Communities Putting Prevention to Work:
Supporting healthy eating & active living in King County
Sandy Ciske NNIP Meeting
May 12, 2011
Public Health – Seattle & King County
Specific Goals of CPPW
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Increase levels of physical activity
Improve nutrition (e.g. increase fruit/vegetable consumption,
reduce consumption of unhealthy foods)
Decrease overweight/obesity prevalence
Public Health – Seattle & King County
Funding
Public Health allocated most CPPW obesity
prevention ($15.5 million) dollars to:
 External partners such as school districts,
community-based agencies, local governments, and
media organizations.
 The focus of funding is on the communities with the
greatest needs.
Public Health – Seattle & King County
Obesity in King County
54% Adults are overweight
 20% Adults are obese
 22% Middle and high school
youth are overweight or obese
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Public Health – Seattle & King County
Adult Obesity by Race/Ethnicity
Increasing over time
and rising disparities:
1990: 6.2% King
County adults were
obese.
2009: 23.1% King
County adults were
obese.
Public Health – Seattle & King County
Planning for Healthy Communities
Comprehensive planning
decisions can create
communities that allow
people to be physically
active, eat healthy food,
and live in safe and
healthy places.
Public Health – Seattle & King County
Planning for Healthy Communities
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Density and diversity of land
uses to make walking or
bicycling easier
Convenient and frequent mass
transit service
Safe and accessible
pedestrian and bicycle
infrastructure
Affordable housing available
for people of all income
levels
Access to healthier,
affordable food
Public Health – Seattle & King County
Sugar-loaded Beverage Consumption
In King County, 22% of
middle and high school
youth are overweight or
obese…
6-13% of their daily
calorie consumption comes
from drinking sugarloaded beverages, like
sodas and energy drinks.
Public Health – Seattle & King County
Sugar-loaded Beverage Consumption
Public Health – Seattle & King County
Sugar-loaded Beverage Consumption
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Restrict the sale of sugar-loaded
beverages in schools and child
care programs
Limit marketing of sugar-loaded
beverages, especially to youth
Reduce prices of more healthful
beverages; and
Increase prices of sugar-loaded
beverages.
Public Health – Seattle & King County
Healthy Places for Kids – Physical Activity
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Quality physical education
in schools
Recess before lunch
Safe Routes to School
Programs
Joint use agreements for
gyms and sports fields
Public Health – Seattle & King County
Healthy Places for Kids – Nutritious Food
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Establish nutrition standards
in child care and school
settings
Create a healthy food zone
around schools
Ban or replace certain
foods and beverages in
vending machines or restrict
student access to the
machines
Public Health – Seattle & King County
Healthy Eating/Active Living Outcomes
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King County Board of Health (KCBOH) adopted
comprehensive health and land use standards, which are
incorporated into county-wide planning guidance (1.9 M
residents).
Land use and transportation plans in eight of lowest income
cities incorporated specific elements of KCBOH Planning for
Healthy Communities Guidelines, providing long term improved
access to healthy food and physical activity for 600,000
residents.
Worksite policy changes in low-income and immigrant
communities increased healthy eating, physical activity, and
access to weight control programs in 50 “early adopter”
businesses and similar changes for congregations and staff of
6 churches.
Public Health – Seattle & King County
Healthy Eating Outcomes
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"Healthy Foods Here" new economic development program
leverages private sector investment and increases healthy food
availability in corner grocery stores in 20 low-income and
immigrant communities.
A new urban agriculture project for low-income and immigrant
farmers supplied more than 10,000 pounds of food annually
to Healthy Foods Here corner stores.
Access provided for 38,500 WIC participants to farmers
markets.
Improved nutritional quality of school meals in four of the
county’s poorest school districts serving 94,000 students
Improved access to healthy food for 1,800 childcare programs
through adoption of model policies, changes to state licensing
standards, and expansion of farm-to-table programs.
Public Health – Seattle & King County