Goal 1

Increase the awareness of overweight and obesity as a major public health threat.

  • Objective 1a

    Increase the perception that overweight and obesity are significant public health risks by a wide array of stakeholders including the healthcare community and the general public.

  • Objective 1b

    Increase the proportion of persons who know the health risks (hypertension, dyslipidemia, insulin resistance, etc.) and diseases (i.e., diabetes, cardiovascular disease, cancer, arthritis, asthma, disability) associated with overweight and obesity.

  • Objective 1c

    Increase the proportion of persons aware of the economic impact (i.e., increased healthcare and insurance costs, increased absenteeism) associated with overweight, obesity and obesity-related diseases.

  • Objective 1d

    Increase the proportion of persons who know the environmental, socioeconomic and personal factors (poor nutrition, physical inactivity) that contribute to obesity.

Goal 2

Increase early recognition of overweight and/or excessive weight gain.

  • Objective 2a

    Increase the proportion of healthcare providers who routinely monitor, track and inform patients and/or parents of weight gain or growth:

    • For adults, using Body Mass Index (BMI) to screen for overweight and obesity
    • For children, aged 2-18 years, using gender-specific BMI-for-age-percentiles
    • For infants, aged 0-2 years using gender-specific weight-for-height percentiles
    • For pregnant women, using weight gain charts based on a woman's pre-pregnancy BMI
  • Objective 2b

    Increase the proportion of adults who know their own weight status (based on BMI) and their children's weight status (based on gender-specific BMI-for-age percentile).

  • Objective 2c

    Increase the proportion of schools that collect accurate height and weight measurements (required by New York State Education Department at school entrance and in grades 1, 3, 7 and 10), calculate BMI, and communicate pupils' weight status (based on BMI percentile) to the NYS Department of Health.

  • Objective 2d

    Increase the proportion of [pregnant women] who gain the optimal recommended amount of weight [as defined by Institute of Medicine (IOM) Guidelines] based on a woman's pre-pregnant weight during their pregnancies (HP 2010, 16-12).

Goal 3

Improve management (medical and non-medical) of people who are overweight or obese and those with obesity-related diseases.

  • Objective 3a

    Increase the proportion of people appropriately counseled by medical and allied healthcare providers about achieving and maintaining a healthy weight.

  • Objective 3b

    Improve management of obesity-related diseases.

  • Objective 3c

    Reduce barriers that impede medical and allied healthcare professionals from managing (providing behavioral, nutritional, medical and surgical treatment) individuals who are overweight or obese.

Goal 4

Increase initiation, exclusivity and duration of breastfeeding during infancy.

  • Objective 4a

    Increase the proportion of mothers who exclusively breastfeed their babies in early postpartum to 75% and at 6 months to 50%, and increase the proportion of mothers who breastfeed at one year of age to 25% (HP 2010, 16-19).

  • Objective 4b

    Reduce racial/ethnic, income, and age disparities in breastfeeding rates.

  • Objective 4c

    Increase the proportion of medical and allied healthcare providers who counsel women about breastfeeding during prenatal period, at the time of delivery and postpartum and who provide lactation support services.

  • Objective 4d

    Increase protection, promotion and support for breastfeeding by mothers in the workplace.

Goal 5

Improve lifelong healthy eating.

  • Objective 5a

    Increase awareness and knowledge about healthy eating.

  • Objective 5b

    Increase the proportion of persons who balance caloric intake with energy expenditure to achieve and maintain a healthy weight.

  • Objective 5c

    Increase the proportion of persons aged 2 years and older who meet dietary recommendations for calcium [by increasing consumption of lowfat or fat-free milk or dairy products] (HP 2010, 19-11).

  • Objective 5d

    Increase the proportion of persons aged 2 years and older who consume at least three daily servings of vegetables, with at least onethird being dark green or orange vegetables (HP 2010, 19-6), and at least 2 servings per day of fruits (HP 2010, 19-5).

  • Objective 5e

    Increase the proportion of children and adolescents whose intake of meals and snacks at [childcare centers,] schools, [and after-school programs] contributes to good overall dietary quality (HP 2010, 19-15).

  • Objective 5f

    Increase food security among [NYS] households and, in so doing, reduce hunger (HP 2010, 19-18).

Goal 6

Increase lifelong physical activity.

  • Objective 6a

    Increase the proportion of adolescents and adults aware of current physical activity guidelines and recommendations.

  • Objective 6b

    Increase the proportion of adults aged 18 and older who meet current recommendations for physical activity, specifically:

    • Reduce to at most 20 percent the proportion of adults aged 18 and older who engage in no leisure-time physical activity (HP 2010, 22- 1) (See Figure 19).
    • Increase the proportion of adults who engage regularly, preferably daily, in moderate physical activity for at least 30 minutes per day (HP 2010, 22-2), and/or vigorous physical activity for at least 20 minutes per day (HP2010, 22-3).
  • Objective 6c

    Increase the proportion of worksites offering employer-sponsored physical activity and fitness programs (HP 2010, 22-13).

  • Objective 6d

    Increase the proportion of [children and] adolescents [aged 2-18] years who engage in moderate physical activity for at least [60] minutes per day on five or more of the previous seven days (HP 2010, 22-6; NASPE).

  • Objective 6e

    Increase the proportion of schools that comply with NYS Department of Education physical education regulations.

  • Objective 6f

    Increase the proportion of [children and] adolescents who spend at least 50% of school physical education class time being physically active (HP 2010, 22-10).

  • Objective 6g

    Increase the proportion of [NYS's] public and non-public schools that require daily physical education classes for all students (HP 2010, 22-8).

  • Objective 6h

    Increase the number/proportion of trips made by walking, bicycling [and other means of self-propulsion (e.g., wheelchairs, rollerblading)] (HP 2010, 22-14 and 22-15).

Goal 7

Decrease exposure to television and other recreational screen time.

  • Objective 7a

    Increase awareness and knowledge of recommendations to limit television viewing and other recreational screen time.

  • Objective 7b

    Increase the proportion of [children,] adolescents, [and adults] who view television [and other recreational screen time] no more than two hours per day (HP 2010, 22-11; AAP).

  • Objective 7c

    Increase media literacy.

  • Objective 7d

    Decrease exposure by children and youth to advertisement for products associated with increased risk of obesity.

Goal 8

Increase policy and environmental supports for physical activity and healthy eating, including breastfeeding.

  • Objective 8a

    Increase the number/proportion of institutional and environmental policies that promote energy balance.

  • Objective 8b

    Increase the proportion of childcare centers, schools and worksites that have 1) assessed, 2) developed plans, 3) implemented and 4) evaluated changes to their nutrition and physical activity environments.

  • Objective 8c

    Increase the availability and accessibility of affordable, healthy foods and beverages.

  • Objective 8d

    Increase the availability and accessibility of affordable places to be physically active.

  • Objective 8d

    Increase advocacy and public support for initiatives, policies and legislation that eliminate barriers to healthy food choices and physically active lifestyles.

Goal 9

Increase and maintain effective public health responses to the obesity epidemic in NYS.

  • Objective 9a

    Increase availability, accessibility and sustainability of support and financial resources for overweight/obesity prevention activities.

  • Objective 9b

    Strengthen statewide, regional and local infrastructure to promote coordination among partners across the state and within each region.

  • Objective 9c

    Enhance communication and collaboration among the overweight/obesity prevention program, community partners and statewide stakeholders.

Goal 10

Expand surveillance and program evaluation to prevent overweight and obesity.

  • Objective 10a

    Analyze, synthesize and disseminate existing data related to overweight, obesity, obesity-related diseases, nutrition, physical activity, television viewing, breastfeeding, food insecurity and related issues to monitor progress toward achieving program goals.

  • Objective 10b

    Summarize and disseminate science-based best practices for the prevention of overweight and obesity on an ongoing basis.

  • Objective 10c

    Enhance, expand and strengthen surveillance to ensure that information is available across the population and within defined geographic areas.

  • Objective 10d

    Develop and implement data collection systems to evaluate the impact of overweight and obesity prevention programs.

  • Objective 10e

    Evaluate the design, implementation and effectiveness of interventions to reduce overweight and obesity and to improve health outcomes.

  • Objective 10f

    Increase the number and diversity of obesity prevention programs across age, gender, educational levels, income levels and racial/ethnic groups that are being evaluated.