Posts Tagged ‘obesity’

Keeping a tighter leash on kids in public

Thursday, August 6th, 2009

LiveScience has an interesting article, Kids Today on Tighter Leash, But Wild at Home. It suggests that today’s kids have less independent mobility, perhaps due in part to the bike unfriendly designs of newer communities.

Parents today give their children more freedom at home but keep them on a tighter leash in public, a new study finds. This is the reverse of what was considered good parenting in the early half of the last century, the researcher showed.

The loss of public freedom could reflect social changes, including the current design of towns and suburbs, which focus mostly on the convenience of auto traffic, not kids.

In the early 20th century, advice columns tended to promote obedience, with children listening to parents regarding diet, appearance and other personal matters.

While tightening the leashes at home, parents often gave their kids free rein outside, allowing them to play sports, ride bikes, buses and subways all over town, and even hitch rides.

The Free Press recently published a similar article, Fear and technology are keeping kids indoors.

U.S. children spend 50% less time outdoors than they did 20 years ago, says the Institute for Social Research at the University of Michigan.

The lack of running or biking or splashing around in the sprinkler is one likely factor in rising childhood obesity rates, said education professor Rhonda Clements, who conducted a 2004 study, “An Investigation on the Status of Outdoor Play,” for Manhattanville College in Purchase, N.Y. In it, 85% of mothers reported their children spend less time playing outside than they did growing up.

This reduction in child mobility is also reflected in the number of kids walking or biking to school.

From a 2004 CDC study,

  • In 1969, 42 percent of children 5 to 18 years of age walked or bicycled to school. In 2001, only 16 percent did.
  • In 1969, 87 percent of children 5 to 18 years of age who lived within one mile of school walked or bicycled to school. In 2001, only 63 percent did.

The distances to schools and the traffic-related dangers were most often cited as barriers.

While the Safe Routes to School initiatives are addressing these barriers, it’s really something all of us need to keep pushing.

We need Complete Streets and well-designed communities that accomodate safe accessibility and mobility for future generations of kids — and that don’t require parent chauffeurs.

Obesity costs justify more bicycling investments

Sunday, August 2nd, 2009

A Free Press article last week centered on a new report that exposes the high cost of obesity, which now makes up an estimated 9.1% of all medical spending.

Obesity’s not just dangerous, it’s expensive. New research shows medical spending averages $1,400 more a year for an obese person than for someone who’s normal weight.

Overall obesity-related health spending reaches $147 billion, double what it was nearly a decade ago, says the study published today by the journal Health Affairs.

RTI health economist Eric Finkelstein offers a blunt message for lawmakers trying to revamp the health care system: “Unless you address obesity, you’re never going to address rising health care costs.”

Earlier this week we covered a new report from the CDC that gave strategies on how to reduce America’s obesity rate. Those strategies included investing in our communities to make them more walkable and bikable.

More bike lanes, more sidewalks, etc.

So if obesity costs $147 billion annually, with roughly half financed by Medicare and Medicaid, how much does the federal transportation bill invest in bicycle and pedestrian facilities?

$541 million in 2008 or 0.7% of the obesity-related Medicare and Medicaid costs.

This is further justification to take a more holistic approach to transportation funding. It’s not just about mobility and concrete.

Wise investments in more livable, walkable, and bikeable communities can reduce obesity and the related federal medical spending — as well as everyones health insurance costs.

CDC: Build bike lanes, lose weight

Thursday, July 30th, 2009

Centers for Disease Control and Prevention (CDC)This week the Centers for Disease Control and Prevention (CDC) released a report called Recommended Community Strategies and Measurements to Prevent Obesity in the United States.

In the report, they recommend the following strategies:

Communities Should Enhance Infrastructure Supporting Bicycling

Enhancing infrastructure supporting bicycling includes creating bike lanes, shared-use paths, and routes on existing and new roads; and providing bike racks in the vicinity of commercial and other public spaces. Improving bicycling infrastructure can be effective in increasing frequency of cycling for utilitarian purposes (e.g., commuting to work and school, bicycling for errands). Research demonstrates a strong association between bicycling infrastructure and frequency of bicycling.

The report also cites evidence that “improving bicycling infrastructure is associated with increased frequency of bicycling.” In other words, if you build it, they will bike it.

Also their suggested means for measuring success is the “total miles of designated shared-use paths and bike lanes relative to the total street miles (excluding limited access highways).”

Note that shared-used paths are trails that are nearly always within their own right-of-way (e.g. rail trails.) They should not be confused with side paths or sidewalks, often called safety paths within Oakland County, which should not be designated bicycle facilities according to national guidelines.

Other related suggested strategies include:

  • Enhance infrastructure supporting walking.
  • Improve access to public transportation.
  • Zone for mixed-use development.
  • Support locating schools within easy walking distance of residential areas.

If this sounds like the CDC is promoting Complete Streets then you’re certainly in agreement with Barbara McCann from the National Complete Streets Coalition.

And if you’re interested in staying on top of the Complete Streets movement within Michigan, visit the relatively new Michigan Complete Streets web site.

(via Streetsblog)

Pro-bicycle pitches for conservative ears

Thursday, July 2nd, 2009

Bicycle facility funding often takes verbal punches from some conservative voices who don’t consider it as a valid transportation option as driving.

Here are a couple advocacy approaches that might be more successful when appealing to conservative audiences.

Increasing National Security

William Lind, director of the Center for Cultural Conservatism at the Free Congress Foundation, was recently intereviewed in the Infrastructurist. And though he was talking about public transit, one could easily substitute biking into this same argument.

National Security is always a big interest to conservatives and any time you can talk in those terms, you’re going to have their attention. Virtually every American knows that our greatest single national security vulnerability at the moment, the one that has enmeshed us in the middle east, is our dependence on foreign oil, most of it coming from unstable parts of the world. And this can drag us into unwanted wars, as it has it can result not only in high gas prices, like we had last summer, but in complete cutoffs like we had in ‘73 and ‘79, where events halfway around the world suddenly leave our gas stations without any gas to sell. And at present, if that happens, most Americans have no backup.

Reducing Public Health Costs

The Associated Press recently noted a new report on obesity in the U.S. and its affect on Medicare costs.

Health economists once made the harsh financial calculation that the obese would save money by dying sooner, notes Jeff Levi, executive director of the Trust for America’s Health, a nonprofit public health group. But more recent research instead suggests they live nearly as long but are much sicker for longer, requiring such costly interventions as knee replacements and diabetes care and dialysis. Studies show Medicare spends anywhere from $1,400 to $6,000 more annually on health care for an obese senior than for the non-obese.

“There isn’t a magic bullet. We don’t have a pill for it,” said Levi, whose group is pushing for health reform legislation to include community-level programs that help people make healthier choices like building sidewalks so people can walk their neighborhoods instead of drive, and providing healthier school lunches.

“It’s not going to be solved in the doctor’s office but in the community, where we change norms,” Levi said.

Making our communities more bikeable can play a major role in reducing obesity and reducing public health care costs.

Where does Michigan stand? Here are some health statistics from the report:

  • 29% of Michigan adults are obese
  • Michigan has the ranked ninth in the percentage of obese adults
  • 12% of Michigan high school students are obese
  • On average, this obesity costs Michigan residents $291 per person in medical expenses. This is $33 per person above the national average.

Which state is the fattest? Mississippi has the highest obesity rate at nearly 33% — a title they’ve held for the past five years.

Duh! Obesity and Transportation are Linked

Monday, January 5th, 2009
by Austrian artist Erwin Wurm

by Austrian artist Erwin Wurm

A recent study by the University of Tennessee’s Obesity Research Center documents the relationship between obesity rates and active transportation (i.e. biking, walking, and public transit.)

The study’s lead author, David Bassett, co-director of the Obesity Research Center and professor in the Department of Exercise, Sport and Leisure Studies, said more people are thinking about transportation issues to save gas and money. On top of that, Americans are obsessed with losing weight, and the latest statistics show about one in three U.S. adults are obese.

“Many people blame this on things like technology, TV, Internet and sedentary jobs, but what we found was that there are other industrialized nations who have similar, high standards of living, who do not suffer from obesity to nearly the same extent that the U.S. does,” he said. “I truly believe that the transportation modes in various countries are important in explaining international differences in obesity rates.”

This study’s results are just another justification for building more biking and walking infrastructure in Metro Detroit.

And it also supports the Safe Routes to School concept, especially given the amount of childhood obesity in Michigan.  In 2007, 12% of children in Michigan were obese (>20% overweight.)

Unfortunately many of those responsible for transportation decisions have little experience or background in health.  Improving community health is not on their radar.  But one thing road engineers are good are is understanding numbers — and this study provides them.

  • In 2000, Europeans walked an average of 239 miles per person per year.  Americans walked 88 miles. And while Europeans biked 118 miles per year on average, Americans rode only 25 miles.
  • In Atlanta, every hour per day spent driving was associated with a 6 percent increase in the likelihood of being obese.

One caveat is the results do not prove causality.  However, the authors note the results “suggest that active transportation could be one of the factors that explain international differences in obesity rates.”