TRENDS IN PEDIATRIC OBESITY AND STRATEGIES FOR IMPROVEMENT

Presented by Nancy Faust Certified Family Nurse

Practitioner3/3/08

STATISTICS “Results from the 2003-2004 National

Health and Nutrition Examination Survey (NHANES) estimate that 17 percent of children and adolescents ages 2-19 are overweight.

Type 2 Diabetes is becoming more common among children and adolescents, particularly American Indians, African –Americans, and Hispanics/Latinos.

NATIONAL OBESITY

EPIDEMIC According to the report by the Robert

Wood Johnson Foundation, “A Nation at Risk” more than twice as many children and almost three times as many teens are overweight as in 1980.

Preschoolers ages 2- 5 are more than 40 % overweight as compared to 1994.

Adults- 65% of all people ages 20 and above are overweight or obese, an increase of 75% since 1991.

CONTRIBUTING FACTORS

Energy Imbalance- eating too many calories and not getting enough physical activity

Body weight is a result of genes, metabolism, behavior, environment, culture, and socioeconomic status.

COMORBIDITIES Hypertension High Cholesterol and High Triglycerides Type 2 Diabetes Coronary Heart Disease Stroke Osteoarthritis Sleep apnea and Respiratory problem Some cancers (endometrial, breast,

colon) http://www.cdc.gov/

STRATEGIES THAT WORK Body Mass Index Tool Kit http://www.cdc.gov/ Good Nutrition and Physical Activity

http://www.hhs.gov Dietary Guidelines for Americans, 2005

Wellness Wakeup Messages http://www.healthylunches.org

National TV Turn Off Weak http://www.tvturnoff.org

New York State Strategic Plan for Prevention of Childhood Obesity

School District Wellness Committee, Compact Committee

Walking Programs

BODY MASS INDEX/ TOOLKIT The Body Mass Index is a number calculated

from a person’s weight and height and it is a reliable indicator of body fatness based on age.

The formula for calculating the body mass index is weight in pounds/ divided by height in inches/ divided by height in inches x 703.

Underweight less than 5% Healthy weight 5% to less than 85% At risk of overweight 85% to less than 95% Overweight Equal to or greater than 95%

GOOD NUTRITION AND PHYSICAL ACTIVITY

FOOD PYRAMID http://www.mypyramid.gov

FOOD LABELS ACTIVITY PYRAMID

MY PYRAMID

USDA VIDEO

FOOD LABEL

SAMPLE LABEL

ACTIVITY PYRAMID

ACTIVITY PYRAMID

PHYSICAL ACTIVITY ADULTS Moderate Physical Activity Approximate

Calories/Hrfor a 154 lb Person

Hiking 370 Light gardening/yard work 330 Dancing 330 Golf (walking and carrying clubs) 330 Bicycling (<10 mph) 290 Walking (3.5 mph) 280 Weight lifting (general light workout) 220 Stretching 180

PHYSICAL ACTIVITY ADULTS Vigorous Physical Activity Approximate

Calories/Hrfor a 154 lb Person

Running/jogging (5 mph) 590 Bicycling (>10 mph) 590 Swimming (slow freestyle laps) 510 Aerobics 480 Walking (4.5 mph) 460 Heavy yard work (chopping wood) 440 Weight lifting (vigorous effort) 440 Basketball (vigorous) 440

WELLNESS MESSAGES

NY Coalition for Healthy School Food has excellent messages and are age appropriate.

NUTRITION WELLNESS MESSAGE Grades K-5 Message on Grains There are two basic kind of grains- whole

grains and refined grains. Refined grains are made by taking some of the healthy things out of whole grains. What is left is not as good for you as a whole grain is.

“Whole Grain”, “whole wheat”, “whole oats”, “oatmeal”, and “brown rice” can be found on food labels and they represent whole grains.

NUTRITION WELLNESS MESSAGE

Grades 6-12 Message on Vegetables

The more colorful your veggies, the better for you

A sweet potato is sweet and delicious all by itself, and has more vitamin A than a carrot.

FOOD LABEL WELLNESS MESSAGE Grades K-5 Message on Food Labels Some of the healthiest food we can eat

are whole fruits or vegetables that don’t have a label.

High fructose corn syrup, cane sugar, invert sugar, corn sweetener, honey, sucrose, dextrose, brown sugar and molasses are all different names for sugar that may appear in the ingredient listing.

FOOD LABEL WELLNESS MESSAGE Grades 6-12 Message on Food Labels You can tell if a food contains trans-fats

by checking the ingredient listing. If the ingredients include the words partially hydrogenated or hydrogenated, then the food probably contains trans-fats. Health experts say that it would be best to eat no trans-fats.

PHYSICAL ACTIVITY WELLNESS MESSAGE

Grades K-5 Message on Physical Activity

If you eat an order of large fries at a fast food restaurant, you would need to walk for about 2 ½ hours to work them off.

PHYSICAL AVTIVITY WELLNESS MESSAGE Grades 6-12 Message on Physical

Activity Exercise not only helps you feel better

and look better, it also helps prevent heart disease, cancer, diabetes, and obesity.

Exercise produces endorphins which are chemicals in your body that make you feel good.

NATIONAL TV TURN OFF WEEK Center for Screen Time Awareness “provides

information so people can live healthier lives in functional families in vibrant communities by taking control of the electronic media in their lives, not allowing it to control them.”

“Statistics reveal that in a 24 hour day, there are 27 ½ hours of screen time in young adults ages 35 and under. This includes computer screens, TV screens IPODS, cell phone screens and all the multi tasking we do while jumping from one screen to another”.

http://www.tvturnoff.org

NYS STRATEGIC PLAN FOR OVERWEIGHT AND OBESITY http://www.health.state.ny.us/prev

ention/obesity/strategic-plan.htm Collaboration with New York State

Department of Health, Orange County Department of Health, NYS

Education Department, NYS Legislature, Industry, Health Care, Child Care, School and the Community

NECSD WELLNESS COMMITTEE and COMPACT COMMITTEE

The Junior League of Orange County is a valued member in Newburgh Enlarged City School District’s Wellness and Compact Committees.

I would like to acknowledge the following members that I have personally worked with: Mary Ann Marrero, Danyelle Means, Stacey Hawkins, Elizabeth Cappello, Heather Batelic, Lisa Zylberberg

WALKING PROGRAMS

South Junior High School Health and Fitness Club Walking Program mailto:NFaust@newburgh.k12.ny.us

SUMMARY

Children’s Books on Nutrition and Physical Activity

Your Personal Path to Health: Steps to a Healthier You!