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Elementary

Elementary. Medical University of SC & Junior Doctors of Health in Collaboration with South Carolina AHEC Presents. Session 1: Childhood Obesity. Objective Cultivate increased knowledge of obesity, including causes, effects, and prevention

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Elementary

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  1. Elementary Medical University of SC & Junior Doctors of Healthin Collaboration withSouth Carolina AHECPresents

  2. Session 1: Childhood Obesity Objective • Cultivate increased knowledge of obesity, including causes, effects, and prevention • Defining obesity facts, factors affecting obesity, and root cause • Understanding clinical term: BMI • Explaining health concerns • Describing prevention efforts Participate in introduction activity

  3. Is obesity really a problem? http://www.hulu.com/watch/1447/saturday-night-live-taco-town

  4. OBESITY • (noun) The condition of being obese; increased body weight caused by excessive accumulation of fat. SOURCE: The American Heritage® Dictionary of the English Language, Fourth Edition. Retrieved October 23, 2008, from Dictionary.com, Website: http://dictionary.reference.com/browse/obesity

  5. THE FACTS CHILDHOOD OBESITY: • Rapidly Emerging as a Global Epidemic • At Least 1:5 Children in the US Aged 6 to 17 is Overweight or Obese • Overweight adolescents are 70% more likely to be overweight or obese adults SOURCE: Report on the Impact of Obesity on Health in SC, SC DHEC, 1999, Retrieved October 23, 2008 Website: www.scdhec.net/health/chcdp/obesity/docs/obesity_report.pdf

  6. THE FACTS CHILDHOOD OBESITYINSOUTH CAROLINA: • In Rural Areas, 1:3 (37%) Children Aged 10 – 17 are Overweight or Obese • 25% of Children Aged 2 – 5, • 16% of Middle School Students, and • 13% of High School Students are overweight or obese SOURCE: Healthy People Living in Healthy Communities 2008 Report on the Health of South Carolina’s People and Environment, Retriived October 23, 2008 Website: www.scdhec.gov/administration/library/ML-006048.pdf

  7. CHILDHOOD OBESITYThe Cultural Impact While childhood obesity is increasing in all racial and ethnic groups, prevalence is higher within nonwhite populations: • Overall 17% • Non-Hispanic Black 19% • Mexican American 20% • Non-Hispanic White 11% Source: Center for Disease Control, 2000, http://care.diabetesjournals.org/content/31/11/2211.full

  8. CHILDHOOD OBESITYThe Socioeconomic Impact Neighborhoods of residence may affect: • Access to Healthy Foods • Opportunities for Physical Activity • Quality of Local Schools • Commuting Time • Time Allocation Which may impact the prevalence of childhood obesity Source: Center for Disease Control, 2000, http://care.diabetesjournals.org/content/31/11/2211.full

  9. CHILDHOOD OBESITY • ROOT CAUSE • When children gain weight as a result of eating too many calories in the absence of adequate activity Source: Shaping America’s Health, Retrieved October 25, 2008 www.obesityprevention.org/childhood/index.html

  10. How do we measure obesity? Explaining Body Mass Index (BMI) • Body Mass Index: a number calculated from a child’s weight and height • A reliable indicator of body fatness for most children and teens • Does not measure body fat directly • Correlates to direct measures of body fat, such as underwater weighing • For children and teens, BMI is age- and sex-specific and is often referred to as BMI-for-age. Source: Mei Z, Grummer-Strawn LM, Pietrobelli A, Goulding A, Goran MI, Dietz WH. Validity of body mass index compared with other body-composition screening indexes for the assessment of body fatness in children and adolescents. American Journal of Clinical Nutrition 2002;7597–985.

  11. Body Mass Index in Children What is BMI-for-age? • BMI is determined for each child based on height and weight. • The child’s BMI is plotted on age-specific/sex-specific growth charts. Source: http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html

  12. PRACTICAL CLASSROOM TIP • Consult CDC web-site to accurately measure child weight and height. • Calculate BMI for each child based on height and weight. • Use CDC’s online calculator to get BMI-for-age/percentile value. Source: http://www.cdc.gov/healthyweight/assessing/bmi/childrens_BMI/measuring_children.html http://apps.nccd.cdc.gov/dnpabmi/

  13. Body Mass Index in Children • BMI is used as aSCREENING TOOL to identify potential weight problems in children • BMI is recommended by the CDC and American Pediatric Association for children beginning at age 2 • BMI is NOTa diagnostic tool. A healthcare provider would need to perform further assessment

  14. What is an obese BMI? Source: http://www.cdc.gov/healthyweight/assessing/index.html

  15. Body Mass Index

  16. CALCULATE Take 10 • Use the Formula Provided to Calculate Your Body Mass Index (BMI) • Remember! If you are calculating child/teen BMI, you would need to continue the calculation to get BMI-for-age. [Your Height in Inches (in)]2 x 703 ÷ Your Weight in Pounds (lb) On Line BMI Calculator Source: http://apps.nccd.cdc.gov/dnpabmi/

  17. DID YOU KNOW? Children who are overweight or obese are more likely to have issues with: • Physical Health • Emotional Health • Social Health Source: Preventing Childhood Obesity: Health in the Balance, 2005 • Institute of Medicine • www.iom.edu

  18. PHYSICAL HEALTH Children who are overweight or obese have increased risk of ADULT illnesses: • Type 2 Diabetes • Insulin Resistance • High Blood Pressure • High Cholesterol • Sleep Apnea • Liver Disease Source: Shaping America’s Health, Retrieved October 24, 2008, www.obesityprevention.org/childhood/index.html

  19. EMOTIONAL/SOCIAL HEALTH Children who are overweight or obese have increased risk of serious psychosocial issues: • Low self-esteem • Negative body image • Depression • Stigma • Negative stereotyping • Discrimination • Teasing and bullying Source: Shaping America’s Health, Retrieved on October 24, 2008, Website: www.obesityprevention.org/childhood/index.html

  20. CHILDHOOD OBESITY • THE TRICKY PART • Children need calories that are found in a variety of foods for growth and development • Studies show that overweight children eat more calories than they need to be healthy and do not get enough exercise Source: Shaping America’s Health, Retrieved October 25, 2008 www.obesityprevention.org/childhood/index.html

  21. CHILDHOOD OBESITY Intervention Harness the Power of the Community to: • Teach Children to Eat Healthy & be More Active • Address the Political, Economic & Social Factors that Affect Families

  22. The Power of YOU

  23. Does Your School: • Offer Healthy Food Choices for Lunch • Promote Healthy Snacks for Special Classroom Events • Offer Physical Activity Classes • Incorporate Physical Activity in the Classroom Outside P.E. If Not, Lobby for Them

  24. EAK - BR 15Minute

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