2. Strategic Partners – LiveWell Colorado,
Colorado Health Foundation, Kaiser
Funders – Centers for Disease Control and
Prevention, Colorado Health Foundation, MCH
Elevating Obesity as a Priority – Division Plan,
A35 Funding, Chronic Disease State Plan,
Local Public Health
Data and Surveillance Reports – The Weight of
the State
3. Access to and
Chronic disease
Marketing of
management
primary care Sales/marketing
Tobacco
Quality of primary regulation
Anti-smoking taxes
care provision Screening for Access to and marketing
social marketing
chronic disease of smoking quit products
Sources of
and services
stress
Access to and Smoking bans at work
marketing of mental and public places
Psychosocial Utilization of
health services quality primary
stress Smoking
care
Secondhand
Diagnosis smoke
Access to healthy Particulate air
and control
food options pollution
Downward
Marketing & educ’n trend in CV
around healthy event fatality
food options
Healthiness High BP
Junk food taxes of diet
High CV events &
cholesterol
Sales/marketing
lung cancers
Obesity Diabetes COPD
regulations
Oral diseases
Colorectal
Access to physical
Extent of cancers Deaths
activity options
physical activity Morbidity
Access to and
marketing of weight
Marketing of physical Breast
loss services
activity options cancers
4. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
5. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
6. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
7. Obesity Trends* Among U.S. Adults
BRFSS, 2002
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
8. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14 15%–19% 20%–24% ≥25%
9. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
10. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
11. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
12. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
13. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
14. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
15. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
18. Public health improvement plans
PA portfolio project
Youth intern project
Joint use agreements
Built environment and land use
planning
Worksite Wellness
PA in schools and day care
21. FDA menu labeling
Smart Meal promotion
Land use planning for local
agriculture, including school and
community gardens
School wellness and healthy eating
Nutrition portfolio project
22. Cultural ―climate‖ of Colorado—what we’ve
learned from Shaping Policy for Health
―We can’t do that!‖ ―That will never fly in
Colorado.‖ Assumptions or facts?
How do we prepare and respond?
-50 state surveys, review of municipal ordinances
-Litigation challenges and court decisions
Building a public health law focus
23. Sugar Sweetened Beverage
Research Team
Farm to School Task Force
Joint Degree Program JD/MPH
development with the University
of Colorado
24. Before weight begins to track upward
Before co-morbidities emerge
$$ Before the high price tag $$
How Early is Early?
Prior to pregnancy
During pregnancy
During the first few years of a child’s life
25. Preconception
Healthy Health MIT
Self-
Baby WIC
Management Campaign
Services
Program
ECOP MCH CACFP
Home
Visitor Implementation
Programs
Team Other
External
Partners
Early
Childhood Kaiser Local Public
Healthy
Health
Systems Partners Living
Branch
26. What?
• Appropriate gestational weight • Breastfeeding
gain • Physical activity (screen time &
• Healthy parenting behaviors marketing)
(sleep & infant feeding) • ECOP integration into systems
• Healthy weight between and policy
pregnancies
Where?
• WIC & LPHAs & Other Programs
• Health Care Settings
• Child Care Settings
How? A Multi-sector approach.
Implement state and • Promote consistent messaging
local strategies that are: • Form strategic external partnerships
• evidence-based • Disseminate evidence-based practices
• systemic and ECOP data
• population-based
