CATCH grant: Pediatric Obesity and Weight Management Community Assessment

1. CATCH grant: Pediatric Obesity and Weight Management Community Assessment Naya Antink, MD June 25, 2008

2. Obesity! • Concern for increasing rates of pediatric obesity: nationwide and locally • Lack of family awareness regarding patient’s growth status • Lack of awareness of resources for families with obese kids • Lack of community resources for pediatric weight management

3. What is Overweight? • Example: • 10 yo boy • Height: 4 ft 11 in • Weight: 113 lbs ● ●

4. Body Mass Index (BMI) Weight in kg OR Weight in lbs x 703 (Height in m)2 (Height in inch)2

5. Example: 10 yo boy Height: 4 ft 11 in Weight: 113 lbs BMI = 23

6. No Data <10% 10%–14% Obesity Trends Among U.S. Adults 1985

7. No Data <10% 10%–14% Obesity Trends Among U.S. Adults 1986

8. No Data <10% 10%–14% Obesity Trends Among U.S. Adults 1987

9. No Data <10% 10%–14% Obesity Trends Among U.S. Adults 1988

10. No Data <10% 10%–14% Obesity Trends Among U.S. Adults 1989

11. No Data <10% 10%–14% Obesity Trends Among U.S. Adults 1990

12. No Data <10% 10%–14% 15%–19% Obesity Trends Among U.S. Adults 1991

13. No Data <10% 10%–14% 15%–19% Obesity Trends Among U.S. Adults 1992

14. No Data <10% 10%–14% 15%–19% Obesity Trends Among U.S. Adults 1993

15. <10% 10%–14% 15%–19% Obesity Trends Among U.S. Adults 1994

16. <10% 10%–14% 15%–19% Obesity Trends Among U.S. Adults 1995

17. <10% 10%–14% 15%–19% Obesity Trends Among U.S. Adults 1996

18. 10%–14% 15%–19% ≥20% Obesity Trends Among U.S. Adults 1997

19. 10%–14% 15%–19% ≥20% Obesity Trends Among U.S. Adults 1998

20. 10%–14% 15%–19% ≥20% Obesity Trends Among U.S. Adults 1999

21. 10%–14% 15%–19% ≥20% Obesity Trends Among U.S. Adults 2000

22. 10%–14% 15%–19% 20%–24% ≥25% Obesity Trends Among U.S. Adults 2001

23. 15%–19% 20%–24% 25%–29% Obesity Trends Among U.S. Adults 2002

24. 15%–19% 20%–24% 25%–29% Obesity Trends Among U.S. Adults 2003

25. 15%–19% 20%–24% 25%–29% Obesity Trends Among U.S. Adults 2004

26. 15%–19% 20%–24% 25%–29% ≥30% Obesity Trends Among U.S. Adults 2005

27. 15%–19% 20%–24% 25%–29% ≥30% Obesity Trends Among U.S. Adults 2006

28. Increasing Prevalence of Overweight Children Source: CDC/NCHS and NHANES

29. 2006 Pediatric Nutrition Surveillance National Summary of Health IndicatorsChildren Aged less than 5 years

30. More Idaho Stats • 26% of the 160,000 Idaho kids ages 10-17 yo are considered overweight or obese.# • Hispanic children have almost double the rate of overweight/obesity than non-Hispanic children (49% vs 24%). • Kids with public insurance have almost double the incidence compared to those with private insurance (40% vs 22%). • 29% of low-income children ages 2-5 years participating in WIC are overweight/obese.* # 2003 National Survey of Children’s Health * 2006 Pediatric Nutrition Surveillance System (PedNSS)

31. My question is… Is there a need for a comprehensive pediatric weight management program here in the Treasure Valley?

32. CATCH Program • CATCH = Community Access To Child Health • Founded in 1991 by the AAP under a grant from the Robert Wood Johnson Foundation • Increase children’s access to medical homes or specific health services not otherwise available. • Focus on underserved children or health disparities among children. • Partnership between pediatricians and community-based organizations.

33. The CATCH Program provides pediatricians with: • Training • Technical Assistance and Resources • Peer Support and Networking Opportunities • Funding Opportunities

34. Various types of grants offered: • Planning • Implementation • Resident • Residency training • Visiting Professorship

35. CATCH Planning Grant • Needs assessment • Community Asset Mapping • Feasibility Studies • Community meetings • Focus Groups • Planning meetings • Grant proposals for future project implementation

36. What have I accomplished so far?