HELWOS Healthy Life With out Obesity via Sports Sempati Sport Club Association

1. HELWOS Healthy Life Without Obesity via Sports Sempati Sport Club Association

5. World Health Organization (WHO) definitions for obesity • BMI = Weight kg/Height m² • Underweight: <18.5 BMI • Healthy weight: 18.5-24.9 BMI • Overweight (Grade I obesity): 25.0-29.9 BMI • Obese (Grade II): 30.0-39.9 BMI • Morbidly obese (Grade III): 40 or above BMI • Super obese (Grade IV): BMI >50

8. Portion Distortion: Do You Know How Food Portions Have Changed in 20 Years?

9. French Fries 20 Years Ago Today 210 Calories 2.4 ounces 610 calories 6.9 ounces How many calories are in these fries? Calorie Difference: 400 calories How long will you have to walk to burn* 400 calories? How to burn* 400 calories:  Walk leisurely for 1 hr 10 Minutes *Based on 72 Kg person

10. Soda Today 20 Years Ago 85 Calories 6 ½ ounces 250 calories 20 ounces How many calories are in this soda? Calorie Difference: 165 calories How to burn* 165 calories: Garden for 35 Minutes Howlong would you have to garden to burn 165 calories?. *Based on 72 Kg person

11. Turkey Sandwich 20 Years Ago Today How many calories are in this turkey sandwich? 320 calories 820 calories Calorie Difference: 500 calories How long would you have to bike to burn up 500 calories? How to burn 500 calories: Bike for 1 hour and 25 minutes *Based on 60 Kg person

12. The Obesity Environment • Consumption of energy encouraged! • Wide variety, low cost, good taste, high fat/energy dense foods available everywhere • Large portions • Expenditure of energy discouraged! • Reduction of jobs requiring physical labor • Reduction of PE at schools • Increased time spent watching TV, web, video games • Urban sprawl

13. But the obesity epidemic is NOT just an individual problem…

14. We have to reach the WHOLE POPULATION

16. Potential strategies - 1 • Global (WHO, EU, others) • With governments, examine the role of globalization on food availability and consumption; transport and urban planning; social networks; local and national economies • Promote the importance of evidence-based, independent research in the role of diet, physical activity, economic/ psychosocial factors in reducing SE inequalities in obesity • National / local • Create funds for local authorities, voluntary organisations and community groups to deliver a range of local schemes such as safe routes to school, community regeneration projects, local coalitions to reducing health inequalities • Examine pricing policies to ensure that healthy foods are accessible to all and ensure that foods like fruit and vegetables are no longer luxury items

17. Less of this… More of this… Example : Re-prioritizing access and price Junk food at school and in the curriculum School fruit tuck shop in Swansea

18. Potentialstrategies - 2 • NGO • Develop programmes for low income households on how to prepare low-cost healthy meals and on how and where to access physical activity opportunities at low cost • Support local agriculture and community physical activity initiatives to promote social cohesion, sense of worth, healthier food intake and higher activity level • Food supply • Encourage more farmers’ markets and grocery stores to establish themselves in low income areas, to reduce ‘food deserts’ and provide sources of healthy food within walking distance • Increase the visibility and appeal of healthy foods in supermarkets, and those accepted by particular ethnic groups

19. Potential strategies - 3 • Media • Attract celebrity role models in the promotion of healthy eating and physical activity • Promote a healthy lifestyle culture (e.g. incorporate positive behaviour change messages into television programmes and popular magazines) UNDP "Teams to end Poverty" • Health care • Increase health professionals’ awareness of SE inequalities in obesity • Develop partnerships between health services, social services and local authority which can provide a catalyst for increased community networks to support disadvantaged groups and liaise with existing physical activity and diet initiatives

20. Potential strategies - 4 • Education sites • Improve access to pre-school education • Have school nutrition policies to ensure good nutritional quality of foods served in cafeterias • Incorporate physical activity into the school day as integrated in the curriculum • Develop clear policies about bullying related to body size • Work sites • Include healthy food choices (e.g. subsidize healthy foods in cafeterias) and physical activity options (e.g. exercise facilities and changing rooms) at the workplace • Actively address hiring discrimination and stigmatization

21. PopulationStrategy Parks and recreation: • Provide a unique venue for children, adults, and seniors to learn about heart healthy lifestyles. • Adopt programs to meet the needs of the community. • Mobilize community partners and bring people together

22. Physical Activity

23. Physical Inactivity Many studies show that Turkish People are becoming too sedentary. Due to Increased use of technology. Increased use of automobiles. According to the Behavioral Risk Factor Surveillance System, in 2000 more than 26 percent of adults reported no leisure time physical activity.

24. Physical Inactivity Physical inactivity contributes to premature deaths. Rates differ by race and ethnicity. Hispanic women - most inactive Non-Hispanic women – second Asian and Pacific islander women – third and, lastly, White non-Hispanic women - fourth.

25. Physical Activity Contributes to weight loss. Helpful for the prevention of overweight and obesity. Helps maintain weight loss.

26. Physical Activity Occupational work Carpentry, construction, waiting tables, farming Household chores Washing floors or windows, gardening, or yard work Leisure time activities Walking, skating, biking, swimming, playing Frisbee, dancing, softball, tennis, football, aerobics

27. Physical Activity Physical activity decreases the risk for: Colon cancer Diabetes High blood pressure Physical activity also helps to: Control weight Contribute to healthy bones, muscles, and joints Reduce falls among the elderly Relieve the pain of arthritis. Regular physical activity is good for overall health.

28. How Much Physical Activity a Day? • To reduce the risk of chronic diseases in adulthood: Engage in at least 30 minutes of moderate-intensity physical activity, above usual activity, at work or home on most days of the week. • To help manage weight and prevent gradual, unhealthy weight gain inadulthood: Engage in approximately 60 minutes of moderate- to vigorous-intensity activity on most days of the week while not exceeding caloric intake requirements. • To sustain weight loss in adulthood: • Participate in at least 60 to 90 minutes of daily moderate- to vigorous-intensity physical activity while not exceeding caloric intake requirements. (Some may need to contact their healthcare provider before participating in this level of activity.)

29. Any activity helps. Moderate physical activity brings health benefits. Make it personal. Start slowly (10 minute walk/day). How Much Physical Activity a Day?

30. Increasing Physical Activity You can increase your physical activity by taking small steps to change what you do everyday. 2009

31. Lack of Physical Activity for special Needs • Children with special needs may have fewer opportunities for physical activity because of a need for constant supervision or for adaptive equipment. • Children who are unable to walk burn fewer calories than those who walk. • Children who walk with braces and crutches or walkers actually burn more calories than typical children during actual periods of walking.

32. Over-Permissive or Over-Restrictive Parenting ????????????????????????????????????? • Parents may try to compensate their child for his/her medical or physical problem by allowing whatever they want to eat. • Parents may be afraid to allow their child to do things for him/herself because of their disabilities • Parents may be confused about how and when to set limits for a child with physical or mental disabilities.

33. What Are the Consequences of Overweight for the Child with Special Needs?

34. Overweight Affects Quality of Life and Self Esteem • Research has shown that overweight children are more likely to be teased and to be targets of bullies. • Research on Health Related Quality of Life and children with developmental disabilities has shown progressive decreases in quality of life scores as BMI’s rise.* • Overweight may lower self esteem by interfering with independence.

35. Overweight Promotes Dependence Overweight reduces mobility by: • Causing braces and prostheses to be quickly outgrown • Causing a need for larger and heavier braces or wheelchairs with wider wheel bases

36. Overweight Becomes ******An AdditionalDisability******* • Overweight Interferes with self care : • Dressing oneself becomes difficult or impossible • It’s hard to tie shoes • Transfers from wheelchairs become much more difficult • Catheterizing oneself or using the restroom by oneself may be impossible

37. Obesity Results in Health Risks and Complications Increased risk of : • High blood pressure • Heart disease • Arteriosclerosis • Diabetes • Post surgical complications • Pressure sores • Joint problems (foot, knee and hip) • Blount’s disease • Fatty liver disease • Sleep apnea

38. Impact of Obesity on Persons with Disabilities • Consequences of obesity may cause greater harm to people with disabilities due to: • lower threshold of health associated with various secondary and associated conditions accommodating certain disabling conditions. • difficulty in accessing health promotion programs in their home or community leading to continuing weight gain. • It is imperative that we increase awareness about the obesity-related health disparities that exist between adolescents with disabilities compared to their non-disabled peers.

39. Potential Barriers to Participation in Health Promotion Activities for Youth with Disabilities • Youth with disabilities are often denied the opportunity to participate in the same physical and recreational opportunities as their non-disabled peers. • Certain accommodations are necessary to enable youth with disabilities to participate in physical activity and nutritional programs. • Many school-based obesity interventions do not address specific physical and nutritional concerns associated with particular disabilities.

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41. Thanks for your attention… Sempati Sport Club Association