ObeseCity Report Card

1. ObeseCity Report Card Dr. Paul Simon, MD, MPH Director, Division of Chronic Disease and Injury Prevention, LA County Department of Public Health Lauren Neel, Coordinator, Los Angeles Collaborative for Healthy Active Children Suzanne Bogert, Project Director. Network for a Healthy California-- Los Angeles Region

2. Prevalence of Obesity AmongLos Angeles County School Children California Physical Fitness Testing, 1999-2007 Projected obesity prevalence assuming linear trend Healthy People 2010 Goal (<5%) Prevalence of Obesity

3. Prevalence of Obesity Among Adults in Los Angeles County, 1997-2007 Source: Los Angeles County Health Survey

4. Trend in Obesity Prevalence Among 3-4 Year Oldsin the LA County WIC Program Data source: LA County WIC Program

5. Cities/Communities with Lowest and Highest Childhood Obesity Prevalence *Table excludes cities/communities where number of students with BMI data < 500. Source: California Physical Fitness Testing Program, California Department of Education. Includes 5th, 7th, and 9th graders enrolled in LA County public schools.

6. What is a “Report Card?” Goal: Raising awareness of the local contributing factors to the obesity epidemic while motivating individuals and organizations to create community-based change. A call-to-action Controversial?

7. Project Objectives • Summarize the “obesogenic” LA County landscape • Motivate cities and communities to take additional actions to address disparities in obesity rates. • Provide recommendations for key decision makers and community members • Highlight the work of the LA Collaborative members

8. Partners • LA County Department of Public Health • American Heart Association • American Diabetes Association • American Cancer Society • Healthier Solutions, Inc.

9. Methods • Identify aspects of the physical and nutrition environment that might be associated with childhood obesity among cities in Los Angeles County • Variables examined by city (71 cities + 15 LA CCDs) • Convenience Stores per capita • Grocery and Produce Stores per capita • Fast food per capita • Park area per capita

10. What Are We Measuring? • Childhood Obesity • Source: CDE, Physical Fitness Testing Program, 2007 • BMI calculated from measured height and weight of 5th, 7th, and 9th graders attending public schools countywide • Grocery and produce, convenience stores, fast food • Source: Dun&Bradstreet, May 2008 (obtained through Network for Healthy California) • Studies suggest increased access to neighborhood supermarkets assoc with increased F&V intake and decreased obesity, while reverse seen with convenience stores1 • Park Area • Source: Rand McNally/Thomas Bros, 2006 • Previous report found childhood obesity prevalence was lower in areas with higher availability of park space per capita2 1Larson, AJPM 2009 2OHAE, LACDPH 2007

11. BMI Growth Chart for Boys Obese, ≥95th %ile Overweight, ≥85th and <95th %ile Underweight, ≤5th %ile • Gender-specific BMI–for–Age percentiles determined using CDC Growth Charts • Not all researchers use same definitions

12. Methods • Determined number of large groceries, convenience stores, and fast food retailers per capita for each city • Excluded cities where • Population < 10,000 • Number of students with BMI data <100 • No grocery or produce stores in that city • Performed correlation analysis

13. Launch • Back to School- September 2009 • Press Conference and Media Coverage • Website: for decision makers and community members to access additional resources

14. How to Get More Involved • Workgroup Sign-up Sheet • Collaborative Member Data Collection Survey • Survey Monkey- Online Survey: Coming Soon! • Sent via email and Listserv to Collaborative members and partners

15. Questions? Thank You