Taney County Health Department
An Accredited Local Public Health Department
Chronic Disease Newsletter
Volume 4, Issue 4
Fourth Quarterly Newsletter 2011
February-Heart Health Month-Coronary Heart Disease
Inside this issue:
County Health
Rankings
2
Overweight/Obesity
3
BMI vs. Body Fat
4
Ulcerative Colitis
5
Diabetes
5
SAVE THE DATE!
On May 7-9, 2012, the
Centers for Disease Control
and Prevention Division of
Nutrition, Physical Activity,
and Obesity, will host
Weight of the Nation™, at
the Omni Shoreham Hotel,
Washington, D.C. Planning
for the 2012 conference is
being done by CDC with
members of the planning
committee.
To register visit:
http://
www.weightofthenation.org/
Coronary artery disease
(CAD) occurs when a
substance called plaque
builds up in the arteries that
supply blood to the heart.
Plaque is made up of
cholesterol deposits, which
can accumulate in your
arteries. When this happens,
your arteries can narrow over
time. This process is called
atherosclerosis.
U.S. deaths. To raise
awareness of this disease,
February
has
been
recognized as “American
Heart Month” since 1963.
Plaque buildup can cause
angina, the most common
symptom of CAD. This
condition causes chest pain or
discomfort because the heart
muscle doesn't get enough
blood. Over time, CAD can
weaken the heart muscle.
This may lead to heart failure,
a serious condition where the
heart can't pump blood the
way that it should. An irregular
heartbeat, or arrhythmia, can
also develop.
SYMPTOMS
ATTACK:
OF
HEART
RISK FACTORS:
The National Heart Attack
Alert Program notes these
major symptoms of a heart
attack:

 Chest discomfort. Most
Blood
Levels
Cholesterol

High Blood Pressure

Diabetes Mellitus

Tobacco Use

Diet

Physical Inactivity

Obesity

Alcohol
TREATMENT:
If you have CAD, there are
steps you can take to lower
your risk for having a heart
attack or worsening heart
disease. Your doctor may
recommend
lifest yle
changes such as eating a
healthier diet, exercising,
and not smoking.
heart attacks involve
discomfort in the center of
the chest that lasts for
more than a few minutes,
or goes away and comes
back. The discomfort can
feel like uncomfortable
pres s ure, s quee zing ,
fullness, or pain.
 Discomfort
in other
areas of the upper body.
This can include pain or
discomfort in one or both
arms, the back, neck, jaw,
or stomach.
 Shortness of breath. This
often comes along with
For some people, the first sign
chest discomfort. But it
of CAD is a heart attack. A
also can occur before
heart attack occurs when
chest discomfort.
plaque totally blocks an artery
 Other symptoms. These
carrying blood to the heart. It
may include breaking out
also can happen if a plaque Medications may also be
in a cold sweat or
deposit breaks off and clots a necessary. Medicines can
experiencing nausea or
treat CAD risk factors such
coronary artery.
light–headedness.
as high cholesterol, high
Heart disease is the leading blood pressure, an irregular
cause of death and a major heartbeat, and low blood
cause of disability in the flow. In some cases, more
United States. More than advanced treatments and
600,000 Americans die of surgical procedures can
heart disease annually. This help restore blood flow to
represents about 26% of all the heart.
Source: CDC.gov
Page 2
Chronic Disease Newsletter
2011 County Health Rankings
Health is not valued
till sickness comes.
Thomas Fuller
Fast Facts: 2012
Source: CDC and MoDHSS
Smoking related health care
costs $138 Billion (2003)
Obesity related health care
costs $147 Billion (2008)
Diabetes related health care
costs $174 Billion (2007)
Taney County 36.5% are
current smokers
Taney County 63.8% are
Overweight or obese
Heart Disease related health
care costs $444.2 Billion
(2010)
2012 RANKINGS
RELEASE DATE APRIL 3, 2012
The 2012 County Health
Rankings will be released
on Tuesday, April 3. This
year's release will also
include the new County
Health Roadmaps project
and updated resources
for taking action.
2011 County Health Rankings
Health Outcomes
Mortality
Premature death
Morbidity
Poor or fair health
Poor physical health days
Poor mental health days
Low birth weight
Health Factors
Health Behaviors
Adult smoking
Adult obesity
Excessive drinking
Motor vehicle crash death rate
Sexually transmitted infections
Teen birth rate
Clinical Care
Uninsured adults
Preventable hospital stays
Diabetic screening
Mammography screening
Social & Economic Factors
High school graduation
Some college
College Degrees
Unemployment
Children in poverty
Inadequate inequality
Inadequate social support
Children in single-parent
households
Violent crime rate
Physical Environment
Air pollution-particulate matter
days
Air pollution-ozone days
Access to healthy foods
Access to recreational facilities
Source: 2011 County Health Rankings
Missouri
8,043
16%
3.7
3.6
8.00%
24%
30%
17%
20
422
45
17%
79
83%
62%
82%
60%
Taney
2011
53
33
7,972
74
18%
3.9
5.5
7.40%
71
87
25%
31%
11%
25
196
58
17
22%
54
84%
67%
87
90%
58%
Taney
2010
55
70
9,061
40
16%
3.4
4.7
6.80%
55
24
22%
30%
10%
27
249
55
19
18%
55
79%
34%
90
82%
Percent
Change
-4%
-53%
-12%
85%
13%
15%
17%
9%
29%
263%
14%
3%
10%
-7%
-21%
5%
-11%
22%
-2%
6%
97%
-3%
10%
-100%
51%
14%
-100%
5%
9.30%
19%
12.10%
24%
20%
21%
15%
8%
21%
45
20%
32%
516
27%
641
33
7%
599
89
286%
7%
-63%
0
7
47%
10
0
0
29%
17
1
0
18%
-100%
61%
Volume 4, Issue 4
Page 3
Overweight and Obesity Among People with Disabilities
The importance of overweight
and obesity related to people
with disabilities is a particular
problem of public health.
Obesity is more prevalent
among people with disabilities
than for people without
disabilities and is an important
risk factor for other health
conditions.
Overweight and obesity are
both labels for ranges of
weight that are greater than
what is generally considered
healthy for a given height. The
terms also identify ranges of
weight that have been shown
to increase the likelihood of
certain diseases and other
health problems. Behavior,
environment, and genetic
factors can affect whether a
person is overweight or obese.
For adults, overweight and
obesity ranges are determined
by using weight and height to
calculate a number called the
“body mass index” (BMI). BMI
is used because, for most
people, it correlates with their
amount of body fat.
find it more difficult to always eat
healthy, control their weight, and
be physically active. This might be
due to:








A lack of healthy food choices.
Difficulty with chewing or
swallowing food, or with the
taste or texture of foods.
Medications can contribute to
weight gain, weight loss, and
changes in appetite.
Physical limitations that can
reduce a person’s ability to
exercise.
Pain.
A lack of energy.
Lack
of
accessible
environments (for example,
sidewalks, parks, and exercise
equipment) that can enable
exercise.
Lack of resources (for
example,
money;
transportation; and social
support from family, friends,
neighbors, and community
members).
Physical Activity for People with
Disabilities
Evidence shows that regular
p h ys i c a l a c t i vi t y p r o v i d e s
important health benefits for
people with disabilities. Benefits

include improved cardiovascular
and muscle fitness, improved
mental health, and a better ability
Among children of the same to do tasks of daily life.
age and sex, overweight is
defined on CDC growth charts Sufficient evidence now exists to
as a BMI at or above the 85th recommend that adults with
percentile and lower than the disabilities should get regular
95th percentile. Obesity is physical activity. Learn more about
defined as having a BMI at or Physical Activity Guidelines for
Americans
at
http://
above the 95th percentile.
www.health.gov/PA Guidelines
People with disabilities can and www.ncpad.org

An adult who has a BMI
between 25 and 29.9 is
considered overweight.
An adult who has a BMI of
30 or higher is considered
obese.
The Obesity Epidemic
Obesity affects different people
in different ways and may
increase the risk for other health
conditions among people with
and without disabilities.
For people with disabilities:
• Children and adults with
mobility limitations and
intellectual or learning
disabilities are at greatest
risk for obesity.
• 20% of children 10 through
17 years of age who have
special health care needs
are obese compared with
15% of children of the same
ages without special health
care needs.
• Annual health care costs of
obesity that are related to
disability are estimated at
approximately $44 billion.
Source: CDC.gov
Page 4
Chronic Disease Newsletter
BMI vs Body Fat Percentage
Body Fat Calculator
Location
http://
www.livestrong.com/
tools/body-fatcalculator/
BMI and Normal
Weight Obesity
According the Mayo
Clinic, more than half of
Americans have normal
BMI, or normal scale
weight, and high body
fat
percentage.
Researchers are now
calling this normal
weight obesity and
report that it's just as
unhealthy as having a
high scale weight.
There are two ways to
measure your health and
fitness: body mass index
(BMI) and body fat
percentage.
Though many people talk
about body mass index and
body fat
percentage
interchangeably, BMI and
body fat percentage should
be used for different stages
in your fitness journey.
BMI stands for body mass
index. The two factors used
to determine your BMI are
your height and weight.
Doctors often use BMI as a
simple and easy way to
measure if the person is
healthy, underweight or
overweight. It is important to
note that a BMI score isn't a
hard rule about what a
person should weigh, it's just
an
educated
guess.
The formula to get your BMI
score is (Your weight in
pounds x 703) ÷ (Your height
in inches x Your height in
inches). The results of your
BMI score are determined as
follows: Below 18.5 is
underweight; 18.5 to 24.9 is
normal; 25.0 to 29.9 is
overweight; and 30.0 or
higher is obese.
If You Work Out, BMI
Isn't For You
fitness for someone who is
physically
active.
BMI does have one major
drawback--it doesn't take
into account how much of
your weight is muscle and
how much of your weight is
fa, which can give you
false
information.
The results of your body fat
percentage are determined
as follows:
For women, 10 to 12 percent
is essential fat; 14 to 20
percent is in the athlete
category; 21 to 24 percent is
fit; 25 to 31 percent is
acceptable; and 32 percent
or more is obese.
If you are an athlete or
active, you are going to
have more weight in
muscle than the average
person, and your BMI may
not accurately reflect your
health and fitness, or how
healthy and fit you look.
Many athletes have a
higher than normal scale
weight, despite being
active and being lean. It's
not
u nus ua l
f or
a
bodybuilder, football player
or basketball player to
have a BMI that reads
overweight or obese. This
is
where
body f at
percentage comes in. Body
fat percentage is literally
measuring
what
percentage of your body
is made up of fat.
Everything else is usually
referred to as "lean tissue."
This gives a more accurate
representation of health,
For men, 2 to 4 percent is
essential fat; 6 to 13 percent
is in the athlete category; 14
to 17 percent is fit; 18 to 25
percent is acceptable; and
25 percent or more is obese.
Source: Livestrong.com
Body Fat Percentage = Fat Mass ÷ Bodyweight
Let's say there are two
women who are the same
height and weight: Alice
and Melissa.
Both Alice and Melissa are
5 foot 4 inches and 140
lbs., which means they both
have a BMI of 24.
Alice does not work out,
and eats junk food. She just
controls her junk food
portion sizes, and that
keeps her scale weight
down. Alice has 42 pounds
of fat and 98 pounds of lean
mass.
That would mean that Alice
is thirty percent body fat.
Melissa does a weight
training workout and cardio
three days per week and
eats a healthy diet. Melissa
has 28 lbs. of fat and 112
lbs. of lean mass. Melissa
would be 20 percent body
fat. Even though Alice and
Melissa both have the same
scale weight, they have
drastically different looking
bodies, and that's reflected in
their body fat percentages
being at opposite ends of the
spectrum..
Source: Livestrong.com
Volume 4, Issue 4
Page 5
Ulcerative Colitis
Ulcerative colitis is a form of colitis, a disease of the intestine, specifically the large intestine or colon, that includes
characteristic ulcers, or open sores, in the colon. The main symptom of active disease is usually constant diarrhea mixed
with blood, of gradual onset. Ulcerative colitis is, however, believed to have a systemic etiology that leads to many
symptoms outside the intestine. Because of the name, Irritable BoweI Disease (IBD) is often confused with irritable
bowel syndrome (“IBS”), a troublesome, but much less serious condition. Ulcerative colitis has similarities to Crohn’s
disease, another form of IBD. Ulcerative colitis is an intermittent disease, with periods of exacerbated symptoms, and
periods that are relatively symptom-free.
Affecting close about 2 million Americans, Colitis is a disease that equally affects both men and women. Colitis can be
caused by a range of different disease’s and is most likely found in younger people, before the age of 30. If a family
member or relative has Colitis, there is a risk for you getting the disease. Unfortunately, there is not a cure for Colitis.
But, there are therapies that are available to help Colitis. Sometimes, therapy can help diminish symptoms and have
even brought on remissions. Based on the symptoms you experience and your medical history, your doctor will advise
you on what you can do to help reduce the Colitis.
It is important to understand this disease and recognize the signs of Colitis. It is a disease that is imperative to manage
and to find a treatment that works for you. Aspects as dynamic as stress and heredity play into Colitis. A quantity of
people never get treated for Colitis because they believe that nothing can be done. If you have symptoms of Colitis visit
your doctor for further testing.
Source: CDC.gov
2008 Age-Adjusted Estimates of the Percentage of Adults with Diagnosed Diabetes in
Diagnosed diabetes in
people younger than 20
years of age, United States,
2010.
About 215,000 people
younger than 20 years
have diabetes (type 1 or
type 2). This represents
0.26% of all people in this
age group. Estimates of
undiagnosed diabetes are
unavailable for this age
group.
Source: CDC.gov
2011 National Diabetes Fact Sheet
Diagnosed and undiagnosed diabetes among people aged 20 years or older, United States, 2010
Age 20 years or older: 25.6 million, or 11.3% of all people in this age group, have diabetes.
Age 65 years or older: 10.9 million, or 26.9% of all people in this age group, have diabetes.
Men: 13.0 million, or 11.8% of all men aged 20 years or older, have diabetes.
Women: 12.6 million, or 10.8% of all women aged 20 years or older, have diabetes.
Non-Hispanic Whites: 15.7 million, or 10.2% of all non-Hispanic Whites aged 20 years or older, have diabetes.
Non-Hispanic Blacks: 4.9 million, or 18.7% of all non-Hispanic Blacks aged 20 years or older, have diabetes.
Source: CDC.gov
Taney County Health Department
Western Office:
320 Rinehart Rd
Branson, Mo. 65616
Phone:417-334-4544
Fax: 417-335-5727
Eastern Office:
15479 State Hwy 160
Forsyth, Mo. 65653
Community Events
Basic Life Support/CPR—Throughout the month of February
Skaggs Regional Medical Center-http://www.skaggs.net/module.cfm?
id=283
Joint and Spine Center Class—February 6, 13 ,20 , 27
Skaggs Cardiac & Pulmonary Rehab Room
Breast Feeding Support Group February 14, 2012
Taney County Health Department-Western Office Conference Room
Phone: 417-546-4725
Fax: 417-546-4727
Visit us at:
www.taneycohealth.org
Obesity vs Smoking
Obesity has edged out
smoking in terms of health
hazards. According to a
study
performed
by
Columbia University and the
City College of New York
and published in the
Amer ican Jour nal of
Preventive Medicine, being
obese, defined by the
National Institutes of Health
(NIH) as having a Body
Mass Index or BMI of 30 or
more, significantly increases
your chances of having a
declining quality of life the
longer you remain so.
Questions or Comments?
Please contact:
Kimberly Foster at:
417-334-4544 or
[email protected]
degenerative
j o i n t needed to address
diseases, and on and the obesity issue.
on.
Smoking, on the
other hand, tends to lead
to a narrower group of
diseases, mainly forms of
cancer.
The bottom line is that
your future quality of life,
your ability to move
around and do what you
want, will be significantly
reduced if you’re obese
or
if
you’re
a
smoker. From 1993 to
2008, the study noted,
the number of adult
smokers in America
decreased 18.5%, thanks
to the many anti-smoking
campaigns and quitsmoking programs and
treatments that have
been implemented over
that same time period.
The study found that
“obesity had a larger effect
on disease, while smoking
had a greater impact on
deaths.” Translation? Being
obese leaves you wide
open to a large number of
diseases such as heart
disease, liver disease,
diabetes, kidney disease, Collaborative efforts are
Source: AJPM