Minnesota Studies of Health Education and Environmental Approaches to Obesity Treatment and Prevention

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Minnesota Studies of Health Education and Environmental Approaches to Obesity Treatment and Prevention"

Transcription

1 Minnesota Studies of Health Education and Environmental Approaches to Obesity Treatment and Prevention Robert W. Jeffery, Ph.D. University of Minnesota USA

2 Prevalence of Obesity (BMI 30) in US Adults, Percent Men Women legel et al.,

3 Prevalence of Obesity (BMI 30) in US Adults, by Age Percent yrs yrs yrs 0 legel et al.,

4 Prevalence of Overweight in US Children, Percent yrs 6-11 yrs yrs 0 gden et al.,

5 Percent change in per capita disappearance of total energy, total fat, and total CHO in the US, % Change Total energy Total fat Total CHO From USDA

6 What Can Be Done About the Obesity Epidemic?! Better education about eating and exercise.! Reduce environmental exposures that promote overeating and underexercising.

7 The Healthy Worker Project (HWP) A randomized trial of worksite interventions for weight loss. effery et al, 1993

8 BMI change WP: Mean change in BMI over 2 years Treatment Control Baseline Follow-up ontrolling for age, sex, and education. effery et al, 1993

9 Minnesota Heart Health Program (MHHP) A 10-year research and demonstration project to evaluate the effectiveness of multicomponent interventions to reduce CVD incidence and mortality uepker et al, 1994

10 Mean BMI in MHHP education and comparison communities by year: Cross-sectional surveys. BM I effery et al, 1995 Comparison Education B (3) B (2) B (1) B 0 E 1 E 2 E 3 E 4 E 5 E 6 E B and E Years

11 Pound of Prevention (POP) Randomized trial evaluating the effectiveness of a low-cost educational approach in reducing the rate of weight gain with age. Jeffery et al, 1999

12 eight change (lb) by treatment group by year eight change (lb) by treatment group by year Control Newsletter Newsletter + Incentive Baseline Year 1 Year 2 Year 3 Adjusted means, controlling for age, sex, type, education, and smoking. Jeffery et al, 1999

13 Weigh-To-Be A randomized trial of mail and phone interventions for weight loss in a managed care setting. Jeffery, 2003

14 Weigh-To-Be Participant Characteristics! 1801 MCO members with BMI 27.0! Recruited by direct mail, clinic flyers, and physician referral! 72% women! Mean BMI = 33.6

15 Weigh-To-Be Treatments! Usual care! 10 phone counseling lessons! 10 interactive lessons by mail

16 Weigh-To-Be Evaluation! Clinic visits at baseline and 24 months! Mailed surveys at 6, 12, and 18 months

17 eigh-to-be Weight Loss Results eigh-to-be Weight Loss Results Weight loss (kg) Control Mail Phone -4 Baseline 6 months 12 months 24 months

18 Cafeteria Study of Price and Availability Influences on Fruit and Salad Consumption! Three (3) weeks baseline observation! Three (3) weeks interventions " 50% price reduction " increased choices! Three (3) weeks return to baseline Jeffery et al, 1994

19 Number of Fruit Purchases Baseline Intervention Day Follow-up X = 11 X = 31 X = 14 Jeffery et al, 1994

20 Pounds of Salad Purchased Baseline Intervention Follow-up X = 8 X = 24 X = Day Jeffery et al, 1994

21 Fruit Sales as a Function of Price Fruit Sales as a Function of Price Mean weekly fruit sales Average School 1 urban Baseline 1 Low price Baseline 2 School 2 Suburban Average versus each school rench et al, 1997

22 Low-Fat Snack Sales in Vending Machines (%) as a Function of Price % rench et al, 1997 Same price 50% low-fat discount Same price

23 CHIPS Study Design Promotion None Low-Fat Label Label + Sign Equal -10% -25% -50% Setting Worksite School Price

24 % Sales LF Snacks Effect of Health Promotion on Low-Fat Snack Sales No Label Label Label & Sign Promotion % Increase in sales: 1% 8% rench et al, 2001

25 Effect of Price on Low-Fat Snack Sales % Sales LF Snacks Equal -Ź10% -Ź25% -Ź50% Price % Increase in sales: 9% 39% 93% rench et al, 2001

26 esults of Two Studies on the Effects of Price on the Use of Exercise Facilities 1. Free gym membership to University employees: NO EFFECT! French, et al Free gym membership to 616 weight gain prevention study participants: 2 USED THEM! Sherwood, et al 1998

27 Percentage of People Using the Stairs During Each Phase of the Study % People Using the Stairs a No Intervention 12.7 a 15.5 b Signs Signs + Music + Artwork 13.8 c No Intervention NOTE: Percentages with unshared superscripts differ significantly, p <.05 Boutelle et al, 2002

28 TACOS A two-year group randomized trial evaluating the effects of environmental and promotional interventions on student purchases of lower fat food served a la carte and in vending machines. French 2003

29 TACOS Schools TACOS Schools! 10 treatment, 10 control! Median students/school: 1,731

30 TACOS Intervention TACOS Intervention! Increase offerings of lower fat a la carte foods.! Student led promotions for lower fat foods.

31 TACOS: Most commonly available a la carte foods. % of total Number of Category food item schools Chips/crackers Entrees Ice cream Cookies (packaged) Pastry (school prepared) Pastry (packaged) Cookies (school prepared) Candy Fruits/vegetables % of products low fat (5.5 gm per serving)

32 TACOS: Vending Machines TACOS: Vending Machines Median per school Total 12 Snack 2 Soft drink 4 Others % of products low fat (5.0 gm per serving)

33 Conclusions! Nutrition education is not a very effective method for reducing population obesity.! Behavior changes associated with environmental approaches are encouraging.! Effectiveness of environmental interventions in changing weight need experimental study.

34 bstacles to Effective Public Polic bstacles to Effective Public Policy! Ignorance: We re not sure how we got here and thus aren t sure how to get back.! Value Conflicts: Social and economic consequence of solutions won t please everyone.! Lack of Social Consensus: " On the urgency of the problem. " On necessary steps towards its resolution.

35 ublic Opinion on Who Is Responsible for Today s Diet-Related Problems (n = 821)! Individuals 80%! Stores 2%! Manufacturers 14% effery et al, 1990

Workplace Wellness Promoting Good Programs, Avoiding Bad Incentives. Nancy LeaMond Executive Vice President Social Impact

Workplace Wellness Promoting Good Programs, Avoiding Bad Incentives. Nancy LeaMond Executive Vice President Social Impact Promoting Good Programs, Avoiding Bad Incentives Nancy LeaMond Executive Vice President Social Impact 1 AARP Supports Workplace wellness programs have great potential to promote healthier lives and lower

More information

Local School Wellness Policy Goals for Student Health: Nutrition promotion/food marketing

Local School Wellness Policy Goals for Student Health: Nutrition promotion/food marketing Local School Wellness Policy Goals for Student Health: Nutrition promotion/food marketing Definition School based promotion/marketing of positive nutrition behaviors and foods using marketing techniques

More information

Healthy School Nutrition Environment: A Nationwide Survey of School Personnel

Healthy School Nutrition Environment: A Nationwide Survey of School Personnel No. 22 Healthy School Nutrition Environment: A Nationwide Survey of School Personnel O Nutrition and physical activity are important for children s health and physical well-being. The United States Department

More information

New Jersey School Nutrition Policy Questions and Answers

New Jersey School Nutrition Policy Questions and Answers New Jersey School Nutrition Policy Questions and Answers FOR ALL GRADE LEVELS: Items that are prohibited to be served, sold or given out as free promotion anywhere on school property at anytime before

More information

Form Approved OMB No: 0920-0445 Expiration Date: 11/30/2008 Food Service State Questionnaire School Health Policies and Programs Study 2006 Attn: Beth Reed, Project Manager 126 College Street Burlington,

More information

Comprehensive Growth. Screening Program for Schools

Comprehensive Growth. Screening Program for Schools Comprehensive Growth Screening Programs for Schools Mary Ann Gapinski, RN, MSN, NCSN School Health Advisor Massachusetts Department of Public Health Comprehensive Growth Screening Program for Schools Screening

More information

Successful Wellness Program

Successful Wellness Program 6 Key Steps TO A Successful Wellness Program by Don Hall, DrPH, CHES 2 6 KEY STEPS TO A SUCCESSFUL WELLNESS PROGRAM What Are the Benefits of Wellness? You certainly know the consequences of not feeling

More information

All students in grades K-12 will have opportunities, support, and encouragement to be physically active on a regular basis.

All students in grades K-12 will have opportunities, support, and encouragement to be physically active on a regular basis. EFA. DISTRICT WELLNESS PROGRAM Introduction Childhood obesity has become a national epidemic. Obesity rates have doubled in children and adolescents over the last two decades (NIH Word on Health, June

More information

School Foods Sold Outside of Meals (Competitive Foods)

School Foods Sold Outside of Meals (Competitive Foods) School Foods Sold Outside of Meals (Competitive Foods) Healthy Eating Research Building evidence to prevent childhood obesity A Research Brief, May 2007 The school food environment can have a large impact

More information

Assessing your school wellness policy A guide to keeping your health, nutrition and fitness programs on the right track

Assessing your school wellness policy A guide to keeping your health, nutrition and fitness programs on the right track A special report from the Dannon Institute Healthy Steps Forward Assessing your school wellness policy A guide to keeping your health, nutrition and fitness programs on the right track INSIDE 2008/2009

More information

Local Wellness Policy

Local Wellness Policy Local Wellness Policy SY 2015-2016 Background The U.S. Congress established a requirement in the Child Nutrition and Women, Infants and Children (WIC) Reauthorization Act of 2004, that all school districts

More information

GAO SCHOOL MEAL PROGRAMS. Competitive Foods Are Available in Many Schools; Actions Taken to Restrict Them Differ by State and Locality

GAO SCHOOL MEAL PROGRAMS. Competitive Foods Are Available in Many Schools; Actions Taken to Restrict Them Differ by State and Locality GAO United States General Accounting Office Report to Congressional Requesters April 2004 SCHOOL MEAL PROGRAMS Competitive Foods Are Available in Many Schools; Actions Taken to Restrict Them Differ by

More information

Worksite Wellness Employee Interest Survey

Worksite Wellness Employee Interest Survey Worksite Wellness Employee Interest Survey We d like to learn about your interest in worksite wellness. Please take a few minutes to complete this survey. Your responses will be used in planning worksite

More information

State Wellness Program

State Wellness Program The State Wellness Program EBC works hard to balance benefit levels, cost, and choice. However, successfully managing health benefits today involves more than plan design and cost management. It involves

More information

Comprehensive School Nutrition Policy for the School District of Philadelphia

Comprehensive School Nutrition Policy for the School District of Philadelphia The Food Trust, Philadelphia, Pa. Comprehensive School Nutrition Policy for the School District of Philadelphia June 2001 Comprehensive School Nutrition Policy Task Force This document is available

More information

How to Use the Research Design Algorithm

How to Use the Research Design Algorithm How to Use the Research Design Algorithm Below is a diamond by diamond guide for using the Research Design Algorithm developed by the Academy of Nutrition and Dietetics, 2010. Included are Tips on what

More information

Section C. Diet, Food Production, and Public Health

Section C. Diet, Food Production, and Public Health This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this

More information

Indiana Model School Wellness Policy on Physical Activity and Nutrition. Wellness Policy on Physical Activity and Nutrition

Indiana Model School Wellness Policy on Physical Activity and Nutrition. Wellness Policy on Physical Activity and Nutrition Intent of this Policy Indiana Model School Wellness Policy on Physical Activity and Nutrition The intent of this model school wellness policy is to provide language for physical activity and nutrition

More information

Various Approaches to Creating a Wellness Program that fits the needs of your municipality

Various Approaches to Creating a Wellness Program that fits the needs of your municipality Various Approaches to Creating a Wellness Program that fits the needs of your municipality To reiterate what has already been posted on the website, when starting a Wellness Program, it is very important

More information

The Center for Rural Studies 207 Morrill Hall University of Vermont Prepared by: Kate E. Howe, Amy S. Hoskins, Jane M. Kolodinsky, Ph.D.

The Center for Rural Studies 207 Morrill Hall University of Vermont Prepared by: Kate E. Howe, Amy S. Hoskins, Jane M. Kolodinsky, Ph.D. Vermonter Poll 2004 The Center for Rural Studies 207 Morrill Hall University of Vermont Prepared by: Kate E. Howe, Amy S. Hoskins, Jane M. Kolodinsky, Ph.D. Introduction The word obesity, commonly understood

More information

Workplace Wellness. Your guide to implementing simple and effective wellness initiatives in the workplace.

Workplace Wellness. Your guide to implementing simple and effective wellness initiatives in the workplace. Workplace Wellness Your guide to implementing simple and effective wellness initiatives in the workplace. Produced by the Saint Paul Area Chamber of Commerce in coordination with Ramsey County Public Health.

More information

Sinclair Community College, Division of Allied Health Technologies

Sinclair Community College, Division of Allied Health Technologies Sinclair Community College, Division of Allied Health Technologies Health Promotion for Community Health Workers Cardiovascular disease, stroke, and cancer Class #5 High Blood Cholesterol (date) Course

More information

Chapter 5 DASH Your Way to Weight Loss

Chapter 5 DASH Your Way to Weight Loss Chapter 5 DASH Your Way to Weight Loss The DASH diet makes it easy to lose weight. A healthy diet, one that is based on fruits, vegetables, and other key DASH foods, will help you have satisfying meals,

More information

A Passage to India: Establishing a Cardiac Rehabilitation program in India s south-east

A Passage to India: Establishing a Cardiac Rehabilitation program in India s south-east A Passage to India: Establishing a Cardiac Rehabilitation program in India s south-east Kathryn Kelly Clinical Nurse Consultant, Cardiac Rehabilitation Coordinator The Royal Melbourne Hospital India 1,025,000,000

More information

LONG LIVE TEXANS WORKPLACE ACTION GUIDE

LONG LIVE TEXANS WORKPLACE ACTION GUIDE LONG LIVE TEXANS WORKPLACE ACTION GUIDE GUIDELINES FOR IMPLEMENTING WELLNESS POLICIES AND PROGRAMS IN THE WORKPLACE Developed for Texas Employers by the Texas Department of State Health Services, Health

More information

The National Diabetes Prevention Program: An Update on Efforts in Michigan

The National Diabetes Prevention Program: An Update on Efforts in Michigan The National Diabetes Prevention Program: An Update on Efforts in Michigan Gretchen A. Piatt, PhD, MPH Assistant Professor Department of Medical Education University of Michigan 10/11/12 WHY PREVENT DIABETES?

More information

Good news. for people with type 2 diabetes. Lose weight. Live better. A Discussion Guide for you and your doctor

Good news. for people with type 2 diabetes. Lose weight. Live better. A Discussion Guide for you and your doctor A Discussion Guide for you and your doctor Good news for people with type 2 diabetes NOW THEN At 300 pounds, I was suffering from type 2 diabetes, Lose w high blood pressure and high cholesterol. On Nutrisystem

More information

Take Care New York. #TakeCareNY if you are tweeting about this event. May 2013

Take Care New York. #TakeCareNY if you are tweeting about this event. May 2013 Take Care New York Take Care New York A Strategic Plan to Improve the Health of all New Yorkers: A presentation by the New York City Department of Health and Mental Hygiene #TakeCareNY if you are tweeting

More information

Frenship ISD Wellness Plan

Frenship ISD Wellness Plan Frenship ISD Wellness Plan FRENSHIP INDEPENDENT SCHOOL DISTRICT 1 Frenship ISD Wellness Plan Frenship Independent School District is committed to the optimal development of every student. The District

More information

Ohio Senate Bill 210 Healthy Choices for Healthy Children Act Overview

Ohio Senate Bill 210 Healthy Choices for Healthy Children Act Overview Ohio Senate Bill 210 Healthy Choices for Healthy Children Act Overview Policy: Healthy Choices for Healthy Children Act (Senate Bill 210) Level of Policy: State Introduced: 2009 Adopted: 2010 Effective:

More information

Levy County Wellness Plan

Levy County Wellness Plan I. Philosophy and Commitment Levy County Wellness Plan The School Board of Levy County believes that good health fosters student attendance and student achievement. The Board also believes that a healthy

More information

Providing healthier beverage options. in your workplace

Providing healthier beverage options. in your workplace Providing healthier beverage options in your workplace What is this about? These guidelines explain how to improve the choice of beverages available to staff in your workplace. They are designed to help

More information

Bay District Schools Wellness Plan

Bay District Schools Wellness Plan Bay District Schools Wellness Plan Health Wellness Nutrition Achievement Success The electronic edition of the Bay District Schools Wellness Plan is the latest edition. It replaces earlier electronic and

More information

Soft Drink Availability, Contracts, and Revenues in American Secondary Schools

Soft Drink Availability, Contracts, and Revenues in American Secondary Schools Soft Drink Availability, Contracts, and Revenues in American Secondary Schools Lloyd D. Johnston, PhD, Jorge Delva, PhD, Patrick M. O Malley, PhD Background: Methods: Results: Conclusions: Soft drinks

More information

Classroom parties: The potential for policies to reduce student exposure to sugary foods and beverages. Lindsey Turner, PhD

Classroom parties: The potential for policies to reduce student exposure to sugary foods and beverages. Lindsey Turner, PhD Classroom parties: The potential for policies to reduce student exposure to sugary foods and beverages Lindsey Turner, PhD Presentation Overview Presentation Overview 1. Description of the Bridging the

More information

Healthy life resources for the cancer community. Tonight: Healthy Eating with Diane B. Wilson, EdD, RD. January 18, 2012

Healthy life resources for the cancer community. Tonight: Healthy Eating with Diane B. Wilson, EdD, RD. January 18, 2012 Living Well after Cancer Healthy life resources for the cancer community Tonight: Healthy Eating with Diane B. Wilson, EdD, RD Yoga with Mary Shall, PhD, PT January 18, 2012 Optimizing i i the health

More information

Worksite Wellness. Small Steps to Healthier Employees. Brought to you by: J D Fulwiler & Co. Insurance

Worksite Wellness. Small Steps to Healthier Employees. Brought to you by: J D Fulwiler & Co. Insurance Worksite Wellness Small Steps to Healthier Employees Brought to you by: J D Fulwiler & Co. Insurance Health Care Facts The United States spends more on health care than any other country in the world annually.*

More information

Executive Summary. school years. Local Wellness Policies: Assessing School District Strategies for Improving Children s Health.

Executive Summary. school years. Local Wellness Policies: Assessing School District Strategies for Improving Children s Health. Executive Summary Local Wellness Policies: Assessing School District Strategies for Improving Children s Health school years nationwide evaluation results July 2009 Bridging the Gap is a program of the

More information

Chicago Public Schools Policy Manual

Chicago Public Schools Policy Manual Chicago Public Schools Policy Manual Title: HEALTHY SNACK AND BEVERAGE Section: 407.3 Board Report: 12-1114-PO1 Date Adopted: November 14, 2012 Policy: THE CHIEF EXECUTIVE OFFICER RECOMMENDS: That the

More information

Incentives to change food purchasing behavior. Rewards Based Incentive Programs on Fruit and Vegetable Purchases. The Rewards Study* Intervention

Incentives to change food purchasing behavior. Rewards Based Incentive Programs on Fruit and Vegetable Purchases. The Rewards Study* Intervention Incentives to change food purchasing behavior Rewards Based Incentive Programs on Fruit and Vegetable Purchases PRESENTATION TO THE INSTITUTE OF MEDICINE COMMITTEE TO REVIEW WIC FOOD PACKAGES ETIENNE PHIPPS,

More information

Corporate Health Initiatives: An Overlooked HR Tool

Corporate Health Initiatives: An Overlooked HR Tool Serving the Vending, Coffee Service and Foodservice Management Industries Corporate Health Initiatives: An Overlooked HR Tool Health Care Costs to Employers Employers have been hit hard by the soaring

More information

Clinical Research on Lifestyle Interventions to Treat Obesity and Asthma in Primary Care Jun Ma, M.D., Ph.D.

Clinical Research on Lifestyle Interventions to Treat Obesity and Asthma in Primary Care Jun Ma, M.D., Ph.D. Clinical Research on Lifestyle Interventions to Treat Obesity and Asthma in Primary Care Jun Ma, M.D., Ph.D. Associate Investigator Palo Alto Medical Foundation Research Institute Consulting Assistant

More information

5. Has your city joined the Healthy Eating Active Living Cities Campaign (http://www.healcitiescampaign.org/) -Yes

5. Has your city joined the Healthy Eating Active Living Cities Campaign (http://www.healcitiescampaign.org/) -Yes Cities for Workforce Health Grant Application for 2016 Wellness Program Seed Grant Application DUE DATE: Friday, August 14, 2015 Please complete this application to the best of your ability. It should

More information

Elkins Elementary School. Wellness Plan on Physical Activity and Nutrition 2014-2015

Elkins Elementary School. Wellness Plan on Physical Activity and Nutrition 2014-2015 Elkins Elementary School Wellness Plan on Physical Activity and Nutrition 2014-2015 Adopted 2/17/2015 Goals: The nutrition and physical activity policies in this plan shall meet all federal requirements

More information

2015 Mississippi Obesity Action Plan. A. Scope

2015 Mississippi Obesity Action Plan. A. Scope A. Scope According to the Centers for Disease Control and Prevention (CDC), more than half of all Americans live with a preventable chronic disease, and many such diseases are related to obesity, poor

More information

DIET AND EXERCISE STRATEGIES FOR WEIGHT LOSS AND WEIGHT MAINTENANCE

DIET AND EXERCISE STRATEGIES FOR WEIGHT LOSS AND WEIGHT MAINTENANCE DIET AND EXERCISE STRATEGIES FOR WEIGHT LOSS AND WEIGHT MAINTENANCE 40 yo woman, BMI 36. Motivated to begin diet therapy. Which of the following is contraindicated: Robert B. Baron MD MS Professor and

More information

Hope Charter Elementary Health & Wellness Policy Hope Elementary Charter School 92Q 1116 N. Blount Street, Raleigh, NC 27604 2014-2015

Hope Charter Elementary Health & Wellness Policy Hope Elementary Charter School 92Q 1116 N. Blount Street, Raleigh, NC 27604 2014-2015 Hope Charter Elementary Health & Wellness Policy 92Q 1116 N. Blount Street, Raleigh, NC 27604 2014-2015 Health & Wellness Policy Committee Membership Position Name Signature Principal Clarissa Fleming

More information

PowerPoint Presentation Script

PowerPoint Presentation Script PowerPoint Presentation Script This presentation script can be used when giving the PowerPoint slide presentation. The script may be read as is or you can edit as necessary to provide your audience with

More information

101 LOW-COST IDEAS FOR WORKSITE WELLNESS

101 LOW-COST IDEAS FOR WORKSITE WELLNESS 101 LOW-COST IDEAS FOR WORKSITE WELLNESS The following ideas for worksite wellness can be implemented with limited resources. Many of these ideas have been found to help employees of all physical abilities

More information

101 Low-cost ideas for worksite wellness

101 Low-cost ideas for worksite wellness 101 Low-cost ideas for worksite wellness The following ideas for worksite wellness can be implemented with limited resources. Many of these ideas have been found to help employees of all physical abilities

More information

Snack Foods and Beverages In Washington D.C. Schools A comparison of state policy with USDA s nutrition standards

Snack Foods and Beverages In Washington D.C. Schools A comparison of state policy with USDA s nutrition standards A data table from The Pew Charitable Trusts and the Robert Wood Johnson Foundation Jan 2015 Snack Foods and Beverages In Washington D.C. Schools A comparison of state policy with USDA s nutrition standards

More information

Wellness Policy. Coordinated School Health

Wellness Policy. Coordinated School Health Wellness Policy The Colcord School District recognizes the relationship between academic achievement and student health and wellness. This policy reflects the Colcord School District s Board of Education

More information

Diabetes. Gojka Roglic. Department of Chronic Diseases and Health Promotion. World Health Organization

Diabetes. Gojka Roglic. Department of Chronic Diseases and Health Promotion. World Health Organization Diabetes Gojka Roglic What is diabetes? Diabetes mellitus is a metabolic disorder of multiple aetiology, characterized by chronic hyperglycaemia with disturbances of carbohydrate, fat and protein metabolism

More information

Η δίαιτα στην πρόληψη του αγγειακού εγκεφαλικού επεισοδίου

Η δίαιτα στην πρόληψη του αγγειακού εγκεφαλικού επεισοδίου ΠΡΟΓΡΑΜΜΑ ΜΕΤΑΠΤΥΧΙΑΚΩΝ ΣΠΟΥΔΩΝ «Η ΔΙΑΤΡΟΦΗ ΣΤΗΝ ΥΓΕΙΑ ΚΑΙ ΣΤΗ ΝΟΣΟ» Η δίαιτα στην πρόληψη του αγγειακού εγκεφαλικού επεισοδίου Γεώργιος Ντάιος Παθολογική Κλινική Πανεπιστημίου Θεσσαλίας Stroke Statistics

More information

Diabetes mellitus is a chronic condition that occurs as a result of problems with the production and/or action of insulin in the body.

Diabetes mellitus is a chronic condition that occurs as a result of problems with the production and/or action of insulin in the body. International Diabetes Federation Diabetes Background Information Diabetes mellitus is a chronic condition that occurs as a result of problems with the production and/or action of insulin in the body.

More information

Nutrition Guidelines. Financial Implications

Nutrition Guidelines. Financial Implications Nutrition Guidelines School meals must meet federally defined nutrition standards that are based on the Dietary Guidelines for Americans. With the passage of the Healthy, Hunger Free Kids Act, schools

More information

Preparing To Quit And Quitting: How To Stay Thin Without Cigarettes

Preparing To Quit And Quitting: How To Stay Thin Without Cigarettes Preparing To Quit And Quitting: How To Stay Thin Without Cigarettes Many people are concerned that they will gain weight if they quit smoking. Concern about weight gain is a major reason many people, especially

More information

Nutrition Environment Assessment Tool (NEAT)

Nutrition Environment Assessment Tool (NEAT) Nutrition Environment Assessment Tool (NEAT) Introduction & Overview: The Nutrition Environment Assessment Tool (NEAT) assessment was developed to help communities assess their environment to find out

More information

Obesity as a Public Health Issue: A Look at Solutions

Obesity as a Public Health Issue: A Look at Solutions PAGE 1 OF 6 Obesity as a Public Health Issue: A Look at Solutions - Results from a National Poll - The Harvard Forums on Health, a project of Harvard University's Interfaculty Program for Health Systems

More information

HEALTHY TRENTON: COMMUNITY SURVEY

HEALTHY TRENTON: COMMUNITY SURVEY *Priority Key H = High M= Medium L = Low HEALTHY TRENTON: COMMUNITY SURVEY Child Care Food and Activity 1. Provide regular opportunities for physical activity and play 2. Adopt a comprehensive food policy

More information

FOOD AND NUTRITION POLICY. for NEW BRUNSWICK SCHOOLS

FOOD AND NUTRITION POLICY. for NEW BRUNSWICK SCHOOLS 14-700-005 FOOD AND NUTRITION POLICY for NEW BRUNSWICK SCHOOLS Department of Education Fredericton, New Brunswick February 1991 INTRODUCTION School students have been identified as a key target in the

More information

Soft Drinks and School-Age Children:

Soft Drinks and School-Age Children: Soft Drinks and School-Age Children: Trends in Soft Drink Consumption Soft Drink Contribution to Diets of Adolescents 6 According to the USDA, the per capita soft-drink consumption has increased almost

More information

Examples of Consumer Incentives and Personal Responsibility Requirements in Medicaid

Examples of Consumer Incentives and Personal Responsibility Requirements in Medicaid TECHNICAL ASSISTANCE TOOL Examples of Consumer Incentives and Personal Responsibility Requirements in Medicaid Many states are incorporating policies into their Medicaid programs that seek to enhance beneficiaries

More information

GuIDE. At-A-Glance. to Ontario s School Food and beverage Policy

GuIDE. At-A-Glance. to Ontario s School Food and beverage Policy At-A-Glance GuIDE to Ontario s School Food and beverage Policy What is the policy? What are the nutrition standards? How can I help? Where can I find more information? What is the policy? The Ministry

More information

Code No. 507.9 WELLNESS POLICY

Code No. 507.9 WELLNESS POLICY WELLNESS POLICY Code No. 507.9 The Chariton Community School District supports a healthy environment where students learn and participate in positive dietary and lifestyle practices. The board promotes

More information

GAO SCHOOL LUNCH PROGRAM. Efforts Needed to Improve Nutrition and Encourage Healthy Eating. Report to Congressional Requesters

GAO SCHOOL LUNCH PROGRAM. Efforts Needed to Improve Nutrition and Encourage Healthy Eating. Report to Congressional Requesters GAO United States General Accounting Office Report to Congressional Requesters May 2003 SCHOOL LUNCH PROGRAM Efforts Needed to Improve Nutrition and Encourage Healthy Eating GAO-03-506 May 2003 SCHOOL

More information

Planning Your 2014 Wellness Program Goals

Planning Your 2014 Wellness Program Goals Planning Your 2014 Wellness Program Goals M A R L E N E R O D R I G U E Z R D, L D / N E M P L O Y E E P R O G R A M S & E V E N T S S P E C I A L I S T B A Y V I E W A S S E T M A N A G E M E N T, L L

More information

TotalCare Wellness Programs Reduce Health Care Costs and Improve Productivity

TotalCare Wellness Programs Reduce Health Care Costs and Improve Productivity TotalCare Wellness Programs Reduce Health Care Costs and Improve Productivity Up to 70% of an employer s health care spending is attributed to unhealthy lifestyle behaviors Poor Health Behaviors Drive

More information

10/20/2015. School Health Connection. Lessons Learned from the Healthy School Food Collaborative Evaluation in New Orleans. Kelley McDonough, MPH

10/20/2015. School Health Connection. Lessons Learned from the Healthy School Food Collaborative Evaluation in New Orleans. Kelley McDonough, MPH ASHA 2015 Annual School Health Conference Orlando, FL October 15, 2015 Lessons Learned from the Healthy School Food Collaborative Evaluation in New Orleans Kelley McDonough, MPH School Health Connection

More information

Smart Snacks in School March 2015

Smart Snacks in School March 2015 Smart Snacks in School March 2015 Adrienne Davenport, MPH, RDN Smart Snacks & FFVP Contact School Nutrition Programs Michigan Dept. of Education E: davenporta1@michigan.gov P: 517-241-1762 Objectives Smart

More information

Normal Parameters: Age 65 years and older BMI 23 and < 30 kg/m 2 Age 18 64 years BMI 18.5 and < 25 kg/m 2

Normal Parameters: Age 65 years and older BMI 23 and < 30 kg/m 2 Age 18 64 years BMI 18.5 and < 25 kg/m 2 Measure #128 (NQF 0421): Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan National Quality Strategy Domain: Community/Population Health 2015 PQRS OPTIONS F INDIVIDUAL MEASURES:

More information

PROMOTIONAL E-TOOLKIT FOR HEALTH CHAMPION DESIGNEES

PROMOTIONAL E-TOOLKIT FOR HEALTH CHAMPION DESIGNEES Congratulations! We are excited that your organization has achieved our Health Champion Designation and applaud your commitment to making health and wellness a priority for your group. We understand that

More information

Barriers, Interventions, Legislation and Social Marketing

Barriers, Interventions, Legislation and Social Marketing Strategies for Impacting Population Level Physical Activity and Nutrition Behaviors: Barriers, Interventions, Legislation and Social Marketing Presenter: Debra Kibbe, MS Director, Physical Activity & Nutrition

More information

Clayton County Schools Business Management Wellness Administrative Rule (Revised Awaiting Superintendent s Approval) 2011

Clayton County Schools Business Management Wellness Administrative Rule (Revised Awaiting Superintendent s Approval) 2011 Clayton County Schools Business Management Wellness Administrative Rule (Revised Awaiting Superintendent s Approval) 2011 Administrative rule Level: Article I. Descriptor Term: Local Wellness Administrative

More information

Tailoring Your Approach to Workplace Health Based on Your Budget and Organizational Culture

Tailoring Your Approach to Workplace Health Based on Your Budget and Organizational Culture Tailoring Your Approach to Workplace Health Based on Your Budget and Organizational Culture Breakout Session 2014 Iowa Governor s Safety & Health Conference Cedar Rapids, IA ; November 7, 2013 2 nd Annual

More information

Understanding PSE Change- Ways to Include PSE into 1890 EFNEP

Understanding PSE Change- Ways to Include PSE into 1890 EFNEP Understanding PSE Change- Ways to Include PSE into 1890 EFNEP Virginie Zoumenou PhD CNS LDN Associate Professor 1890 EFNEP Program Director University of Maryland Eastern Shore (UMES) 3/22/2016 Virginie

More information

Macronutrient Analysis

Macronutrient Analysis Macronutrient Analysis Before You Start Grade Level: Grade 9-12, could be adapted for middle school Concepts Covered: Carbohydrate, fat, protein, Recommended Daily Intake (RDI), food labeling. Time Frame:

More information

The relationship between socioeconomic status and healthy behaviors: A mediational analysis. Jenn Risch Ashley Papoy.

The relationship between socioeconomic status and healthy behaviors: A mediational analysis. Jenn Risch Ashley Papoy. Running head: SOCIOECONOMIC STATUS AND HEALTHY BEHAVIORS The relationship between socioeconomic status and healthy behaviors: A mediational analysis Jenn Risch Ashley Papoy Hanover College Prior research

More information

Help Your Child Grow Up Healthy and Strong

Help Your Child Grow Up Healthy and Strong Help Your Child Grow Up Healthy and Strong Department of Health and Human Services Department of Agriculture Department of Education Body Mass Index: A Useful Tool Body Mass Index, or bmi, is used to assess

More information

Nutrition for Family Living

Nutrition for Family Living Susan Nitzke, Nutrition Specialist; susan.nitzke@ces.uwex.edu Sherry Tanumihardjo, Nutrition Specialist; sherry.tan@ces.uwex.edu Amy Rettammel, Outreach Specialist; arettamm@facstaff.wisc.edu Betsy Kelley,

More information

Participant Guide Adopt a healthy lifestyle: prevent or better manage type 2 diabetes

Participant Guide Adopt a healthy lifestyle: prevent or better manage type 2 diabetes HealthSelectSM Lose and Win Session 13 of Texas Pre-diabetes & type II diabetes Participant Guide Adopt a healthy lifestyle: prevent or better manage type 2 diabetes Chances are that you know someone that

More information

General and Abdominal Adiposity and Risk of Death in Europe

General and Abdominal Adiposity and Risk of Death in Europe Deutsches Institut für Ernährungsforschung Potsdam-Rehbrücke General and Abdominal Adiposity and Risk of Death in Europe Tobias Pischon Department of Epidemiology German Institute of Human Nutrition Potsdam-Rehbruecke

More information

XYZ District School Wellness Policy. Students will receive consistent nutrition messages throughout schools, classrooms, cafeterias, and school media:

XYZ District School Wellness Policy. Students will receive consistent nutrition messages throughout schools, classrooms, cafeterias, and school media: XYZ District School Wellness Policy The policies outlined within this document are intended to create a school environment that protects and promotes the health of our students. This policy applies to

More information

Evidence-based Health Promotion into the Workplace. Jeff Harris, MD MPH MBA

Evidence-based Health Promotion into the Workplace. Jeff Harris, MD MPH MBA Evidence-based Health Promotion into the Workplace Jeff Harris, MD MPH MBA Overview Why do workplace health promotion (WHP)? Targeting highest need The start: large/mid-size workplaces Adapting: smaller

More information

MAUMEE CITY SCHOOL DISTRICT 8510/page 1 of 6 WELLNESS

MAUMEE CITY SCHOOL DISTRICT 8510/page 1 of 6 WELLNESS MAUMEE CITY SCHOOL DISTRICT 8510/page 1 of 6 WELLNESS As required by law, the Board of Education establishes the following wellness policy for the Maumee City School District. The Board recognizes that

More information

A Calorie is a Calorie Or is It? 6 th Biennial Childhood Obesity Conference, June 30, 2011

A Calorie is a Calorie Or is It? 6 th Biennial Childhood Obesity Conference, June 30, 2011 A Calorie is a Calorie Or is It? 6 th Biennial Childhood Obesity Conference, June 30, 2011 Jeff S. Volek, Ph.D., R.D. Human Performance Laboratory Department of Kinesiology University of Connecticut Storrs,

More information

Influencing healthful food choices in school and home environments: Results from the TEENS study

Influencing healthful food choices in school and home environments: Results from the TEENS study Preventive Medicine 43 (2006) 8 13 www.elsevier.com/locate/ypmed Influencing healthful food choices in school and home environments: Results from the TEENS study Leslie A. Lytle a,, Martha Y. Kubik b,2,

More information

Snack Foods and Beverages In South Carolina Schools A comparison of state policy with USDA s nutrition standards

Snack Foods and Beverages In South Carolina Schools A comparison of state policy with USDA s nutrition standards A data table from The Pew Charitable Trusts and the Robert Wood Johnson Foundation Jan 2015 Snack Foods and Beverages In South Carolina Schools A comparison of state policy with USDA s nutrition standards

More information

Policy Evaluation Report Implementation of Board of Education Policy JPG, Wellness: Physical and Nutritional Health

Policy Evaluation Report Implementation of Board of Education Policy JPG, Wellness: Physical and Nutritional Health Policy Evaluation Report Implementation of Board of Education Policy JPG, Wellness: Physical and Nutritional Health Department of Policy, Records, and Reporting September 2009 Suzanne R. Merchlinsky, M.A.

More information

Department of Defense Education Activity Local Wellness Policy Heidelberg District Compliance Checklist

Department of Defense Education Activity Local Wellness Policy Heidelberg District Compliance Checklist Heidelberg School District Wellness Policies on Physical Activity and Nutrition Preamble Whereas, children need access to healthful foods and opportunities to be physically active in order to grow, learn,

More information

Fad Diets vs Healthy Weight Management: A Guide for Teens

Fad Diets vs Healthy Weight Management: A Guide for Teens Center for Young Women s Health www.youngwomenshealth.org Fad Diets vs Healthy Weight Management: A Guide for Teens Fad diets are marketed as quick ways to lose weight. The most popular fads tend to change

More information

Snack Foods and Beverages In Texas Schools A comparison of state policy with USDA s nutrition standards

Snack Foods and Beverages In Texas Schools A comparison of state policy with USDA s nutrition standards A data table from The Pew Charitable Trusts and the Robert Wood Johnson Foundation Jan 2015 Snack Foods and Beverages In Texas Schools A comparison of state policy with USDA s nutrition standards The Food

More information

RESEARCH-BASED RECOMMENDATIONS TO IMPROVE CHILD NUTRITION IN SCHOOLS AND OUT-OF-SCHOOL TIME PROGRAMS Laura D. Wandner, B.A., and Elizabeth Hair, Ph.D.

RESEARCH-BASED RECOMMENDATIONS TO IMPROVE CHILD NUTRITION IN SCHOOLS AND OUT-OF-SCHOOL TIME PROGRAMS Laura D. Wandner, B.A., and Elizabeth Hair, Ph.D. Publication #2009-27 information on fostering good nutrition in schools and in out-of-school time programs. May 2009 RESEARCH-BASED RECOMMENDATIONS TO IMPROVE CHILD NUTRITION IN SCHOOLS AND OUT-OF-SCHOOL

More information

Performance Measures for the Nebraska State Health Improvement Plan

Performance Measures for the Nebraska State Health Improvement Plan Nebraska State Improvement Plan 2013-2016 Vision: Working together to improve the health and quality of life for all individuals, families, and communities across Nebraska. Performance Measures for the

More information

Protein Intake in Potentially Insulin Resistant Adults: Impact on Glycemic and Lipoprotein Profiles - NPB #01-075

Protein Intake in Potentially Insulin Resistant Adults: Impact on Glycemic and Lipoprotein Profiles - NPB #01-075 Title: Protein Intake in Potentially Insulin Resistant Adults: Impact on Glycemic and Lipoprotein Profiles - NPB #01-075 Investigator: Institution: Gail Gates, PhD, RD/LD Oklahoma State University Date

More information

Calories-something, what. Dietician: mgr Maria Salicka

Calories-something, what. Dietician: mgr Maria Salicka Calories-something, what we shouldn t be afraid of Dietician: mgr Maria Salicka When people talk about the calorieswhat do they mean? A calorie is a unit of measurement -a unit of energy. Are Calories

More information

Assessing and Forecasting Population Health

Assessing and Forecasting Population Health Assessing and Forecasting Population Health Jeroen van Meijgaard UCLA School of Public Health AcademyHealth June 29, 2009 DEVELOPING A CALIFORNIA HEALTH FORECAST Need for health forecasting Policy makers

More information

Bonnie Dunton RN COHC OHN DuPont NA Region IHS Consultant

Bonnie Dunton RN COHC OHN DuPont NA Region IHS Consultant Bonnie Dunton RN COHC OHN DuPont NA Region IHS Consultant It is common knowledge that a healthier workforce benefits both the business and the employee by: increased productivity safer work environment

More information

National Consensus Panel on School Nutrition:

National Consensus Panel on School Nutrition: National Consensus Panel on School Nutrition: Recommendations for Competitive Food Standards in California Schools March 2002 This report has been prepared by the California Center for Public Health Advocacy

More information

Workplace Wellness: An Employer s Guide to Promoting Wellness at the Workplace

Workplace Wellness: An Employer s Guide to Promoting Wellness at the Workplace Workplace Wellness: An Employer s Guide to Promoting Wellness at the Workplace Wellness issues important to you brought to you by the insurance specialists at JRG Advisors, LLC. There are many different

More information