L109 Community Health Field Experience Project

An estimated 97 million adults in the United States are overweight or obese (Klein 2000). “"Affecting one in five Americans – or more than 22 percent of the U.S. population – obesity is one of the most pervasive health problems in our nation right now," said George L. Blackburn, M.D., Ph.D., associate professor of surgery and associate director of the Division of Nutrition at Harvard Medical School/Beth Israel Deaconess Hospital, Boston, Massachusetts. "We need to implement steps to slow the progression of this national epidemic” (NAASO 1999). But the problem of obesity does not only affect the United States. "We now know that the growing prevalence of obesity is creating major health problems worldwide," said Dr. James O. Hill, president of the North American Association for the Study of Obesity (NAASO) and Professor of Pediatrics and Medicine at the University of Colorado Health Sciences Center. Obesity was once regarded as unique to Americans, but it is now seen as a global health risk affecting developing and underdeveloped countries (AOA 2000). Obesity is increasing at an epidemic rate in the United States - 1.3% a year for women over 20. Rates of obesity among minority populations, including African-Americans and Hispanic Americans are especially high (AOA 2000). There is also a marked increase in obesity among children.

This city of Port Orange is located in Central Florida, in Volusia County. Dr Milton Hawks arrived during what was actually the second wave of settlers to explore what is now known as Port Orange. He is also credited with giving the settlement its name. It was incorporated April 26th of 1867. As of the U.S. census there were 56,048 residents of the growing city. The city’s total area is 28.7 square miles, of which 2.0 sq miles are made up of water and 26.6 sq miles are land. Port Orange is a beautiful city on the East Coast of Florida, home of the World’s most famous beach. With average temperatures in the 80-90s in the summer, many Port Orange residents enjoy the

America is a great country; with high emphasis on freedom, education, acceptance, and philanthropy, there is a strong basis to create a diverse, successful country. However, there is one aspect that America lacks: nutrition. The average American’s diets exceeds the recommended intake of solid fats and added sugars, refined grains, sodium, and saturated fats, and the average amount of calories consumed per American has increased approximately 600 calories per day. Clearly, America struggles to keep citizens’ diets nutritious. In fact, recent studies have projected that by 2030, half of all American adults will be obese (US Dept. of Health). At this rate, Americans will struggle

Obesity has been framed as a topic of personal responsibly for a long time. For many, the fundamental notion has always been that if you stop eating junk food and eat “healthy”, you will maintain a healthy weight. According to the U.S. Centers of Disease Control’s 2007-2008 Health and Nutrition Examination survey, it was found that 73.7% of all Americans 20 years old or older were overweight, obese, or extremely obese. That is a lot of fat people and it is hard to believe that fast food alone is responsible for 70% of adult Americans being overweight.

The new generation continues to increasingly fall under obesity’s evil spell. Although many Americans recognize that their children are obese, they fail to accept that this is an epidemic that should be controlled and given dramatic attention to. Research suggests that childhood obesity in the United States has doubled in the past decade. Despite the fact that we have necessary resources to control these statistics, Americans continue to expose their youngsters to unhealthy and fattening meals. It is no joke that America is the fattest nation in the world. Thus, preventing this serious issue should be perceived as a life-or-death situation where if we fail to control it, many more overweight children will grow up to be obese adults in the future.

In the United States of America, there is a current epidemic of obesity throughout the country. Every age group is affected by this unfortunate trend. Even children are not immune to the national obesity problem. For a country that has an abundance of job opportunities, educational opportunities, and financial opportunities, it is a sad statement of fact that far too many people are tipping the scales in unhealthy ways. It is a fact that a disproportionate amount of the nation's citizens are dangerously overweight. If the country as a whole wishes to reverse this disparaging state of affairs, then the first thing to do is to determine why so large a percentage of the population is suffering in this way. People who are suffering from obesity or who are dangerously overweight encounter a myriad of health concerns both physically and mentally. There has even been proved a correlation between obesity and lower life expectancy (Flicker 2010). Two of the many reasons why the Americans have such a problem with obesity is the fact that there the diets of most Americans are heavily based on corn or corn-based products and that Americans lead a more sedentary and inactive lifestyle than people in other nations.

Overweight and obesity, an excessive accumulation of body fat, is one of the major public health challenge in the 21st century, affecting one in every six people worldwide (World Health Organization, 2013a). According to the World Health Organization (WHO) estimation, globally over 42 million children under the age of five were overweight in 2010 (WHO, 2011). A recent study estimated that the worldwide prevalence of overweight and obesity among preschool children aged 2-5 years increased from 4.2% to 6.7% within two decades and is expected to reach 12.7% by 2020 (de Onis et al., 2010). The results of National Health and Nutrition Examination Survey indicated that in the United State (US) obesity among pre-school children increased from 5% to 10.4% between 1976-1980 and 2007-2008 respectively. In addition, about 17% (or 12.5 million) of children and adolescents aged 2-19 years were obese in the US in 2007-2008 (Pan et al., 2012). A recent study by Grow et al. (2010) found that obesity was mostly prevalent among poor or minority groups with low socioeconomic status residing in disadvantaged areas in the US.

Childhood obesity is becoming one of the top public health concerns in the United States. “Over the past three decades, childhood obesity rates have tripled in the U.S., and today, the country has some of the highest obesity rates in the world: one out of six children is obese, and one out of three children is overweight or obese” (World Health Organization, 2015). With the drastic increase in obese children over the last 30 years and the huge healthcare associated costs many programs and incentives have been implemented to fight this epidemic. Although any child can become obese “racial and ethnic inequities persist among children; 22.5 percent of Latino children and 20.2 percent of Black children are obese, compared to 14.1 percent of

Knowing the causes to obesity are important. Some causes of obesity are thought of off the bat. But some causes aren’t all that well known. Researchers have found many causes to the obesity epidemic in the U.S. Two main causes to obesity are added sugars/processed foods and genetics, specifically with one’s parents and grandparents. The last cause of obesity is the American government. Many citizens of the U.S think that all sugar is bad. This statement is not true. As stated in http://www.vox.com/science-and-health/2017/1/13/14219606/sugar-intake-dietary-nutrition-science “ Sugar is in so many of the foods we eat. It’s loaded into our granola and our juice, our BBQ sauce and salad dressing. Some ¾ of packaged foods and drinks in the US now carry caloric or low-calorie sweeteners.” In a healthy diet an American should consume roughly 6-9 teaspoons of added sugars. However the average in America is currently 41 teaspoons! Statistics have found that in the 13th century one pound of sugar would have costed roughly 360 eggs. Nowadays one pound of sugar would cost the same as only two eggs… this is a serious problem. The 1980’s was the national start of making and selling “low fat” products such as milk. In all reality this was also when the lowered the fat levels and raised the sugar levels sky high. As a result of extreme amounts of sugar in products it has given scientists evidence to prove that sugar is 8x more addictive than cocaine. Another cause of obesity is

Obesity has been on the rise in America and is reaching all time heights. Obesity in America is at 27.7 percent and 1 in 5 children in America are obese currently and many will have to deal with it throughout their lifetime. With almost a third of our population struggling with this problem, the increasing obesity rates are becoming a major concern. Even though there isn’t a single answer to why obesity has become so prevalent, there are many contributing factors such as socio-economic status, the rise in technology, fast food, car culture, politics, socio-economic status, stress, and biology.

The United States is facing an obesity epidemic. Obesity rates have more than doubled in adults and children since the 1970’s (National Center for Health Statistics, 2009). While recent estimates suggest that the overall rates of obesity have plateaued or even declined among some groups, obesity is widespread and continues to be a leading public health problem in the U.S. (Ogden et al., 2014; Robert Wood Johnson Foundation, 2012; Wen et al., 2012). More than two-thirds of U.S. adults are overweight or obese, and about a quarter of 2-5 year olds and one-third of school-age children (including adolescents) are overweight or obese in the U.S. (Ogden et al., 2014). Health critics and those alike are placing a lot of blame and pressure on food companies as enablers to this matter. There are several factors that influence this complex condition to include, genetic, behavioral, social, cultural, and environmental influences (U.S. Department of Health and Human Services [USDHHS], 2001). Critics say that factors that

Over the past few decades, obesity rate has grown drastically in the United States. “A third of U.S. adults are obese” (Brady 519), placing them at a higher risk for diseases, and increased healthcare spending. It a preventable nutritional problem that affects people of all ages, gender and race, with minority groups and people of low socioeconomic status disproportionately affected. It is a multifaceted problem with many issues at its root. Obesity is the result of our agricultural policies, present economic condition, and unhealthy lifestyle.

More than one third of adults in the US are obese, and 8.4% of children age 2-5, almost 18% of children aged 6-11 and 20.5% of kids aged 12-19 are considered obese (Ogden, Carroll, Kit & Flegal, 2014). In 2008, obesity was estimated to cost the United States $147 billion dollars (Finkelstein, Trogdon, Cohen & Dietz, 2009). The rates of obesity among Americans of all ages points to a lack of nutrition education and a lack of cultural and institutional support for healthy eating habits.

In the last twenty-five years, America has embraced a lifestyle that has discounted exercise and home cooked meals for sedentary lifestyles, and food that is readily available. As a result of this trend, America is seeing an increase in BMI of its population as a whole. This includes expanding waste lines, higher fat content, and higher risk for many preventable health issues that includes Type II Diabetes, high blood pressure, heart diseases, liver failure, kidney disease, stroke, cancers, and a decrease in fertility. This trend is frightening for millions of Americans because it shortens their lifespan and quality of life. As a result of the negative effects of obesity, children are being subjected to the media, marketing, and poor

The community chosen for this health assessment is Odessa, Missouri. Odessa is located in rural Missouri, east of the Greater Kansas City area. The small population of Odessa citizens making up a tight knit community. This small community was chosen to look at the population diversity, health concerns for this community and other rural populations and how this community comes together, working together to battle these concerns.