10/24/2015 Building an Active City WHY ACTIVE CITIES? Designed to - PDF document

10/24/2015 Building an Active City WHY ACTIVE CITIES? ‐ Designed to Move Karen K. Lee, MD, MHSc www.drkarenlee.com For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at www.drkarenlee.com . www.drkarenlee.com . Today‘s Leading Causes of Death: Non ‐ Communicable Diseases (including Heart Disease & Strokes, Cancers, Diabetes, Chronic Lung Disease) WHY ACTIVE CITIES? Chronic Diseases ‐ #1 cause of death globally (36 million deaths/y). 1. COMMUNITY HEALTH Leading Risk Factors accounting for large % of deaths: & WELLBEING • Tobacco (6m deaths/y) • Physical Inactivity (3.2m deaths/y) • Unhealthy Diets • Harmful Use of Alcohol (2.3m deaths/y) • High Blood Pressure (7.5m deaths/y) • Overweight and obesity (2.8m deaths/y) • High Cholesterol (2.6m deaths/y) • Cancer ‐ associated infections (2m deaths/y) WHO, 2010 – see http://www.who.int/nmh/publications/ncd_report_summary_en.pdf?ua=1 For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at www.drkarenlee.com . www.drkarenlee.com Obesity Trends* Among U.S. Adults OBESITY is a GLOBAL EPIDEMIC BRFSS, 1990 (*BMI ≥ 30, or ~ 30 lbs overweight for 5’ 4” woman) Worldwide obesity has more than doubled since 1980. In 2014, more than 1.9 billion adults, 18 years and older, were overweight (39%). Of these over 600 million were obese (13%). 42 million children under the age of 5 were overweight or obese in 2013. No Data < 10% 10% –14% ‐ World Health Organization, 2015 Source: U.S. Centers for Disease Control and Prevention (CDC) For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at www.drkarenlee.com www.drkarenlee.com 1

10/24/2015 Obesity Trends* Among U.S. Adults Obesity Trends* Among U.S. Adults BRFSS, 1995 BRFSS, 2000 (*BMI ≥ 30, or ~ 30 lbs overweight for 5’ 4” woman) (*BMI ≥ 30, or ~ 30 lbs overweight for 5’ 4” woman) No Data < 10% 10% –14% 15% -19% No Data < 10% 10% –14% 15% -19% 20% + Source: U.S. Centers for Disease Control and Prevention (CDC) Source: U.S. Centers for Disease Control and Prevention (CDC) For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at www.drkarenlee.com . www.drkarenlee.com Obesity Trends* Among U.S. Adults Obesity Trends* Among U.S. Adults BRFSS, 2005 BRFSS, 2010 (*BMI ≥ 30, or ~ 30 lbs overweight for 5’ 4” woman) (*BMI ≥ 30, or ~ 30 lbs overweight for 5’ 4” woman) (*BMI ≥ 30, or ~ 30 lbs overweight for 5’ 4” woman) No Data < 10% 10% –14% 15% -19% 20% -24% 25% -29% 30% + No Data < 10% 10% –14% 15% -19% 20% -24% 25% -29% 30% + Source: U.S. Centers for Disease Control and Prevention (CDC) Source: U.S. Centers for Disease Control and Prevention (CDC) For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at www.drkarenlee.com www.drkarenlee.com According to the CDC…… Diabetes trends among U.S. adults By 2030, if obesity trends continue as shown, the medical costs attributable to obesity the total attributable health ‐ today in the U.S. are 2000 2009 care costs will be 1994 estimated to be $860 ‐ $956 $147 billion billion per year . No Data <4.5% 4.5-5.9% 6.0-7.4% 7.5-8.9% >9.0% per year . Source: CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at www.drkarenlee.com www.drkarenlee.com 2

10/24/2015 Obesity Trends Among Canadian Adults Obesity Trends Among Canadian Adults For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at www.drkarenlee.com www.drkarenlee.com HEALTHY VS UNHEALTHY FOOD ACCESS IS KEY ALSO Obesity in Children has Risen Even More Rapidly Obesity Trends Among Canadian Adults In the US: • Childhood obesity has more than doubled in children, and quadrupled in adolescents in the past 30 years. • In 2012, >1/3 of children and adolescents were overweight or obese. http://www.cdc.gov/healthyyouth/obesity/facts.htm In CANADA: • Since the late 1970s, overweight and obesity has risen among children and adolescents in Canada. • 2009 ‐ 2011: 31.5% of 5 ‐ 17 year olds (~1.6 million) were overweight or obese; 32.8% of 5 ‐ 11 year olds were overweight or obese (WHO Approach) • Excess weight in childhood has been linked to type 2 diabetes, hypertension, poor emotional health, and diminished social well ‐ being. • Obese children tend to become obese adults. For more information or assistance, http://www.statcan.gc.ca/pub/82 ‐ 003 ‐ x/82 ‐ 003 ‐ x2012003 ‐ eng.htm or permission to use information from this presentation, contact Dr. For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at http://www.statcan.gc.ca/pub/82 ‐ 003 ‐ x/2012003/article/11706 ‐ eng.htm Karen Lee at www.drkarenlee.com www.drkarenlee.com Diabetes trends among: Albertans ‐ adults (20+) Alberta’s Chronic Disease Rates Are Increasing 2000 2009 2012 • Twice as many people are living with diabetes than 10 years ago 218,000 people now • 162,000 Albertans suffering with ischemic heart disease in 2011 • Over 14% diagnosed with hypertension 4.9% 7.2% 7.9% For more information or assistance, or permission to use information from this presentation, contact Dr. Karen Lee at Source: Alberta (2014). Interactive Health Data Application. Retrieved from: www.drkarenlee.com http://www.ahw.gov.ab.ca/IHDA_Retrieval/ihdaData.do 3