The Epidemic
59% of adults in Washington State are overweight or obese. (CDC BRFSS, 2002)
21% of non-Hispanic white adults, 31% of non-Hispanic black adults, and 24% of Hispanic adults in Washington State are obese. (CDC BRFSS, 2002)
21% of Washington State high school students are overweight or at risk of becoming overweight. (CDC YRBSS, 1999)
The obesity rate among adults in Washington State increased by 127% from 1990 to 2002. (CDC BRFSS, 1990, 2002)
Program Priorities
The Washington State Nutrition and Physical Activity Plan focuses on policy and environmental change. The department of health and its partners are currently developing indicators to measure progress in these areas.
A total of 12 interventions are currently underway:
The City of Moses Lake Healthy Communities project targets a small rural town in eastern Washington that has a greater percentage of Hispanic people, older adults, and people with low incomes compared with the rest of the state. The project involves four different interventions:
The Healthy Communities Moses Lake Trails Planning Team is working to increase opportunities for the population to meet recommendations for physical activity and health by improving the trail/path system, improving sidewalk and street pedestrian crossings, and creating bike lanes.
The goal of the Moses Lake Community Gardens Project is to increase fresh fruit and vegetable consumption by increasing the availability of space for fruit and vegetable gardens.
The Moses Lake Breast-feeding project is implementing a plan for policy and environmental change to support breast-feeding in health-care facilities, work sites, child care programs, and other community settings.
The Healthy Communities Moses Lake Media Awareness Campaign is a 3-month media awareness campaign based on the “Small Steps. Big Rewards.” campaign created by the National Diabetes Education Program.
The Mount Vernon Healthy Communities project’s goal is to implement policy and environmental changes in the City of Mount Vernon to promote physical activity and healthy eating using a minimum of two different strategies for change.
The Access to Healthy Foods Coalition is a collaborative effort that brings together a diverse group of partners from agriculture, food processing, vending machine operations, restaurants, the military, health-care, non-profits and others, to increase the availability of health promoting foods.
The Active Community Environments Grassroots project aims to increase active living for older adults by ensuring the necessary infrastructure is put in place to support active community environments. Nine regional Active Living Task Forces will provide guidance on ways that policy change, policy measurement, and allocation of funds to communities for sidewalks, trails, bike lanes, and other nonmotorized facilities can promote increased physical activity among older adults.
The Safe and Active Routes to School Project has three goals:
Increase the percentage of young people who meet physical activity recommendations for health.
Increase the percentage of young people who walk/bike to school or in their neighborhoods.
Improve walkability and bikeability around schools.
The project will promote awareness and advocate for the development of environments that support walking and biking to school safely.
An intervention to reduce sedentary behaviors by training child care providers focuses on the environment at child care and other out-of-school programs for children and youth. Regional child care health consultants are given training so that they can provide training and materials to child care staff to assist them in ensuring that children engage in optimal levels of physical activity.
A kit of materials intended to help reduce television watching time in all types of early childhood programs has been developed. The kit includes background materials about the impact of excessive television viewing, a facilitated discussion guide for parent groups, an outline of a group session on television and physical activity for parents and children, posters, interactive handouts, bookmarks, and materials to be used in parenting classes.
The Breastfeeding Assessment project is intended to apply lessons learned and tools developed in the Moses Lake Breast-feeding Project in other parts of the state and to develop a statewide standard that identifies what a “Breast-feeding Friendly Environment” is and how to develop such an environment in a community. The Diabetes Prevention Program Pilot in Tribes is intended to prevent and control obesity and other chronic conditions by increasing the proportion of adults and children whose diets reflect the Dietary Guidelines for Americans. Nutrition education is provided to food stamp-eligible Native American parents.
Partners
Affiliated Health Services
Alliance for Health, Physical Education, Recreation, and Dance
Bicycle Alliance
The Center for Public Health Nutrition
Charlie’s Produce
Children’s Alliance
Climate Solutions
Coalition for Promotion of Physical Activity
Cross Cultural Health Care Program
Eastern Washington University
Group Health Cooperative
National Governors' Association
National Park Service
Northwest American College of Sports Medicine
Northwest Vending Association
Office of Community, Trade, and Economic Development
Seattle Pacific University
Uniform Medical Plan
University of Washington Center for Public Health Nutrition
Washington Association of Landscape Architects
Washington Food Industry
Washington Military Department
Washington Restaurant Association
Washington State Department of Agriculture
Washington State Department of Transportation
Washington State School Directors' Association
Recent Accomplishments and Products
Developed active Community Environments Kits that provide all of the basic elements needed to effect policy and environmental changes to increase opportunities for physical activity in a community.
Developed a television Viewing Reduction Kit that provides materials to help child care providers reduce the time children spend watching TV and increase the time they spend engaged in physical activity.
Created a breast-feeding assessment tool for use in promoting increased breast-feeding.
Developed a Native American Diabetes Prevention Program Lifestyle curriculum.
Conducted trainings for stakeholders, policy makers, and community advisory committee members about the state plan and the socio-ecological model.
Upcoming Events and Products
A City of Moses Lake spring festival to promote environmental changes that increase opportunities for physical activity.
Statewide workshops for local child care health consultants.
An obesity, nutrition, and physical activity Web site.
Project Period: 2003–2008
Year First Funded: 2001
Funding Stage: Basic Implementation
Contact Person:
Kyle Unland, MS, RD, CD
Obesity Project Coordinator
Washington State Department of Health
Telephone: 360-236-3757
Fax: 360-753-9100
E-mail:
Kyle.unland@doh.wa.gov
Data Sources
CDC BRFSS — CDC’s Behavioral Risk Factor Surveillance System
CDC PedNSS — CDC’s Pediatric Nutrition Surveillance System
CDC YRBSS — CDC’s Youth Risk Behavior Surveillance System
http://www.cdc.gov/nccdphp/dnpa/obes...washington.htm