Staying Active and Eating Healthy
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Diabetes and Obesity Prevention by Promoting Healthy Behaviors
Type 2 diabetes is associated with older age, obesity, family history of diabetes, prior history of gestational diabetes,
impaired glucose tolerance, physical inactivity, and race/ethnicity. African Americans, Hispanic/Latino Americans, American
Indians, and some Asian Americans and Pacific Islanders are at particularly high risk for type 2 diabetes. Many people
with type 2 diabetes can control their blood glucose by following a careful diet, exercise program, losing excess weight, and taking oral medication. Research studies in the United States and abroad have found that lifestyle changes can prevent
or delay the onset of type 2 diabetes among high risk adults. Lifestyle interventions included diet and moderate intensity
physical activity. For both sexes and all age and racial and ethnic groups, the development of diabetes was reduced 40% to
60% during these studies that lasted 3 to 6 years.
During the past 20 years, obesity among adults has risen significantly in the United States. The latest data from the National Center
for Health Statistics shows that 30 percent of U.S. adults 20 years of age and older - over 60 million people - are obese. This
increase is not limited to adults. The percentage of young people who are overweight has more than tripled since 1980. Among
children and teens aged 6-19 years, 16 percent (over 9 million young people) are considered overweight. These increasing rates
raise concern because of their implications for Americans' health. Being overweight or obese increases the risk of many diseases
and health conditions, including the following: hypertension, dyslipidemia (for example, high total cholesterol or high levels of
triglycerides), type 2 diabetes, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea and respiratory
problems, some cancers, (endometrial, breast, and colon). Much of the chronic disease burden is preventable. Physical inactivity and
unhealthy eating contribute to obesity and a number of chronic diseases, including cancer, cardiovascular disease, and diabetes.
2007 Program Objectives
To advance the President's HealthierUS goal of helping Americans live longer, better, and healthier lives and the
Departments agenda of identifying and promoting programs that foster healthy behaviors and prevention, OWH will continue to
develop and design innovative tools to assist the public in successfully addressing such chronic illnesses as diabetes, obesity,
heart disease, and stroke due to poor nutrition and physical inactivity.
The 2006 Program Objectives
- Provide funds to a variety of organizations to aid in the development or sustainment of effective
obesity-related programs in order to affect lifestyle changes that will control, prevent or delay the
development of type II diabetes.
- The interventions implemented must be substantive in nature and incorporate nutrition, physical
activity and health/wellness components.
Six grants awarded to Antietam Health Care Foundation/Washington County Hospital, Hagerstown, MD; Cambridge Health
Alliance, Cambridge, MA; CHOICES, Kennesaw, GA; Community Health Center, Inc., Meriden, CT; National Kidney Foundation,
Ann Arbor, MI; Spectrum Health Hospitals, Grand Rapids, MI.
Girl and Adolescent Health
Adolescence represents a dynamic, developmental period when young women make important choices about life-style behaviors, including diets, physical activity, sexual activity, and use of tobacco, alcohol, and other drugs that can influence their health and well-being throughout adulthood. The Office on Women's Health focuses on the overall health of all women throughout their lifespan. Below are some of the major programs and activities the Office on Women's Health is involved in.
In keeping with the mission statement of OWH of improving the health of women across their life span from childhood through adolescence and into adulthood, OWH has developed an adolescent girl health section that is part of the NWHIC site. This site (www.girlshealth.gov), which will continue to expand to new topics, focuses on friends and family relationships, trust, sexuality, violence and abuse, peer pressure, and self-esteem. The site is a resource that responds to adolescent girls' health concerns. The purpose of the site is to motivate girls to choose healthy behaviors without the tediousness "you should do this" message. A specialty section on Disabilities and Chronic Illness will be featured on the website. The Office on Women's Health partnered with FDA to develop a Girl Power! Component to the current "Take Time to Care" project, a project aimed at older women to raise awareness of using medications wisely and properly. The Disability and Chronic Illness Section of Girl Power targets girls ages 9–14 and focuses on how to handle hospital visits, how to talk to your doctor, and how to tell your friends about your illness or disability along with other vital information for this population.
Eating Disorders are disabling illnesses that affect between 1-3 percent of young women in the United States. Congress, in the report language of Health and Human Services (HHS ) Appropriations for Fiscal Year (FY) 1998, directed the Office on Women's Health (OWH) to "develop a national media campaign targeting, but not limited to adolescent girls and women, to educate the public about healthy eating behavior". OWH is sponsoring the "BodyWise Eating Disorders Educational Campaign" targeting middle school educators and providers. The goal of the program is to increase awareness and knowledge of eating disorders, including their signs and symptoms, steps to take when concerned about students, and ways to promote healthy eating and reduce preoccupation with weight and size. An information packet is available that includes materials emphasizing the links among healthy eating, positive body image, and favorable learning outcomes, with some materials targeted to specific racial and ethnic groups. More information on BodyWise packets can be obtained by clicking here.
BodyWorks is a program designed to help parents and caregivers of young adolescent girls (ages 9 to 13) improve family eating and activity habits. Using the BodyWorks Toolkit, the program focuses on parents as role models and provides them with hands-on tools to make small, specific behavior changes to prevent obesity and help maintain a healthy weight.
The BodyWorks program uses a train-the-trainer model to distribute the Toolkit through community-based organizations, state health agencies, non-profit organizations, health clinics, hospitals and health care systems. The program includes one six-hour training module for trainers and ten 90-minute weekly sessions for parents and caregivers.
The Office on Women's Health, developed BodyWorks following two years of formative research.
Today, behavioral and lifestyle factors constitute over 50% of the causation of all 10 of the leading causes of death in American women. As many as one million premature deaths in the U.S. could be prevented through changes in behavior. In an effort to address this issue, the Get Real project was designed with the following goals in mind:
- To educate college aged women about important health issues;To provide a forum where young women can openly discuss their health concerns;To emphasize the importance of the behavioral components of health promotion and disease prevention; and
- To empower young women to make decisions and take responsibility for their own health and well-being.
The Get Real project consists of a 27-minute video, facilitator's guide, fact sheets and promotional posters. The video portrays the typical activities, attitudes, and reactions of young people on college campuses today, and is meant to serve as an introduction to women's health issues and to stimulate further discussion. This video kit has been distributed across the country to college health centers. Health educators may wish to view and use this important tool to promote the health of college-age women.To request free copies of the Get Real: Straight Talk about Women's Health video, please call the National Women's Health Information Center, 1-800-994-9662.
National Bone Health Campaign
The National Bone Health Campaign (NBHC) is a multiyear national campaign to promote optimal bone health, and thus reduce their risk of osteoporosis later in life. The goal is to educate and encourage girls to establish lifelong healthy habits, especially increased calcium consumption and physical activity to build and maintain strong bones. In addition to a focus on young women, the campaign will target adults who influence them, including parents, teachers, coaches, youth group leaders, and health care professionals.
To help extend the reach and impact of its messages, the NBHC is creating a national partnership network of Federal, state, and local government allies, and nonprofit organizations. The goal of this network is to facilitate resource and information sharing among a broad range of partner organizations across the country. Partners will be encouraged to incorporate bone health messages and activities into their existing programs and to share lessons learned.
This campaign is a unique public/nonprofit partnership among the Centers for Disease Control and Prevention (CDC), the Department of Health and Human Service's Office on Women's Health (OWH) and the National Osteoporosis Foundation.
Content last updated June 17, 2008.
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