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Volume 3: No. 1, January 2006

TOOLS & TECHNIQUES
The Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases: Monitoring Progress in Funded States

State $ State $
Alabama 1320 Nebraska 454
Alaska 195 Nevada 337
Arizona (2004) 752 New Hampshire 302
Arkansas (2005) 663 New Jersey 2342
California 7675 New Mexico (2004) 324
Colorado (2004) 874 New York (2004) 6080
Connecticut 856 North Carolina (2004) 2138
Delaware 207 North Dakota 209
Florida (2004) 3987 Ohio 3304
Georgia (2004) 2133 Oklahoma (2005) 854
Hawaii 290 Oregon (2004) 781
Idaho 227 Pennsylvania (2004) 4138
Illinois (2004) 3439 Rhode Island (2005) 305
Indiana 1637 South Carolina (2004) 1060
Iowa (2005) 783 South Dakota (2005) 195
Kansas 657 Tennessee 1840
Kentucky (2004) 1163 Texas (2004) 5340
Louisiana 1373 Utah 393
Maine (2004) 357 Vermont (2005) 141
Maryland (2004) 1533 Virginia 1641
Massachusetts (2004) 1822 Washington (2004) 1130
Michigan (2005) 2931 Washington, DC 372
Minnesota 1307 West Virginia (2004) 588
Mississippi 757 Wisconsin (2004) 1487
Missouri (2004) 1636 Wyoming 87
Montana (2005) 175    

Figure 1. Funded states and state-level estimates of annual medical expenditures attributable to obesity (2003 dollars, in millions). Years in parentheses show fiscal year through which states were funded. The states funded through 2004 are the 20 states addressed in this article. Source: Adapted from Finkelstein EA et al (5).

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Policies Initiated: 30% (6) Planned: 30% (6)
Legislation Initiated: 45% (9) Planned: 55% (11)
Other
Environmental
Changes
Initiated: 15% (3) Planned: 10% (2)

Figure 2. Percentage of states reporting environmental changes through policies, legislation, and other environmental changes. Data are based on December 2004 progress reports from the 20 state programs and reflect environmental changes that were initiated and planned between January and June 2004. Other environmental changes are strategies other than policies and legislation, such as urban planning, that alter or control the legal, social, economic, and physical environment affecting nutrition and physical activity.

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Increasing Physical Activity 83% (24)
Increasing Fruit and Vegetable Consumption 55% (16)
Balancing Caloric Intake and Expenditure 38% (11)
Decreasing Television-Viewing Time 38% (11)
Increasing Breastfeeding 21% (6)

Figure 3. Percentage of interventions incorporating key evidence-based strategies. Percentages were calculated based on 29 active interventions from January to June 2004. Because some interventions incorporated multiple strategies, totals across all columns exceed 100%.

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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.


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