Monthly Archives: August 2009

Chatham County Public Health Department Hosts Obesity Prevention Retreat

The Chatham County Public Health Department hosted an obesity prevention retreat on July 29th to bring together individuals and organizations from across the county that are working on the obesity problem. Thirty people from 18 different agencies came together to discuss obesity related programs and policies. The group then discussed ways to coordinate these programs and policies to best help the public. But the conversation is far from over. The purpose of the retreat and future meetings is to develop an obesity prevention plan for Chatham County.

Everyone knows that obesity is a significant public health problem in this country as well as locally. Americans have been getting bigger for the last three decades. Consider this:

In Chatham County:

- According to the 2006 Behavior Risk Factor Surveillance Survey (BRFSS), 59.4% of adults in the Chatham/Lee/Moore region were overweight or obese.

- The 2007 North Carolina Nutrition and Physical Activity Surveillance System (NC-PASS) shows that 19.9% of Chatham County children seen in North Carolina Public Health sponsored WIC, child health clinics, and school based health centers were overweight.

In North Carolina:

- In 2007, nearly two-thirds (64.6 %) of adults in N.C. were either overweight or obese.1

- From 2001 to 2007, the proportion of N.C. adults who were overweight or obese increased from 58.8% to 64.6%. That’s an increase of more than 750,000 people.1

- North Carolina has the 12th highest rate of adult obesity in the nation, at 28.3 percent.2

- North Carolina has the 14th highest of overweight youths (ages 10-17) at 33.5 percent.2

There are many factors that contribute to obesity such as genetics, metabolism, behavior, environment, culture, and socioeconomic status. Reducing and preventing obesity is a complicated problem that involves not just the individual, but the built environment and other areas.

Did you know that where you live can have a big effect on how active you are? Research has shown that people with access to neighborhood parks, trails, and stores tend to be more physically active. There is also a link between neighborhoods that have stores that offer quality produce and the amount of fruit and vegetable consumption. Many low income neighborhoods have “food deserts” where fresh and healthy foods are not available.

It will take a long time to do what the U.S. has been doing for the last several decades. Things such as: urban sprawl, lack of sidewalks and parks in some areas, the low price of processed foods compared to fresh foods, and the ready availability of fast food restaurants.

The Centers for Disease Control and Prevention (CDC) recommends addressing the built environment and behavior change to reduce obesity. Click here for CDC recommendations.

Click here for the 2009 F as in Fat report from the Trust for America’s Health. It discusses obesity rates across the country and also recommendations.

1Source: 2007 Data Factoids, Physical Activity, Nutrition and Obesity in North Carolina Compiled by the N.C. Division of Public Health, Physical Activity and Nutrition Branch
2 F as in Fat 2009, Trust for America’s Health (TFAH) and the Robert Wood Johnson Foundation (RWJF)

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Clean Mouth, Healthy Baby: The Impact of Oral Health on Birth Outcomes

On June 24th the Chatham County Public Health Department Saving Babies Campaign sponsored a lunch and learn seminar titled “Clean Mouth, Healthy Baby: The impact of oral health on birth outcomes.” Twenty physicians, dentist, hygienist, nurses, and other health care providers attended the lecture.

Guest speaker, Dr. Kim Boggess, Assistant Professor of Obstetrics and Gynecology at UNC-CH, discussed how the oral health of a mother can impact the outcome of her pregnancy. A woman with oral disease, such as periodontal disease, during pregnancy has an increased risk for preterm birth, delivering a small for gestational age baby, preeclampsia, fetal loss, and gestational diabetes.
 
Dr. Boggess suggested the best way to prevent these negative outcomes is to treat oral disease before a woman becomes pregnant. Additionally Dr. Boggess spoke about the influence that a mother has on her child’s oral health. In fact, a mother’s oral health is a predictor of the number of caries a child will develop. This means that interventions addressing women’s oral health have the ability to also influence and improve children’s oral health.
 
The Saving Babies Campaign is working to reduce infant mortality disparities in Chatham County. Infant Mortality is an indicator of the overall health status and social well-being of a community. The leading causes of infant mortality are complications related to preterm birth and low birthweight, congenital anomalies, and sudden infant death syndrome (SIDS).
In 2007, the overall infant mortality rate for Chatham County was 12.3 per 1,000 live births. The rate for the state of NC for 2007 was 8.4. Infant mortality rates differ between races. In Chatham County, African American babies are dying at rate three (3) times that of white babies – infant mortality rate for African-American babies was 34.9 while the rate for White babies was 9.3 in 2007.
 
The Saving Babies Campaign is working to improve birth outcomes by promoting preconception care, specifically dental health and smoking cessation. Women with periodontal disease have an increased risk of delivering a preterm or low birthweight baby. Infants born to women who smoke during pregnancy are more likely to be born prematurely, with low birth weight, and more likely to die of SIDS.
 
For more information about the Saving Babies Campaign please contact Kelly Evans at the Chatham County Public Health Department, Community Health Promotion and Advocacy Division, 919-545-8519 or kelly.evans@chathamnc.org.
 
If you are interested in attending smoking cessation classes, please click here.
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