CATCH grant: CATCH grant: Pediatric Obesity Pediatric Obesity

and Weight and Weight Management Management Community Community AssessmentAssessment

Naya Antink, MDNaya Antink, MD

June 25, 2008June 25, 2008

Obesity!Obesity!• Concern for increasing rates of

pediatric obesity: nationwide and locally

• Lack of family awareness regarding patient’s growth status

• Lack of awareness of resources for families with obese kids

• Lack of community resources for pediatric weight management

What is Overweight?

• Example:

• 10 yo boy• Height: 4 ft 11 in• Weight: 113 lbs

●

●

Body Mass Index (BMI)Body Mass Index (BMI)

Weight in kg OR Weight in lbs x 703

(Height in m)2 (Height in inch)2

Example:

10 yo boy

Height: 4 ft 11 inWeight: 113 lbs

BMI = 23

Obesity Trends Among U.S. Adults

No Data <10% 10%–14%

19851985

Obesity Trends Among U.S. Adults

19861986

No Data <10% 10%–14%

Obesity Trends Among U.S. Adults

19871987

No Data <10% 10%–14%

Obesity Trends Among U.S. Adults

19881988

No Data <10% 10%–14%

Obesity Trends Among U.S. Adults

19891989

No Data <10% 10%–14%

Obesity Trends Among U.S. Adults

19901990

No Data <10% 10%–14%

Obesity Trends Among U.S. Adults

19911991

No Data <10% 10%–14% 15%–19%

Obesity Trends Among U.S. Adults

19921992

No Data <10% 10%–14% 15%–19%

Obesity Trends Among U.S. Adults

19931993

No Data <10% 10%–14% 15%–19%

Obesity Trends Among U.S. Adults

19941994

<10% 10%–14% 15%–19%

<10% 10%–14% 15%–19%

Obesity Trends Among U.S. Adults

19951995

<10% 10%–14% 15%–19%

Obesity Trends Among U.S. Adults

19961996

10%–14% 15%–19% ≥20%

Obesity Trends Among U.S. Adults

19971997

10%–14% 15%–19% ≥20%

Obesity Trends Among U.S. Adults

19981998

10%–14% 15%–19% ≥20%

Obesity Trends Among U.S. Adults

19991999

10%–14% 15%–19% ≥20%

Obesity Trends Among U.S. Adults

20002000

10%–14% 15%–19% 20%–24% ≥25%

Obesity Trends Among U.S. Adults

20012001

15%–19% 20%–24% 25%–29%

Obesity Trends Among U.S. Adults

20022002

15%–19% 20%–24% 25%–29%

Obesity Trends Among U.S. Adults

20032003

15%–19% 20%–24% 25%–29%

Obesity Trends Among U.S. Adults

20042004

15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends Among U.S. Adults

20052005

15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends Among U.S. Adults

20062006

Increasing Prevalence of Overweight Children

05

10

15

20

2-5 Years 6-11 Years 12-19 Years

Perc

en

t

1971-741976-801988-941999-20002003-2004

Source: CDC/NCHS and NHANES

Summary of Health Indicators

Number Included

in AnalysisPrevalence

%

Nation* (0-5 yo) BMI ≥ 95th percentile 7,192,043 13.8

Nation (2-5 yo) BMI 85th to 95th percentile 2,945,212 16.4

BMI ≥ 95th percentile 2,945,212 14.8

Idaho: 2-5 yo BMI 85th to 95th percentile 16,305 16.9

Idaho: 2-5 yo BMI ≥ 95th percentile 16,305 12.4

* Based on 2000 CDC growth chart percentiles for weight-for-length for children under 2 years of age and BMI-for-age for children 2 years of age and older.

2006 Pediatric Nutrition Surveillance National Summary of Health Indicators

Children Aged less than 5 years

More Idaho StatsMore Idaho Stats

• 26% of the 160,000 Idaho kids ages 10-17 yo are considered overweight or obese.#

• Hispanic children have almost double the rate of overweight/obesity than non-Hispanic children (49% vs 24%).

• Kids with public insurance have almost double the incidence compared to those with private insurance (40% vs 22%).

• 29% of low-income children ages 2-5 years participating in WIC are overweight/obese.*

# 2003 National Survey of Children’s Health * 2006 Pediatric Nutrition Surveillance System (PedNSS)

My question is…My question is…

Is there a need for a comprehensive pediatric weight management program here in

the Treasure Valley?

CATCH ProgramCATCH Program• CATCH = Community Access To Child

Health

• Founded in 1991 by the AAP under a grant from the Robert Wood Johnson Foundation

• Increase children’s access to medical homes or specific health services not otherwise available.

• Focus on underserved children or health disparities among children.

• Partnership between pediatricians and community-based organizations.

The CATCH Program provides The CATCH Program provides pediatricians with:pediatricians with:

• Training

• Technical Assistance and Resources

• Peer Support and Networking Opportunities

• Funding Opportunities

Various types of grants Various types of grants offered:offered:

• Planning

• Implementation

• Resident

• Residency training

• Visiting Professorship

CATCH Planning GrantCATCH Planning Grant• Needs assessment

• Community Asset Mapping

• Feasibility Studies

• Community meetings

• Focus Groups

• Planning meetings

• Grant proposals for future project implementation

What have I accomplished so What have I accomplished so far?far?