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Emerging Infectious Diseases Journal
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Volume 3: No. 1, January 2006

TOOLS & TECHNIQUES
The Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases: Monitoring Progress in Funded States

State $
Alabama 1320
Alaska 195
Arizona (2004) 752
Arkansas (2005) 663
California 7675
Colorado (2004) 874
Connecticut 856
Delaware 207
Florida (2004) 3987
Georgia (2004) 2133
Hawaii 290
Idaho 227
Illinois (2004) 3439
Indiana 1637
Iowa (2005) 783
Kansas 657
Kentucky (2004) 1163
Louisiana 1373
Maine (2004) 357
Maryland (2004) 1533
Massachusetts (2004) 1822
Michigan (2005) 2931
Minnesota 1307
Mississippi 757
Missouri (2004) 1636
Montana (2005) 175
Nebraska 454
Nevada 337
New Hampshire 302
New Jersey 2342
New Mexico (2004) 324
New York (2004) 6080
North Carolina (2004) 2138
North Dakota 209
Ohio 3304
Oklahoma (2005) 854
Oregon (2004) 781
Pennsylvania (2004) 4138
Rhode Island (2005) 305
South Carolina (2004) 1060
South Dakota (2005) 195
Tennessee 1840
Texas (2004) 5340
Utah 393
Vermont (2005) 141
Virginia 1641
Washington (2004) 1130
Washington, DC 372
West Virginia (2004) 588
Wisconsin (2004) 1487
Wyoming 87

Figure 1. Funded states and state-level estimates of annual medical expenditures attributable to obesity (2003 dollars, in millions). Years in parentheses show fiscal year through which states were funded. The states funded through 2004 are the 20 states addressed in this article. Source: Adapted from Finkelstein EA et al (5).

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Policies Initiated: 30% (6) Planned: 30% (6)
Legislation Initiated: 45% (9) Planned: 55% (11)
Other Environmental Changes Initiated: 15% (3) Planned: 10% (2)

Figure 2. Percentage of states reporting environmental changes through policies, legislation, and other environmental changes. Data are based on December 2004 progress reports from the 20 state programs and reflect environmental changes that were initiated and planned between January and June 2004. Other environmental changes are strategies other than policies and legislation, such as urban planning, that alter or control the legal, social, economic, and physical environment affecting nutrition and physical activity.

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Increasing Physical Activity 83% (24)
Increasing Fruit and Vegetable Consumption 55% (16)
Balancing Caloric Intake and Expenditure 38% (11)
Decreasing Television-Viewing Time 38% (11)
Increasing Breastfeeding 21% (6)

Figure 3. Percentage of interventions incorporating key evidence-based strategies. Percentages were calculated based on 29 active interventions from January to June 2004. Because some interventions incorporated multiple strategies, totals across all columns exceed 100%.

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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.


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