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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Less Active Lifestyles
Televisions are on more than 71/2 hours a day in the typical home    The average American spends over 4 hours per day watching TV  Nielsen Media Research 2000
Technology Indoor activities, highly stimulating  Entertainment
 
 
Obesity Trends* Among U.S. Adults BRFSS, 1990 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1991 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1993 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1995 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1997 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1999 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 2001 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Prevalence (%) of overweight among children and adolescents ages  6-19 years Source:  1999-2000 NHANES Average 11 y.o. boy  today is 11 pounds heavier than in 1973
 
Distribution of Modifiable Risk Factors and Relative Risk of Type 2 Diabetes among 84,941 Women in the Nurses’ Health Study, 1980 to 1996 Body-mass index <23.0 23.0-24.9 25.0-29.9 30.0-34.9 > 35.0 121 202 884 885 759 1.00 2.67  7.59  20.10  38.80   No. of Cases Relative Risk Source: The New England Journal of Medicine, Sept. 13, 2001
Diabetes and Gestational Diabetes Trends Among  Adults in the U.S., BRFSS 1993-94 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes,  and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1).  No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes and Gestational Diabetes Trends Among  Adults in the U.S., BRFSS 1995-96 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes,  and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1).  No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes and Gestational Diabetes Trends Among  Adults in the U.S., BRFSS 1997-98 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes,  and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1).  No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes and Gestational Diabetes Trends Among  Adults in the U.S., BRFSS 1999 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes,  and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1).  No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes and Gestational Diabetes Trends Among  Adults in the U.S., BRFSS 2001 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes,  and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1).  No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
[object Object],[object Object]
Technology / Urban Environments = Stress Disconnect from Nature
Depression ,[object Object],[object Object],[object Object],Source: National Institute of Mental Health (NIMH), 2001
Surgeon General’s Report ,[object Object],US DHHS  1999
Antidepressant Rx in US
Parks and open space counter these trends in two equally important ways
Parks and Open Space Provide a place for activities and exercise  Lure people outdoors and in  contact with nature
Parks and Open Space Providing a place for activities and exercise
Physical Activity Decreases Cancer Risk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Daylight ,[object Object],[object Object]
Exercise ,[object Object],[object Object]
 
Americans Would Prefer to Walk More Walk More Drive N.A. Source: Belden, Russonello & Stewart national telephone survey, Oct. 30, 2002
Parks and Open Space Lure people outdoors and in  contact with nature
Fredrick Law Olmsted “ The beauty of rural scenery is a restorative antidote to the artificiality and oppression of urban conditions”
Restorative Benefits of Nature ,[object Object],Ulrich, R.S. 1984.  View through a window may influence recovery from surgery. Science 224:420-421.
Children’s Contact with Nature ,[object Object],Coping with ADD: The Surprising Connection to Green Play Settings”  Environment and Behavior, 33 (1), 54-77  AF Taylor, FE Kuo, WC Sullivan, 2001
Public park facilities need to provide a balance of both….  ACTIVE (Physical) and PASSIVE (Restorative) … recreational opportunities
Regional Open Space Parks ,[object Object],[object Object],[object Object],Elfin Forest Open Space Preserve, Escondido, CA
Sports Parks ,[object Object],[object Object],[object Object],[object Object]

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Childhood Obesity Info

  • 1.
  • 3. Televisions are on more than 71/2 hours a day in the typical home   The average American spends over 4 hours per day watching TV Nielsen Media Research 2000
  • 4. Technology Indoor activities, highly stimulating Entertainment
  • 5.  
  • 6.  
  • 7. Obesity Trends* Among U.S. Adults BRFSS, 1990 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 8. Obesity Trends* Among U.S. Adults BRFSS, 1991 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 9. Obesity Trends* Among U.S. Adults BRFSS, 1993 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 10. Obesity Trends* Among U.S. Adults BRFSS, 1995 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 11. Obesity Trends* Among U.S. Adults BRFSS, 1997 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 12. Obesity Trends* Among U.S. Adults BRFSS, 1999 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 13. Obesity Trends* Among U.S. Adults BRFSS, 2001 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 14. Prevalence (%) of overweight among children and adolescents ages 6-19 years Source: 1999-2000 NHANES Average 11 y.o. boy today is 11 pounds heavier than in 1973
  • 15.  
  • 16. Distribution of Modifiable Risk Factors and Relative Risk of Type 2 Diabetes among 84,941 Women in the Nurses’ Health Study, 1980 to 1996 Body-mass index <23.0 23.0-24.9 25.0-29.9 30.0-34.9 > 35.0 121 202 884 885 759 1.00 2.67 7.59 20.10 38.80 No. of Cases Relative Risk Source: The New England Journal of Medicine, Sept. 13, 2001
  • 17. Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1993-94 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1). No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 18. Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1995-96 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1). No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 19. Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1997-98 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1). No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 20. Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1999 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1). No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 21. Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 2001 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1). No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 22.
  • 23. Technology / Urban Environments = Stress Disconnect from Nature
  • 24.
  • 25.
  • 27. Parks and open space counter these trends in two equally important ways
  • 28. Parks and Open Space Provide a place for activities and exercise Lure people outdoors and in contact with nature
  • 29. Parks and Open Space Providing a place for activities and exercise
  • 30.
  • 31.
  • 32.
  • 33.  
  • 34. Americans Would Prefer to Walk More Walk More Drive N.A. Source: Belden, Russonello & Stewart national telephone survey, Oct. 30, 2002
  • 35. Parks and Open Space Lure people outdoors and in contact with nature
  • 36. Fredrick Law Olmsted “ The beauty of rural scenery is a restorative antidote to the artificiality and oppression of urban conditions”
  • 37.
  • 38.
  • 39. Public park facilities need to provide a balance of both…. ACTIVE (Physical) and PASSIVE (Restorative) … recreational opportunities
  • 40.
  • 41.