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Childhood Obesity Prevention A School and Home Partnership

Childhood Obesity Prevention A School and Home Partnership. Janis Hogan RN May 2014. The Problem. How Big is the Problem?. The Changing Picture of Obesity in the US Examine CDC data on self-reported rates of obesity in adults Watch trend from 1985-2010

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Childhood Obesity Prevention A School and Home Partnership

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  1. Childhood Obesity Prevention A School and Home Partnership Janis Hogan RN May 2014

  2. The Problem Maine Center for Public Health Maine Chapter of American Academy of Pediatrics

  3. How Big is the Problem? • The Changing Picture of Obesity in the US • Examine CDC data on self-reported rates of obesity in adults • Watch trend from 1985-2010 • Colors represent percent of population in state who are obese • Light blue color is “good” – darker blue, tan, and red are BAD! (higher rates of obesity)

  4. Obesity Trends* Among U.S. AdultsBRFSS,1990, 2000, 2010 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 2000 1990 2010 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  5. Obesity Trends* Among U.S. AdultsBRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  6. Obesity Trends* Among U.S. AdultsBRFSS, 1986 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data < 10% 10%–14%

  7. Obesity Trends* Among U.S. AdultsBRFSS, 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No No Data <10% 10%–14%

  8. Obesity Trends* Among U.S. AdultsBRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  9. Obesity Trends* Among U.S. AdultsBRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  10. Obesity Trends* Among U.S. AdultsBRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  11. Obesity Trends* Among U.S. AdultsBRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  12. Obesity Trends* Among U.S. AdultsBRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  13. Obesity Trends* Among U.S. AdultsBRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  14. Obesity Trends* Among U.S. AdultsBRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  15. Obesity Trends* Among U.S. AdultsBRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  16. Obesity Trends* Among U.S. AdultsBRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  17. Obesity Trends* Among U.S. AdultsBRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  18. Obesity Trends* Among U.S. AdultsBRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  19. Obesity Trends* Among U.S. AdultsBRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  20. Obesity Trends* Among U.S. AdultsBRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  21. Obesity Trends* Among U.S. AdultsBRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  22. Obesity Trends* Among U.S. AdultsBRFSS, 2002 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  23. Obesity Trends* Among U.S. AdultsBRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  24. Obesity Trends* Among U.S. AdultsBRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  25. Obesity Trends* Among U.S. AdultsBRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  26. Obesity Trends* Among U.S. AdultsBRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  27. Obesity Trends* Among U.S. AdultsBRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  28. Obesity Trends* Among U.S. AdultsBRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  29. Obesity Trends* Among U.S. AdultsBRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  30. Obesity Trends* Among U.S. AdultsBRFSS, 2010 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  31. Why Childhood Obesity Prevention Matters! A Call to Action! • 1 out of 3 children is overweight or obese • In children, rates of overweight doubled in 20 years • In teens, rates of overweight tripled in 20 years • An obese 4-year-old has a 20% chance of becoming obese as an adult, and an obese teenager has up to an 80% chance of becoming an obese adult. Prevention is better than the outcomes for treatment.

  32. Why Should We Care? Health risks! Diabetes, heart disease, depression, high blood pressure, joint problems and sleep apnea. Health care costs! Obesity related illness spending in 2008 was at a cost of $148 billion or 21% of all medical spending in the US. Healthy weight children are more likely to grow up to be healthy adults!

  33. A Look Below the SurfaceUnhealthy EatingSoda & sugar drinksLarger portions High Calorie/Low cost foodsMore Fast Food & Eating OutLess home cooking& family mealsLess Physical ActivityMore TV & screen timeLess Physical Education Change in the Environment

  34. Portion Distortion Do you know how portions have grown over the past 20 years?

  35. BAGEL 20 Years Ago Today 140 calories 3-inch diameter How many calories are in this bagel?

  36. BAGEL 20 Years Ago Today 140 calories 3-inch diameter 350 calories 6-inch diameter Calorie Difference: 210 calories

  37. Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out How long will you have to rake leaves to burn 210 calories? *Based on 130-pound person

  38. Calories In = Calories Out If you rake the leaves for 50 minutes you will burn the extra 210 calories.* *Based on 130-pound person

  39. SPAGHETTI AND MEATBALLS 20 Years Ago Today 500 calories 1 cup spaghetti with sauce and 3 small meatballs How many calories do you think are in today's portion of spaghetti and meatballs?

  40. SPAGHETTI AND MEATBALLS 20 Years Ago Today 500 calories 1 cup spaghetti with sauce and 3 small meatballs 1,025 calories 2 cups of pasta with sauce and 3 large meatballs Calorie Difference: 525 calories

  41. Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out How long will you have to houseclean to burn the extra 535 calories? *Based on 130-pound person

  42. Calories In = Calories Out If you houseclean for 2 hours and 35 minutes, you will burn approximately 525 calories.* *Based on 130-pound person

  43. Sugar Sweetened DrinksWhat’s the big deal? • Sugar sweetened beverages are the largest source of added sugar in the diet. • On any given day, half the US population consume sugary drinks. • Children in the US average 224 cal/per day from sugary drinks – 15 teaspoons!

  44. Don’t forget the hidden Sugar!Look for low sugar options!

  45. Sugar – How much is too much?

  46. American Heart Association Healthy Diet Recommendations Focus on Nutrient Rich Foods • Fruits and vegetables • Whole grains • Low fat, low sugar dairy products • Poultry, fish and nuts • Limit red meat and sugary foods and beverages • Limit added sugar

  47. Physical Activity Another piece of the puzzle! • Americans get very little physical activity • Our environment has changed • ( less walking, more TV and video gaming etc.) • Exercise has become more of a personal choice

  48. 2008 Physical Activity Guidelines for AmericansChildren and Adolescents • 1 hour (60 minutes) or more of daily physical activity that is at least moderate: • - Most of the 1 or more hours a day should be either moderate- or vigorous-intensity aerobic physical activity. • - Do vigorous-intensity physical activity at least 3 days a week.

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