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Investing in Health
Jen Van Den Elzen, MPH
Director, Live54218
Jen@Live54218.org
VISION:
Making the Greater Green Bay Area the
Healthiest Community in the Nation!
So where do we start?
Obesity Trends* Among U.S. Adults
BRFSS, 1985

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1987

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1988
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1989
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1991
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1992
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1994
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1996
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1997
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 1998

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 1999

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 2000

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 2001

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

20%–24%

≥25%
Obesity Trends* Among U.S. Adults
BRFSS, 2002
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

20%–24%

≥25%
Obesity Trends* Among U.S. Adults
BRFSS, 2003

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

20%–24%

≥25%
Obesity Trends* Among U.S. Adults
BRFSS, 2004
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

20%–24%

≥25%
Obesity Trends* Among U.S. Adults
BRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

20%–24%

25%–29%

≥30%
Obesity Trends* Among U.S. Adults
BRFSS, 2006
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

20%–24%

25%–29%

≥30%
Obesity Trends* Among U.S. Adults
BRFSS, 2007
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

20%–24%

25%–29%

≥30%
Obesity Trends* Among U.S. Adults
BRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

20%–24%

25%–29%

≥30%
Obesity Trends* Among U.S. Adults
BRFSS, 2009
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

20%–24%

25%–29%

≥30%
Obesity Trends* Among U.S. Adults
BRFSS, 2010
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data

<10%

10%–14%

15%–19%

20%–24%

25%–29%

≥30%
Obesity Trends* Among U.S. Adults
BRFSS, 1990, 2000, 2010
(*BMI 30, or about 30 lbs. overweight for 5’4” person)

2000

1990

2010

No Data

<10%

10%–14%

15%–19%

20%–24%

25%–29%

≥30%
67% = 2.8 Million Adults in WI
Would fill Lambeau Field
to capacity 39 times –
that’s FIVE YEARS
worth of Green Bay
Packer home games!
The Cost of Obesity in Wisconsin

 If trends continue, close to half of
Wisconsinites will be obese by 2018
 Each year, obese adults incur $1,429
more in medical expenses than
their normal-weight peers
The Cost of Obesity in Wisconsin
Wisconsin health care costs
related to obesity
$4.6 billion
$2.7 billion
$1.6 billion

2008

2013

2020

 Wisconsin spends $0 on
obesity prevention
 73% of Americans say obesity
prevention is an important
priority for the government
to focus on
The Impact in Brown County
 27% of our adults are obese + 40% of our adults are
overweight = 67% of adults are not at a healthy
weight
What About Our Youth?
 In Brown County, 18.4% of low-income two year olds and
19.4% of low-income four year olds are at the 95th
percentile or higher for BMI
 In Wisconsin High School Students:
 ¼ are overweight or obese
 1/5 eat 5 or more fruits & veggies/day
 ¼ watch TV for 3 or more hours/day
This generation of youth will likely be the first generation in the
history of our country to live shorter, sicker lives than their parents.
Behavior Change
% of Children
Walking/Biking to School
60

48

40
13

20
0
1969

2009

Average daily calorie
intake increased by 24.5%
(about 530 calories)
between 1970 and 2000

Childhood Obesity has more than TRIPLED
1980: 7% of 6–11 year olds and 5% of 12-19 year olds
2008: 20% of 6-11 year olds and 18% of 12–19 year olds
Investing in health
Five Key Behaviors
Top 10 Reasons to Eat
More Fruits & Veggies
1. Good for your health
2. Something for everyone
3. Its easy
4. Keep you at a healthy weight
5. FIBER!
Top 10 Reasons to Eat
More Fruits & Veggies
6. Be a good role model
7. They are delicious 
8. Versatile
9. You are probably not eating enough
10. Support a WI farmer
Looking for a silver bullet?
The drink of choice
 For more than two decades soda was
the #1 drink of choice in the USA
 Per capita consumption peaked at 54
gallons a year in 1998

 Water consumption has increased 38%,
now displacing soda as America’s
favorite beverage!
Screen Time

Snacking

Marketing

Inactivity

Screen
Time

Family
Meals

A study in Australia showed that adults who watched an average of 6
hours of TV a day can expect to live about 5 years less
What is the single best thing you can
do for your health?
 In adults: Low fitness is the strongest predictor of
death – greater than smoking, obesity, diabetes,
and high cholesterol
 Going from zero activity to just 60
minutes a week reduced rate of heart
disease in women by half

 In children: the more fit the student is
the better they perform on standardized
tests (learning readiness PE)
Can you limit your
sitting and sleeping to
just 23 ½ hours a day?
Investing in health
It adds up…
Sleep More, Weigh Less
 Lack of sleep = fatigue = less likely to be active
when you are awake
 Lack of sleep = altered hormone
concentrations = increased appetite & hunger
 Sufficient sleep = improved mental
health – better mood, improved
memory, improved self esteem
4 Easy Ways to Sleep Better

1.
2.
3.
4.

Get rid of the TV in the bedroom
Turn off cell phones at night
Add physical activity into your day
Stick to a regular bedtime
Five Key Behaviors
The Built
Environment
Looking at more than just the
individual…
Investing in health
Worksite Wellness
Mission
To create environments in the community that support and
promote all residents daily in consuming 5 fruits and
vegetables, drinking 4 bottles of water, having less than
2 hours of screen time, participating in at least 1 hour of
physical activity, and sleeping 8 hours a night.
Active Community
Support the development of an Active Community, ensuring all residents
have access to safe and attractive places to be physically active
Infrastructure for Walking & Biking
Downtown Master Plan
Healthy Food System
Support the development of a Healthy Food System, ensuring all
residents have access to healthy, affordable food
Knowledge, Engagement
& Access
Education & Community Outreach
Educating Policymakers
Media Advocacy

Engaging Youth &
Mentoring University Students
Measuring Collective Impact

Provide on-going coordination for standardized data collection
countywide on obesity prevention related outcomes and
behaviors in order to measure collective impact
How Can YOU Get Involved?

 Like us on Facebook & Sign up for our e-Newsletter –
help spread the Live54218 message!
 Represent Live54218 and help promote healthy eating
and active living at Community Events – email
Melinda@Live54218.org to get on the volunteer list!
What does
success look like?
Investing in health
Investing in health
Questions?

Jen Van Den Elzen, MPH
Director, Live54218
Jen@Live54218.org

Making the Greater Green Bay Area
the Healthiest Community in the Nation!

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Investing in health

  • 1. Investing in Health Jen Van Den Elzen, MPH Director, Live54218 Jen@Live54218.org
  • 2. VISION: Making the Greater Green Bay Area the Healthiest Community in the Nation!
  • 3. So where do we start?
  • 4. Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • 5. Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • 6. Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • 7. Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • 8. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • 9. Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • 10. Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • 11. Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • 12. Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • 13. Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • 14. Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • 15. Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  • 16. Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  • 17. Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  • 18. Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  • 19. Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  • 20. Obesity Trends* Among U.S. Adults BRFSS, 2002 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  • 21. Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  • 22. Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  • 23. Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • 24. Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • 25. Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • 26. Obesity Trends* Among U.S. Adults BRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • 27. Obesity Trends* Among U.S. Adults BRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • 28. Obesity Trends* Among U.S. Adults BRFSS, 2010 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • 29. Obesity Trends* Among U.S. Adults BRFSS, 1990, 2000, 2010 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 2000 1990 2010 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • 30. 67% = 2.8 Million Adults in WI Would fill Lambeau Field to capacity 39 times – that’s FIVE YEARS worth of Green Bay Packer home games!
  • 31. The Cost of Obesity in Wisconsin  If trends continue, close to half of Wisconsinites will be obese by 2018  Each year, obese adults incur $1,429 more in medical expenses than their normal-weight peers
  • 32. The Cost of Obesity in Wisconsin Wisconsin health care costs related to obesity $4.6 billion $2.7 billion $1.6 billion 2008 2013 2020  Wisconsin spends $0 on obesity prevention  73% of Americans say obesity prevention is an important priority for the government to focus on
  • 33. The Impact in Brown County  27% of our adults are obese + 40% of our adults are overweight = 67% of adults are not at a healthy weight
  • 34. What About Our Youth?  In Brown County, 18.4% of low-income two year olds and 19.4% of low-income four year olds are at the 95th percentile or higher for BMI  In Wisconsin High School Students:  ¼ are overweight or obese  1/5 eat 5 or more fruits & veggies/day  ¼ watch TV for 3 or more hours/day This generation of youth will likely be the first generation in the history of our country to live shorter, sicker lives than their parents.
  • 35. Behavior Change % of Children Walking/Biking to School 60 48 40 13 20 0 1969 2009 Average daily calorie intake increased by 24.5% (about 530 calories) between 1970 and 2000 Childhood Obesity has more than TRIPLED 1980: 7% of 6–11 year olds and 5% of 12-19 year olds 2008: 20% of 6-11 year olds and 18% of 12–19 year olds
  • 38. Top 10 Reasons to Eat More Fruits & Veggies 1. Good for your health 2. Something for everyone 3. Its easy 4. Keep you at a healthy weight 5. FIBER!
  • 39. Top 10 Reasons to Eat More Fruits & Veggies 6. Be a good role model 7. They are delicious  8. Versatile 9. You are probably not eating enough 10. Support a WI farmer
  • 40. Looking for a silver bullet?
  • 41. The drink of choice  For more than two decades soda was the #1 drink of choice in the USA  Per capita consumption peaked at 54 gallons a year in 1998  Water consumption has increased 38%, now displacing soda as America’s favorite beverage!
  • 42. Screen Time Snacking Marketing Inactivity Screen Time Family Meals A study in Australia showed that adults who watched an average of 6 hours of TV a day can expect to live about 5 years less
  • 43. What is the single best thing you can do for your health?  In adults: Low fitness is the strongest predictor of death – greater than smoking, obesity, diabetes, and high cholesterol  Going from zero activity to just 60 minutes a week reduced rate of heart disease in women by half  In children: the more fit the student is the better they perform on standardized tests (learning readiness PE)
  • 44. Can you limit your sitting and sleeping to just 23 ½ hours a day?
  • 47. Sleep More, Weigh Less  Lack of sleep = fatigue = less likely to be active when you are awake  Lack of sleep = altered hormone concentrations = increased appetite & hunger  Sufficient sleep = improved mental health – better mood, improved memory, improved self esteem
  • 48. 4 Easy Ways to Sleep Better 1. 2. 3. 4. Get rid of the TV in the bedroom Turn off cell phones at night Add physical activity into your day Stick to a regular bedtime
  • 51. Looking at more than just the individual…
  • 54. Mission To create environments in the community that support and promote all residents daily in consuming 5 fruits and vegetables, drinking 4 bottles of water, having less than 2 hours of screen time, participating in at least 1 hour of physical activity, and sleeping 8 hours a night.
  • 55. Active Community Support the development of an Active Community, ensuring all residents have access to safe and attractive places to be physically active
  • 58. Healthy Food System Support the development of a Healthy Food System, ensuring all residents have access to healthy, affordable food
  • 61. Educating Policymakers Media Advocacy Engaging Youth & Mentoring University Students
  • 62. Measuring Collective Impact Provide on-going coordination for standardized data collection countywide on obesity prevention related outcomes and behaviors in order to measure collective impact
  • 63. How Can YOU Get Involved?  Like us on Facebook & Sign up for our e-Newsletter – help spread the Live54218 message!  Represent Live54218 and help promote healthy eating and active living at Community Events – email Melinda@Live54218.org to get on the volunteer list!
  • 67. Questions? Jen Van Den Elzen, MPH Director, Live54218 Jen@Live54218.org Making the Greater Green Bay Area the Healthiest Community in the Nation!