Planning for Healthy Communities - CCOG Carolina Division of Public Health Planning for Healthy...

Chronic Disease and Injury SectionNorth Carolina Division of Public Health

Planning for Healthy

Communities

Dr. Ruth Petersen

Section Chief

Chronic Disease and Injury Section

North Carolina Division of Public Health


Topics

• Collaborations

• Innovations

• Opportunities


Public Health

Public health connects us all.

Public health is the science of protecting and

improving the health of families and communities

through the promotion of healthy lifestyles,

research for disease and injury prevention and

detection and control of infectious diseases.

Source: Centers for Disease Control and Prevention Foundation. Available at:

http://www.cdcfoundation.org/content/what-public-health. Accessed April 2015


What Works

Strategies to Increase Physical Activity

• Community-scale urban design and land use

• Street-scale urban design and land-use policies

• Active transport to school

Sources: Community Preventive Services Task Force. The Guide to Community Preventive Services.

http://www.thecommunityguide.org/pa/environmental-policy/index.html. Accessed 07/2014.

Physical Activity Guidelines for Americans Midcourse Report: Strategies to Increase Physical Activity Among Youth. United States Department of

Health and Human Services. http://www.health.gov/paguidelines/midcourse/pag-mid-course-report-final.pdf. Accessed 07/2014.

http://www.thecommunityguide.org/pa/environmental-policy/index.html. Accessed 07/2014

http://www.thecommunityguide.org/pa/environmental-policy/index.html. Accessed 07/2014



Physical Activity

To Reduce the Risk of Chronic Disease:

Source: United States Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans.

http://www.health.gov/paguidelines/guidelines/. Accessed April 2015.

Overweight/Obesity

Heart Disease

Type II Diabetes

Stroke

Colon/Breast Cancer

Hypertension

http://www.health.gov/paguidelines/guidelines/


Physical Activity

30%Lower risk

of early

death

Source: U.S. Department of Health and Human Services. Step It Up! The Surgeon General’s Call to Action to Promote

Walking and Walkable Communities. Washington, DC: U.S. Department of Health and Human Services, Office of the

Surgeon General; 2015.


Physical Activity Recommendations

Adults need at least:

150 Minutes

every week

moderate-

intensity

aerobic

activity

Muscle-

strengthening

activities on 2 or

more days a week

that work all major

muscle groups

(legs, hips, back,

abdomen, chest,

shoulders and

arms)

75 Minutes

every week

vigorous-

intensity

aerobic

jogging or

running

OR PLUS



Key Point: All adults should avoid inactivity. Some physical activity is better than

none, and adults who participate in any amount of physical activity gain some

health benefits.



Physical Activity Recommendations

Aerobic Activity

Most of the 60 minutes or more should be aerobic activity and should include

vigorous-intensity

at least 3 days a week.

Muscle-Strengthening

Activity

on at least 3 days of the week.

Bone-Strengthening

Activity

on at least 3 days of the week.

Children and adolescents need 1 hour or more of physical activity daily.

This should include:

60 minutes or more of physical activity daily





Physical Activity Guidelines among

Adults, BRFSS 2013

Data sources: United States Department of Health and Human Services Center for Disease Control and Prevention Office of Surveillance, Epidemiology, and Laboratory Services Public

Health Surveillance Program Office. Behavioral Risk Factor Surveillance System, 2013. Participated in enough Aerobic and Muscle Strengthening exercises to meet guidelines.

http://apps.nccd.cdc.gov/brfss/display.asp?cat=PA&yr=2013&qkey=8291&state=US. Accessed April 14, 2015.

North Carolina Department of Health and Human Services, State Center for Health Statistics, 2013 BRFSS Survey Results, Aerobic and Strengthening Guidelines (4-LEVEL)

http://www.schs.state.nc.us/data/brfss/2013/nc/all/_PAREC1.html. Accessed April 14, 2015.

29.4

30.3

8.8

9.4

18.7

18.7

20.5

20.5

0 10 20 30 40 50 60

Met strengthening guidelines

Met aerobic guidelines

Met strengthening guidelines

Met aerobic guidelines

No

rth

Ca

rolin

aN

atio

na

l

Aerobic Only Strengthening Only Both

[ = 50.8 ]

[ = 29.9 ]

[ = 48.1 ]

[ = 27.5 ]


*Asked only of those who reported any exercise in the past month.

NOTE: There are 69 exercise categories available for this question. The four categories featured in this table had highest frequency of any single category.

Data source: North Carolina Department of Health and Human Services, State Center for Health Statistics, 2013 BRFSS Survey Results, What type of physical activity or exercise

did you spend the most time doing during the past month?* http://www.schs.state.nc.us/data/brfss/2013/nc/all/pa_type.html. Accessed April 14, 2015.

Most Common Types of Activity Reported by Adults

Engaged in Physical Activity, NC BRFSS 2013

53.7

27.5

10.1

5.43.3

0

10

20

30

40

50

Walking Other Running Gardening Aerobics


64%

36%Yes No

Data source: North Carolina Department of Health and Human Services, State Center for Health Statistics, 2013 BRFSS Survey Results, Does your

community have trails, greenways, bike paths, or sidewalks for biking, walking, or other activities?

http://www.schs.state.nc.us/data/brfss/2013/nc/all/nc12q01.html, Accessed April 14, 2015.

Availability of Trails, Greenways, Bike Paths, or

Sidewalks for Biking, Walking, or Other Activities in

Communities, NC BRFSS 2013


39.4

14.3

17.4

28.9

At least once aweek

At least once amonth

A few times peryear

Never

0

5

10

15

20

25

30

35

40

Data source: North Carolina Department of Health and Human Services, State Center for Health Statistics, 2013 BRFSS Survey Results, How often

do you use these for biking, walking or other activities?* http://www.schs.state.nc.us/data/brfss/2013/nc/all/nc12q02.html. Accessed April 14, 2015.

Use of Trails, Greenways, Bike Paths, or Sidewalks for

Biking, Walking, or Other Activities in Communities

Where They are Available, NC BRFSS 2013


6.1% 5.3%

88.6%

Less than 1 hour per week

1 hour or more hours per week

None

Time Spent Walking or Bicycling as a

Means of Transportation

NC BRFSS 2013

Data source: North Carolina Department of Health and Human Services, State Center for Health Statistics, 2013 BRFSS Survey Results, In the past

week, how much time did you walk or bicycle for transportation, such as to and from work or shopping?

http://www.schs.state.nc.us/data/brfss/2013/nc/all/timewalk.html, Accessed April 2015.

http://www.schs.state.nc.us/data/brfss/2013/nc/all/timewalk.html


Step it Up! The Surgeon General’s Call to

Action To Promote Walking and

Walkable Communities


Research shows:• Destinations within .5 mile = how far people will walk on

average

• Public transit = additional 21 minutes a day of walking

• More access to green environments (e.g., parks) = more

walking

Source: U.S. Department of Health and Human Services. Step It Up! The Surgeon General’s Call to Action to Promote Walking and

Walkable Communities. Washington, DC: U.S. Department of Health and Human Services, Office of the Surgeon General; 2015.

Emerging evidence:When parks add more signs and

conduct outreach activity, the

physical activity of park users

increases


Collaborations

NC Departments of:

• Transportation

• Environment and Natural Resources

• Cultural Resources

• Commerce

NC Division of Public Health


Collaborations

Guidebook on Local Planning for Healthy Communities

North Carolina Guide to Incorporating Health Considerations into Comprehensive Plans

WalkBikeNC: North Carolina Statewide Pedestrian and Bicycle Plan


Innovations

• Miles and locations of

greenways and trails in NC

• Number and locations of

public parks in NC

Data Day 1.0 – September 17, 2012

Data Day 2.0 – October 29, 2014


A Partnership between

NC Department of Transportation

& NC Division of Public Health

Innovations


InnovationsProject outcomes reported by Active Routes to School Coordinators

between July 2014-June 2015

Wa

lk t

o S

chool D

ay

• 92 Events

• 22,805 Participants Reached

Bik

e t

o S

chool D

ay

• 96 Events


On

go

ing P

rogra

ms

• 38 Events



Innovations

Transportation Plans • Kannapolis Bicycle Plan

Success Stories: www.communityclinicalconnections.com/ActiveRoutes

3 school’s have adopted Let’s Go NC!

1 school district has adopted Let’s Go NC!

http://www.communityclinicalconnections.com/ActiveRoutes


Opportunities

Obesity, Diabetes, Heart Disease and Stroke Prevention (ODHDSP/1422) Funding

• $3.52 million awarded in October 2014

• Funding through September 2018

• Administered by the Community and Clinical Connections for Prevention and Health Branch, housed within the Chronic Disease and Injury Section of NC Division of Public Health

• For the implementation of population-wide and priority population approaches

• To prevent obesity, diabetes, heart disease and stroke, and reduce related health disparities among adults


Opportunities

• Signage

• Pedestrian Summit/Training

• Community plans that promote walking


Opportunities

• Create cross-sector partnerships

• Public health and MPO/RPO partnerships

• Planning and transportation part of

Community Health Assessments

• Support walking and biking to school

efforts


Settings

• Health care

• Child care

• Schools

• Colleges and universities

• Work sites

• Faith-based organizations

and other community

organizations

• Local government

• Food and beverage

industry

Opportunities

www.EatSmartMoveMoreNC.com


Opportunities


Opportunities

Support communities in creating policies and

environments where people have access to

healthy foods and places to be physically active.

For example: healthy food retail, greenways, trails

and community plans.

Faith Communities

Communities

Provide resources and support to promote physical activity and healthy

eating in faith communities.

Worksites

Provide resources and support to promote physical activity and healthy eating

at worksites.


North Carolina

Collaboration, Innovation, Opportunities

www.pedbikeimages.org/LauraSandt

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