The Epidemic
59% of Maine adults are overweight or obese. (CDC BRFSS, 2002)
21% of non-Hispanic white adults, 20% of non-Hispanic black adults, and 12% of Hispanic adults in Maine are obese. (CDC BRFSS, 2002)
27% of Maine high school students and 30% of Maine middle school students are at risk for overweight or overweight. (Maine YRBSS, 2003)
36% of Maine kindergarten students are overweight or at risk of becoming overweight. (Maine Child Health Survey, 2002)
32% of low-income children between two and five years of age in Maine are overweight or at risk of becoming overweight. (CDC PedNSS, 2002)
The obesity rate among Maine adults increased by 70% from 1990 to 2002. (CDC BRFSS, 1990, 2002)
Program Priorities
Key stakeholders, including the Maine Physical Activity and Nutrition (PAN) Coordinating Council, are working to develop the state Physical Activity and Nutrition Plan. This effort is organized around four setting-specific workgroups:
Schools
Work sites
Health-care venues
Communities
All of the work groups are using the social-ecologic model to organize strategies in the state plan.
The state’s coordinated infrastructure for obesity prevention includes a group of key stakeholders, the Physical Activity and Nutrition (PAN) Coordinating Council, and the Physical Activity and Nutrition (PAN) Advisory Group. The PAN Coordinating Council is made up of state-level partners whose purpose is to communicate, coordinate, integrate, and leverage resources to promote optimal standards and practices in and across programs with physical activity and nutrition components. The PAN Advisory Group is made up of nongovernment members whose purpose is to organize key stakeholders with an interest in physical activity and nutrition issues in Maine. Their role is to inform, communicate, and advocate regarding the goals of the Physical Activity and Nutrition Program.
One intervention is currently being pilot tested:
The A la Carte and Vending Machine Policy intervention is intended to improve the availability of nutritious food selections in public schools. It is being pilot tested at the high school level. In the intervention schools, a committee that includes student representatives is formed to consider the need for change in policies that affect the kinds of foods that are offered in a la carte food service and vending machines. A major objective of the pilot study is to identify potential barriers that may limit the ability of the committee to change school policy.
Partners
Healthy Maine Partnerships
Maine Bureau of Elder and Adult Services
Maine Cardiovascular Health Program
Maine Center for Public Health
Maine Department of Agriculture
Maine Department of Education
Maine Diabetes Prevention and Control Program
Maine Harvard Prevention Research Center
Maine Maternal/Child Health Nutrition Program
Maine Nutrition Network
Maine Women, Infants and Children (WIC) Program
University of Southern Maine Edmund S. Muskie School of Public Service
Recent Accomplishments and Products
Established the Physical Activity and Nutrition (PAN) Coordinating Council
Upcoming Events and Products
A comprehensive state Physical Activity and Nutrition Plan
A logic model for the state Physical Activity and Nutrition Program
Project Period: 2003–2008
Year First Funded: 2003
Funding Stage: Capacity Building
Contact Person:
Lori A. Kaley, MS, RD, LD, MSB
Coordinator, Community Health Initiatives
Institute for Public Sector Innovation
University of Southern Maine
Telephone: 207-626-5258
Fax: 207-626-5210
E-mail:
lori.kaley@Maine.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
ME YRBSS (etc.) — the individual state’s version of the named survey
ME CHS — Maine Chile Health Survey
http://www.cdc.gov/nccdphp/dnpa/obes...rams/maine.htm