2005-2015 Georgia's nutrition and physical activity plan to prevent and control obesity and chronic diseases in Georgia : executive summary

Georgia''s Nutrition and Physical Activity Plan Executive Summary

A Statewide Plan to Promote Healthy Eating and Physical Activity

T he Plan is the result of over a year's worth of work of the Take Charge of Your Health, Georgia! Task Force under the leadership of the Georgia Department of Human Resources, Division of Public Health. The Task Force is composed of the Department of Human Resources staff; state departments of education, transportation, and parks and recreation; leaders from faith-based organizations; leaders from community-based organizations; health care professionals (e.g., dietitians, physicians, nurses); universities; non-profit organizations and statewide coalitions. Their collective expertise includes nutrition, physical activity, breastfeeding, evaluation, community development, strategic planning, social marketing, communication, and advocacy.
A Call for Action Finding Solutions Through Partnership
Georgia's Nutrition and Physical Activity Plan sets goals, objectives and strategies that involve the public and private sectors working in partnership to influence:
public policy changes community changes organizational changes individual and family changes
Finding solutions through partnership - everyone has a role in restoring Georgia to better health: individuals, families, institutions, organizations, communities, and policy makers. However, state and community leaders are key to creating policies and healthy environments that encourage Georgians to make better lifestyle choices.

Background
In July 2003, the Georgia Department of Human Resources, Division of Public Health was one of 17 states awarded a five-year grant from the Centers for Disease Control and Prevention (CDC) to support state nutrition and physical activity programs that work to prevent obesity and other chronic diseases. This strategic plan fulfills a major deliverable of the grant, to engage statewide stakeholders to develop a statewide nutrition and physical activity plan for Georgia.

Purpose
Georgia's Nutrition and Physical Activity Plan is a ten-year comprehensive plan to prevent and control obesity and other chronic diseases by increasing breastfeeding, improving healthy eating habits, increasing physical activity and decreasing television viewing/screen time.
The plan serves as a blueprint for communities, faith-based organizations, schools, worksites and healthcare providers to address overweight and obesity. Education, policy and environmental approaches targeting children and youth, families, adults and older adults, are presented to ensure a comprehensive approach.

Overall Goal
The overall goal of Georgia's Nutrition and Physical Activity Plan is to prevent and control obesity and other chronic diseases.
Long Term Objectives
This goal will be realized by achieving the following long term objectives, by 2015, targeting Georgia's children and youth, adults and older adults: Improve healthy eating habits Increase physical activity Increase breastfeeding initiation and duration Decrease television viewing/screen time Decrease prevalence of overweight and obesity
Intermediate Objectives
During a five-year period that extends through 2010, the plan proposes health-promotion strategies in key settings:

State-level and Infrastructure Objectives
Increase the number of state policies and legislative actions related to healthy eating, breastfeeding, physical activity, preventive screening, and obesity and chronic disease prevention and control.
Establish the collaborative infrastructure and secure the resources required to implement the plan.
Worksite Objectives
Increase the proportion of worksites that offer employee risk reduction/health promotion programs that address physical activity, healthy eating, and breastfeeding.
Increase the proportion of worksites with policies and environmental supports that promote healthy eating, physical activity and breastfeeding.
Increase the proportion of employees who participate in employer-sponsored breastfeeding, nutrition and physical activity programs.

Community Objectives
Implement and evaluate a state-wide community campaign to promote healthy eating, physical activity, decreased sedentary activity, and breastfeeding.
Increase the number of ongoing programs for healthy eating, breastfeeding, and physical activity that are implemented and evaluated.
Encourage all public health districts to develop and implement a coordinated healthy eating, breastfeeding, and physical activity plan in collaboration with local partners.
Increase changes in the built environment (healthy community design) to foster smart growth communities (mixed land use, trails, connectivity, safety and Americans with Disabilities Act (ADA) compliant transportation systems).
Increase the number of community locations that provide access to healthy food choices.
Increase the number of nutrition and physical activity programs at state and community parks and recreation centers.
Increase the knowledge and skills of individuals related to breastfeeding, healthy eating, and physical activity.

School and Early Child Care Objectives
Increase the number of early child care centers that promote breastfeeding, healthy eating, and physical activity.
Increase the proportion of schools K-12 with local wellness policies for healthy eating and physical activity.
Increase the proportion of schools K-12 that implement one or more components of a Coordinated School Health Program.
Increase the proportion of public schools that require daily physical education for all students.
Increase the number of schools and early child care centers that create environments to promote healthy eating and physical activity.
Increase the proportion of school-aged children who daily eat five or more servings of fruits and vegetables and engage in moderate physical activity for at least 30 minutes.
Faith-Based Objectives
Increase the number of programs for healthy eating, breastfeeding, and physical activity offered by faith-based organizations.
Develop practice guidelines for faith-based organizations to promote healthy eating, breastfeeding, and physical activity.
Increase the capacity of faith-based organizations to implement and sustain initiatives that promote greater awareness and skills related to healthy eating, breastfeeding, and physical activity.
Increase the knowledge and skills of the faith-based membership related to breastfeeding, healthy eating, and physical activity.
Health Care Objectives
Increase the number of partnerships and referrals between health care providers and community providers for obesity and its related conditions.
Adopt a standard education curriculum, including core competencies in obesity prevention and weight management in all medical schools and 75% of residency, allied health and mental health programs in Georgia.
Increase the number of trainings that licensed health care providers offer for continuing education in obesity prevention and weight management.
Increase the number of licensed insurance companies in Georgia and state-funded health plans that provide reimbursement/benefits for the prevention and treatment of obesity.
Increase the number of targeted health care providers and professionals who routinely assess and monitor body mass index and that provide appropriate nutrition and physical activity counseling.
Increase the number of targeted health care providers and professionals who receive training in the areas of healthy eating, breastfeeding, physical activity, and behavior change.

Activating and Sustaining
the Plan
T he strategies proposed for the next 10 years in the Nutrition and Physical Activity Plan will be advanced by the Take Charge of Your Health, Georgia! Task Force, which will serve as the synchronizing and leadership body that will coordinate, integrate and guide the implementation of statewide nutrition and physical activity initiatives. Drawing upon the same expertise, networks, and diverse funding that created the plan, the Task Force calls for sustained collective action to communicate, implement, monitor and evaluate the plan to achieve meaningful and lasting changes in Georgia's health care, worksite, school, faith-based, and community settings. These lasting changes will create environments to support healthier nutrition and physical activity choices and behaviors among families and individuals.
For a full copy of Georgia's Nutrition and Physical Activity Plan, visit:
http://health.state.ga.us/programs/nutrition/

The Burden of Overweight
and Obesity in Georgia
Overweight among Georgia's young children ages 2-5 years, enrolled in the Women, Infants and Children (WIC) Program, has increased 60 percent over the past decade.
The Georgia Student Health Survey (2003) indicates that 33 percent of middle school students and 26 percent of high school students are either overweight or at risk for overweight.
61% of adults are either overweight or obese.
Overweight and obesity leads to increased risk for chronic diseases and death.
The annual cost of obesity in Georgia--from direct health care costs and lost productivity--is estimated at $2.1 billion.
For a full copy of the Overweight and Obesity in Georgia, 2005 report, visit: http://health.state.ga.us/pdfs/familyhealth/ nutrition/ObesityRep.DPH05.023HW.pdf
DPH05/048HW

Partners

Action for Healthy Kids Georgia Team Enterprise Community Healthy Start

AIM 2010

Family Connection Partnership

Albany Area Health Care, Inc.

Fit II Play Health and Performance Academy

Albany Area YMCA

Floyd Medical Center

Alpharetta Recreation and

Forsyth County Schools

Parks Department

Fort Valley State University

American Academy of Pediatrics,

Fulton County Department of

Georgia Chapter

Health & Wellness 3-2

American Cancer Society

Gainesville Parks & Recreation

American Heart Association

Georgia Academy for Family Physicians

Southeast Affiliate

Georgia Association of Health, Physical

Armstrong Atlantic State University

Education, Recreation and Dance

Atlanta Bicycle Campaign

Georgia Bikes!

Atlanta Intercultural Ministries

Georgia Coalition for Black Women

Augusta State University

Georgia Coalition for Physical Activity

Bethel AME Church, Inc.

and Nutrition

Bibb County Schools

Georgia Department of Early Care

Boys & Girls Clubs of Albany, Inc.

and Learning

Burke County Schools

Georgia Department of Education

Camden County Schools

Georgia Department of Human Resources,

Carrollton Parks, Recreation and

Division of Aging Services

Cultural Arts Department

Division of Family and

Center for Youth Leadership and

Children's Services

Family Development

Division of Public Health

Chattahoochee Valley Region

Georgia Department of Transportation

Library System

Georgia Dietetic Association

Children's Healthcare of Atlanta

Georgia Dietetic Foundation

Coastal Health District 9-1

Georgia Hospital Association

Cobb County School District

Georgia Institute of Technology

Cobb/Douglas Health District 3-1

Georgia Partnership for School Health

Colquitt County Extension Service

Georgia Prevention Institute

Colquitt Regional Medical Center

Georgia Recreation and Park Association

Columbia County Board of Education

Georgia Rural Health Association

Columbus Parks & Recreation

Georgia State Games Commission

Communities in Schools

Georgia State University

Community Healthcare Center Savannah Girl Scout Council of Savannah,

CSRA Partnership for Community Health

Georgia Inc

Dearing Elementary School

Girl Scouts of Southwest Georgia

DeKalb Health District 3-5

Grady Health System

DeKalb YMCA

Gwinnett County Parks and Recreation

Dougherty County School System

Hall County Parks and Leisure Services

Dougherty for Children/Family Connection Hall County School

East Central Health District 6-0

HealthSTAT

East Metro Health District 3-4

Healthy Mothers, Healthy Babies

Economic Development for McDonough Hispanic Health Coalition of Georgia

Effingham County Recreation and Parks Houston County School Food Service

Ellaville Primary Medicine Center

Hy-Dy, Inc.

Emory University,

I4 Learning

Department of Health,

ILSI Center for Health Promotion

Physical Education and Dance

Interfaith Health Initiative

Rollins School of Public Health

Johnson & Johnson

South Central Health District -

JuicePlus

Healthy Start

Kaiser Permanente

South Central Health District 5-1

Kid's Journey

South Health District 8-1

Kids' Health Inc.

Southeast Health District 9-2

L.E.A.P. of West Georgia

Southeast United Dairy Association

LaGrange Health District 4-0

Southside Health Center

Lanier Elementary School

Southwest Georgia Area Health

Lee County Library

Education Center

Legacy Link, Inc.

Southwest Health District 8-2

Macon Central School District

Spalding County Parks & Recreation

Medical Center of Central Georgia

Speaks & Associates

Medical College of Georgia

Spring Creek Health Cooperative

Mercer University School of Medicine St. Francis Hospital

Metro Atlanta Safe Routes

St. Teresa's School

to School Coalition

Stephens County Schools

Metro Atlanta Skate School

Teen Plus Resource Center

Monroe Comprehensive High School

Teens Exercise

Morehouse School of Medicine

Terrell County Family Connection

Mt. Hebrew Baptist Church

Trowbridge & Associates Inc.

Muscogee County School District

Union Mission

Neighborhood Improvement Project

University Hospital

Newnan Hospital, Health

University of Georgia Cooperative

& Fitness Center

Extension, Dougherty County

North Central Health District 5-2

University of Georgia,

North Georgia Health District 1-2

College of Family and

North Health District 2-0

Consumer Sciences

Northeast Georgia Medical Center

Cooperative Extension Service

Northeast Health District 10

Department of Foods

Northside Hospital

and Nutrition

Northwest Health District 1-1

University of West Georgia

Obesity Action Network

Urban League of Greater Columbus

Palmyra Medical Center

US Food and Drug Administration

Partnership for Community Action

USDA/FNS/WIC Southeast Region

Pastoral Institute

Valdosta State University

Perimeter North Family Medicine

Verizon Wireless

Philanthropic Collaborative for a

Walker County Department

Healthy Georgia

of Education

Phoebe Worth Medical Center

Wayne Memorial Hospital

Policy Leadership for Active

West Central Health District 7-0

Youth Initiative

West End Medical Center

Project Open Hand

West Georgia Health System

Richmond County Board of Education West Georgia RESA

Richmond County Recreation Department Wilkes Wild about Wellness

Roswell Recreation and Parks Department Worth County Board of Commissioners

Saint Joseph's Mercy Care Services

Worth County Board of Education

Satilla Regional Medical Center

YMCA of Metropolitan Atlanta

Slim and Tone

Your Health America, Inc

Snellville Parks and

Recreation Department

In partnership with Governor Perdue's Live Healthy Georgia campaign
Join the Take Charge of Your Health, Georgia! Task Force
Georgia's success in preventing obesity and other chronic diseases depends on the
collaborative efforts of our partners. If you would like to be part of this effort contact the Project Coordinator, with the Georgia Division of Public Health at 404-657-2884.