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U.S. Department of Health and Human

Services

National Institutes of Health

National Heart, Lung, and Blood Institute

Overview of NHLBI Obesity

Education Initiative

Translating Science into Action

Overview of NHLBI Obesity

Education Initiative

Translating Science into Action

Karen A. Donato, S.M., R.D.National Heart, Lung, and Blood InstituteNHLBI Obesity Education Initiative

Karen A. Donato, S.M., R.D.National Heart, Lung, and Blood InstituteNHLBI Obesity Education Initiative

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NHLBI Obesity Education Initiative

Two pronged strategy: High-risk strategy: targets individuals

experiencing or at high risk for adverse health effects and medical complications with overweight/obesity

Population-based strategy: focuses on the prevention of overweight/obesity and physical inactivity

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OEI Web Page...www.nhlbi.nih.gov

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The Clinical Guidelines

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The Practical Guide/ Electronic Textbook

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The Practical Guide

• 10-step plan to treating overweight and obese patients in primary care

• 2-page tear out algorithm to assess, classify, and treat patients (ACT)

• Behavioral assessment of patient readiness• Quick guide to selecting treatment options• Reproducible patient materials including low calorie

menu plans, weight goal/physical activity log, tips for choosing lower calorie foods and increasing physical activity.

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Palm OS Devices

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Primary Care Provider Education Kit

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Patient Education Materials

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Slides and CME Modules

http://www.nhlbi.nih.gov/obesitycme/

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Menu Planner

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Portion Distortion:Do You Know How Food Portions Have

Changed in 20 Years?

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FRENCH FRIES 20 Years Ago Today

210 Calories2.4 ounces

How many calories are in these fries?610 calories6.9 ounces

Calorie Difference: 400 calories

*Based on 160 pound person

How long will you have to walk to burn* 400 calories?How to burn* 400 calories: Walk leisurely for 1 hr 10 Minutes

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SODA20 Years Ago Today

85 Calories 6 ½ ounces

Calorie Difference: 165 calories

How many calories are in this soda? 250 calories 20 ounces

*Based on 160 pound person

How long would you have

to garden to burn 165 calories?.How to burn* 165 calories:

Garden for 35 Minutes

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TURKEY SANDWICH

20 Years Ago Today

320 calories

Calorie Difference: 500 calories

How many calories are in this turkey sandwich? 820 calories

*Based on 130 pound person

How long would you have to biketo burn up 500 calories?

How to burn 500 calories:Bike for 1 hour and 25 minutes

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Hearts N’ Parks

• Collaborative Program of…– The National Heart, Lung, and Blood Institute – The National Recreation and Park Association – Local park and recreation agencies and community

partners– American Dietetic Association (2002) – State Health Departments (2002)

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Hearts N’ Parks

• Provides a unique venue for children, adults, and seniors to learn about heart healthy lifestyles.

• Demonstrates the impact that park and recreation depts. have on behaviors.

• Mobilizes community assets.• Is fun and flexible.

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A Little Bit o’ History

• 1999--1st pilot site in 13 counties in North Carolina with the help of NC State University.

• 2000--Arlington County, VA adopted Hearts N’Parks and launched with a big media event.

• 2002--50 magnet centers in 10 states and 6 Marine Corp bases start up!

• Over 1,400 groups have received the Hearts N’Parks Community Mobilization Guide.

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Magnet Center Sites

•NV

•NC•SC

•GA

•MI

•OH•IN•IL

•MO

•FL

•AZ •NM

•MD

•HIResponsibilities Include: A three year commitment to the Hearts N’ Parks program  Administer the pre and post-test measures to personnel and participants Evaluate the program’s sustainability and growth annually Report progress annually Utilize an extranet to communicate to other sites  Serve as ambassadors for other sites interested in Hearts N’ Parks Expand heart-healthy programming efforts each consecutive year

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Community Mobilization Guide

• This Guide is divided into 5 Ps– PEOPLE– PROGRAMS– PUBLIC VISIBILITY– PARTNERING– PERFORMANCE

INDICATORS

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Programs• In 2002 - 68 Hearts N’ Parks programs

• 34 – 1,232 children:7 wks • 8 – 156 adolescents; 10 wks• 26 – 531 adults; 12 wks

• For existing heart-healthy programs:

– Exercise class monitor pulse

– Sports camp introduce healthy snacks and non-competitive play

• For existing programs that are not heart-healthy:

– Use health quizzes, tip sheets, brochures

– Teach new health-related skill

– Introduce healthy snacks

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ActivitiesPotential

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DHHS & NRPA MOU

Signees include:•NHLBI, NRPA, ODPHP, NIDDK•CDC and the PCPFS

• Improve public health by encouraging physical activity and healthy eating.• Create communityprograms• Remove environmental barriers

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Future OEI Activities• Healthy Weight Community Outreach Initiative – FY’04

– Create a national health education action plan on reducing overweight/ obesity and on promoting a healthy weight.

– Create key messages appropriate to convey important issues on body weight to the respective target audiences.

– Create community-based activities that target health care providers, patients and the public.

– Explore the potential role of environmental change.

• Comprehensive Patient Education Materials based on Obesity Clinical Guidelines and ATP III