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Childhood Obesity. The role the school environment can play in reversing an alarming trend Carol Bostrom, MT(ASCP) MPH student Walden University PUBH 6165-1 Instructor: Dr. Howard Rubin, Ph.d. Spring, 2011. Learning Objectives. Understand the facts surrounding childhood obesity
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Childhood Obesity The role the school environment can play in reversing an alarming trend Carol Bostrom, MT(ASCP) MPH student Walden University PUBH 6165-1 Instructor: Dr. Howard Rubin, Ph.d. Spring, 2011
Learning Objectives • Understand the facts surrounding childhood obesity • Realize your responsibility as stakeholders • Examine successful programs • Explore and implement a program for our schools
Childhood Obesity Facts • Increase of at least 50% since 19761 • In 2004, 17% of U.S. children were overweight2 • Females affected more than males3 • More common in Caucasian children3 1Schonfeld-Warden & Warden (1997) 2Centers for Disease Control (2006) 3Barness (2007)
Causes of Childhood Obesity • Genetics • Parental obesity • Decrease in physical activity • Increase of food intake Foster (2006)
Complications of Childhood Obesity • Lack of self-esteem • Clinical depression • Metabolic diseases • Cardiovascular diseases Barness (2007)
Influences on food choices • School food environment1 • Vending machines1 • Food preferences and taste2 1Story, Neumark-Sztainer, & French (2002) 2Magryta (2009)
Influence of school • Nutrition and physical activity curriculum1 • Teacher and staff support1 • Provide quality, nutritious food2 1Sutherland, Gill, & Binns (2004) 2Boone-Heinonen, Gordon-Larsen, and Adair (2008)
Texas Public School Nutrition Policy • Impacted food and beverages sold in schools • Compared pre-policy and post-policy food records • Healthier food choices within 2 years • Significant reductions in fat and saturated fat • Behavior can be changed Cullen and Watson (2009)
Rowan County School Food Program • Cost neutral changes • Nine menu items replaced with healthier alternatives • Successful taste test with elementary school children • Public acceptance was a key factor Magryta (2009)
Let’s Move! http://www.letsmove.gov • Healthier foods in our schools • Increase breakfast program • Teaching the importance of nutrition • Chefs Move to School • HealthierUS School Challenge (HUSSC) Let’s Move (n.d.)
SASD Student Wellness • The Souderton Area School District recognizes that student wellness and proper nutrition are related to students’ physical well-being, growth, development, and readiness to learn. • The Souderton Area School District is committed to the wellness of our students and community by implementing policies and programs that promote a balance of proper nutrition and regular physical activity as part of a healthy lifestyle. • In a healthy school environment, students will learn about and participate in positive dietary and lifestyle practices that can improve student achievement. SASD (2006)
HealthierUS School Challenge http://healthymeals.nal.usda.gov/ • Food Quality • Nutritional education • Resources • School food suppliers • Monetary incentives Let’s Move (n.d.)
HealthierUS School Challengehttp://healthymeals.nal.usda.gov/ • Sign up • Menu Planner for Healthy Schools Meals • Food Buying Guide for Child Nutrition Let’s Move (n.d.)
The 2,983 elementary age children of SASD thank you! SASD (2011)
References • Barness, L. (2007). Obesity in Children. Fetal & Pediatric Pathology, 26(2), 75-85. doi:10.1080/15513810701448755. • Boone-Heinonen, J., Gordon-Larsen, P., & Adair, L. (2008). Obesogenic Clusters: Multidimensional Adolescent Obesity-related Behaviors in the U.S. Annals of Behavioral Medicine, 36(3), 217-230. doi:10.1007/s12160-008-9074-3. • Center for Disease Control and Prevention (CDC). (2006). National Center for Health Statistics, Retrieved March 17, 2010 from http://www.cdc.gov/nchs/data/hestat/overweight/overwght_child_03.htm • Cullen, K., & Watson, K.. (2009). The Impact of the Texas Public School Nutrition Policy on Student Food Selection and Sales in Texas. American Journal of Public Health,99(4), 706-12. Retrieved April 14, 2011, from ProQuest Central. (Document ID: 1777828231). • Foster, G. (2006). The Behavioral approach to treating obesity. American Heart Journal, 151(3), doi: 10.1016/j.ahj.2005.03.003 • Let’s Move. (n.d.). Healthy Schools. Retrieved April 19, 2010, from http://www.letsmove.gov/activity/index.html
References • Magryta, C.J. (2009). School lunches: a strategy to combat childhood obesity. Explore, 5(6), 352-353. • Souderton Area School District (SASD). (2006) Student Wellness. Retrieved April 20, 2011 from http://www.soudertonsd.org/district/board/SASDpolicy/SASDpolicy-246.pdf • Souderton Area School District (SASD). (2011). About Us. Retrieved April 20, 2011 from http://www.soudertonsd.org/district/about/#enroll • Schonfeld-Warden, N, & Warden, C. (1997). Pediatric obesity - an overview of etiology and treatment. Pediatric Clinics of North America, 44(2), 339-361. • Story, M., Neumark-Sztainer, D., & French, S. (2002). Individual and Environmental Influences on Adolescent Eating Behaviors. Journal of the American Dietetic Association, 102S40-S51. doi:10.1016/S0002-8223(02)90421-9. • Sutherland, R., Gill, T., & Binns, C. (2004). Do parents, teachers and health professionals support school-based obesity prevention?. Nutrition & Dietetics, 61(3), 137-144. Retrieved April 25, 2010 from Academic Search Complete database.
Suggested Reading • http://healthymeals.nal.usda.gov/ • http://www.letsmove.gov • Power, T., Bindler, R., Goetz, S., & Daratha, K. (2010). Obesity Prevention in Early Adolescence: Student, Parent, and Teacher Views. Journal of School Health, 80(1), 13-19. doi:10.1111/j.1746-1561.2009.00461.x.
