Strategic Issue: Obesity / Healthy Living

Description: Chronic diseases, such as heart disease, cancer, and diabetes, were cited as high priority health issues among Clay County residents (Clay Co. Community Health
Survey 2011). Obesity, lack of physical activity, and improper nutrition are risk factors related to over 20 chronic diseases. Currently, 70.5% of Clay Co. adults are overweight or obese and it is estimated that 34.9% of Clay Co. youth are overweight or obese. The IPLAN Committee selected obesity and healthy living as a strategic issue to promote healthy eating and physical activity to prevent and control obesity, which in turn will impact a plethora of obesity-related diseases.

Long-term, 5 yr. Goal

Decrease Clay County adult overweight/obesity rates by 10% by 2017. (Baseline: Overweight 40.5% in 2011; Obese 30.0% in 2011) Decrease Clay Co. childhood obesity rates by 10% by 2017 (Baseline: 34.9%* overweight or obese in 2009).

2 3 year Objectives
Increase by 10% the number of Clay Co. youth who meet the recommended daily physical activity standards by 2015 (Baseline: TBD). Increase by 10% the number of Clay Co. adults who meet the recommended physical activity standards by 2015 (Baseline: 49.7% in 2008). Increase the number of WIC mothers who initiate breastfeeding to 67% by 2014 (Baseline: TBD). Increase the proportion of Clay Co. adults who consume 5 or more servings of fruits/veg. per day to 15% by 2015. (Baseline: 10.5% in 2011)

1-year Objectives
Establish a Clay Co. childhood BMI surveillance system by Aug. 2012. Increase the proportion of WIC mothers who participate in the peer counselor program to 75% by Dec. 2012 (Baseline: TBD). Provide community-wide education on recommended daily physical activity levels and nutrition for adults and children by 2013. Increase attendance at WIC nutrition education classes by 10% by June 2013 (Baseline: TBD). Promote the availability of community farmers markets by June 2012. Create a countywide resource manual by December 2012. Identify the number of places that offer worksite wellness programs.

*Clay Co. rate not available; rate indicated reflects data for the state

Increase the number of worksites with worksite wellness programs. Create a sustainable community garden.

2017 Illinois BRFSS data shows that Clay Co. adult obesity rates decreased from 30.0% to 27.0%; adult overweight rates decreased from 40.5% to 36.5% 2017 data from the Clay Co. childhood BMI surveillance system shows that youth obesity rates decreased from 34.9% to 31.4%.

Measures of Success 2014 IL BRFSS data shows the number of Clay Co.
adults who meet recommended physical activity guidelines increased from 49.7% to 54.7%. By 2014, 67% of WIC mothers initiate breastfeeding. 2014 IL BRFSS data shows that the proportion of Clay Co. adults who consume 5 or more servings of fruits/veg. per day increased from 10.5% to 15.0%.

BMI data collected for all Clay Co. students in K 5 , th th 6 , and 9 grades. 75% of WIC mothers participate in BFPC program. All women in WOW program receive health education. Teen REACH schedule involves youth in recommended exercise levels. One media contact promoting physical activity guidelines/month 3 banners displayed in high traffic areas promoting hours of farmers markets.
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Programs & Intervention: When/Whom

CCHD obtains and reviews reports of Clay Co. BMI surveillance system annually. CCHD continues to promote BFPC program to WIC mothers. CCHD Teen REACH Coordinator will continue to incorporate physical activity and nutrition education into programming. CCHD will partner with schools to increase access to training to enhance physical activity and nutrition education lesson plans. CCHD coordinates with Clay Co. school districts to establish a county-wide childhood BMI surveillance system with annual reporting. School nurses will provide data. CCHD will promote BFPC program to all WIC mothers. CCHD Teen REACH Coordinator incorporates 60 min of physical activity into daily programming and biweekly nutrition education. Girl Scouts will develop a healthy living program by June 2012. Poster campaign to promote better nutrition and increased physical activity. Create a cookbook/resource manual. Proceeds from book will fund healthy living initiatives.