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Childhood Obesity : Are we doing all we can do?

Childhood Obesity : Are we doing all we can do?. Dr. Sandy Blizzard Tripp. Obesity Trends* Among U.S. Adults BRFSS, 1990, 1999, 2009. (*BMI  30, or about 30 lbs. overweight for 5’4” person). 1999. 1990. 2009.

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Childhood Obesity : Are we doing all we can do?

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  1. Childhood Obesity: Are we doing all we can do? Dr. Sandy Blizzard Tripp

  2. Obesity Trends* Among U.S. AdultsBRFSS,1990, 1999, 2009 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 1999 1990 2009 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  3. Patient Statistics Location 5 – 11 Years of Age 12 – 18 Years of Age NC-NPASS, 2009

  4. Welcome to Obesity Related Disease 101 What do these statistics mean?

  5. Counties in the top and bottom two quintiles of both diabetes and obesity, 2007 MMWR 58:1259-1263, 2009

  6. Asthma

  7. Heart is muscle and it grows when it works harder … Increased blood pressure and enlarged heart are now diseases of children not just adults!

  8. Child as young as 4 years showing signs of arterial plaque Journal of Pediatric Endocrinology & Metabolism, 23, 17-18 (2010)

  9. Fatty Liver Disease

  10. Blount’s Disease

  11. Blount’s Disease Treatment

  12. DepressionQuality of life is poorer than a child with cancer

  13. Obesity Costs Money

  14. Lenoir County Youth The direct medical cost of unhealthy lifestyles* among youth in Lenoir County is over $118,000 annually If trends continue, the current group of inactive and overweight youth in our county will incur medical care and lost productivity costs of over $174 million by the mid-point of their working years (mid-40s) and over $1.6 billion by the time they retire. http://www.beactivenc.org/pages/223/County-Impact/ Be Active NC 2008

  15. Healthy Lifestyle Options • Limit intake of sweetened beverages • Limit television and video time to 1 to 2 hours per day • Encourage 60 minutes daily physical activity • 5-6 Servings of fruit and vegetables daily • Provide portions sizes appropriate for age

  16. Schools Can Help

  17. EXERCISE Good, fitness-based exercise, makes our brain ready to learn John Ratey, MD, Harvard Medical School

  18. NC Task Force on Preventing Childhood Obesity, 2009 Suggestions for the NC House of Representatives: State Board of Education required to report to Education Oversight Committee annually regarding the physical education program and Healthy Active Children Policy Received Immediate Priority Ranking from Task Force

  19. Child Nutrition Programs Know Your Farmer

  20. “Let’s Move” - Set a good example • Plant a school garden • Teach kids about fruit and veggies • Teach calorie counting • Cafeteria Upgrade: Swap the deep • fryer for a salad bar • Farms to School Program

  21. New USDA Rule Encourages the Purchase of Local Agricultural Products for Critical Nutrition Assistance Programs 'Know Your Farmer, Know Your Food'  USDA News Release: WASHINGTON, April 26, 2011

  22. Who Decides What is on the Plate? School lunches must meet Federal nutrition requirements, but decisions about what specific foods to serve and how they are prepared are made by local school food authorities. http://www.fns.usda.gov/cnd/lunch/AboutLunch/NSLPFactSheet.pdf

  23. School Lunch Menu Lenoir County May 2011

  24. BRIGHT SPOTS • Apple sauce • Strawberries • Peaches • Green Beans • Broccoli • Grapes

  25. Shift in Priorities In many NC school districts, the philosophy of “What is the right thing to do for children” has been replaced with the administration’s priority of “How much revenue can be generated?”

  26. A la carte

  27. Cookies • Chips • Debbie cakes • Ice cream • Fried chicken sandwich

  28. Eat Smart Move More Public School Wellness Programs Farms to School Let’s Move Community Obesity Summits Health Care Providers, Elected Officials, Educators, Community Leaders, Parents

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