State Plans

The goal of the State Obesity Task Force was to develop and implement a comprehensive, realistic state plan which will reduce the worsening obesity epidemic in Alabama. The plan was not to change approaches already in progress, but rather to create a uniform approach to reduce obesity. The Alabama State Obesity Plan provides goals and objectives to follow at various social-ecological levels.

The plan provides various approaches to address the impact of obesity on Alabamas citizens including education and awareness, lifestyle and behavioral choices, community-based environmental strategies, school and worksite improvements, and policy development or changes. This plan does not address pharmacological or medical interventions, however, these are also appropriate for certain individuals based on established medical criteria.

It is our hope that the plan is used statewide as a reference for selecting approaches to implement. It can be beneficial in setting formal goals, such as in a corporate business plan, as well as in informal settings, such as a community project.

Alabama Public Health Website

Alaska in Action, Alaskas Obesity Prevention and Control plan was designed for use by a wide variety of organizations and groups, and each group may focus on different components of the plan. School-based groups, for example, may want to pursue the strategies from each goal that are specific to the school environment. In contrast, nutrition groups may focus primarily on the aims and strategies that relate to the third goal of the plan, increasing the percentage of Alaskans who make healthy food choices.

In an effort to make the information in the plan easily accessible to these different audiences, the tables at the end of the plan summarize the goals, aims, and strategies that apply to several different settings. The three highlighted settings are schools, communities, and health care centers. An additional table summarizes the goals, aims, and strategies related to mass communications.

Alaska Department of Health Obesity Prevention Program

The Arizona State Nutrition and Physical Activity Plan is a five-year action plan to reduce the burden of chronic disease and obesity in Arizona through nutrition education and physical activity. The purpose of the plan is to provide guidelines for schools, healthcare providers, communities and worksites to address overweight and obesity in Arizona.

Implementation of this plan will reduce the problems of chronic diseases, such as heart disease, diabetes, osteoporosis, cancer and arthritis. The plan also represents an opportunity to develop policies and modify our environments in ways that will ultimately help our citizens lead healthier lives. The Arizona Department of Health Services and its Obesity Prevention Program gathered a broad coalition of experts and concerned citizens from around the state to create this comprehensive plan.

Eat Smart Get Active

Arkansas is currently updating their state obesity prevention plan. The updated plan will be posted soon.

This plan summarizes the nutrition education activities for the California Nutrition Network and the University of Californias Food Stamp Nutrition Education Program and their partners.

SNAP Ed Guidance Plan

In recognition of Californias growing obesity epidemic, competing environmental forces and fragmented efforts, the legislature mandated that California Department of Health Services (CDHS) create this strategic plan to guide a statewide response to this crisis. This California Obesity Prevention Plan serves as a guide for each sector of society to take part in creating the shift to healthy eating and active living. This plan was constructed with input from a number of advisory groups, forums, and meetings including, the Governors Summit on Health, Nutrition, and Obesity, the Strategic Alliance, and the California Obesity Prevention Initiative. It identifies recommendations for action for all sectors to make sustainable changes in physical activity and food environments. The strategic actions are organized under these four goals:

• Goal 1: Ensure state level leadership and coordination that reaches into communities across the state.
• Goal 2: Create a statewide public education campaign that frames healthy eating and active living as California living.
• Goal 3: Support local assistance grants and implement multi-sectoral policy strategies to create healthy eating and active living community environments.
• Goal 4: Create and implement a statewide tracking and evaluation system.

This California Obesity Prevention Plan is meant to serve as a springboard for government, business, voluntary and philanthropic sectors to convert fragmentation into collaboration and synergy, to carefully align and invest resources, and to create a shared response to a societal crisis.

The Colorado Physical Activity and Nutrition Program (COPAN) has developed a state plan that outlines the direction COPAN will follow over the next ten years in order to accomplish its objective of preventing obesity and related chronic diseases and promoting healthy lifestyles for all Coloradans.

The plan is a tool that will be used by private and public partners for statewide planning, development, and implementation of physical activity and nutrition interventions, thus providing a cohesive approach to obesity prevention in Colorado. Healthy People 2020 was chosen to lead the program’s future efforts. Healthy People 2020, which was developed by the U.S. Department of Health and Human Services, is a statement of national health objectives designed to identify the most significant preventable threats to health and to establish national goals to reduce these threats.

A diverse group of partners concerned about the issues of obesity and inactivity came together under the leadership of Connecticut Department of Public Health to create this plan to increase general awareness of the crisis of obesity and overweight in Connecticut, and to provide recommendations and intervention strategies for the management and prevention of obesity and overweight for Connecticut residents.

Nutrition, Physical Activity & Obesity Prevention Program

Delaware HEAL was formed in 2009 with more than 100 members to reverse the tide of obesity and related chronic diseases among Delawareans by facilitating opportunities for physical activity and healthy eating. The coalition provides statewide leadership and coordination of physical activity and healthy nutrition programs, and serves as a catalyst for developing obesity prevention efforts.

The HEAL coalition developed and published a statewide comprehensive plan, Physical Activity, Nutrition & Obesity Prevention Comprehensive Plan: 2010-2014. Delaware HEAL meets quarterly, and holds an annual summit for its members and the public. The Division of Public Health is a member of the coalition, and provides administrative support.

Delaware Obesity Prevention Plan

Get Up & Do Something Campaign

The Florida Partnership for Promoting Physical Activity and Healthful Nutrition (FPPPAHN) was created to guide the Obesity Prevention Program in the strategic planning process. The mission of the FPPPAHN is to reverse the epidemic of overweight and obesity in Florida through collaborative efforts and unified leadership of many individuals and organizations, effective education, and advocacy on the political front. The state’s strategic plan to address overweight and obesity includes 6 primary goals:

1. Slow the rise of overweight and obesity.
2. Increase lifelong physical activity.
3. Increase lifelong healthful nutrition.
4. Advocate for policies consistent with overweight and obesity prevention and reduction.
5. Improve health among people who are overweight and obese.
6. Build and sustain the Florida Partnership for Promoting Physical Activity and Healthful Nutrition (FPPPAHN).

The Georgia Department of Human Resources convened a statewide wide group of nutrition and physical activity professionals to develop a ten-year Nutrition and Physical Activity Plan that addresses the alarming rise of obesity in our state. More than sixty percent of adult Georgians are obese or overweight. Obesity is a major public health challenge for Georgia and for the nation.

Obesity increases the risk of heart disease, diabetes, several forms of cancer and other chronic health problems. It can reverse the progress we have made fighting these diseases, increase human suffering and contribute to the escalating cost of our health care system. Citizens, schools, healthcare organizations and communities are acknowledging the seriousness and far-reaching impact of the obesity epidemic and have recognized that something must be done.

Since obesity is a vast problem affecting over half of Georgias population, solutions and strategies must be implemented where Georgians live, work, and play. Therefore, the plan includes a broad and evidenced-based approach to preventing and controlling obesity.

This ten-year strategic plan focuses on improving nutrition and physical activity to prevent obesity and other related chronic diseases, specifically: increasing breastfeeding, improving healthy eating, increasing physical activity and decreasing television viewing/screen time in a variety of settings through educational, policy and environmental approaches.

The target population for the plan is all Georgians, which includes children and their families (especially low income families), adults, older adults, and specific racial and ethnic groups (such as African Americans and Latinos).

The first Hawaii Physical Activity and Nutrition Plan offers a wide range of recommendations to increase opportunities for healthy living. The plan is the work of a diverse group of stakeholders who represent public health practitioners, school educators and administrators, community organizations, healthcare professionals and providers, employers, city planners, and the building industry.

The plan includes strategic recommendations to integrate physical activity and healthy eating into the daily lives of the residents of Hawaii. The Plan has been created as a guide for the public, leaders in government, non-profit organizations, private industry, and physical activity and nutrition coalitions who will work together to create policy and sustainable changes to impact the lives of Hawaii residents.

Healthy Hawaii Initiative

Idaho is currently updating their Physical Activity and Nutrition Plan.

Idaho Physical Activity and Nutrition Program

The Illinois Strategic State Plan to Promote Healthy Eating and Physical Activity to Prevent and Control Obesity provides a framework for action to reduce the burden of obesity. Its purpose is to provide an organized approach to obesity prevention and control efforts. The state plan is intended for use by people and organizations interested in physical activity and nutrition for the reduction of overweight and obesity.

Members of the Obesity Steering Committee identified recommendations and key strategies for improving nutrition and physical activity in the school, community, worksite and health care settings. In addition, several advisory committees have provided guidance and direction for the state NUPA program and development of the state plan. They include representatives from academia, public health, science and epidemiology, the medical community and the general public.

Strategic Plan PDF

Illinois Department of Public Health

The purpose of the Indiana Obesity Prevention Plan is to provide a framework in which policy makers can work together to build, shape, and support environments that make it easier for Indiana residents to choose healthy eating and physically active patterns.

Creating healthy environments in communities across the state will: help children and adults achieve and maintain a healthy weight; slow the increase in the proportion of Indiana residents who are obese; reduce the rates and delay the onset of chronic diseases; and, improve the quality of life of Indiana residents.

DIVISION OF NUTRITION & PHYSICAL ACTIVITY

Prevention Plan

Indiana Healthy Weight Initiative

The Iowans Fit for Life State Plan, written by the Iowans Fit for Life Partnership, includes 10-year goals, objectives and strategies that address Iowans of all ages. The plan targets Iowans at all levels of the socio-ecological model:

• individual,
• interpersonal,
• organizational,
• community, and
• policy.

The plan’s interventions target six groups:

1. agriculture and food systems,
2. community,
3. early childhood,
4. educational settings,
5. health care,
6. older Iowans, and
7. worksite wellness

The Iowans Fit for Life Partnership is a network of agencies and organizations from across the state with a vested interest in nutrition and physical activity. It includes partners from the private sector, local public health, and other state agencies.

Obesity, Physical Activity and Nutrition in Kansas

In partnership with several agencies, the Kentucky Department for Public Health developed the The Kentucky Nutrition & Physical Activity State Action Plan 2005. This document includes Kentucky specific data, which will provide a basic understanding of the severity of the problem facing Kentucky, describes structural changes in society that have contributed to the problem, describes the CDC framework for addressing the problem and lists the goals, objectives and strategies Kentucky has set to address these issues.

The goals, objectives, and strategies cover a 10-year timeframe including the lead agency or organization charged with carrying out each strategy and describes the source of data for surveillance and evaluation. These goals, objectives, and strategies were developed after extensive public input into the problem.

Nine regional forums were held across Kentucky during the month of August 2004 attracting the participation of 1,300 public and private partners. Criteria for development of the strategies included three factors 1) high prevalence rates, 2) a clearly modifiable behavior (broadly constructed to include policies) and 3) that strategies be balanced across a variety of social-ecological areas and across intervention areas (from nutrition to physical activity, and from healthcare to schools).

Partnership for a Fit Kentucky

The work of the Louisiana Council on Obesity Prevention & Management is recognized by practitioners, organizations and policy makers as a primary source of information on nutrition and physical activity to prevent and control obesity.

This strategic plan serves as a guiding document for the public and private sector organizations working in partnership to influence: Policy and Environmental Change, Monitoring and Evaluation, Health Education and Awareness, Health Care Continuum, and Capacity Building. Creating an environment that supports opportunities for all Louisiana residents to make healthy food choices and to be physically active in order to achieve or maintain a healthy weight.

Diabetes/Obesity Prevention and Control Program

Maine, like the rest of the nation, has an epidemic of obesity. Data from 20022004 show the problem is pervasive from youth to adulthood. Over half of Maine adults (61%) are considered either overweight (38%) or obese (23%). Fifteen percent of Maine high school students are at risk for becoming overweight, a rate similar to national figures, and another 13% are considered overweight. Eighteen percent of Maine middle school students are at risk for becoming overweight and 13% are overweight. Similarly, 21% of Maine kindergarten students are at risk for becoming overweight and 15% are overweight.

In 1999, Maine Health and Human Services Public Health initiated the development of a strategic plan to address emerging nutrition and physical activity issues within the State. Several hundred people were invited to participate, representing a broad range of nutrition and physical activity programs throughout Maine. An advisory group was formed among these stakeholders to guide the planning process. The advisory group conducted a needs assessment to determine the nutrition and physical activity issues to be included in The Maine Physical Activity & Nutrition Plan 2005-2010 (Plan).

This Plan serves as a guiding document for public health leaders, health care providers, educators, policy makers, and citizens to promote healthy eating and regular physical activity and improve health and the quality of life in Maine. Implementation of the Plan will require collaboration among all nutrition and physical activity programs and organizations. Maine engaged stakeholders to create this Plan and must rely on these State and local partners to bring the Plan to life by taking responsibility for implementing the strategies.

The Plans objectives and strategies place emphasis on addressing the problem of obesity among youth and adult populations. The Plan distinguishes between objectives that address youth (all individuals age 18 and under) and those that address adults. Objectives to promote breastfeeding, which reduces the risk of childhood obesity, also have prominence. Because this Plan is for all Maine populations, it also includes objectives and strategies for food safety, food security, and eating disorders.

The intent of the Maryland Nutrition and Physical Activity Plan (Plan) is to present a framework that will help Marylanders contribute to the effort to make healthy food choices and physical activity opportunities available throughout the state. This plan is the first step toward the achievement of the Maryland Nutrition and Physical Activity Program mission: to prolong the length and improve the quality of life of all Maryland citizens through healthy eating and increased physical activity.

The nutrition and physical activity plan is a ten-year action plan to reduce the burden of obesity and chronic disease. In Maryland, the levels of overweight and obesity are on the rise. In 2003, an estimated 2.3 million (59 percent) Maryland adults were overweight or obese. Furthermore, the prevalence of obesity increased 34 percent between 1995 and 2003. The Maryland Department of Health and Mental Hygiene collaborated with partners from across the state to develop the plan.

The goals of the Plan are to encourage and enable the citizens of Maryland to adopt and maintain healthy eating habits and lead physically active lifestyles to prolong the length and quality of life. The intermediate objectives are the action steps for the next ten years. By reaching the plans intermediate objectives, the state will begin to reverse the levels of overweight and obesity. The strategies laid out in the Plan suggest and encourage ways for us as individuals, as families, as community, to respond to how and what we eat, and ways in which we can be more physically active throughout life. It will shape our thinking and our response not only as individuals and families, but also for the settings we find ourselves in, such as our environment, businesses, healthcare, and schools.

The Massachusetts Department of Public Health (MDPH) with the support from a grant from the Centers for Disease Control and Prevention, facilitated bringing together the Partnership for Healthy Weight (PHW), a collaborative to develop and implement a statewide nutrition and physical activity action plan to address overweight and obesity.

The Partnership represents more than 100 groups committed to reducing overweight and obesity in Massachusetts, united as a coalition for change. Its goal is to catalyze and support initiatives that remove barriers and increase opportunities for healthy eating, active living, and routine screening for diagnosis and treatment of overweight and obesity. The Partnerships plan of action, The Health of Massachusetts: A Coordinated Response to Overweight and Obesity details the strategies that will be implemented statewide and locally to stem the overweight epidemic and assure a healthier future for Massachusetts. It shares recommendations for moving Massachusetts toward the national goal of assuring that at least 95% of children and 60% of adults are at a healthy weight by 2010.

The Partnership selected its objectives from hundreds of possibilities based on available data, importance, and feasibility, given the resources and strengths of Partnership members.

Michigan developed a fiveyear plan to address the epidemic of obesity. The title is Preventing Obesity and Reducing Chronic Disease: The Michigan Healthy Eating and Physical Activity Plan. Strategic planning to address Michigans obesity epidemic occurred in four distinct phases over a period of four years, involving 134 individuals, representing 94 organizations.

This plan to address overweight and obesity in Michigan focuses primarily on moving Michigans population toward healthier eating and physical activity patterns. If widespread improvements are achieved in these two lifestyle factors, other deeply significant outcomes can reasonably be expected. Long-term goals for this plan include:

• Increase the number of Michigan residents who have the knowledge, motivation and opportunity to make lifestyle choices that promote healthy eating.
• Increase the number of Michigan residents who have the knowledge, motivation and opportunity to obtain adequate physical activity levels to maintain good health.
• Reduce unsafe weight loss practices, particularly among school-aged children.
• Improve the capacity of the healthcare system to prevent, detect and manage overweight and obesity

If the plan is successful, the following global outcomes will occur:

1. Obesity rates among Michigan adults and children will stop increasing.
2. Ethnic disparities in obesity and related chronic diseases will be reduced.
3. The economic burden of obesity and related chronic diseases will be eased.

The Michigan Healthy Eating and Physical Activity Plan

Nutrition, Physical Activity and Obesity Program

The Minnesota Plan to Reduce Obesity and Obesity-Related Chronic Diseases was developed to bring partners together to work collaboratively toward shared goals, to maximize opportunities and to reduce duplication. The Plan encourages policy and environmental changes that support healthy eating, physical activity and achieving or maintaining a healthy weight.

The plan represents a collaborative effort of statewide partners, including individuals representing state and local public health, state and local education agencies, transportation, parks and recreation, community and non-profit organizations, healthcare providers and insurers, academia, advocacy organizations, industry and chronic disease prevention partners all working to improve the health of people in Minnesota.

Minnesota Obesity Plan

Obesity in Minnesota: Quick Facts

Through funding from the National Governors Associations (NGA) Healthy Kids, Healthy America Program, the state of Mississippi is poised to address the epidemic rise in obesity affecting thousands of Mississippi children by implementing the goals of the Preventing Obesity with Every Resource (POWER) Project.

Obesity Action Plan

Missourians live in an environment that promotes poor eating habits and discourages physical activity in daily routines. Because obesity is one of the most serious health problems facing society today, all Missourians must take action to help end this epidemic. To guide this effort, Missouri has developed a strategic plan to combat the states obesity problem. The plan is entitled, Preventing Obesity and Other Chronic Diseases: Missouris Nutrition and Physical Activity Plan.

The plan was created by the Missouri Council on the Prevention and Management of Overweight and Obesity with input from Missouri residents who attended six public meetings held throughout the state and commented via the Internet. The Missouri Department of Health and Senior Services is facilitating the development and implementation of the plan.

The plan addresses the need to increase physical activity levels, improve dietary intake, increase the effectiveness of the health care system in obesity prevention and treatment, and strengthen health-related policies in Missouri. The plan includes goals, strategies and actions that Missouri can use to improve the health of its residents. The plan focuses on five main areas: families, communities, schools, health care services, and public policy.

Missouri Nutrition & Physical Activity Plan

Statewide Initiatives

The Montana Nutrition and Physical Activity Program (NAPA), has initiated a planning process for a new state plan to prevent obesity. NAPA operates through a partnership between the Montana Department of Public Health and Human Service and Montana State University, and support for Montana’s effort to draft a state plan comes from the Centers for Disease Control and Prevention (CDC). The CDC recommends that Montanans consider evidence-based strategies designed to impact six behaviors that evidence has shown prevent/reduce obesity and contribute to health.

The Nebraska Physical Activity and Nutrition State Plan is a statewide plan to improve nutrition and physical activity through interventions to promote healthy weight and prevent related chronic diseases. This plan presents strategies and activities to increase healthy eating and physical activity through interventions in a variety of settings.

Fulfilling the mission of the Nebraska Physical Activity and Nutrition State Plan depends on broad partnerships and collaboration among organizations, communities, and individuals across the state and will require working together in new ways, sharing resources, approaches and a common vision for a healthy future. The plan will build an infrastructure within local communities and work at both the local and state levels to create population-based changes. Through this multi-dimensional approach, physical activity and healthy eating will lead to the prevention of chronic diseases, such as cardiovascular disease, diabetes, and cancer.

Physical Activity & Nutrition State Plan

State Plan Presentation

The Nevada State Health Division, Bureau of Community Health is pleased to share the Strategic Plan for the Prevention of Obesity in Nevada. This Plan was created through the collaborative efforts of many stakeholders within Nevada’s public health system. The State Health Division intends to use this plan to intiate and strengthen public health collaborations that address overweight and obesity in Nevada.

The Healthy Eating and Active Living (HEAL) Steering Committee is pleased to offer the first statewide HEAL Action Plan. This plan is the result of the collaborative efforts of over 200 individuals from more than 45 organizations committed to the improved health and quality of life of New Hampshire residents. This plan is a blueprint for action to guide statewide efforts for the next few years

The goals and recommendations described in this HEAL Action Plan reflect the consensus of a broad range of experts and stakeholders. Our success in implementing these recommendations will depend on partners working together toward a common vision.

Healthy Eating Active Living

New Hampshire Data Book

Childhood Obesity Report

This plan is the beginning of a statewide, coordinated effort to support and enhance obesity prevention among New Jersey residents. The Action Plan was developed based on the work and recommendations of three sub-committees: education, nutrition and physical activity, established by the Obesity Prevention Task Force.

The New Mexico Department of Health recognizes obesity as a growing public health concern in our state. Obesity has been identified as one of five health status priorities for the NM Comprehensive Strategic Health Plan developed in 2004. In July 2003, the Department successfully obtained CDC funding for a state Obesity, Physical Activity & Nutrition (OPAN) program housed in the Chronic Disease Prevention & Control bureau.

The purpose of the plan is to build on the strengths of New Mexico communities and their diverse cultures to reverse the trend of increasing rates of overweight and obesity over the next ten years. Objectives: Support creation of environments (work sites, schools, healthcare settings, & communities) that encourage and facilitate healthful nutrition and physical activity choices and behaviors.

The New York State Department of Health has developed the first-ever New York State Strategic Plan for Overweight and Obesity Prevention. The Plan is the product of a broad collaborative effort to identify strategies to promote and increase opportunities for physical activity and healthy eating to prevent and to reduce overweight and obesity across the age span.

The plan is the result of work and an extensive process involving comments and input from hundreds of stakeholders and interested residents across the State. Their insights provided substance and shape to this Plan, and a consensus that we know what needs to be done and, importantly, that the community has the will to make change.

New York Department of Health

The North Carolina 5 A Day Program released the NC 5 A Day Strategic Plan to Increase Fruit and Vegetable Consumption 2004-2010 in August 2004. This document outlines the vision, outcomes, guiding principles, goals and objectives for the 5 A Day Program in North Carolina. The Strategic Plan aims to accomplish several objectives categorized under five goal categories:

• State, Regional and Community Infrastructure
• Communications/ Programs
• Engaging Industry Partners
• Policy/ Advocacy and Environmental Change
• Research and Evaluation.

Partners across North Carolina are encouraged to identify ways that they can incorporate the plan into the work they do in their own organizations.

North Carolina’s Obesity Prevention Plan is a seven-year plan (2013-2020) offering overarching goals and measurable objectives for anyone working in the area of overweight and obesity prevention.

The Plan is designed to guide the efforts of those working as part of the Eat Smart, Move More NC movement to make healthy eating and physical activity the each choice for all North Carolinians. North Carolina’s Obesity Prevention Plan guides the work of the Eat Smart, Move More NC movement. It will take all of us working toward the common goals for this plan and the common good to achieve a healthier, more productive North Carolina.

Eat Smart, Move More

North Carolina’s Plan to Address Obesity

Measuring Progress on North Carolina’s Obesity Prevention Plan

The Healthy North Dakota (HND) initiative has a different approach to statewide plans. In place of plans, North Dakota has committees who develop one page policy or position statements on topics like physical activity in school, school vending policies, tobacco, and work on legislative strategies for the health agenda. The working committees cover a variety of populations and environments under the HND “live, learn, work, and play” umbrellas.

Healthy North Dakota

The proposed plan is a template to address Ohios significant obesity epidemic across multiple settings. The plan outlines goals and objectives that have a particular emphasis on how state government may take a more active role in promoting obesity prevention through supporting policy and environmental changes. The plan includes specific immediate, short-term and long-term action strategies to guide implementation efforts to ensure the document is an effective and measurable blueprint for action.

The plan is the culmination of targeted planning work, and is based on agency experience and research of currently available data. It is anticipated that obesity prevention efforts will continue to evolve and that new research and best practices will emerge from the plans implementation. Therefore, the proposed plan is a work in progress; open to revision and increased specificity. As local, regional and state efforts tackle the obesity epidemic, improvements will be made possible through monitoring, reviewing and revising the plan on an annual basis.

The Oklahoma State Department of Health Chronic Disease Service was awarded a cooperative agreement from the Centers for Disease Control and Prevention to address obesity issues in Oklahoma. From this, the Oklahoma Physical Activity & Nutrition Program (OKPAN) formed. The purpose of the funding was to help Oklahoma build state capacity to address the issues surrounding obesity and obesity-related chronic diseases across the lifespan and develop a physical activity and nutrition state plan (State Plan) to coordinate and inform future efforts on this topic.

The Statewide Physical Activity and Nutrition Plan has at its core a focus on developing communities where the healthy choices are the easy choices: where adults and children have easy access to fresh vegetables, fruits, and other healthy foods at school, work, and when eating out; where Oregonians can safely walk and bicycle for work, errands and recreation. Statewide Nutrition and Physical Activity Key Outcomes:

• Increase vegetable and fruit consumption among Oregon youth and adults.
• Increase physical activity among Oregon youth and adults.
• Increase the percentage of Oregonians who are at a healthy weight.
• Create communities that support and promote healthy eating, daily physical activity, and healthy weight.
• Eliminate health disparities among racial and ethnic communities, medically underserved, low-income, senior, disabled and rural populations.
• Support a comprehensive, coordinated statewide effort to promote healthy eating and daily physical activity.

The Pennsylvania Nutrition and Physical Activity Plan (PaNPA Plan) was developed by the Pennsylvania Department of Health and its stakeholders. The plan’s development is based on the following key concepts:

• Promote the recognition of overweight and obesity as major public health problems.
• Assist Pennsylvanians in balancing healthful eating with regular physical activity to achieve and maintain a healthy or healthier body weight.
• Identify effective and culturally appropriate interventions to prevent and treat overweight and obesity.
• Encourage environmental changes that help prevent overweight and obesity.
• Develop and enhance public-private partnerships to help implement this vision.

Pennsylvania has a large statewide coalition, Pennsylvania Advocates for Nutrition and Activity (PANA). PANA is funded by the Department of Health to improve nutrition and physical activity statewide through policy and environment interventions. The mission of the PaNPA Plan is to create a Pennsylvania where individuals, communities and public and private entities share the responsibility for developing an environment to support and promote active lifestyles and access to healthy food choices. The plan presents strategies and activities necessary for community-based interventions to increase healthy eating and physical activity opportunities.

Prevent Obesity and Related Chronic Diseases PDF

The states obesity prevention program, Initiative for a Healthy Weight (IHW), is working to prevent overweight and obesity among all Rhode Islanders through healthful eating and active living. This effort includes:

• Building and sustaining partnerships for communication, coordination, and collaboration.
• Building community capacity through technical assistance, training, and resource development.
• Developing and supporting policy and environmental improvement initiatives for healthy communities.
• Implementing CDC-supported targeted interventions in selected populations.

Obesity is a complex condition, with behavioral, biological, and environmental factors, and the causes are not yet completely understood. However, for most people, overweight and obesity are the result of an imbalance between caloric intake and caloric expenditure. Healthy lifestyles that include regular physical activity and good eating habits are the most effective way to prevent obesity, yet these goals are often difficult for people to achieve in todays society.

To address these factors and influences, a comprehensive strategic approach for South Carolina has been developed. This framework for action, Moving South Carolina Towards a Healthy Weight: Promoting Healthy Lifestyles and Healthy Communities, is based on the best scientific evidence currently available. Activities and initiatives outlined will address the full spectrum of South Carolina life, from corporate boardrooms to rural churches; from medical centers to daycare centers to strategically influence individuals, families, communities, organizations, and the policies and environments that shape our behavior. This framework can be used by policy makers, individuals, and organizations at all levels to guide and inform actions and activities to create supportive environments for a healthier South Carolina.

South Dakota has released its first comprehensive plan to increase healthy eating and physical activity as ways to reduce overweight and obesity and their subsequent risk for chronic disease such as cardiovascular disease, hypertension, and diabetes.

The plan focuses on five science-based strategies that have proven to reduce obesity or other chronic dieseases. These are:

• increased physical activity,
• reduced television time,
• increased consumption of fruits & vegetables,
• increased breastfeeding, and
• improved calorie intake & expenditure.

The plan covers a five-year time frame and is divided into five target populations with goals, objectives, and strategies for each.

Partners signed on to take leadership roles in implementing this plan but additional organizations, communities, and individuals are needed to carry it out and reduce overweight and obesity in South Dakota.

According to Weighing the Costs of Obesity in Tennessee a consistent theme that emerged from interviews with state, higher education, local health department and nonprofit officials was that Tennessee needs a strategic plan and cohesive vision for addressing obesity.

Confronted with the obesity epidemic and its health and fiscal toll, the public, private and nonprofit sectors have responded with a profusion of anti-obesity initiatives and wellness campaigns. However, the majority of these efforts are neither coordinated nor evaluated for impact. Implementation of Eat Well, Play More Tennessee, a long-term, comprehensive state plan, along with its evaluation components, will provide the tools necessary to address these concerns.

Get Fit Tennessee

The obesity epidemic continues to be one of the most important health problems facing Texas today. The prevalence of overweight and obesity among Texas children and adults is higher than the national average and continues to increase. In order to curtail the obesity epidemic, public and private partners must work together on common goals.

The Strategic Plan for the Prevention of Obesity in Texas: 2005-2010 (The Plan) lays the foundation for public and private partners to work on preventing obesity. The Plan builds upon the original 2003 Strategic Plan created by the 2001-2003 Statewide Obesity Taskforce. The vision, mission, and goals of the original 2003 Strategic Plan remain the same.

The Strategic Plan for the Prevention of Obesity in Texas: 2005-2010 is a working document. The Texas Department of State Health Services (DSHS) and the Texas Activity and Nutrition (TexAN) Coalition will track the implementation of the Strategic Plan. Addendums will be created as needed and the document will be revised every five years.

Department of Health Obesity Program

The Utah Department of Health is pleased to present the Utah Nutrition and Physical Activity Plan 2010 to 2020. The Plan is the result of a statewide collaborative effort to identify strategies to promote healthy eating options and physical activity opportunities to prevent overweight, obesity, and related chronic diseases across the lifespan.

This Plan describes goals and strategies that will be implemented where Utahns live, work, and play. A variety of different approaches are included in the plan. Some address policy issues and environmental barriers, others encourage businesses and organizations to encourage individual behavior changes. The strategies also include educating the public on the need and benefits of healthy lifestyles choices.

Obesity is quickly becoming a leading public health challenge in Vermont. Over half of all Vermont adults are overweight or obese, putting them at significant risk for chronic conditions like heart disease, high blood pressure, and diabetes, as well as some forms of cancer. Overweight among children is increasing at an alarming rate, more than doubling over the past 20 years. This obesity epidemic is putting our children at risk for an array of health problems at an earlier age than ever before.

The Fit & Healthy Vermonters plan is Vermonts outline for preventing obesity. It provides a framework for increasing physical activity and improving nutrition across multiple areas. It includes actions to be taken by government, social service and health agencies, communities, worksites, schools, early childcare programs, families and individuals. And, it calls for changes in policy to promote and support these actions. The plan was developed with input and recommendations from a wide variety of individuals and organizations, and it is designed to help Vermont achieve the following goals:

• Reduce the prevalence of chronic diseases associated with overweight and obesity
• Reduce the proportion of Vermonters who are above a healthy weight
• Increase fruit and vegetable consumption
• Reduce portion sizes
• Reduce consumption of sugar sweetened beverages
• Increase physical activity
• Decrease sedentary behaviors, and
• Increase breastfeeding initiation, exclusivity and duration.

The plan is closely aligned with the Vermont Blueprint for Health chronic care initiative designed to address the growing burden of chronic diseases.

Physical Nutrition & Activity Plan

The Commonwealth’s Healthy Approach and Mobilization Plan for Inactivity, Obesity and Nutrition (CHAMPION) focuses on encouraging and supporting individual and community empowerment and ownership of overweight and obesity prevention. The CHAMPION Obesity Prevention Plan is the product of a broad collaborative effort to identify strategies to promote and increase opportunities for physical activity and healthy eating and to prevent and reduce overweight and obesity across the lifespan.

The Plan includes a Resource Guide of evidence-based, low cost programs available for community groups to implement. In addition, the Plan includes recommended changes in public policies that will improve nutrition education, promote environmental changes and eliminate health disparities. The CHAMPION Obesity Prevention Plan is linked to a number of other obesity prevention initiatives in Virginia including Healthy Virginians and the Governors Nutrition and Physical Activity Scorecard.

The purpose of Washington state’s plan is to provide a framework in which policy makers can work together to build and support environments that make it easier for Washington residents to choose healthy foods and be physically active. Creating healthy environments in communities across the state will:

1. slow the increase in the proportion of adults who are obese,
2. reduce rates of chronic disease, and
3. improve the quality of life.

The overarching goals of the Washington State Nutrition and Physical Activity Plan are to increase the proportion of Washington State residents:

• whose diets reflect the Dietary Guidelines for Americans and
• who get at least 30 minutes of moderate activity on five or more days a week.

The West Virginia Office of Healthy Lifestyles (OHL), along with key stakeholders representing a diverse group of individuals and organizations from around the state, developed this plan over the course of a three year period. Various planning techniques were employed and work groups were formed to assist in the development of the objectives and action steps that are contained in the subsequent chapters.

WVOHL

Benefits of Healthy Eating in Schools

The Wisconsin Nutrition, Physical Activity and Obesity State Plan was developed by the Wisconsin Partnership for Activity and Nutrition (WI PAN) and the Wisconsin Nutrition, Physical Activity and Obesity Program. The State Plan provides a framework or blueprint of evidence-based strategies and best practices for improving nutrition, increasing physical activity and reducing obesity in Wisconsin.

The Plan is targeted to those involved in planning, coordinating, implementing and evaluating interventions or initiatives to address obesity in Wisconsin. We know that where people live, work, learn and plan affects their health. The focus of the State Plan is to create environments where children are able to be breastfed for at least the first year of life, where people have access to safe, affordable and nutritious foods and beverages, where they are able to be physically active as part of their daily routine, and to be deliberate in adapting strategies to reduce health disparities. In essence, making the healthy choice easier.

The State Plan is organized by setting (early care and education, school, food system, active community environment, worksite, and healthcare). The State Plan also contains strategies to strengthen and expand the statewide infrastructure, surveillance and evaluation to monitor and report progress.

With limited resources, the State Plan focused effort on strategies that will reach a large number of people and be sustainable into the future. We know that no one group or strategy will halt the obesity epidemic, it will take the collective commitment of all sectors to work together on a comprehensive approach.

Wisconsin Nutrition, Physical Activity and Obesity Program

Wisconsin Nutrition, Physical Activity and Obesity State Plan

Wyoming Child Health Program

Collaboration is a fundamental part of the Food and Nutrition Service (FNS) commitment to nutrition and health of Americans. The FNS mission recognizes cooperation and working together as vital to the delivery of FNS programs. The State Nutrition Action Plan (SNAP) process fosters strong collaboration and information sharing across program lines and supports implementation of more integrated nutrition education and promotion activities at State and local levels.

Government SNAP Information