Active Living Promotes Healthy Communities May 8th, 2003 Thomas James III, MD Humana-Kentucky...
-
Upload
sherilyn-wilkins -
Category
Documents
-
view
213 -
download
0
Transcript of Active Living Promotes Healthy Communities May 8th, 2003 Thomas James III, MD Humana-Kentucky...
-
Active Living Promotes Healthy CommunitiesMay 8th, 2003Thomas James III, MDHumana-KentuckyPartners for a Health LouisvillePracticing Physician
-
Abridged Version of TalkKentucky has a problem with its health from life-style issuesActivity is key to promotion of improved physical and emotional healthA healthier population promotes a stronger communityNow you can go take a hike.
-
Lets look at the StatisticsThe Lewin Group for UAW-Ford Community Health Initiative, Oct. 2002ConditionHP2010Ky.USAHypertension 16.0%30.8%25.2%Heart deaths 166.0 306.2 259.8 (deaths/100,000 Pop)Stroke deaths 48.069.660.1(deaths/100,000)Diabetes death ---27.624.4 (deaths/100,000) Cancer deaths 159.9 184.0 162.1(deaths/100,000)
-
Kentucky Demographics
4,065,556 people in Kentucky 12.5% are 65 years old (> 500,000 people)7.3% are African-American (~300,000 people)1.5% are Hispanic/Latino-AmericanIn 2001, Prevalence of Diabetes in KY was 6.7% or >270,000 people. (There could be half this number currently undiagnosed.)
Diabetes Surveillance System, 2001. www.cdc.govNational Diabetes Fact Sheet, American Diabetes Association, www.diabetes.org
Cardiovascular
-
Kentucky Risk Factors
The highest adult smoking rate in the U.S. (30.5%)Lowest rate of physical activity in the U.S. Second highest in people overweight (61%)72.1% of African-Americans, and 60.5% Whites are overweightKentucky has the 4th highest cardiovascular death rate in the U.S.
www.cdc.gov accessed 3/3/03
Cardiovascular
-
Prevalence of Type 2 Diabetes: 1990
6%=Blue
Diabetes Care. September 2000.
Cardiovascular
-
Prevalence of Type 2 Diabetes: 1994
6%=Blue
Diabetes Care. September 2000.
Cardiovascular
-
Prevalence of Type 2 Diabetes: 1998
6%=Blue
Diabetes Care. September 2000.
Cardiovascular
-
Prevalence of Type 2 Diabetes:19901998
Weight (kg)
81.0
64.6
83.1
66.4
85.3
68.5
Men
Women
Diabetes Care. September 2000.
6%=Blue
6%=Blue
6%=Blue
Cardiovascular
-
Prevalence of Type 2 Diabetes
-
Prevalence of Type 2 Diabetes
-
Prevalence of Type 2 Diabetes
-
SOLUTIONS?a simple one--promote activityCardiovascular benefitsWeight managementArthritis controlDiabetes improvement?Link to cancer prevention?
-
Cardiovascular BenefitsReduce Coronary risk by 1/3Reduces hypertension by up to 10 mm HgReduces stroke risk three-fold
-
Weight ManagementWalking can burn up to 100 cal per mileExercise is key to weight lossRegular exercise reduces diabetes risk by up to 25%Cancer associate with obesity
-
Elements for Community Growth--Dr. Mark Horton, Ca. PHSReduce exposure environmental toxinsMaximize safety in road planningCommunity design to promote physical activity.Development: environmental justiceMaximize aesthetics for stress reliefInclude health/environmental experts in design.
-
Impacts on improved healthWIN: As an insurer--Lower medical costs, so premiums can be more competitive.WIN: As Partners for a Healthy Louisville--Redirection of focus for business-health efforts.WIN: As a Physician--Patient compliance with healthy activities.
-
The Bottom Line...A healthier community makes the area more attractive to business and, more importantly, to the people who live there.