The document discusses the mission of U CAN to empower residents of Calumet County to build healthy lifestyles through education and opportunities. It then provides definitions and charts related to body mass index, physical activity recommendations, and nutrition guidelines. The bulk of the document examines the current state of obesity, physical activity, and nutrition in the United States, Wisconsin, and Calumet County over time based on various reports and statistics. It highlights the costs of obesity-related healthcare and examples of community programs emerging to address obesity and promote wellness.

1. U CAN’s Mission: To empower Calumet County residents to build and embrace healthy lifestyles through education and opportunities. C A LUMET CTI N NOW WELCOME! U CAN

3. BMI Chart

5. Food Pyramid

6. Nutritional Guidelines

7. CURRENT STATE:

9. 1985 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

10. 1986 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

11. 1987 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

12. 1988 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

13. 1989 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

14. 1990 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

15. 1991 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

16. 1992 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

17. 1993 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

18. 1994 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

19. 1995 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

20. 1996 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

21. 1997 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

22. 1998 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

23. 1999 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

24. 2000 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

25. 2001 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

26. 2002 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

27. 2003 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

28. 2004 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

29. 2005 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

30. 2006 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

31. 2007 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

32. 2008 Obesity Trends Among U.S. Adults (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

33. CURRENT STATE: Wisconsin Obesity Stats Prevalence of Overweight and Obese Adults in Wisconsin by Race

34. Projected Rates of Obesity in WI

38. According to a national study, 92 percent of elementary schools do not provide daily physical education classes for all students throughout the entire school year. (School Health Policies and Programs Study. Journal of School Health 2001;71[7])

40. Physical Activity in WI Source: Centers for Disease Control and Prevention: BRFSS 2007 77% 81% % of Adults that participated in some activity in the past month 49% 55% % of Adults meeting minimum activity level 30 minutes of moderate activity on 5 or more days/week or 20 minutes of vigorous activity on 3+ days/week US Data WI Data Category

42. Mixed Messages

43. Children’s Beverage Consumption (Cleveland L. U.S. Department of Agriculture; National Food Consumption Survey, 1977-78; What We Eat in America, NHANES 2001-02) Between 1977-78 and 2000-01: Milk:  39 % Fruit juice:  54% Fruit drink:  69% Soda:  137%

44. Studies have shown that, between 1977 and 1996, portion sizes for key food groups grew markedly in the United States, not only at fast-food outlets but also in homes and at conventional restaurants. (Nielsen SJ, Popkin BM. Patterns and trends in food portion sizes, 1977-1998. JAMA 2003;289:450-3) French Fries 188 to 256 Calories  27% Hamburgers 389 to 486 Calories Soft Drinks 144 to 193 Calories  25% Portion Size Explosion (changes in standard size offerings)  27%

45. Children eat nearly twice as many calories (770) at restaurants as they do during a meal at home (420). (Zoumas-Morse C, Rock CL, Sobo EJ, Neuhouser ML. Children’s patterns of macronutrient intake and associations with restaurant and home eating. J Am Diet Assoc 2001;101-923-5)

47. “ You, the individual, can do more for your health and well being than any doctor, any hospital, any drug, and any exotic medical care device.” ~Joseph Califano “ Food” for Thought

49. Current and Projected Obesity Attributable Health Care Spending (in millions)

50. Wisconsin Health Care Spending per Adult (in dollars) $381 $591 $1,498

52. Projected Savings for Wisconsin if Obesity can be Held at 2008 Levels (in millions) $3,935 SAVINGS $704 SAVINGS

54. CURRENT STATE: Change is Coming…It Has To

56. Chilton & Hilbert Schools Farm to School Lunch Programs Students choose healthy options fresh from the farm A farm that supplies the Farm to School Program with produce

58. Be Part of the Solution…