContributionofcaloriesfromfoodaway-from-homewentfrom18%to34%AwayfromhomefoodsshowntobehigherinfatandlowerinfiberandcalciumthanhomefoodsSOURCE:USDAdata,Linetal.,AGBull750,19999%ChangeinMeanIntakefrom1977-78Beverages,Children6-11YearsOldCarbonatedsodaMilkFruitjuiceFruitdrinksSOURCE:L.ClevelandUSDA;NFCS1977-78andWWEIA,NHANES2001-02,1day0%%increase%decrease-39%54%69%137%4312612581091977-782001-02gramsMilkSoda10%ChangeinMeanIntakefrom1977-78OtherFoods,Children6-11YearsOldFriedpotatoSavorygrainsnacksGrainmixeddishesPizzaSOURCE:L.ClevelandUSDA;NFCS1977-78andWWEIA,NHANES2001-02,1day0%%increase%decreaseCandyVegetable-43%320%144%425%18%180%11TVViewing,6-11Years,perDaySOURCE:NHANESII,NHANESIII,NHANES1999-200001020304050607080≤2hours3+hoursPercent1988–941999–002001–0212PrevalenceofObesitybyHoursofTV/Day051015202530350-11-22-33-44-55ormoreNHES1967-70NLSY1990*NHES=NationalHouseholdEducationSurveys**NLSY=NationalLongitudinalSurveyofYouthFrom*YouthAged12–17in1967–1970NLSY**YouthAged10–15in199013DevelopmentofWeCan!WeCan!wasdevelopedbasedonRecommendationsfromanNIHstrategydevelopmentworkshopAreviewofscience-basedliteratureAnenvironmentalscantoreviewotherworkonoverweightandobesityLessonslearnedfromHeartsN’Parks14StrategyDevelopmentWorkshopConvenedatNIHinFebruary2004withmorethan70leadingresearchers,publichealthexperts,nutritionistsanddietitians,youthmarketingexperts,andcommunitycenterrepresentativesfromaroundthecountry.Onlineatwww.nhlbi.nih.gov/health/prof/heart/obesity/hwcoi/15ReviewofScience-BasedLiteratureReviewoflatestscience,includingPeerreviewedjournalstoselecttargetaudience,behavioralobjectives,andinterventionsettingsNIH2004workshopsonobesityprevention2004InstituteofMedicineReport(IOM)PreventingChildhoodObesity:HealthintheBalanceFinalreviewbyIOMpanelmembersandotherleadingscientists16EnvironmentalScanAreviewofmorethan50Federalandnon-FederalprogramsaddressingoverweightandobesityatthenationallevelCapturesprojectdescriptions,objectives,partners,targetaudiences,topics,locations,andcomponentsperprogramAlsotracksFederalplanninginitiatives(e.g.,NIHObesityResearchTaskForce)andnon-Federalinitiatives(e.g.,IOMCommitteeonPreventionofObesityinChildrenandYouth)ConfirmsneedforemphasisonparentsProvidesvaluablelistofpotentialWeCan!partnershipsforcollaborationtoreachyouth,physicians,andotherkeyaudiences17LessonsLearnedFrom50MagnetCentersin11StatesAnnualincreasesinthenumberofprogramsimplementedAnnualincreasesinthenumberofyouthandadultsreachedChangesinparticipantknowledge,attitudes,andbehavioralintentMagnetCenterfeedbackPositiveexperienceNeedforincreasedfocusonparentsandfamiliesNeedtoprovidebetterlinkagesbetweenphysiciansandcommunityresourcesEvaluationcomponenthighlyvaluedDemonstratesexistingcommunity-basedcapacitytoaddressoverweightandobesityShowsneedtotargetpar