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Outline
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Health Information from your Employer and:
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Health and Lifestyle
  • Compared to our grandparents we:
    • Eat more
    • Are less active and less fit
  • This has resulted in dramatic increases in the rates of obesity, diabetes and heart disease.
  • Obesity and its causes are responsible for 20% of your health premium.



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Body Mass Index
  • The BMI is a measure of body fat percentage unless you are very muscular


  • BMI of less than 25 is healthiest


  • BMI of 30 or more is considered obese
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Obesity Trends* Among U.S. Adults
BRFSS, 1985
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Obesity Trends* Among U.S. Adults
BRFSS, 1986
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Obesity Trends* Among U.S. Adults
BRFSS, 1987
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Obesity Trends* Among U.S. Adults
BRFSS, 1988
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Obesity Trends* Among U.S. Adults
BRFSS, 1989
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Obesity Trends* Among U.S. Adults
BRFSS, 1990
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Obesity Trends* Among U.S. Adults
BRFSS, 1991
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Obesity Trends* Among U.S. Adults
BRFSS, 1992
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Obesity Trends* Among U.S. Adults
BRFSS, 1993
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Obesity Trends* Among U.S. Adults
BRFSS, 1994
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Obesity Trends* Among U.S. Adults
BRFSS, 1995
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Obesity Trends* Among U.S. Adults
BRFSS, 1996
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Obesity Trends* Among U.S. Adults
BRFSS, 1997
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Obesity Trends* Among U.S. Adults
BRFSS, 1998
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Obesity Trends* Among U.S. Adults
BRFSS, 1999
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Obesity Trends* Among U.S. Adults
BRFSS, 2000
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Obesity Trends* Among U.S. Adults
BRFSS 2001
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These maps are based on what people say about their weight and height.
When you actually measure heights and weights to determine who is obese you find:
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Overweight and Obese Adults
Age 20-74 Years
  • In 1980:
  • 15% adults obese (BMI=30)
  • 32% adults overweight (BMI 25-29.9)
  • In 2001:
  • 31% adults obese
  • 35% adults overweight
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Childhood Obesity

  • Childhood obesity leads to adult obesity


  • If a child is obese between ages 6 – 17 years they are 5 – 7 times as likely to be an obese adult


  • * From Whitaker RC, et al. NEJM 1997;337:869-73
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Obese Children
  • Currently:
  • 25% of obese children are pre-diabetic


  • If we do nothing differently:
  • 35% of children born in 2003 will develop diabetes
  • Those with diabetes will lose an average of 13 years of life


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Lifestyle Choices:

  • Diabetes
  • Heart disease
  • Kidney failure
  • High blood pressure
  • Certain cancers
  • Arthritis
  • Many other conditions
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What works?
  • The combination of increased fit muscle and fitness and healthy food choices will:
  • Increase your lifespan
  • Decrease the risk of
      • diabetes,
      • heart disease
      • Certain cancers
  • Be more effective than any medical or drug therapy


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How much change is necessary?
  • Modest changes in weight and activity produce large benefits
  • In those at high risk for diabetes walking 30 minutes a day and losing 10 pounds decreased diabetes rates by 58%
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What Are The Healthy Foods?
  • Food Choices:
  • More fruits and vegetables
  • More whole grain foods
  • More fish and poultry
  • More poly and monounsaturated fats (canola oil, olive oil, etc) instead of saturated fat (animal fats, shortening, lard)
  • Less fat overall



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Activity
  • What is enough?
    • 10,000 steps a day = 5 miles of walking per day
    • Or equivalent
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How do we Change?
  • Slowly and gradually
  • Adopting small changes we can live with
  • Adding additional small changes 2 or 3 times a year
  • Setting examples for our children
  • Listening to what our children are hearing at school
  • Keeping a positive message – “Eat and play your way to better health”
  • Look for more information from work and schools over the next year
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Health Information from your Employer and the: