Fighting The Fat; Knocking Out Childhood Obesity

1. Fighting The Fat;Knocking Out Childhood Obesity Kindergarten – 5th grade Brenda Cox Leah Knowlton Sonya Lott

2. Why The Obesity Topic? In 2005, only 4 states had obesity prevalence rates less than 20 percent, while 17 states had prevalence rates equal to or greater than 25 percent, with 3 of those having prevalences equal to or greater than 30 percent (Louisiana, Mississippi, and West Virginia).

4. Overweight is a serious health concern for children and adolescents. Data from two NHANES surveys (1976–1980 and 2003–2004) show that the prevalence of overweight is increasing: for children aged 2–5 years, prevalence increased from 5.0% to 13.9%; for those aged 6–11 years, prevalence increased from 6.5% to 18.8%; and for those aged 12–19 years, prevalence increased from 5.0% to 17.4%.1 300,000 deaths each year in the United States are associated with obesity. http://www.surgeongeneral.gov/topics/obesity/calltoaction/fact_glance.htm Overweight and obesity, influenced by poor diet and inactivity, are significantly associated with an increased risk of diabetes, high blood pressure, high cholesterol, asthma, joint problems, and poor health status.

5. Advertisement Flyer Radio CELEBRATEFighting the Fat: Knocking Out Childhood Obesity We are sponsoring a Children's Health Fair Join us as we provide information about children's health and nutrition issues. WHENSaturday, June 2, 2007 from 9 a.m.-12 a.m. WHERECentral Square Complex Gym A Douglas, Georgia The fair is open to the public For more Information Call 555-555-5555 Newspaper

6. LOCAL CHILDREN'S HEALTH FAIR TO FOCUS ON CHILD HEALTH ISSUES LOCAL CHILDREN'S HEALTH FAIR TO FOCUS ON CHILD HEALTH ISSUES Douglas, GA - A variety of health and safety information for parents and children will be available at a Children's Health Fair sponsored by Valdosta KSPE 7140 students. The health fair will be held Saturday, June 2, 2007 from 9 a.m. to 12 a.m. at Central Square Complex, gym A.. A local pediatrician will be available to answer questions and distribute information about many child and adolescent health topics, including healthy eating, childhood obesity, and weight management. The health fair is open to the public. For more information about the Children's Health Fair, contact Brenda Cox, Sonya Lott, or Leah Knowlton at 337-1143.

7. Your Invited! Fighting the Fat Knocking out Childhood Obesity Where: Central Square Complex When: Saturday, June 2, 2007 Time: 9:00AM – 12:00PM Free To The Public

8. Layout Vendors A – Pediatrician B - American Heart Association C – Nutritional Spokesperson D – Dentist E - P.E. Teacher/Fitness Person F – School Counselor G – USDA Representative H – Recreational Department I - Extension Service (4-H) F E D G C Seating Seating H B I Area for Final Activities A Registration Bathroom Bathroom Concession Area Exit Enter

9. Pediatrician Dr. Keith Childers The Kid Doctor 383-4253 Dr. Childers specializes in caring for kids ages birth to 18 years old. He understands the important risk factors associated with overweight and obese kids. He will discuss health matters related to the risks and ways parents can help in the fight against childhood obesity. Some of the handouts that will be available at his booth: Parents Magazine Height and Weight charts Some of the risk Dr. Childers will discuss are: Type 2 diabetes High Cholesterol Levels Acne High Blood Pressure Sleep Disorders Asthma Free weight, height, and blood pressure checks for all children present!

10. Overweight children and adolescents are at risk for health problems during their youth and as adults. For example, during their youth, overweight children and adolescents are more likely to have risk factors associated with cardiovascular disease (such as high blood pressure, high cholesterol, and Type 2 diabetes) than are other children and adolescents. Studies have identified an association between childhood overweight and asthma. One study estimated that sleep apnea occurs in about 7% of overweight children.

11. A CDC study estimated that one in three American children born in 2000 will develop diabetes in their lifetime. • Type 2 diabetes is increasingly being reported among children and adolescents who are overweight. • While diabetes and glucose intolerance, a precursor of diabetes, are common health effects of adult obesity, only in recent years has Type 2 diabetes begun to emerge as a health-related problem among children and adolescents. • Onset of diabetes in children and adolescents can result in advanced complications such as CVD and kidney failure.

12. American Heart AssociationNational Center Mailing Addresses American Heart AssociationNational Center7272 Greenville AvenueDallas, TX 75231American Heart AssociationNational Center Mailing Addresses American Heart AssociationNational Center7272 Greenville AvenueDallas, TX 75231 A representative from the association will be present to discuss the benefits of getting kids active. The representative will also discuss daily activities parents can encourage their child to participate in as well as how local student raise money through Jump Rope for Heart. Jump Rope demonstrations by local youth! Free Jump Ropes while supplies last! Free Activities Handouts for children!

13. Did you know? Compelling evidence shows that the atherosclerotic process (buildup of fatty plaque in arteries) begins in childhood and progresses slowly into adulthood. Then it often leads to coronary heart disease, the leading cause of death in the United States Overweight children and teens have been found to have risk factors for cardiovascular disease (CVD), including high cholesterol levels, high blood pressure, and abnormal glucose tolerance. In a population-based sample of 5- to 17-year-olds, almost 60% of overweight children had at least one CVD risk factor while 25 percent of overweight children had two or more CVD risk factors.2

14. A representative from the Dole Corporation will be present to offer parents and their children information on healthy meals and snacks. The representative will discuss the benefits for children eating five servings of fruits and vegetables each day. The representative will also have samples of healthy snacks available and show the nutritional value of the healthy snacks when compared to junk food. A computer station will also be available for parents and kids to checkout Dole’s 5 A Day website: http://www.dole5aday.com/Grownups/G_Home.jsp Dole 5 A Day ProgramCustomer Service & Fulfillment CenterP.O. Box 810Hudson, WI 54016Toll-Free:1-800-766-7201 Free Kids Cookbook to 20 lucky kids! Free Fruit & Vegetable Nutrition Facts Chart and Healthy Snacks to All!

15. Fruits and vegetables provide many health benefits. Epidemiological studies have consistently shown that regular consumption of fruits, vegetables, and whole grains is strongly associated with reduced risk of developing chronic diseases, such as cancer and cardiovascular disease. Research suggests that not having breakfast can affect children’s intellectual performance. One study suggests that a healthy snack menu in an after-school program can help low-income children -- those at highest risk of obesity. Snacking on low-calorie, fiber-rich fruits and vegetables helps keep both calories and hunger in check. 

16. More than half of all children skip breakfast! Skipping breakfast decreases school performance. Skipping breakfast has also been linked to obesity! Only 39% of children ages 2-17 meet the USDA’s dietary recommendation for fiber. During the last 25 years, consumption of milk, the largest source of calcium, has decreased 36% among adolescent females.14 Additionally, from 1978 to1998, average daily soft drink consumption almost doubled among adolescent females, increasing from 6 ounces to 11 ounces, and almost tripled among adolescent males, from 7 ounces to 19 ounces.15, 10

17. Dentist Free Dental Screening Causes of Tooth decay associated with obesity: Improper brushing Eating foods high in sugar Drinking drinks high in sugar Dr. Steve Wilkerson Dr. Chad Fussell 1108 N. Madison AvenueDouglas, GA 31533912-384-4432 Free care packages http://www.wfdmd.com/index.html Dr. Wilkerson and Dr. Fussell will be available to discuss the link between obesity and tooth decay. They will also discuss how healthy dietary habits help fight tooth decay as well as obesity in children.

18. The whole tooth and nothing but the tooth! "The same things contributing to the obesity epidemic can also contribute to tooth decay," said Dr. Gary Rozier, a dentist who teaches public health policy at the University of North Carolina. http://www.federalnewsradio.com/index.php?nid=187&sid=1128753 Children are heavy consumers of regular or diet soda. Overall, 56 to 85 percent of children (depending on age and gender) consume soda on any given day. http://www.fns.usda.gov/cnd/Lunch/CompetitiveFoods/report_congress.htm Fifty-six percent of 8-year-olds down soft drinks daily, and a third of teenage boys drink at least three cans of soda pop per day. http://preventdisease.com/home/tips43.shtml

19. More tooths! The percentage of 3rd grade students with caries experience, including treated and untreated tooth decay in Georgia during 2004-2005 was 56.3 % out of 2,861 students. Dental caries (tooth decay) is the single most common chronic childhood disease. http://apps.nccd.cdc.gov/nohss/IndicatorV.asp?Indicator=2 http://www.ada.org/public/media/videos/psa/index.asp#early Three times as many children aged 6-11 (12 percent) from families with incomes below the federal poverty line had untreated tooth decay, compared with children from families with incomes above the poverty line (4 percent). http://www.cdc.gov/nchs/pressroom/07newsreleases/oralhealth.htm

20. Physical Education Teacher Dr. Sonya SandersonAssistant ProfessorValdosta State University Health and Physical EducationTeacher Education Program Office: 173 or 170 P. E. Complex                                            Office Phone: 333-7170 or 333-7161 (front office)                        E-mail: Slsanderson@valdosta.edu Dr. Sanderson will be present to inform the public about the link between the increased number of obese kids and the decrease in physical education programs. She will also discuss ways to get children and their parents up and moving. Free Body Fat Percentage Calculations Free List of Fun Activities

21. Lets Get Moving People! 8% of elementary schools provide daily physical education or its equvilance. 300,000 deaths each year in the United States are associated with obesity. http://www.surgeongeneral.gov/topics/obesity/calltoaction/fact_glance.htm 27% of low-income children between 2 and 5 years of age in Georgia are overweight or at risk of becoming overweight. (CDC PedNSS, 2003) In 1968, 80% of kids were active in sport activities everyday. That number is now 20%. By age 17, the average child has spent more time watching television than attending school.

22. School Counselor Local School Counselor, Mrs. Nations, will be presents to inform parents about the link between obesity and childhood depression. She will also information for parents to help children and their families deal with depression, including the signs and symptoms of childhood depression. The American School Counselor Association (2003) states that "groups and group counseling make it possible for students to achieve healthier personal adjustment in the face of rapid change and to learn to work and live with others." Overweight children face ridicule every day and are victimized because of their size. Students need to have a safe place to go to when they are feeling threatened. The collaboration, cohesiveness, and sense of belonging children experience in group counseling may help them to feel understood (Lowey, 1998). Possible warning signs of depression Sudden changes in behavior Aggressive, angry or agitated behavior Increased risk-taking Changes in appetite or sleep patterns Lower self-esteem Gives up valued possessions and settles unfinished business. Withdraws from friends, activities, and family Changes in dress or appearance Significant losses or family stress Annette Nations Eastside Elementary 384-3187 Free Handouts

23. Over 52% of our youth live in non-traditional homes or dysfunctional families. Eighty-nine percent of these young people do not have anyone to provide general guidance to promote personal and social responsibilities. Overweight children are at a significantly greater risk for becoming severely depressed, being bullied, developing an eating disorder, and having marked low self-esteem. Feelings of alienation, anger, embarrassment, school avoidance, lower grades, and extreme social difficulties were also common emotional side effects of being overweight. (Leach & Morrill)

24. Emotions • For overweight adolescents, the biggest concern of excess weight is not health problems, but emotional problems. To live in a society that values thinness often promotes feelings of guilt, depression, and anxiety in children who differ from societal norms. • Leach & Morrill (1991) report that being overweight is a "nightmare" for children living in a culture purely obsessed with being thin. • Strauss (2000) simply states, "Society does not tolerate excess weight."

25. USDA USDA Center for Nutrition Policy and Promotion3101 Park Center DriveRoom 1034Alexandria, VA 22302-1594 We invited this exhibitor to the fair to share with our children the need for a healthy diet to stay healthy and fight obesity. The Food and Nutrition Service branch of the USDA provides children and adults of all ages with nutrition education materials on how to improve their diets and their lives. They have information, advice, websites, and free materials aimed specifically at our young people and helping them to eat healthy! Free Posters for Kids! Free Lesson Plans and Materials for Teachers!

26. According to the Centers for Disease Control, over the past three decades the childhood obesity rate has more than doubled for preschool children aged 2-5 years and adolescents aged 12-19 years, and it has more than tripled for children aged 6-11 years. Fast food consumption has increased fivefold among children since 1970. ("Effects of Fast-Food Consumption on Energy Intake and Diet Quality Among Children in a National Household Survey,“ (January 2004.) Nearly one-third of U.S. Children aged 4 to 19 eat fast food every day, resulting in approximately six extra pounds per year, per child. Increases in consumption of calorie-dense foods, as evidenced by the growth of fast-food chains and higher soft drink consumption, also point to a higher energy-intake.

27. Douglas Coffee County Parks and Recreation Department Roger Johnson, Director   Douglas-Coffee Parks and Recreation Department   912-384-5978 Get out from in front of that TV this summer and be ACTIVE! We invited them because: Today's youth are considered the most inactive generation in history caused in part by reductions in school physical education programs and unavailable or unsafe community recreational facilities. Many adverse health effects associated with overweight are observed in children and adolescents. Overweight during childhood and particularly adolescence is related to increased morbidity and mortality in later life. Yoga Teacher Ms. Vivian Bennett will be on hand to demonstrate some of the Yogi Yoga moves. (Stretches and animal moves)

28. The Kaiser Family Foundations found that the typical American child spends more than 38 hours a week as a “media consumer” in a home that averages 3 TVs, 3 tape players, 3 radios, 2 VCRs, 2 CD players, a video game player and a computer, as well as newspapers, magazines and comic books.

29. Turn it OFF Children are less likely to live in a home with just one television than in a house with five or more. The study is based on sampling of 3,155 children ages 2-18, and is the first to take into account not just television but the full spectrum of media. Supervision is often minimal or nonexistent. Half of the children surveyed do not have any parental rules limiting their time in front of the television or the kinds of programs they may watch. For children 8 and older, 61% said they watch what they want, when they want. [Sentinel, 11/18/99]

30. Boys between the ages of 10-17 are more likely than girls to watch television daily, (81% vs. 75%) play video games (40% vs. 18%) and use the Internet (15% vs. 10%) Overweight prevalence is higher in boys (32.7 percent) than girls (27.8 percent). In adolescents, overweight prevalence is about the same for females (30.2 percent) and males (30.5 percent). The prevalence of obesity quadrupled over 25 years among boys and girls, as shown in Table 1.

31. University of Georgia Cooperative Extension Service- Local 4-H Office Beverly Sparks 111 Conner HallAthens, GA 30602 We invited this exhibitor because of their nutrition and health programs, such as the Healthy Lifestyles for Youth Initiative, and also because their 4-H programs have a history of educating youth, and what may be even more important, the behavior of parents. Free Activities for Kids! Healthy Lifestyles for Youth Initiative of the University of Georgia Cooperative Extension Service Free Rubber Ducks

32. Exercise coupled with proper nutrition greatly enhances ones health.  4-H is aggressively promoting healthy lifestyle initiatives.  • The prevalence of obesity in Georgia increased from 10.8% in 1990 to 25.2% in 2004, shifting Georgia’s national ranking from 15th to 43rd. • It is estimated that over $2 billion are spent annually in Georgia for medical expenses that are attributable to obesity – 37% of these expenses are paid by Medicare/Medicaid. • The state is paying heavily for obesity and its care through Medicaid, Peach Care, and other state-funded health care programs. • Research indicates that Georgia’s childhood overweight rate is 4% higher than the national average.

33. A recent study in GA found that 42% of fourth graders, 38% of eighth graders, and 36% of eleventh graders were overweight or at-risk for overweight. • Over 60% of children and adolescents in the U.S. fail to meet recommended dietary guidelines for saturated fat, fruit, and vegetable intake. • 62% of children aged 9-13 do not participate in any organized physical activity during their non-school hours; 23% do not participate in any free-time physical activity

34. Scavenger Hunt Before you leave! Answers to a scavenger hunt will lead to the assembly of a key chain! B E H E A L T H Y That is how we know if people visited all the vendors.

35. References • http://sociomedia.ibelgique.com/tvstats.htm • http://www.tvturnoff.org/images/facts&figs/factsheets/Literacy.pdf • http://www.census.gov/Press-Release/www/releases/archives/facts_for_features/001702.html • http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/downloads/physician2.pdf • http://www.childrenshospitals.net/AM/Template.cfm?Section=Home&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=24553 • http://www.fcs.uga.edu/ext/efnep/index.php • http://www.federalnewsradio.com/index.php?nid=187&sid=1128753 • http://www.fns.usda.gov/cnd/Lunch/CompetitiveFoods/report_congress.htm • http://preventdisease.com/home/tips43.shtml • http://www.cdc.gov/nchs/pressroom/07newsreleases/oralhealth.htm • http://apps.nccd.cdc.gov/nohss/IndicatorV.asp?Indicator=2 • http://www.ada.org/public/media/videos/psa/index.asp#early • http://helpinghandsga.com/default.aspx • http://www.guidancechannel.com/default.aspx?M=a&index=1571&cat=19 • http://www.helpguide.org/mental/childhood_obesity.htm#treated • http://www.surgeongeneral.gov/topics/obesity/calltoaction/fact_glance.htm • http://helpinghandsga.com/TheEpidemic.aspx • http://helpinghandsga.com/ObesityStatistics.aspx • http://www.post-gazette.com/localnews/20040101closeup0101p4.asp Plus about 20 more!