ASTPHND DNPA (O) Update June 10, 2007
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Transcript of ASTPHND DNPA (O) Update June 10, 2007
ASTPHND DNPA (O) Update June 10, 2007
ASTPHND DNPA (O) Update June 10, 2007
Update on the Division of Nutrition, Physical Activity, and Obesity
Update on the Division of Nutrition, Physical Activity, and Obesity
Maternal and Child Nutrition Branch
Chronic Disease Nutrition Branch
Physical Activity and Health Branch
Associate Director for Science
Communication Team Associate Director for Policy and Planning
Admin Services/ Resource
ManagementOffice of the Director
DNPA Organizational StructureDNPA Organizational Structure
Deputy Director
NPAO Team
Integrated InputIntegrated Input
• Feedback from:– Staff– States– Expert Panel– Division Directors– Center Leadership– Other partners
• Feedback from:– Staff– States– Expert Panel– Division Directors– Center Leadership– Other partners
DNPA(O) Vision and MissionDNPA(O) Vision and Mission
Vision:A world where regular physical activity, good
nutrition, and healthy weight are part of everyone's life.
Mission:Lead strategic public health efforts to prevent
and control obesity, chronic disease, and other health conditions through regular physical activity and good nutrition.
Vision:A world where regular physical activity, good
nutrition, and healthy weight are part of everyone's life.
Mission:Lead strategic public health efforts to prevent
and control obesity, chronic disease, and other health conditions through regular physical activity and good nutrition.
GoalsGoals
Increase health-related physical activity through population-based approaches.
Improve those aspects of dietary quality most related to population burden of chronic disease and unhealthy child development.
Decrease prevalence of obesity through prevention of excess weight gain and maintenance of healthy weight loss.
Increase health-related physical activity through population-based approaches.
Improve those aspects of dietary quality most related to population burden of chronic disease and unhealthy child development.
Decrease prevalence of obesity through prevention of excess weight gain and maintenance of healthy weight loss.
Strategic Priorities
Strengthen relationships with all state, territorial and tribal health departments so that we are partners in promoting physical activity, nutrition, and obesity prevention and control.
Develop and implement a research agenda that supports public health practice.
Develop and implement an agenda that clarifies and defines strategic public health leadership in obesity prevention and control.
Strategic Priorities
Prioritize, initiate and improve linkages within CDC to align and disseminate consistent public health recommendations and promising practices.
Develop an agenda for addressing health disparities in physical activity, nutrition, and obesity prevention and control.
Seek new and creative approaches to integrate nutrition and physical activity initiatives for obesity prevention and control.
Strategic Priorities Linked to Vision, Mission, Goals
Strategic Priorities Linked to Vision, Mission, Goals
DNPA Staff
Div. Dirs.
Expert Panel
Center Leadership
VMG
Service Science-Program
Leadership Linkages Disparities Integration
Proposed DNPA Functional Model
Long-Range Planning
Research
Program Development and Technical
Assistance
Surveillance
Policy Analysis
Admin./ Clerical Services
Leadership, Management & Accountability
Training
Partnerships and External
Relations
Translation & Dissemination
Proposed DNPAO Organizational Structure
Physical Activity Branch
Proposed Team Structure:• Research Team• Surveillance Team• Guidelines Development &
Recommendations Team
Nutrition Branch
Proposed Team Structure:• Research & Surveillance
Team• Surveillance Systems Team• Guidelines Development &
Recommendations Team• International Unit (M/M)
Obesity Prevention & Control Branch
Proposed Team Structure:• Research & Surveillance
Team• Guidelines Development
and Recommendations Team
Associate Director for Science
Program Development & Evaluation Branch
Proposed Team Structure:• Technical Assistance &
Consultation Team• Program Development
Team• Evaluation Team
Associate Director for Translation and Dissemination
Associate Director for Policy and Planning
Program Resource ManagementOffice of the Director
Summary of Considerations to be Achieved by Organizational Design
Summary of Considerations to be Achieved by Organizational Design
1. Raise priority, scope, and visibility of obesity efforts2. Maintain identity of the health promotion aspects of
nutrition and physical activity3. Prioritize coordination of cross-unit activities within
division and for relations outside of division4. Raise visibility of translation and dissemination activities5. Retain the skills of the communication team within the
division6. Raise priority of state program services and improve
coordination and cohesiveness of these services in the division
1. Raise priority, scope, and visibility of obesity efforts2. Maintain identity of the health promotion aspects of
nutrition and physical activity3. Prioritize coordination of cross-unit activities within
division and for relations outside of division4. Raise visibility of translation and dissemination activities5. Retain the skills of the communication team within the
division6. Raise priority of state program services and improve
coordination and cohesiveness of these services in the division
New DevelopmentsNew Developments
PA GuidelinesFruits and Veggies: More Matters
Strategies to Increase Fruit and Vegetable Consumption
Strategies to Increase Fruit and Vegetable Consumption
Early exposure
Fruit and vegetable program
Access
Community gardens and farmers markets
Competitive pricing
Stealth interventions (Garden Market)
Early exposure
Fruit and vegetable program
Access
Community gardens and farmers markets
Competitive pricing
Stealth interventions (Garden Market)
New DevelopmentsNew Developments
Medical settings • Release of Expert Panel recommendations • NICHQ Network
Schools• Revision of the 1994 PA and Nutrition Guidelines• White paper on BMI screening in schools• Monitor adherence to Alliance agreement
Medical settings • Release of Expert Panel recommendations • NICHQ Network
Schools• Revision of the 1994 PA and Nutrition Guidelines• White paper on BMI screening in schools• Monitor adherence to Alliance agreement
New DevelopmentsNew Developments
Worksites• CDC Healthier worksite initiative (cdc.gov/hwi)• Obesity cost calculator - validation• Community Guide recommendations• Impact of interventions on costs
Communities• Early assessment project• Measures project• Guide chapter on obesity• Capture community successes
Worksites• CDC Healthier worksite initiative (cdc.gov/hwi)• Obesity cost calculator - validation• Community Guide recommendations• Impact of interventions on costs
Communities• Early assessment project• Measures project• Guide chapter on obesity• Capture community successes
CDC Projects Related to Worksites CDC Projects Related to Worksites
Community Guide Recs
Promising Practices
Translate Findings
Focus groups
Disseminate
Develop Cost
CalculatorEvaluate
Develop Toolkits
Implement
Evaluate
New DevelopmentsNew Developments
Worksites• CDC Healthier worksite initiative (cdc.gov/hwi)• Obesity cost calculator - validation• Community Guide recommendations• Impact of interventions on costs
Communities• Early assessment project• Measures project• Guide chapter on obesity• Capture community successes
Worksites• CDC Healthier worksite initiative (cdc.gov/hwi)• Obesity cost calculator - validation• Community Guide recommendations• Impact of interventions on costs
Communities• Early assessment project• Measures project• Guide chapter on obesity• Capture community successes
Lessons from Tobacco ControlLessons from Tobacco Control
Surveillance – advocacy and policy
Comprehensive, multidimensional
Efficacy and effectiveness research
Advocacy frames the issue
Funded programs
Explicit, measurable goals and objectives
Threshold spending
Local initiatives fed national action
Surveillance – advocacy and policy
Comprehensive, multidimensional
Efficacy and effectiveness research
Advocacy frames the issue
Funded programs
Explicit, measurable goals and objectives
Threshold spending
Local initiatives fed national action
Arkansas Act 1220 (2003)Arkansas Act 1220 (2003)
Universal BMI measurements in schoolsCME courses for primary care providersChild Health Advisory CommitteeLocal parent advisory committeesLimited vending machines accessDisclosure of contract information with
beverage companies30’ physical activity/dayEducation for cafeteria workers
Universal BMI measurements in schoolsCME courses for primary care providersChild Health Advisory CommitteeLocal parent advisory committeesLimited vending machines accessDisclosure of contract information with
beverage companies30’ physical activity/dayEducation for cafeteria workers
Changes in BMI in ArkansasChanges in BMI in Arkansas
Category Year 1 Year 2 Year 32003-4 2004-5 2005-6
Overweight 20.9% 20.8% 20.4%At risk 17.2% 17.2% 17.1%Healthy weight 60.1% 60.1% 60.6%Underweight 1.8% 1.9% 1.9%
Total students 348,710 372,369371,082
All available data for years 1 & 2, and all data received by 6/14/06 for year 3 analysis
Category Year 1 Year 2 Year 32003-4 2004-5 2005-6
Overweight 20.9% 20.8% 20.4%At risk 17.2% 17.2% 17.1%Healthy weight 60.1% 60.1% 60.6%Underweight 1.8% 1.9% 1.9%
Total students 348,710 372,369371,082
All available data for years 1 & 2, and all data received by 6/14/06 for year 3 analysis
Successful Community-based Interventions for Children
Successful Community-based Interventions for Children
El Paso Texas (Paso del Norte Health Foundation)Somerville MassachusettsColac (Australia)EPODE (Ensemble Prevenons L’Obesite des Enfants – Fleurbaix Laventie, FR)
El Paso Texas (Paso del Norte Health Foundation)Somerville MassachusettsColac (Australia)EPODE (Ensemble Prevenons L’Obesite des Enfants – Fleurbaix Laventie, FR)
Paso del Norte El Paso Project Paso del Norte El Paso Project
CATCH in elementary schools (Coordinated Approach to Child Health) Bike/walk pathsWalk El PasoQue Sabrosa Vida
CATCH in elementary schools (Coordinated Approach to Child Health) Bike/walk pathsWalk El PasoQue Sabrosa Vida
Changes in the Prevalence of Overweight: Paso del Norte El Paso Project
Changes in the Prevalence of Overweight: Paso del Norte El Paso Project
2001-02 2004-054th grade 26% 23%8th grade 19% 15%
2001-02 2004-054th grade 26% 23%8th grade 19% 15%
Strategies to Improve Community Interventions
Strategies to Improve Community Interventions
• Local surveillance• Common indicators – outcome and
community level; proximal and distal• Links with academic centers for design,
evaluation, and technical assistance• Early assessment• Mechanism(s) to share knowledge and
experience
• Local surveillance• Common indicators – outcome and
community level; proximal and distal• Links with academic centers for design,
evaluation, and technical assistance• Early assessment• Mechanism(s) to share knowledge and
experience
A National Convergence Around Healthy Eating, Active Living?
A National Convergence Around Healthy Eating, Active Living?
StateObesity Summits Alliance for a
Healthier Generation
Food and FitnessInitiative
(WK Kellogg Fndtn)
HEAC(California Endowment)
Health in the Balance(IOM)
ALbD and HEbD (RWJF)
KP’s HEAL Initiative
YMCASteps to aHealthier US