Presentation from George Halvorson, chairman and CEO of Kaiser Permanente. Kicking off the Summit on Walking at the Kaiser Permanente Center for Total Health, September 20, 2011. For more information, visit: http://centerfortotalhealth.org/2011/today-walking-summit-live-blogged-from-center-for-total-health/

2. 2 U.S. Health Care generated $2.8 trillion in costs last year..

3. 3 By itself, the American Health Care Expenditure Level is larger than the total economies of all but five countries -- including the United States: Only China, Japan, India, and Germany have total economies larger than U.S. health care all by itself. Source : CIA Source book, 2009 est. https://www.cia.gov/library/publications/the-world-factbook/rankorder/2001rank.html

4. 4 Health Care in the United States -- Chronic health conditions account for 75% of $2.8 trillion spent annually for care in the U.S.

5. 5 Care Cost Drivers Chronic Care 75% Acute Care 25%

6. 6 U.S. Health Care Cancer = $263.8 Billion Annual Costs of Cancer

7. 7 Non-communicable diseases, including diabetes, account for 60% of all deaths worldwide.

8. 8 The Worldwide Growth of Diabetes -- In 1985 there were an estimated 30 million diabetics. -- Today diabetes affects more than 285 million people (almost 6% of the world's adult population). -- Each year another 6 million people develop diabetes. -- By 2030, there will be approximately 438 million diabetics (7.8% of the adult population).

9. 9 Chronic Conditions are Diseases of Urbanization.

10. 10 Top World Cities 1950

11. 11 Top World Cities 2010

12. 12 Old World Old World-- walking, local foods (fish, fowl and lean meats). Constant physical activity.

13. 13 New World New World-- massive slums and poor neighborhoods, motorized transportation, unsafe walking, mass market foods (white wheat, white rice, white sugar, and fat rich mass produced meat products). Constant inactivity

14. 14 Diabetes, like heart disease and stroke, are all diseases of urbanization.

15. 15 Is there anything we can do to slow, mitigate, prevent, and alleviate the burden and impact of chronic, non communicable diseases?

16. 16 Yes. Two things. Healthy Eating and Active Living (HEAL).

17. 17 Health Care in the United States -- Most chronic conditions can be prevented, delayed, and even treated by regular exercise and physical activity.

18. 18 Health Care in the United States -- The most accessible and achievable physical activity is walking. -- We don’t need to run, lift weights or swim. Those are all good things to do -- but we get huge benefits just by walking -- and walking is, by far, the easiest physical activity for most people to do.

19. 19 Health Care in the United States -- We need to start a national agenda to take advantage of the health benefits of walking.

20. 20 U.S. Obesity TrendsPercent of Obese (BMI > 30) in U.S. Adults

21. 21 U.S. Obesity TrendsPercent of Obese (BMI > 30) in U.S. Adults

22. 22 The Global Obesity Forecast

23. 23 According to the World Health Organization, there are 1.6 billion overweight adults in the world.

24. 24 -- That number is projected to grow by 40% over the next 10 years. -- Healthy eating needs to be part of our total agenda for health -- creating access to the right foods and avoiding the wrong foods.

25. 25 Active living is the highest potential chronic condition mitigation pathway-- and the best mechanism for achieving active living in large scale is to get people to walk.

26. 26 Walking is our best hope and our best strategy for improving health.

27. 27 Benefits of Walking Daily -- Huge Value -- Prevents and manages diabetes -- Prevents heart disease and strokes -- Prevents and treats depression and anxiety -- Helps manage asthma -- Lowers the rate of some cancers A Moderate Amount Of Walking Has A Huge Impact

28. 28 Walking 30 minutes a day, five days a week can cut new cases of diabetes in half. (Losing ten pounds as well can cut the rate of new diabetics by nearly two thirds.)

29. 29 We don’t need to walk a lot -- 30 minutes a day makes the body work better.

30. 30 The human body is made to walk. Our bodies function better when we walk.

31. 31 The body resists diseases better when we walk, and the body heals faster when we walk.

32. 32 -- Walking generates positive neurochemicals. -- Walking strengthens the heart. -- Walking strengthens bones. -- Walking improves the circulatory system.

33. 33 Walking 30 minutes a day: -- Reduces hypertension -- Cuts rate of diabetes by more than half -- Cuts risk of stroke by almost half -- Cuts risk of people over 60 becoming diabetic by almost 70% -- Cuts risk of heart disease by more than 40% -- Cuts risk of cancers

34. 34 Men who walk thirty minutes a day have a significantly lower level of prostate cancer. Men who do not walk regularly have a 60% higher risk of colon cancer.

35. 35 For men with prostate cancer, studies have shown that walkers have a 46% lower mortality rate.

36. 36 Walking improves our biological health, our physiological health, our psychological health, and walking helps with our emotional health.

37. 37 Walking reduces the risk of both cognitive impairment and dementia.

38. 38 Walking to Treat Depression Walking also helps prevent depression, and people who walk regularly are more likely to see improvements in their depression.

39. 39 Walking to Treat Depression In one study, women who were depressed who walked and took medication scored twice as well on the depression level evaluation in 30 days as the women who only took the medication. Another study showed that depressed people who walked regularly had a significantly higher level of not being depressed in a year compared to depressed people who did not walk.

43. 42 Walking speeds up metabolism and burns calories. Walkers often find that eating habits change and weight loss results from those eating changes.

44. 43 Fit Beats Fat

45. 44 Walking half an hour a day has health benefits that can exceed the benefits of losing twenty pounds.

46. 45 A single 30-minute walk can reduce blood pressure by 5 points for over 20 hours.

47. 46 Walking improves the health of our blood. Walking is a good booster for high density cholesterol -- and people with high levels of HDL are less likely to have heart attacks and stroke.

48. 47 Walking reduces the risk of blood clots in our legs. People who walk regularly have much lower risk of deep vein thrombosis.

49. 48 People who walk are less likely to catch colds, and when people do get colds, walkers have a 46% shorter symptom time from their colds.

50. 49 The need for gallstone surgery is 20% to 31% lower for walkers.

51. 50 Women who walk have a 20% lower likelihood of getting breast cancer and a 31% lower risk of getting colon cancer.

52. 51 Women with breast cancer who walk regularly can reduce their recurrence rate and their mortality rate for breast cancer by over 50%.

53. 52 Women Who Walk Have Lower Risk 50% Lower Risk 31% Lower Risk 20% Lower Risk

54. 53 Walking can literally add years -- entire years -- to your life.

55. 54 The Reason For Walking -- There are very few things that we can do that have a more positive impact on our health and our lives than walking.

56. 55 Thirty minutes a day is enough to have a huge impact on our health.

57. 56 The best news … The thirty minutes doesn’t have to be done in one lump of time.

58. 57 Two 15 minute walks achieve the same goals.

59. 58 It’s often a lot easier to find 15 minutes than it is to find a full half hour -- and 15 minutes is enough when we do it twice a day.

60. 59 Three 10 minute walks achieve most of those goals.

61. 60 Getting Patients to Walk -- KP physicians literally prescribe walking as front line medicine. -- Walking brings remarkable results to patients.

62. 61 Prescribe Walking

63. 62 Make the Right ThingEasy to Do

64. 63 We need a national agenda to create a culture of health and a culture where people walk.

65. 64 We need to encourage walking, support walking, empower walking, enable walking and celebrate walking

66. 65 We need walking in our schools, our communities, our work places, and our family settings.

67. 66 www.EveryBodyWalk.org Our goal to start a national conversation about the remarkable health benefits of walking and create a culture of health.

68. 67 www.EveryBodyWalk.org -- Inspirational videos -- Interactive maps -- Important information -- Irrefutable medical science

69. 68 Our Goal for Population Health: Make the Right Thing Easy to Do

70. 69 It’s good to walk.

71. 70 www.everybodywalk.org

72. 71 Be Well