2022 Atlanta Board of Trustees Meeting

policy: “Addressing Discriminatory Health Plan Exclusions or Problematic Benefit Substitutions for Essential Health Benefits Under the Affordable Care Act.” 10 ; and Whereas obesity disproportionately affects women and minorities 11,12,13 ; and Whereas according to the CDC Maternal morbidity and mortality rates are indirect measure of the strength of our healthcare; and women with obesity are at increased risk for cardiac dysfunction, proteinuria, sleep apnea, nonalcoholic fatty liver disease , gestational diabetes mellitus , and preeclampsia 14 and pre- pregnancy obesity is associated with infertility, stillbirth, early termination of breastfeeding, postpartum anemia, and depression. Further, long-term risks for the infants of women with obesity include an increased risk of metabolic syndrome and childhood obesity; 15 and Whereas in a nationally representative sample of US adults, the prevalence of diabetes increases with increasing weight classes. Nearly one fourth of adults with diabetes have poor glycemic control and nearly half of adults with diabetes have obesity, suggesting that weight loss is an important interventionto reduce the impact of diabetes on the health care system 16 ; and Whereas it is estimated that the prevalence of diabetes will increase by 54% to more than 54.9 million Americans between 2015 and 2030; annual deaths 10 Resolution 814, i16 – H-185.925 11 CDC, http://www.cdc.gov/nchs/data/hestat/obesity_adult_11_12/obesity_adult_11_12.htm accessed 11/14/2016 12 https://www.cdc.gov/pcd/issues/2019/18_0579.htm accessed 3/10/2022 13 Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in Obesity Among Adults in the United States, 2005 to 2014. JAMA. 2016;315(21):2284-2291. doi:10.1001/jama.2016.6458 14 American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins–Obstetrics. Obesity in Pregnancy: ACOG Practice Bulletin, Number 230. Obstet Gynecol. 2021 Jun 1;137(6):e128- e144. 15 Boney CM , Verma A , Tucker R , Vohr BR . Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus . Pediatrics 2005 ; 115 : e290 – 6

16 https://www.ncbi.nlm.nih.gov/pubmed/21128002 accessed 11/18/2019