Update from NIH/HHS: Healthy Update from NIH/HHS: Healthy People 2020 Nutrition and People 2020 Nutrition and Weight Status Focus AreaWeight Status Focus Area

Van S. Hubbard, M.D., Ph.D.Rear Admiral, U.S. Public Health Service

NIH Division of Nutrition Research CoordinationDepartment of Health and Human Services

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Healthy People 2020: Healthy People 2020: A Starting PointA Starting PointProposed Organizing Framework Focus areas

• Primary: Risk factors and determinants of health• Secondary: Diseases and disorders

Emphasis on Public Health Priorities• Health IT• Preparedness• Prevention

Objective NWS 1: Increase the Objective NWS 1: Increase the proportion of adults who are proportion of adults who are at a healthy weight at a healthy weight Data Source: National Health and Nutrition

Examination Survey Baseline: 30.8 percent of persons age 20

years and over are at a healthy weight (baseline years 2005-2008).

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Objective NWS 2: Reduce the Objective NWS 2: Reduce the proportion of adults who are proportion of adults who are obeseobese Data Source: National Health and Nutrition

Examination Survey Baseline: 34.0 percent of persons age 20

years and over are obese (baseline years 2005-2008)

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Objective NWS 5: Reduce the proportion of children Objective NWS 5: Reduce the proportion of children and adolescents who are considered obeseand adolescents who are considered obese

a. Children aged 2 to 5 yearsa. Children aged 2 to 5 yearsb. Children aged 6 to 11 yearsb. Children aged 6 to 11 yearsc. Adolescents aged 12 to 19 yearsc. Adolescents aged 12 to 19 yearsd. Children and adolescents aged 2 to 19 yearsd. Children and adolescents aged 2 to 19 years

Data Source: National Health and Nutrition Examination Survey Baseline: (baseline years 2005-2008)

• a.10.7 percent of children aged 2 to 5 years are considered obese• b. 17.4 percent of children aged 6 to 11 years are considered obese• c. 17.9 percent of adolescents aged 12 to 19 years are considered obese• d. 16.2 percent of children and adolescents aged 2 to 19 years are

considered obese

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New Objectivie: Increase the proportion New Objectivie: Increase the proportion of primary care physicians who regularly of primary care physicians who regularly measure the body mass index of their measure the body mass index of their patientspatients Sub-objective a: Increase the proportion of

primary care physicians who regularly assess body mass index in their adult patients

Sub-objective b: Increase the proportion of primary care physicians who regularly assess body mass index for age and gender in their child or adolescent patients.

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Developmental Objective: Prevention Developmental Objective: Prevention of inappropriate weight gainof inappropriate weight gain

Total PopulationAge (years)

NHANES III (1988-1994)Crude Prevalence (%)

NHANES 2003-2006Crude Prevalence (%)

2 - 4 6.5 10.9

5 - 9 11.1 14.9

10 – 14 11.3 19.4

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Crude Prevalence for youth ( from 2 years through less than 20 years) with a BMI defined as the BMI for age and gender at or above the 95th percentile of the growth chart or a BMI of 30 or greater

Developmental Objective: Developmental Objective: Access to Food Retail Outlets Access to Food Retail Outlets

Increase the proportion of Americans who have access to a food retail outlet that sells a variety of foods that are encouraged by the Dietary Guidelines for Americans.

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Opportunities

Which focus areas? Which partners? Which objectives? Which data sources?

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Healthy People 2020 ResourcesHealthy People 2020 Resources

http://www.healthypeople.gov/hp2020/default.asp

Strategic Plan for NIH Obesity ResearchStrategic Plan for NIH Obesity Research

Posted at www.obesityresearch.nih.gov

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