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HCE Programs - Evidence Based

In keeping with the HCE mission we recognize that obesity (From Wikipedia, Redirected from Weight control, is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems.[1][2] During the past 20 years, overweight and obesity prevalence rates among adults have risen dramatically in the U.S. Current statistics indicate that nearly 30% of U.S. adults are obese. Obesity is a public health and policy problem because of its prevalence, costs, and health effects.[131] National statistics are high and Nevada has not escaped the rising epidemic of overweight and obesity with prevalence rates paralleling U.S. trends. The 2011 CDC data measuring adult obesity prevalence in Nevada is 28%. People are considered obese when their body mass index (BMI), a measurement obtained by dividing a person's weight in kilograms by the square of the person's height in centimeters, exceeds 30 kg/m2.[3] The National Institutes of Health (NIH) defines overweight as a BMI of 25-29, and obesity as a BMI 30. These BMI categories are based on the effect body weight has on disease and death, not simply a percentage of body fat (WHO, 1995). As BMI increases, the risk for some diseases increases. It is important to recognize that BMI is only one of many factors that determine a persons risk for disease. Obesity is a leading preventable cause of death worldwide, with increasing prevalence in adults and children, and authorities view it as one of the most serious public health problems of the 21st century.[4] Obesity increases the likelihood of various diseases, particularly heart disease, type 2 diabetes, obstructive sleep apnea, certain types of cancer, and osteoarthritis.[5] Obesity is most commonly caused by a combination of excessive food energy intake, lack of physical activity, and genetic susceptibility, although a few cases are caused primarily by genes, endocrine disorders, medications or psychiatric illness. Evidence to support the view that some obese people eat little yet gain weight due to a slow metabolism is limited. In Nevada, the estimated costs for treating conditions associated with overweight and obesity totals $337 million annually according to estimates from the CDC. These costs are expected to increase over time.

Obesity Rates for Las Vegas, Nevada, Metro areaObese Over weight 
Healthy Weight - Neither
Over Weight or Obese
Under Weight

Source: 2011 CDC data
 Body Mass Index 30-99.825-29.9  20-24.9 < 20

Understanding Obesity and it's Effects

Complications are either directly caused by obesity or indirectly related through mechanisms sharing a common cause such as a poor diet or a sedentary lifestyle. A combination of excessive food energy intake and a lack of physical activity is thought to explain most cases of obesity.[6] Dieting and physical exercise are the mainstays of treatment for obesity. Diet quality can be improved by reducing the consumption of energy-dense foods such as those high in fat and sugars, and by increasing the intake of dietary fiber. Through the HCE programs we provide food intake information, activity and energy expenditure information, Disease and Disorder prevention, and host healthy lifestyle change programs because diet programs may produce weight loss over the short term,[7] but maintaining weight loss is frequently difficult and often requires making exercise and a lower food energy diet a permanent part of a person's lifestyle.[8][9].


Why Dancing? 

Dance is great for helping people of all ages and physical abilities get and stay in shape and can give you a great mind-body workout. Many people choose dancing verses going to the gym and other traditional exercise outlets because it is fun and enjoyable and they stick to it! Researchers are learning that regular physical activity in general can help keep your body, including your brain, healthy as you age. Exercise increases the level of brain chemicals that encourage nerve cells to grow. Dancing that requires you to remember dance steps and sequences boosts brain power by improving memory skills which is the foundation of the dances provided by HCE. There's even chair dancing for people with physical limitations. A 150-pound adult can burn about 150 calories doing 30 minutes of moderate social dancing. 



Dance Benefits

  • Strengthen bones and muscles without hurting your joints 
  • Tones your entire body 
  • Improves your posture and balance, which can prevent falls 
  • Increases your stamina and flexibility 
  • Reduces stress and tension 
  • Builds confidence 
  • Provides opportunities to meet people, 
  • Wards off illnesses like diabetes, high blood pressure, heart disease, osteoporosis, and depression 



Why HCE Programs are Implemented

The Healthy Choice Enterprise, Inc's. (HCE) overall mission is to decrease the burden of chronic diseases by decreasing the prevalence of obesity in Nevada and teaching the community about the relationship between obesity and chronic disease to help implement long term compliance. The HCE Board of Directors and Advisory Council intend to use Nevada's Strategic Plan and guidelines for the Prevention of Obesity as a guidance in the foundation of HCEs program development to engage the public in programs that will help improve fitness and wellness across the youth and adult population groups in Nevada and throughout the country. HCE works to inform, educate, and empower people about health issues. We work to provide programs that people enjoy and will stick to long term, to help individuals engage in regular moderate physical activity through dance and encourage limiting television and other sedentary activities. 



1. WHO 2000 p.6 1. Haslam DW, James WP (2005). "Obesity". Lancet 366 (9492): 1197209. doi:10.1016/ S0140-6736(05)67483-1. PMID 16198769. 1. WHO 2000 p.9 1. Barness LA, Opitz JM, Gilbert-Barness E (December 2007). "Obesity: genetic, molecular, and environmental aspects". Am. J. Med. Genet. A 143A (24): 3016. doi:10.1002/ajmg.a.32035. PMID 18000969. 1. ^ Jump up to: a b c d Lau DC, Douketis JD, Morrison KM, Hramiak IM, Sharma AM, Ur E (April 2007). "2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children summary". CMAJ 176 (8): S113. doi:10.1503/cmaj.061409. PMC 1839777. PMID 17420481. 1. Satcher D (2001). The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity. U.S. Dept. of Health and Human Services, Public Health Service, Office of Surgeon General. ISBN 978-0-16-051005-2. 1. Strychar I (January 2006). "Diet in the management of weight loss". CMAJ 174 (1): 5663. doi:10.1503/cmaj.045037. PMC 1319349. PMID 16389240. 1. Shick SM, Wing RR, Klem ML, McGuire MT, Hill JO, Seagle H (April 1998). "Persons successful at long-term weight loss and maintenance continue to consume a low-energy, low-fat diet". J Am Diet Assoc 98 (4): 40813. doi:10.1016/S0002-8223(98)00093-5. PMID 9550162. 1. Tate DF, Jeffery RW, Sherwood NE, Wing RR (1 April 2007). "Long-term weight losses associated with prescription of higher physical activity goals. Are higher levels of physical activity protective against weight regain?". Am. J. Clin. Nutr. 85 (4): 9549. PMID 17413092. ADDITIONAL DATA SOURCES UTILIZED IN PREPARING THIS REPORT: Dance and health - Wikipedia, the free Calle EE, et al. BMI and mortality in prospective cohort of U.S. adults. New England Journal of Medicine 1999;341:10971105. Finkelstein, EA, Fiebelkorn, IC, Wang, G. National medical spending attributable to overweight and obesity: How much, and whos paying? Health Affairs 2003;W3;219226. Finkelstein, EA, Fiebelkorn, IC, Wang, G. State-level estimates of annual medical expenditures attributable to obesity. Obesity Research 2004;12(1):1824 Gallagher D, et al. How useful is BMI for comparison of body fatness across age, sex and ethnic groups? American Journal of Epidemiology 1996;143:228239. Institute of Medicine. The future of public health. Washington:National Academies Press. 1988. Institute of Medicine. Th e future of the publics health in the 21st Century. National Academies Press. 2002. Kim, Y., Kyoung Suh, Y., Choi, H. BMI and Metabolic Disorders in South Korean Adults: 1998 Korea National Health and Nutrition Survey. Obesity Research. 2004.12:445-453. Nelson, J.C., Essien, J.D.K., Loudermilk, R.D., Cohen, D. Th e public health competency handbook: optimizing organizational and individual performance for the publics health. Atlanta, GA: Center for Public Health Practice, Rollins School of Public Health, Emory University. 2002. Public Health Functions Steering Committee. The Public Health Workforce: An Agenda for the 21st Century. Full Report of the Public Health Functions Project, U.S. Department of Health and Human Resources. 1994. National Institute for Health Care Management (NICHM). Obesity in Young Children: Impact and Intervention. 2004. Schwimmer, BM, Burwinkle, TM, Varni, JW. Health-related quality of life of severely obese children and adolescents. Journal of the American Medical Association 2004. 289:1813-1819. Wang, G, Dietz, W. Economic burden of obesity in youths aged 6-17 years: 1979-1999. Pediatrics 2002. 109:81-89. World Health Organization. Physical status: Th e use and interpretation of anthropometry. Geneva, Switzerland: World Health Organization 1995. WHO Technical Report Series. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System Online Prevalence Data, 1995-2003. Interactive database available on-line at /BRFSS