Healthy SchoolsHealthy Schools Healthy ChildrenHealthy Children
NEW KidsNEW KidsTMTM
• This presentation was created by:This presentation was created by:– Joey Skelton, Medical Director for NEW Kids, andJoey Skelton, Medical Director for NEW Kids, and– Michelle Smith-Beckley, Dietitian with NEW KidsMichelle Smith-Beckley, Dietitian with NEW Kids– Current Co-Chairs for Childhood Obesity Prevention Current Co-Chairs for Childhood Obesity Prevention
Special Project for the Wisconsin PTASpecial Project for the Wisconsin PTA
– NEW (Nutrition, Exercise, Weight-management) NEW (Nutrition, Exercise, Weight-management) Kids is:Kids is:• Multi-disciplinary team working with overweight Multi-disciplinary team working with overweight
children and their families to improve their children and their families to improve their health statushealth status
• Children referred to clinic have: high cholesterol, Children referred to clinic have: high cholesterol, high blood pressure, pre-diabetes, early liver high blood pressure, pre-diabetes, early liver disease, or bone and muscle problemsdisease, or bone and muscle problems
– We have seen over 600 kids in les than 3 yearsWe have seen over 600 kids in les than 3 years– This is our experience and expertise thus farThis is our experience and expertise thus far
Obesity Trends Among Adults1993
No Data <10% 10%–14% 15%–19%
Obesity Trends Among Adults1996
No Data <10% 10%–14% 15%–19%
Obesity Trends Among Adults1999
No Data <10% 10%–14% 15%–19% ≥20
Obesity Trends Among Adults2001
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends Among Adults2004
The Spread of Overweightin Children
0
2
4
6
8
10
12
14
16
18
20
1963-70
1971-74
1976-80
1988-94
1999-00
2001-02
2003-04
2 to 5
6 to 11
12 to 19
Source: CDC/NCHS, NHES and NHANES
Perc
ent
Overw
eig
ht
Obesity in Adults Children: Obesity in Adults Children: Health RisksHealth Risks
•Heart Disease
•High Cholesterol
•High Blood Pressure
•Diabetes
•Joint Problems & Arthritis
•Liver Problems
•Sleep Problems
•Low self-esteem
How Do We Define How Do We Define Overweight?Overweight?
With the Body Mass IndexWith the Body Mass Index
(BMI)(BMI)
A measure of weight, height, A measure of weight, height, and gender togetherand gender together
7 years old 110 Pounds4 feet tallBMI = 35
14 years old 110 Pounds5 feet tallBMI = 22
OverweigOverweighthtAt risk of At risk of overweigoverweightht♦♦ ♦♦
Advice from Experts:Advice from Experts:
Avoid theAvoid the““Don’t ya’ just think…” Don’t ya’ just think…”
SyndromeSyndrome
““Obesity is a complex Obesity is a complex problem-problem-
It will require complex It will require complex solutions”solutions”
-William H. Dietz, MD, PhD-William H. Dietz, MD, PhDCenters for Disease Control & PreventionCenters for Disease Control & Prevention
GeneticsGenetics Nutrition &Nutrition &ActivityActivity
EnvironmentEnvironment
OverweightOverweight
Nutrition- Not So SimpleNutrition- Not So Simple
How much we How much we eaea t t
What we eatWhat we eat
How we eatHow we eat
140 calories 140 calories 3-inch 3-inch
diameter diameter
Calorie Difference: 210 Calorie Difference: 210 caloriescalories
350 calories350 calories 6-inch 6-inch
diameterdiameter
BAGELBAGEL 20 Years 20 Years
AgoAgoTodayToday
““Super-Sized Super-Sized Generation”Generation”
Fast Food French Fry Servings
Year Calories per serving
1960s 200 Kcal
1970s 320 Kcal
Mid 1990s 450 Kcal
Late 1990s 540 Kcal
2000 610 Kcal
Total Expenditures in US: Total Expenditures in US: Food away from home in Food away from home in
millionsmillions
050000
100000150000
200000250000
300000350000
400000450000
Year
Food
aw
ay f
rom
hom
e (m
illio
n do
llars
)
Fast Food Restaurant Fast Food Restaurant Growth WorldwideGrowth Worldwide
0
5000
10000
15000
20000
25000
30000
35000
1963 1968 1987 1999 2000 2001
Source: Fast Food Corporation
TelevisionTelevision
VideoVideoGamesGames
Cell PhonesCell Phones
Computer/Computer/InternetInternet
InactivityInactivity
Exercise = ActivityExercise = Activity
2.5 million years 50 years50 years
Borrowed from R Unger
““Friends” are not always Friends” are not always friendsfriends
• Rejected by other childrenRejected by other children– Name calling, physical aggression, Name calling, physical aggression,
withdrawing friends, spreading withdrawing friends, spreading rumors/liesrumors/lies
• Least liked by other children Least liked by other children – Overweight children preferred least as Overweight children preferred least as
friendsfriends
– GETTING WORSEGETTING WORSE
Families- No longer MayberryFamilies- No longer Mayberry• Single ParentsSingle Parents• Duel Working ParentsDuel Working Parents• Over-schedulingOver-scheduling
•Busy Busy ≠ ≠ ActiveActive
• HomeworkHomework
ALL IMPACTING:ALL IMPACTING:– FAMILY MEALSFAMILY MEALS– FAMILY LIFEFAMILY LIFE– FAMILY TIMEFAMILY TIME
GeneticsGenetics Nutrition &Nutrition & ActivityActivity
Lifestyle Lifestyle &&BehaviorsBehaviors
OverweightOverweight
EnvironmentEnvironment
Principles of Improving HealthPrinciples of Improving Health
• Modeling BehaviorModeling Behavior• Making changes as a FAMILYMaking changes as a FAMILY• Activity- Physical and SedentaryActivity- Physical and Sedentary• Nutritional BalanceNutritional Balance• Quick weight loss- Quick weight loss-
NEVER PERMENANTNEVER PERMENANT• Slow, steady changeSlow, steady change• Life-long healthy habitsLife-long healthy habits
What about Schools?What about Schools?
• Children spend most of their day Children spend most of their day therethere
• Opportunity for teachingOpportunity for teaching• Resource for familiesResource for families• Role modelingRole modeling• School Wellness PoliciesSchool Wellness Policies
•Are you aware of what is included Are you aware of what is included in your school’s wellness policy?in your school’s wellness policy?
Indirect MessagesIndirect MessagesFood PolicyFood Policy
• Are students allowed to have food in Are students allowed to have food in class?class?
• Are students allowed to have Are students allowed to have beverages in class?beverages in class?
• Are students allowed to have snacks Are students allowed to have snacks in the hallways?in the hallways?
• Are students allowed to have Are students allowed to have beverages in the hallways?beverages in the hallways?
• Are food or food coupons used as Are food or food coupons used as rewards or incentives for students?rewards or incentives for students?
• Do you have classroom fundraising Do you have classroom fundraising that includes food sales?that includes food sales?
• Do you have school-wide fundraising Do you have school-wide fundraising that includes food sales?that includes food sales?
Focus Your EffortsFocus Your Efforts• Gym classGym class
• Consistent physical activityConsistent physical activity• Educate on how to be activeEducate on how to be active
• Competitive foodsCompetitive foods• A la carteA la carte• Vending machinesVending machines• FundraisersFundraisers• Open campusOpen campus
• Lunch periodsLunch periods• ShortShort• After recessAfter recess
Focus your Efforts Focus your Efforts contcont
• Role modeling by school Role modeling by school teachers and staffteachers and staff
• Resource to familiesResource to families• Nutrition and Health EducationNutrition and Health Education
• Tools for a healthy lifestyleTools for a healthy lifestyle
• Wellness PoliciesWellness Policies• Awareness of developmentAwareness of development
Thank you!