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Childhood Obesity Programs that Work

Childhood Obesity Programs that Work. Presented By: Karen Rodgers . Obesity Facts. Childhood obesity puts children at risk for serious medical conditions now and in the future

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Childhood Obesity Programs that Work

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  1. Childhood ObesityPrograms that Work Presented By: Karen Rodgers

  2. Obesity Facts • Childhood obesity puts children at risk for serious medical conditions now and in the future • Childhood obesity is a growing problem in the world today and we need to do all we can to stop the climbing rate of overweight children in our society

  3. Obesity Facts • In the United States at least one child in five is overweight • According to the CDC the number of overweight children and adolescents increased by 100% in the United States between 1980 and 1994

  4. Health Problems in overweight children • We must remember that overweight children are more likely to be overweight adults • Being overweight also increases their risk of cardiovascular disease

  5. Reasons children become overweight • Genetic Factors • Lack of physical activity • Unhealthy eating habits • Medical problems

  6. Common Medical Conditions of the overweight child • Hyperlipidemia • Glucose Intolerance • Hepatic steatosis • Cholelithiasis • Early maturation

  7. Additional Complications • Sleep apnea – the cessation of breathing during sleep which lasts ten seconds • Orthopedic complications affecting the legs, hips and feet

  8. Type 2 Diabetes in Children • Overweight and obese children are a risk for developing type 2 diabetes • Usually between ages 10 – 19 • Family history of diabetes • Acanthosis Nigricans

  9. Programs that Work for Weight Loss • SHAPEDOWN • CATCH – School Based Program • Stoplight Diet • Adventure Based Learning – • We need more research in this area

  10. What doesn’t work • Camps with very low calorie diets • Anything with very low calorie diets

  11. SHAPEDOWN • One of the nation’s leading weight management programs for children and adolescents • In business for over 20 years

  12. SHAPEDOWN

  13. SHAPEDOWN program creators • Faculty members of University of California, San Francisco, School of Medicine • Contributions from the following disciplines: • Nutrition - Exercise Physiology • Endocrinology - Psychology • Family Therapy - Adolescent Medicine • Family Medicine • Behavioral and developmental Pediatrics

  14. More about SHAPEDOWN • Family based • Research shows that family based treatment is effective even at 10 – year follow-up

  15. Program Levels • Level 1 6-8 year-old children • Level 2 9-10 year-old children • Level 3 11-12 year old children • Level 4 13-18 year-old adolescents

  16. Program Includes • Problem Solving • Family Approach • Assertive and emotionally expressive communication • Parenting skills

  17. SHAPEDOWN Recommendations • Increasing Physical Activity • New social interests and activities • Chores (as a way to increase physical activity) • Food Behaviors • Eating regular meals • Eating in response to hunger • Only eating till they are full

  18. How to use the program • Primary instructor may be a dietitian, mental health professional, exercise specialist, registered nurse or physician • The instructor undergoes 6-40 hours of training before the class begins • Group sessions • 10 weeks • 2 ½ hours each

  19. Long-term Results

  20. More Results • They have shown that kids who complete the program have improvement in the following areas: • Weight loss • Self-esteem • Diet and exercise habits • Weight management knowledge

  21. Contact Information • http://www.shapedown.com • (415) 453-8886

  22. School Based Programs • CATCH • The Child and Adolescent Trial for Cardiovascular Health • Four sites around the nation • 5105 students initially, 96 schools • Third-grade students • 3 year study

  23. Components of CATCH • Family- based curricula • Home curricula • Family fun nights • School – based curricula for the following: • School food service • Physical education • Classroom curricula

  24. Food Service Intervention • Eat Smart • Lower fat to 30 % of energy • Saturated fat to 10% of energy • Sodium to 600-1000 mg per serving

  25. PE Intervention • Increasing the amount of enjoyable physical activity during PE classes

  26. Classroom Intervention • Adventures of Hearty Heart and Friends • Go for Health-4 • Go for Health-5

  27. Home curricula • Activity packets that complemented classroom activities • 19 activity packets over 3 school years • Small rewards to encourage family participation

  28. Family fun Night • Dance performances by students • Food booths with healthy snacks • Distribution of recipes • Games

  29. Results of CATCH • Success in the short and long term • Long term behavior outcomes were seen in programs that were • Multiyear • Included environmental components • Had parent and community support

  30. More results • Intensity of Physical Education Class increased • Dietary knowledge increased • Self- reported food choice changes on Health Behavior Questionnaire

  31. Comments from the professionals • Leonard Epstein, PhD, a leading authority on childhood obesity and professor of pediatrics at University at Buffalo • “Get the whole family involved in the tratment and prevention of obesity.” • “Parents need to be active participants in their child’s weight loss.”

  32. Traffic-light Diet • Produces long-term success for obese children • Links food to the three signals on a traffic light • Green -GO • Low-calorie foods that can be eaten freely • Yellow – CAUTION • Moderate-calorie foods that can be eaten in moderation • Red - STOP • High calories foods that should be eaten rarely

  33. Traffic-light Diet • Significant decrease in percent of overweight over 5-10 years when program includes • Behavioral control • Exercise • Family participation

  34. Adventure Based Learning • Camp experience incorporating • Healthier food choices • Increased physical activity • Problem solving skills • Stress Management • Team Work

  35. Quiz given at camp this year • True or False • Being overweight increases my risk of diabetes • There are 8-10 teaspoons of sugar in one can of pop. • Mayonnaise has less fat in it than mustard • Being inactive increases my risk of developing diabetes • Physical activity has to be boring or hard.

  36. Results from Quiz • Grades 3 –4 • 63% correct on pretest • 88% correct on posttest • Grades 5-8 • 86% correct on pretest • 97% correct on posttest

  37. Adventure Based Wt loss • More information is still need to determine the long term affects of adventure based camps

  38. Final comments • Obesity in our children is a definite problem • We need more research so that we can see what programs work and so new programs can be developed

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