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Chicago Department of Public Health




                                      Obesity and Sugar Sweetened
                                               Beverages

                                       Presented to the Chicago City Council Health and
                                            Environmental Protection Committee
                                                       Bechara Choucair, M.D.
                                                    @ ChiPublicHealth on
                                         Rahm Emanuel                        Bechara Choucair, MD
                                         Mayor
                                                        May 1, 2012          Commissioner
Healthy Chicago
Goal: Prevent and control overweight, obesity and
related chronic disease

 Reduce adult and childhood obesity by 10%.

 Decrease the proportion of youth and adults
  consuming less than five servings of fruits and
  vegetables per day by 10%.

 Reduce the number of Chicagoans living in food
  deserts to 200,000 by 2015 and to zero by 2020.
Selected Actions to Address Obesity

•   Improved park space
•   Play streets
•   Walkability and biking efforts
•   Child care standards
•   Grocery store expansion
•   Healthy vending
Marketing
• $948 million annually
     •   Regular soda – 46%
     •   Energy drinks - 17%
     •   Sports drinks – 15%
     •   Fruit drinks – 14%
     •   Flavored water – 4%
     •   Iced tea – 4%
• $500 million aimed at children
Portion Sizes




  Da
                Da
         Da
Pricing
Sugar Content in Sodas

•   12-oz soda: 9–12 tsps
•   20-oz soda: 15-20 tsps
•   64-oz soda: 54-63 tsps
•   Bottled Ice Tea: 14 tsps
•   Energy drink – 16 tsps
The average American consumes 45 gallons
of sugary drinks – or 42 pounds of sugar –
each year


                                             45 Gallon
How Sugary Drinks Impact Health




Malik, Popkin, Bray, Després, Hu. 2010. Circulation 2010
Chicago Obesity Facts

• Children are obese at rates more than twice the
  national average

• Obesity among high school students increased by
  20% between 1999 and 2009

• 67% of Chicago adults are either overweight or
  obese
Obesity Disparities
60%
50%
40%
30%
20%
10%
0%
         Chicago Humboldt Park West Town South Lawndale North Lawndale Roseland Norwood Park
       (36% Black, (47% Black, (47% Hispanic, (83% Hispanic) (94% Black) (98% Black) (88% White)
      26% Hispanic, 48% Hispanic) 39% White)
       21% White)                                                Blue = overweight
                                                                 Purple = obese


                 Source: Improving Community Health Survey, Report I., Sinai Urban Health
                 Institute: Chicago, IL. http://www.suhichicago.org/files/publications/P.pdf
Diabetes in Cook County
375,000

300,000

225,000

150,000

  75,000

         0
                       2004                     2005                    2007           2009



CDC http://apps.nccd.cdc.gov/DDT_STRS2/CountyPrevalenceData.aspx?StateId=17&mode=DBT
Other Health Consequences of Obesity
•   Coronary heart disease
•   Cancers (endometrial, breast, and colon)
•   Hypertension (high blood pressure)
•   Dyslipidemia (for example, high total cholesterol or high
    levels of triglycerides)
•   Stroke
•   Liver and Gallbladder disease
•   Sleep apnea and respiratory problems
•   Osteoarthritis (a degeneration of cartilage and its
    underlying bone within a joint)
•   Gynecological problems (abnormal menses, infertility)
Annual Economic Impacts of Obesity
• Nationally, $147 billion spent on related health
  costs
• Private employers lose ~$45 billion to medical
  costs and work loss
• $3.4 billion in added health care costs in Illinois
Prevention Strategies
• Public awareness
• Points of access
• Pricing
HEALTHY CHICAGO
Chicago Department of Public Health



                                      IT’S NOT JUST ABOUT
                                      INDIVIDUAL BEHAVIOR

                                      IT’S ABOUT HOW WE
                                      BEHAVE AS A CITY
www.Cityofchicago.org/Health

HealthyChicago@cityofchicago.org

Facebook.com/ChicagoPublicHealth

@ChiPublicHealth

http://gplus.to/ChiPublicHealth

(312) 747-9884

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Obesity & Sugar Sweetened Beverages

  • 1. Chicago Department of Public Health Obesity and Sugar Sweetened Beverages Presented to the Chicago City Council Health and Environmental Protection Committee Bechara Choucair, M.D. @ ChiPublicHealth on Rahm Emanuel Bechara Choucair, MD Mayor May 1, 2012 Commissioner
  • 2. Healthy Chicago Goal: Prevent and control overweight, obesity and related chronic disease  Reduce adult and childhood obesity by 10%.  Decrease the proportion of youth and adults consuming less than five servings of fruits and vegetables per day by 10%.  Reduce the number of Chicagoans living in food deserts to 200,000 by 2015 and to zero by 2020.
  • 3. Selected Actions to Address Obesity • Improved park space • Play streets • Walkability and biking efforts • Child care standards • Grocery store expansion • Healthy vending
  • 4. Marketing • $948 million annually • Regular soda – 46% • Energy drinks - 17% • Sports drinks – 15% • Fruit drinks – 14% • Flavored water – 4% • Iced tea – 4% • $500 million aimed at children
  • 5. Portion Sizes Da Da Da
  • 7. Sugar Content in Sodas • 12-oz soda: 9–12 tsps • 20-oz soda: 15-20 tsps • 64-oz soda: 54-63 tsps • Bottled Ice Tea: 14 tsps • Energy drink – 16 tsps
  • 8. The average American consumes 45 gallons of sugary drinks – or 42 pounds of sugar – each year 45 Gallon
  • 9. How Sugary Drinks Impact Health Malik, Popkin, Bray, Després, Hu. 2010. Circulation 2010
  • 10. Chicago Obesity Facts • Children are obese at rates more than twice the national average • Obesity among high school students increased by 20% between 1999 and 2009 • 67% of Chicago adults are either overweight or obese
  • 11. Obesity Disparities 60% 50% 40% 30% 20% 10% 0% Chicago Humboldt Park West Town South Lawndale North Lawndale Roseland Norwood Park (36% Black, (47% Black, (47% Hispanic, (83% Hispanic) (94% Black) (98% Black) (88% White) 26% Hispanic, 48% Hispanic) 39% White) 21% White) Blue = overweight Purple = obese Source: Improving Community Health Survey, Report I., Sinai Urban Health Institute: Chicago, IL. http://www.suhichicago.org/files/publications/P.pdf
  • 12. Diabetes in Cook County 375,000 300,000 225,000 150,000 75,000 0 2004 2005 2007 2009 CDC http://apps.nccd.cdc.gov/DDT_STRS2/CountyPrevalenceData.aspx?StateId=17&mode=DBT
  • 13. Other Health Consequences of Obesity • Coronary heart disease • Cancers (endometrial, breast, and colon) • Hypertension (high blood pressure) • Dyslipidemia (for example, high total cholesterol or high levels of triglycerides) • Stroke • Liver and Gallbladder disease • Sleep apnea and respiratory problems • Osteoarthritis (a degeneration of cartilage and its underlying bone within a joint) • Gynecological problems (abnormal menses, infertility)
  • 14. Annual Economic Impacts of Obesity • Nationally, $147 billion spent on related health costs • Private employers lose ~$45 billion to medical costs and work loss • $3.4 billion in added health care costs in Illinois
  • 15. Prevention Strategies • Public awareness • Points of access • Pricing
  • 16. HEALTHY CHICAGO Chicago Department of Public Health IT’S NOT JUST ABOUT INDIVIDUAL BEHAVIOR IT’S ABOUT HOW WE BEHAVE AS A CITY