obesity in schools: ground zero for intervention

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Good Evening State Senators, Superintendent, School Board Members, and Teachers.

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Obesity in Schools: Ground Zero for Intervention. Good Evening State Senators, Superintendent, School Board Members, and Teachers. Obesity in Schools: Ground Zero for Intervention Amy B. Dreher RN, BSN, MPH student Walden University 6165-1 Dr. Shana Morrell Summer, 2009. Learning Objectives. - PowerPoint PPT Presentation

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Page 1: Obesity in Schools: Ground Zero for Intervention

Good Evening State Senators, Superintendent, School Board

Members, and Teachers.

Page 2: Obesity in Schools: Ground Zero for Intervention
Page 3: Obesity in Schools: Ground Zero for Intervention

History of Childhood Obesity in the U.S.Effects of Childhood ObesityBehavioral, Psychosocial, and Environmental ManifestationsGround Zero Interventions for Childhood Obesity in the schools

Page 4: Obesity in Schools: Ground Zero for Intervention

Reference:

Centers for Disease Control and Prevention (2008). Childhood Overweight and Obesity. Centers for Disease Control and Prevention. Retrieved June 23, 2009 from http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/index.htm

Budd, G., and Hayman, L. (2008). Addressing the Childhood Obesity Crisis: A Call to Action. The American Journal of Maternal/Child Nursing, 33 (2), 111-118.

Children’s Age 1980 20062-5 years: 5.0% 12.4%6-11 years: 6.5 % 17.0%12-19 years: 5.0%17.6%

Page 5: Obesity in Schools: Ground Zero for Intervention

HypertensionCardiovascular DiseaseHigh CholesterolAsthmaSleep ApneaType-2 DiabetesMultiple Cancers

Reference:

Budd, G., and Hayman, L. (2008). Addressing the Childhood Obesity Crisis: A Call to Action. The American Journal of Maternal/Child Nursing, 33 (2), 111-118.

Centers for Disease Control and Prevention (2008). Childhood Overweight and Obesity. Centers for Disease Control and Prevention. Retrieved June 23, 2009 from http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/index.htm

Institute of Medicine (2005). Report on Childhood Obesity. Preventing Childhood Obesity: Health in the Balance.

Harper, M. (2006). Childhood Obesity: Strategies for Prevention. Family and community Health, 29(4), 288-298.

Mayo Clinic (2008). Childhood Obesity. Mayo Clinic.com. Retrieved June 23, 2009 from http://www.mayoclinic.com/health/childhood-obesity/DS00698

Veugelers, P. J. and Fitzgerald, A.L. (2005). Effectiveness of School Programs in Preventing Childhood Obesity: A Multilevel Comparison. American Journal of Public Health, 95(3), 432-435.

Page 6: Obesity in Schools: Ground Zero for Intervention

Increased AbsenteeismLower School Performance

Increased Learning and Memory Retrieval Problems

Reference:

Harper, M. (2006). Childhood Obesity: Strategies for Prevention. Family and community Health, 29(4), 288-298.

National Institutes of Health (2002). Childhood Obesity on the Rise. Word on Health: consumer Health Information Based on Research from the National Institutes of Health. Retrieved June 23, 2009 from http://www.nih.gov/news/wordonhealth/jun2002/childhoodobesity.htm

Swallen, K., Reither, E., Haas, S., and Meier, A. (2005). Overweight, obesity and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health. Pediatrics, 15, 340-347.

Taras, H. and Potts-Datema, W. (2005). Obesity and Student Performance at School. The Journal of School Health, 75, 291-295.

Page 7: Obesity in Schools: Ground Zero for Intervention

Cost & Portion SizeEating outside the homeIncreased Snacking

References:

Budd, G., and Hayman, L. (2008). Addressing the Childhood Obesity Crisis: A Call to Action. The American Journal of Maternal/Child Nursing, 33 (2), 111-118.

Harper, M. (2006). Childhood Obesity: Strategies for Prevention. Family and community Health, 29(4), 288-298.

Page 8: Obesity in Schools: Ground Zero for Intervention

StereotypingDiscriminationTeasingBullying

Reference:

Harper, M. (2006). Childhood Obesity: Strategies for Prevention. Family and community Health, 29(4), 288-298.

Page 9: Obesity in Schools: Ground Zero for Intervention

Low Self-EsteemAnxiety DisordersDepressionIncreased Absences

and skipped classes

References:

Taras, H. and Potts-Datema, W. (2005). Obesity and Student Performance at School. The Journal of School Health, 75, 291-295.

Vieweg, V., Johnston, C. H., Lanier, J. O., Fernandez, A., & Pandurangi, A. K. (2007). Correlation between high risk obesity groups and low socioeconomic status in school children. Southern Medical Journal, 100(1), 1–7.

Page 10: Obesity in Schools: Ground Zero for Intervention

Family InfluencesElectronicsAdvertisementsSocial Economic

StatusReferences:

Budd, G., and Hayman, L. (2008). Addressing the Childhood Obesity Crisis: A Call to Action. The American Journal of Maternal/Child Nursing, 33 (2), 111-118. Dehghan, M., Akhtar-Danesh, N., and Merchant, A. (2005). Childhood obesity, prevalence and prevention. Nutrition Journal. Retrieved June 23, 2009 from http://www.nutritionj.com/content/4/1/24

Harper, M. (2006). Childhood Obesity: Strategies for Prevention. Family and community Health, 29(4), 288-298.

National Institutes of Health (2002). Childhood Obesity on the Rise. Word on Health: consumer Health Information Based on Research from the National Institutes of Health. Retrieved June 23, 2009 from http://www.nih.gov/news/wordonhealth/jun2002/childhoodobesity.htm

Styles, J., Meier, A., Sutherland, L., and Campbell, M. (2007). Parents’ and Caregivers’ Concerns About Obesity in Young Children: A Qualitative Study. Family and Community Health, 30 (4), 279-295.

Utter, J., Neumark-Sztainer, D., Jeffery, R., and Story, M. (2003). Couch potatoes or French fries: are sedentary behaviors associated with body mass index, physical activity, and dietary behaviors among adolescents? Journal of the American Dietetic Association, 103(10), 1298-1305.

Vieweg, V., Johnston, C. H., Lanier, J. O., Fernandez, A., & Pandurangi, A. K. (2007). Correlation between high risk obesity groups and low socioeconomic status in school children. Southern Medical Journal, 100(1), 1–7.

Page 11: Obesity in Schools: Ground Zero for Intervention

Unhealthy foodsAdvertisementsLack of PE classes

References:

Budd, G., and Hayman, L. (2008). Addressing the Childhood Obesity Crisis: A Call to Action. The American Journal of Maternal/Child Nursing, 33 (2), 111-118.

Carter, R, (2002). The Impact of Public Schools on Childhood Obesity. The Journal of the American Medical Association, 288, 2180.

Harper, M. (2006). Childhood Obesity: Strategies for Prevention. Family and community Health, 29(4), 288-298.

Taras, H. and Potts-Datema, W. (2005). Obesity and Student Performance at School. The Journal of School Health, 75, 291-295.

Vieweg, V., Johnston, C. H., Lanier, J. O., Fernandez, A., & Pandurangi, A. K. (2007). Correlation between high risk obesity groups and low socioeconomic status in school children. Southern Medical Journal, 100(1), 1–7.

Page 12: Obesity in Schools: Ground Zero for Intervention

References::

United States Department of Agriculture (2008). My Pyramid. Accessed June 23, 2009 at http://mypyramid.gov/

Veugelers, P. J. and Fitzgerald, A.L. (2005). Effectiveness of School Programs in Preventing Childhood Obesity: A Multilevel Comparison. American Journal of Public Health, 95(3), 432-435.

Image used with permission from the U.S. Dairy Council.

Page 13: Obesity in Schools: Ground Zero for Intervention

Image used with permission from the Tri-County Health Department..

BMI Report Cards

Reference:

Dehghan, M., Akhtar-Danesh, N., and Merchant, A. (2005). Childhood obesity, prevalence and prevention. Nutrition Journal. Retrieved June 23, 2009 from http://www.nutritionj.com/content/4/1/24

Johnson, A. and Ziolkowski (2006). School-Based Body Mass Index Screening Program. Nutrition Today, 41(6), 274-279.

Page 14: Obesity in Schools: Ground Zero for Intervention

No Soda Healthier

Milk Reference:

Johnson, A. and Ziolkowski (2006). School-Based Body Mass Index Screening Program. Nutrition Today, 41(6), 274-279.

Millimet, D., Tchernis, R., and Husain, M. (2008). School Nutrition Programs and the Incidence of Childhood Obesity. Retrieved June 23, 2009 from http://ideas.repec.org/cgi-bin/htsearch?q=school+nutrition+programs&ul=%2Fiza%2Fizadps

Veugelers, P. J. and Fitzgerald, A.L. (2005). Effectiveness of School Programs in Preventing Childhood Obesity: A Multilevel Comparison. American Journal of Public Health, 95(3), 432-435.

Page 15: Obesity in Schools: Ground Zero for Intervention

Reference:

Budd, G., and Hayman, L. (2008). Addressing the Childhood Obesity Crisis: A Call to Action. The American Journal of Maternal/Child Nursing, 33 (2), 111-118.

Vieweg, V., Johnston, C. H., Lanier, J. O., Fernandez, A., & Pandurangi, A. K. (2007). Correlation between high risk obesity groups and low socioeconomic status in school children. Southern Medical Journal, 100(1), 1–7.

JAM (2008). JAM: Just-a-minute School Program. Retrieved from June 23, 2009 http://www.jamschoolprogram.com/

Page 16: Obesity in Schools: Ground Zero for Intervention

School lunches held to USDA standardsNutrition standards in schoolsWellness policy implementedPE reinstated to acceptable normsBan on advertisement of foods in school settingZoning of food establishmentsPrice watchSafe playgrounds and parks

References:

Budd, G., and Hayman, L. (2008). Addressing the Childhood Obesity Crisis: A Call to Action. The American Journal of Maternal/Child Nursing, 33 (2), 111-118.

Harper, M. (2006). Childhood Obesity: Strategies for Prevention. Family and community Health, 29(4), 288-298. Veugelers, P. J. and Fitzgerald, A.L. (2005). Effectiveness of School Programs in Preventing Childhood Obesity: A Multilevel Comparison. American Journal of Public Health, 95(3), 432-435.

Page 17: Obesity in Schools: Ground Zero for Intervention

Weight loss is easier to obtain in childhoodSchools provide an ideal environment for this intervention

Reference:

Dehghan, M., Akhtar-Danesh, N., and Merchant, A. (2005). Childhood obesity, prevalence and prevention. Nutrition Journal. Retrieved June 23, 2009 from http://www.nutritionj.com/content/4/1/24

Veugelers, P. J. and Fitzgerald, A.L. (2005). Effectiveness of School Programs in Preventing Childhood Obesity: A Multilevel Comparison. American Journal of Public Health, 95(3), 432-435.

Page 18: Obesity in Schools: Ground Zero for Intervention

Budd, G., and Hayman, L., (2008). Addressing the Childhood Obesity Crisis: A Call to Action. The American Journal of Maternal/Child Nursing, 33 (2), 111-118.

Carter, R. (2002). The Impact of Public Schools on Childhood Obesity. The Journal of the American Medical Association, 288, 2180.

Centers for Disease Control and Prevention (2008). Childhood Overweight and Obesity. Centers for Disease Control and Prevention. Retrieved June 23, 2009 from http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/index.htm

Dehghan, M., Akhtar-Danesh, N., and Merchant, A. (2005). Childhood obesity, prevalence and prevention. Nutrition Journal. Retrieved June 23, 2009 from http://www.nutritionj.com/content/4/1/24

Harper, M. (2006). Childhood Obesity: Strategies for Prevention. Family and community Health, 29(4), 288-298.

JAM (2008). JAM: Just-a-minute School Program. Retrieved from June 23, 2009 http://www.jamschoolprogram.com/

Johnson, A. and Ziolkowski (2006). School-Based Body Mass Index Screening Program. Nutrition Today, 41(6), 274-279.

Institute of Medicine (2005). Report on Childhood Obesity. Preventing Childhood Obesity: Health in the Balance.

Mayo Clinic (2008). Childhood Obesity. Mayo Clinic.com. Retrieved June 23, 2009 from http://www.mayoclinic.com/health/childhood-obesity/DS00698

Millimet, D., Tchernis, R., and Husain, M. (2008). School Nutrition Programs and the Incidence of Childhood Obesity. Retrieved June 23, 2009 from http://ideas.repec.org/cgi-bin/htsearch?q=school+nutrition+programs&ul=%2Fiza%2Fizadps

National Institutes of Health (2002). Childhood Obesity on the Rise. Word on Health: consumer Health Information Based on Research from the National Institutes of Health. Retrieved June 23, 2009 from http://www.nih.gov/news/wordonhealth/jun2002/childhoodobesity.htm

Styles, J., Meier, A., Sutherland, L., and Campbell, M. (2007). Parents’ and Caregivers’ Concerns About Obesity in Young Children: A Qualitative Study. Family and Community Health, 30 (4), 279-295.

Swallen, K., Reither, E., Haas, S., and Meier, A. (2005). Overweight, obesity and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health. Pediatrics, 15, 340-347.

Taras, H. and Potts-Datema, W. (2005). Obesity and Student Performance at School. The Journal of School Health, 75, 291-295.

United States Department of Agriculture (2008). My Pyramid. Accessed June 23, 2009 at http://mypyramid.gov/

Utter, J., Neumark-Sztainer, D., Jeffery, R., and Story, M. (2003). Couch potatoes or French fries: are sedentary behaviors associated with body mass index, physical activity, and dietary behaviors among adolescents? Journal of the American Dietetic Association, 103(10), 1298-1305.

Veugelers, P. J. and Fitzgerald, A.L. (2005). Effectiveness of School Programs in Preventing Childhood Obesity: A Multilevel Comparison. American Journal of Public Health, 95(3), 432-435.

Vieweg, V., Johnston, C. H., Lanier, J. O., Fernandez, A., & Pandurangi, A. K. (2007). Correlation between high risk obesity groups and low socioeconomic status in school children. Southern Medical Journal, 100(1), 1–7.

 

Page 19: Obesity in Schools: Ground Zero for Intervention

Ebbeling, C., Pawlak, D., and Ludwig, D. (2002). Childhood obesity: public-health crisis, common sense cure. The Lancet, 360(9331), p. 473-482.

Koplan, J., Liverman, C., and Kraak, V. (2005). Preventing childhood obesity: Health in the balance: Executive summary. Journal of the American Dietetic Association, 105(1), p. 131-138.

Mead Johnson Nutritionals (2007). Consensus in Pediatrics: Childhood Obesity. In Feld, L. and Hyams, J. (Eds.). Evansville, IN: Mead Johnson & Company.

National Association of School Nurses (2008). S.C.O.P.E.: School Nurse ChildhoodObesity Prevention Education. In Eliason, S., Dietz, W., Kimmes, S., Barry, C., and Mosca, N. (Eds.). Silver Spring, MD: NASN.

Robinson, T. and Sirard, J. (2005). Preventing childhood obesity: A solution-oriented research paradigm. American Journal of Preventive Medicine, 28(2), p. 194-201.

Page 20: Obesity in Schools: Ground Zero for Intervention