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The Family Perspective “Being on the front lines”

The Family Perspective “Being on the front lines”. Lisa Hark, PhD, RD Director, Nutrition Education and Prevention Program University of Pennsylvania School of Medicine www.lisahark.com. Objectives/Questions. Why are more kids overweight now? What is the role of the family?

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The Family Perspective “Being on the front lines”

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  1. The Family Perspective“Being on the front lines” Lisa Hark, PhD, RD Director, Nutrition Education and Prevention Program University of Pennsylvania School of Medicine www.lisahark.com

  2. Objectives/Questions • Why are more kids overweight now? • What is the role of the family? • What common themes did I encounter? • What lessons did I learn? • What are my hopes for the future?

  3. Media Attention Let’s use it!

  4. OK, SO THERE IS A PROBLEM! But why is this happening?

  5. Unhealthy Lifestyle Calories Factors Contributing To Weight Gain Portion Sizes Fruits and Vegetables Sweetened Drinks/Snacks Low-fat milk Exercise,Gym, Recess Fast Food Snack Food TV, Video and Computer Game Time Source: Lisa Hark, PhD, RD

  6. Calorie Balance Too HighWeight Gain Results Growing Developing Metabolizing Exercising Food Intake Source: Lisa Hark, PhD, RD

  7. Media in the Bedroom Percent of 8-18 year-olds with each mediumin their bedroom: Television 68% VCR/DVD player 54% Video game console 49% Cable/satellite TV 37% 31% Computer Premium cable channels 20% 20% Internet access Source: Kaiser Family Foundation, Generation M: Media in the Lives of 8-18 Year-Olds, March 2005: kff.org

  8. What is the role (and responsibility) of the family?

  9. Front Line Themes • Huge consumption of sweets, drinks, snacks. • Kids eating what ever they wanted day and night. • Many diets low in vitamins and minerals. • Rotten teeth, poor sleep, lack of energy, HTN, pre-diabetes, excess weight, mood swings. • Highly sedentary lifestyles • TV and video games in most bedrooms • Kids vegging out for hours and hours

  10. TV Rules: Parent’s RolePercent of all 8-18 year-olds who say they have: TV rules that are enforced “most” of time 20% No rules about TV 53% 26% TV rules that are enforced some, a little or never Source: Kaiser Family Foundation, Generation M: Media in the Lives of 8-18 Year-Olds, March 2005: kff.org

  11. Household Media EnvironmentPercent of 8-18 year-olds living in homes where: TV not usually left on during meals TV is “usually” on during meals 36% 63% Source: Kaiser Family Foundation, Generation M: Media in the Lives of 8-18 Year-Olds, March 2005: kff.org

  12. Lessons Learned • Under reporting of TV and videogame use • Children are running the household • Parents want to take control but can’t • Healthy lifestyle is a low priority when busy

  13. So what can we do?

  14. A Public Health Framework to Prevent and Control Overweight and Obesity • Food and BeverageIndustry • Agriculture • Education • Media • Government • Public Health Systems • Healthcare Industry • Business and Workers • Land Use and Transportation • Leisure and Recreation • Community- and Faith-based Organizations • Foundations and Other Funders Social Norms and Values • Home and Family • School • Community • Work Site • Healthcare Sectors of Influence Behavioral Settings • Genetics • Psychosocial • Other Personal Factors Individual Factors Food and Beverage Intake Physical Activity Energy Expenditure Energy Intake Energy Balance Note: Adapted from “Preventing Childhood Obesity.” Institute of Medicine, 2005. Prevention of Overweight and Obesity Among Children, Adolescents, and Adults

  15. Addressing the Problem Public Policy Community Organizations Family Individual

  16. Creative packaging on healthy foods

  17. Character licensing primarily on healthy foods

  18. My Hope for the Future • Parents prioritize & discipline better-starting early. • Food industry creates more healthy foods for kids. • Advertising unhealthy foods to kids is prohibited. • Recess everyday and gym at least 1 x per week is mandated in ALL U.S. schools. • TV shows increase coverage of healthy lifestyles.

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