1 / 23

Daniel Clark MD/PhD/MPH/RN/BS/GED/Promotoro/CHW and Kuei Lee

Daniel Clark MD/PhD/MPH/RN/BS/GED/Promotoro/CHW and Kuei Lee. Childhood Obesity. Increasing in prevalence (1976-1980 vs 2003-2006) 6-11 yrs old: from 6.5% to 17.0% 12-19 yrs old: from 5.0% to 17.6% 1 of 10 key health indicators for Healthy People 2010 15% of American children are overweight

woods
Download Presentation

Daniel Clark MD/PhD/MPH/RN/BS/GED/Promotoro/CHW and Kuei Lee

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Daniel Clark MD/PhD/MPH/RN/BS/GED/Promotoro/CHW and Kuei Lee

  2. Childhood Obesity • Increasing in prevalence (1976-1980 vs 2003-2006) • 6-11 yrs old: from 6.5% to 17.0% • 12-19 yrs old: from 5.0% to 17.6% • 1 of 10 key health indicators for Healthy People 2010 • 15% of American children are overweight • Inactivity and poor diet cause 300,000 deaths/year in U.S. • Obesity-related diseases cost over $100 billion/year in U.S. Kuei Dan Source: http://www.cdc.gov/obesity/childhood/prevalence.html http://www.sph.uth.tmc.edu/catch/cns.htm

  3. School-Based Interventions • 3 Basic Approaches: • Nutrition - Guidelines - Price Interventions - Product regulation • Physical Activity • Environmental - Community and Family Interventions Source: http://www.cdc.gov/obesity/childhood/prevalence.html

  4. School-Based Interventions • Meta-analysis • “Do School Based Food and Nutrition Policies Improve Diet and Reduce Obesity?” • Published and unpublished literature • U.S. and Europe • 18 studies met inclusion criteria Source: Jaime, Patricia C. & Lock, Karen. “Do School Based Food and Nutrition Policies Improve Diet and Reduce Obesity?” Preventive Medicine, Vol. 48, 1; 2009; p. 45-53.

  5. School-Based Nutrition Interventions: Meta-Analysis Nutritional guidelines • Decreased total and saturated fat • Increased fruit & vegetable availability • Improved students’ dietary intake Source: Jaime, Patricia C. & Lock, Karen. “Do School Based Food and Nutrition Policies Improve Diet and Reduce Obesity?” Preventive Medicine, Vol. 48, 1; 2009; p. 45-53.

  6. School-Based Nutrition Interventions: Meta-Analysis Price Interventions • Increased fruit & vegetable sales • No negative effect on profits Source: Jaime, Patricia C. & Lock, Karen. “Do School Based Food and Nutrition Policies Improve Diet and Reduce Obesity?” Preventive Medicine, Vol. 48, 1; 2009; p. 45-53.

  7. School-Based Nutrition Interventions: Meta-Analysis Product regulation • Decreased sale of foods with minimal nutritional value • Unintended negative consequences Source: Jaime, Patricia C. & Lock, Karen. “Do School Based Food and Nutrition Policies Improve Diet and Reduce Obesity?” Preventive Medicine, Vol. 48, 1; 2009; p. 45-53.

  8. Physical Inactivity • Independent risk factor for CHD • 30% CV deaths • 30% DM deaths • 60% of cancer deaths Source: Stone et. al., Am J Prev Med 1998;15(4).

  9. CATCH PROGRAM • First initiated as a research study involving the University of • California at San Diego, University of Minnesota, Tulane University • and the University of Texas Health Science Center – Houston • Purpose: to develop an elementary school-based program to • reduce the risk factors related to cardiovascular disease. • Four Components: • Eat Smart school nutrition program • K-5 and 6-8 Classroom curriculum • Physical Education Program • Family Programs

  10. CATCH: Eat Smart

  11. CATCH: Eat Smart

  12. CATCH: Classroom Curriculum

  13. CATCH Activities and Games

  14. CATCH: Family Activities

  15. CATCH: Family Activities

  16. CATCH: Follow Up from 1991-1997 Nader et al. Arch Pediatr Adolesc Med. 1999;153:695-704

  17. CATCH: Follow Up from 1991-1997 Nader et al. Arch Pediatr Adolesc Med. 1999;153:695-704

  18. CATCH: Follow Up from 1991-1997 Nader et al. Arch Pediatr Adolesc Med. 1999;153:695-704

  19. CATCH: Follow Up from 1991-1997 Nader et al. Arch Pediatr Adolesc Med. 1999;153:695-704

  20. CATCH: Follow Up from 1991-1997 Nader et al. Arch Pediatr Adolesc Med. 1999;153:695-704

  21. CATCH: Follow Up Conclusions • Intervention group demonstrated significantly healthier behaviors • as compared to the control group. • Behavioral differences between both groups persisted for 3 years • after intervention. • The difference between experimental and control groups, though • still statistically different over time, are narrowing over time. • More research needs to be done to develop the best modalities for • maintaining intervention effects beyond elementary school level. • Programs to alter environments for elementary, middle, junior, and • high schools are warranted.

  22. Acknowledgements • Laredo • Roger Perales • Kelsey Vaughn • Sylvia Arellano • All the Speakers • La Bestia Blanca • Harlingen • Pat Bortoni • Noe Garza • Beatriz Tapia

  23. Questions?

More Related