you be the medical director duel sleuthing: paired reading … · 2014-10-07 · positively...

Positively Aging®/M.O.R.E.2007©The University of Texas Health Science Center at San Antonio

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LESSON 2 ACTIVITY 2B

You Be the Medical Director Duel Sleuthing: Paired Reading Activity 2BObjectives:Students will be able to:

u Read a variety of text formatsu Read selected materials for understandingu Identify cause and effect relationships in

selected reading materialsu Distinguish between fiction and non-fictionu Investigate factors relating to adolescent obesityu Conduct research on adolescent obesity using

multiple sources

Activity Description:In this activity, students will assume the role of medical director, as usedin shows such as ER and CSI to help ensure accuracy. Students will reada selected fiction book dealing with one of the many issues related toadolescent obesity (resources provided). They will make a summariza-tion record after approximately every fifteen pages depending upon the natural pauses in the reading. Using what they have read, students willextract critical elements from the story and will compare and contrastthose elements to non-fiction sources dealing with the same issue(s). By the end of the activity, students will make a recommendation aboutthe book and will weave correct elements into the story.

Activity Background:According to the federal Centers for Disease Control, 56.4 percent of

American adults are overweight, and the number jumps to 65.5 percentfor males only. The number of overweight or obese people in the UnitedStates has increased since 1990 in all age groups. In the overall popula-tion, 62.3% of men, and 46.6% of women are overweight or obese.Adolescent obesity and the numerous health consequences associatedwith it are increasing at an alarming rate. According to Healthy People2010, adolescent obesity reached a point where 14% of adolescents (aged12-19 years) are overweight or obese.

How do you know if you are overweight or obese? The Body MassIndex (BMI) is commonly used and easy to calculate. It is a measure ofbody fat based upon height and weight that applies to both adult menand women. BMI is calculated using the following formula:

BMI = Weight (lbs) x 703_____________________Height (in) x Height (in)(703 = conversion factor to metrics)

BMI Tables adjusted for age are available from the National Heart Lungand Blood Institute to evaluate body fat in children and adolescents. The BMI categories, as defined by the NIH/WHO and Surgeon General’sreport on Obesity, are as follows:

Measurements in kg per meter squaredUnderweight < 18.5Normal weight 18.5-24.9Overweight < 25-29.9Obesity (Class 1) 30-34.9Obesity (Class 2) 35-39.9Extreme Obesity (class 3) =/> 40

Obesity is now recognized as the “most important nutritional disease in the world” (Perusse, L. and Bouchard, C., 1999). Since it hasbeen firmly associated with type 2 diabetes (Arsenian, S, 2002) and thereal-time development of atherosclerosis in children and adolescents(McGill et al), it is imperative that students and parents have accuratehealth-related information. Obesity is also linked to breathing problems,hypertension, high cholesterol, stroke, osteoarthritis, gall bladder diseaseand some cancers, making the need for healthy choices based uponsolid information even more critical.

The social stigma of being overweight or obese is especially difficultfor adolescents to deal with and these issues are handled in a number ofadolescent books. Some of these books, both fiction and non-fiction, arelisted in the resources for this activity. It is important to deal with theseissues in the classroom with awareness of the potential for hurtful comments from some students and the sensitivity of students dealingwith obesity among their friends, families or themselves.

Activity Materials:• Fiction Book dealing with adolescent obesity (sources provided) • Non-Fiction books dealing with adolescent obesity

(sources provided) • Internet (optional) • Copies of student activity pages for each student (pages 9–15)

Activity Instructions:Explain the activity premise to students; they will assume the role

of a medical director, as used in shows such as ER and CSI to ensureaccuracy of medical information in the show. Their job will entail reading the story, which in this case will be a fiction book relating toadolescent obesity. In order to produce and direct a show, they will firsthave to become very familiar with the story. Therefore, the first step willbe to read the book and make summarization notes every fifteen pages(or at more natural breaks in the story) using the Summarization formincluded in the student pages of this activity.


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At each summarization interval, students need to be thinking aboutwhat will happen next and why they think this will happen. They also need to think about how the story relates to adolescents such asthemselves or their friends. Although the book is fiction, it conveys messages to readers and can be a powerful influence in the lives of itsreaders. They should also look for things that do not seem to fit or donot seem accurate. These are points that will need to be verified usingnon-fiction sources.

As a medical director, their job will be to weave accurate, relevantinformation about adolescent obesity into the story. They must be surethat medical conditions and symptoms are depicted correctly, not forshock value, but for accuracy. Give each student a copy of the Note Page(and go over it with them in detail so they know in advance what theywill be looking for as they begin their task). Have them complete theinformation for the fiction book before they begin looking at the non-fiction sources. Students could work in pairs to complete the Note Page.

After reading the fiction book, students will conduct basic researchusing the non-fiction sources provided in this activity and/or otherresources they find in the school library, in library databases or on theInternet. Be sure to monitor student use of the Internet carefully toensure they are using solid sources. The school librarian can help set upthe research part of this activity.

Once the research has been completed, students will complete theresearch side of their Note Page. They are now ready to begin their jobas Medical Director. They need to complete the Venn Diagram Page tohelp identify information that needs to be changed, added or deleted from the story (this story will become the final show). The next step will be to complete the Medical Director Recommendation Page. Here, they will describe changes that need to be made to bring the story more in line with the research. They need to identify the part of the story that was most powerful to them and potentially to viewers of the final show.Students need to write a conversation with one of the characters fromthe part of the story they have identified. This conversation shouldinclude how the character might respond based upon the story and howthe character would respond based upon research. Finally, they willintroduce a new character into the story and discuss how the new character would handle the obesity issues in a different way.

You Be the Medical DirectorDuel Sleuthing: A Paired Reading ActivityObesity Unit Paired Reading Resources

Student Activity 2B


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Fiction

Todd, P. (2000). Pig and the shrink. New York:Random House Children’s Books.

Holt, K. (2001). When Zachary Beaver came totown. Bantam Doubleday Dell Books for Young Readers. 1999 National Book Award winner for YoungPeople’s Literature An ALA Notable Book for ChildrenAn ALA Top Ten Books for Young AdultsA School Library Journal Best BookA Horn Book Fanfare (Obesity)

Bennett, C. (1998). Life in the fat lane.New York: Delacorte. (Obesity, Metabolic disorders, Body Image)

Gee, M. (1997). The fat man.Simon & Schuster. (Bullying)

Non-Fiction Resources

LeBow, M.D. (1995) Overweight teenagers:Don’t bear the burden alone. New York:Plenum (Insight Books).

McMillan, D. (1994). Obesity. New York:Franklin Watts.





Wholey, D. (1998). Courage to change: personal conversation about alcoholism withDnnis Woley. : Warner Books.

Stevens, E., Tkerrigan, B., &,. (2003). Bullying:deal with it before push comes to shove!. :Lorimer.

Middleton-Moz, J., Zawadski, M. &,. (2002).Bullies: from the playground to the board room. :HCI.

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Fiction

Lynch, C. (1991). Extreme Elvin/slot machine.HarperTrophy. (STDs, Body Image)

Newman, L. (1991). Fat chance.Putnam Publishing Group. (Bulimia)

Peters, J. (2001). A snitch in the snob squad.Little Brown & Company. (Learning disabilities, Addiction from awhole new view)

Sinykin, S. (1991). Next thing to strangers.HarperCollins Publishers. (Diabetes)

Whytock, C. (2003). My cup runneth over: the life of angelica cookson potts. Simon &Schuster Children’s Publishing.

Non-Fiction Resources

Metos, T. (1987). Communicable diseases.New York: Franklin Watts.

Vollstadt, E. (1999). Teen eating disorders.Lucent Books.

Stanley, D. (1999). Understanding bulimia nervosa (teen eating disorder prevention book).Rosen Publishing Group.

Vollstadt, E. (1999). Teen eating disorders.Lucent Books.

371.92 LEA Learning Disabilities (Holmes HS)371.9 PAQ LD: Ultimate teen guide 616.86 BRI Everything You Need to KnowAbout Addictive Personality

Stewart, G. (2003). Diabetes. KidHaven Press.


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Activity Management SuggestionsMonitor the lesson carefully with a sharp awareness of the sensitive

nature of this lesson. Many students may be dealing with obesity amongtheir friends, families or themselves. It is important to help all studentsdevelop tolerance and understanding of the obesity issue and it isimperative to ensure that the classroom remain an environment free of harassment for all students.

Modifications:Students needing extra support can work in carefully selected pairs sothey can participate fully in the activity. Be sure to monitor such groupscarefully to follow their progress.

Extension:ë Students can choose another book from the resource list to read

and analyze.

ë Alternately, students may write an advertisement for the show basedupon the book they read.

References Used:Arsenian, Silva. (2002). Type 2 Diabetes in Children: Clinical Aspects andRisk Factors. Hormone Research, 57(suppl 1), 19-28

Statistics retrieved from Centers for Disease Control website on January 6, 2005. http://www.cdc.gov/

Statistics retrieved from the Healthy People 2010 website on January 6, 2005. http://www.healthypeople.gov/

McGill, H.C., Jr., C.A. McMahan, A.W. Zieske, G.D. Sloop, J.V. Walcott,D.A. Troxclair, G.T. Malcom, R.E. Tracy, M.C. Oalmann, J.P. Strong, for thePathobiological Determinants of Atherosclerosis in Youth (PDAY) Study.2000b. “Associations of Coronary Heart Disease Risk Factors with theIntermediate Lesion of Atherosclerosis in Youth.” Arteriosclerosis,Thrombosis, and Vascular Biology 20:1998-2004.

McGill, H.C, Jr., C.A. McMahan, A.W. Zieske, R.E. Tracy, G.T. Malcom,E.E. Herderick, and J.P. Strong, for the Pathobiological Determinants ofAtherosclerosis in Youth (PDAY) Research Group. 2000c. “Association ofCoronary Heart Disease Risk Factors with Microscopic Qualities ofCoronary Atherosclerosis in Youth.” Circulation 102:374-9.

Mokdad A H, et al. (2001). Obesity Trends Among U.S. Adults. J Am MedAssoc, 282(16), 286:10


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Information on calculating BMI retrieved from National Heart Lung andBlood Institute website on January 6, 2005. http://nhlbisupport.com/bmi/bmicalc.htm

Background information on obesity retrieved form the National HeartLung and Blood Institute website on January 6, 2005. http://hin.nhlbi.nih.gov/oei_ss/download/pdf/BACKGROUND4.pdf

Perusse, L. & Bouchard, C. (1999). Genotype-Environment Interaction inHuman Obesity. Nutrition Reviews, 57:5 pS31

you be the medical director duel sleuthing: paired reading … · 2014-10-07 · positively...

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