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Losing It

 
. Web Feature .
Battling the Bulge 4 pages: | 1 | 2 | 3 | 4 |

Driving Ourselves Fat

Americans are a nation of drivers: we take only 1 percent of trips by bicycle and 9 percent on foot. Compare this figure with the Netherlands, where 30 percent of residents bike and 18 percent walk; or England, where 8 percent bike and 12 percent walk; or Italy, where a whopping 54 percent travel by foot or bike. In the United States, 75 percent of trips shorter than one mile are taken by car. In addition to Americans' love affair with their cars, the invention of the drive-through restaurant and the exodus to the suburbs have changed the landscape of our communities and the shape of our bodies.


Photo of suburban homes
Distinct land use in the suburbs encourages the use of cars and discourages physical activity.

 

One in two Americans lives in the suburbs. Suburban developments are usually spread out, and many lack sidewalks. Residential, retail and recreational areas are often located at considerable distances from one another, making travel difficult without a car. All of these factors combine to encourage a more sedentary lifestyle.

Low levels of physical activity can translate to higher risks for cardiovascular disease, stroke, hypertension, high cholesterol, diabetes and obesity. A Harvard School of Public Health study conducted from 1962 to 1993 on physical activity and cardiovascular disease risk in middle-aged and older women showed that walking 10 blocks per day decreases the chance of developing cardiovascular disease by 33 percent. Small changes in our activity level have profound effects on our health.

 

Walking 10 blocks per day decreases the chance of developing cardiovascular disease by 33 percent.

 

National initiatives like Active Living by Design (ALBD) and local programs like Shape Up Somerville in Massachusetts are working to implement environmental changes that will help combat the obesity problem. Christina Economos, a professor at the Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy at Tufts University, is coordinating a program that combines the resources of the Centers for Disease Control and Prevention, local activists, officials, community members, parents and students.

Photo of pedestrians in a crosswalk
Safer crosswalks for pedestrians may encourage people to be more physically active.  

Research conducted in 2001 found that more than 40 percent of Somerville's 4th-graders are overweight or at risk of being overweight--twice the national average. By creating "walking school buses," implementing school meal changes, offering a new health curriculum and after-school cooking classes, providing equipment for recess, informing parents through newsletters, and sponsoring events that promote physical activity and nutrition, the program aims to encourage new, healthier habits for children.

Historically, weight loss has been an individual battle motivated by an aesthetic ideal. More recently we understand that there are many facets to the problem — some at a biological level and some at a cultural level. A shift of focus away from individual willpower to a coordinated effort within communities to support a healthier lifestyle may result in more success. next page
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4 pages: | 1 | 2 | 3 | 4 |

Photos: Robert Wood Johnson Foundation

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