Health and the Built Environment

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1 Health and the Built Environment

2 Today s children may be the first generation to have a shorter life expectancy than their parents have.

3 Obesity is the tip of the iceberg; other chronic conditions are on the rise... Formerly Adult onset diabetes is now referred to only as Type II diabetes, due to rising rates in children.

4 If you re inactive, you have a much higher risk of getting: Heart Disease and High Blood Pressure Colon Cancer Diabetes Osteoporosis/hip fractures Depression and anxiety Others - asthma, arthritis, back pain, alzheimers,, stroke, premature mortality

5 Underlying Causes of Death (US) 20% 18% 16% 14% 12% 10% 8% 6% 4% 2% 0% While most of the preventable causes of death declined, diet and physical inactivity increased 33% Tobacco Diet/Act Alcohol Microbial Toxins Firearms

6 In 1980 Healthy adults 52% Overweight & obese adults 48 % Source: National Health and Nutrition Examination Survey (CDC 1999)

7 We use autos for even the shortest trips Most children in the United States are now bused or driven to school As they grow older, walking or bicycling isn t what increases; a greater percentage are bused Other Other Walk Walk Car Car Bus Bus Source: NPTS (1995) Ages 5-9 Ages 10-15

8 Walking Trips, US, Percent of Trips

9 Obesity Trends Among U.S. Adults: 1985 No Data <10% 10% 14%

10 Obesity Trends Among U.S. Adults: 1986 No Data <10% 10% 14%

11 Obesity Trends Among U.S. Adults: 1987 No Data <10% 10% 14%

12 Obesity Trends Among U.S. Adults: 1988 No Data <10% 10% 14%

13 Obesity Trends Among U.S. Adults: 1989 No Data <10% 10% 14%

14 Obesity Trends Among U.S. Adults: 1990 No Data <10% 10% 14%

15 Obesity Trends Among U.S. Adults: 1991 No Data <10% 10% 14% 15% 19%

16 Obesity Trends Among U.S. Adults: 1992 No Data <10% 10% 14% 15% 19%

17 Obesity Trends Among U.S. Adults: 1993 No Data <10% 10% 14% 15% 19%

18 Obesity Trends Among U.S. Adults: 1994 No Data <10% 10% 14% 15% 19%

19 Obesity Trends Among U.S. Adults: 1995 No Data <10% 10% 14% 15% 19%

20 Obesity Trends Among U.S. Adults: 1996 No Data <10% 10% 14% 15% 19%

21 Obesity Trends Among U.S. Adults: 1997 No Data <10% 10% 14% 15% 19% 20

22 Obesity Trends Among U.S. Adults: 1998 No Data <10% 10% 14% 15% 19% 20

23 Obesity Trends Among U.S. Adults: 1999 No Data <10% 10% 14% 15% 19% 20

24 Obesity Trends Among U.S. Adults: 2000 No Data <10% 10% 14% 15% 19% 20

25 Obesity Trends Among U.S. Adults: 2001 No Data <10% 10% 14% 15% 19% 20% 24% 25%

26 Obesity Trends Among U.S. Adults: 2002 No Data <10% 10% 14% 15% 19% 20% 24% 25%

27 Obesity Trends Among U.S. Adults: 2003 No Data <10% 10% 14% 15% 19% 20% 24% 25%

28 Delaware Percentage Overweight and 80% 70% 60% 50% 40% 30% 20% 10% 0% Obese (BRFSS, 2002) 68% 58% 25% 50% 22% 20% 43% 30% 36% Men Women Total Obese Overweight

29 Costs of Obesity in Delaware Obesity costs Delaware $207 million in direct medical costs per year (5%) $66 mill in Medicaid costs (14%) $57 mill in Medicare costs (10%)

30 What s Moderate Activity? Brisk walking (3-4.5 mph) Bicycling - on level terrain Playing frisbee Swimming - recreational (doesn t t have to be laps) Dancing - anything but slow Coaching a sport Handling uncooperative young child (chasing, dressing, etc.)

31 Health Benefits of Walking 3 hrs/wk of brisk walking (3mph) reduced heart disease risk in women by 35-40% Older adults who walked at least 4 hrs/week were 31% less likely to be hospitalized for heart disease or stroke. Women who walked at least 1 hr/wk reduced risk of CHD by 50%. (amount more important than pace)

32 Health Benefits of Walking People with diabetes who walked for exercise at least 2 hours a week lowered their mortality rate from all causes by 39 percent.

33 Other Benefits of Walkable Communities Less reliance on cares less traffic congestion, air pollution, noise Less crime Eyes on the street,, CPTED Better sense of community Economic benefits More independence for youth, seniors, people with disabilities, poor.

34 Summary We need to be more active Walking is the easiest way for most people to be more active Walking has many benefits We need to have safer, more pleasant places to walk.

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