1. Orie Achonwa Estela Cardenas Ashley Gendrett Jennifer Pate April 17, 2008

2. Defining Childhood Overweight Overweight is defined as a BMI at or above the 95 th percentile for children of the same age and sex. BMI is a measure of weight in relation to height that is used to determine weight status. What is BMI?

3. Prevalence of Overweight Children and Adolescents (Aged 2-19 Years)‏ Prevalence of overweight is increasing for children of all ages Healthy People 2010 identified overweight and obesity as 1 of 10 leading health indicators NHANES I 1971-1974 NHANES II 1976-1980 NHANES III 1988-1994 NHANES 2003-2004 Ages 2 through 5 5% 7.2%13.9% Ages 6 through 11 4%6.5%11.3%18.8% Ages 12 through 19 6.1%5%10.5%17.4%

4. Contributing Factors to Childhood Obesity Behavioral factors- can include energy intake, physical activity, and sedentary behavior Genetics - may increase an individual’s susceptibility to overweight Environmental factors- children’s behaviors can be influenced in the home, in the schools, and the community.

5. Implications of childhood obesity Cardiovascular damage High blood pressure Pulmonary complications Obesity sleep apnea Gastrointestinal disorders Skeletal abnormalities Psychosocial issues Economical issues

6. Future of Childhood obesity Research into the development of food habits, dietary choices, and physical activity in children Public and Private funding agencies should give a high priority to research on obesity in children and adolescents Parents and public need to be aware of problem and possible contributions to improve the health of children Prevention

7. Physical Activity The World Health Organization has estimated that every year 1.9 million people die as a result of physical inactivity The home is not a promising setting for promoting physical activity Beneficial effects on body weight, blood pressure, and bone strength The Youth Risk Behavior Surveillance System reported that only 40% of boys and 30% of girls are meeting the physical activity recommendation of at least 60 minutes of physical activity per day. Shrek Video Clip

8. Brazos Valley Health Assessment Main health concerns – Lack of preventive health care – Lack of mental health services Frequently reported conditions – Obesity/overweight – Hypertension – High cholesterol – Arthritis/rheumatism – Depression – Asthma

9. Obesity/ Overweight Arthritis *65% of the population report a risk factor for obesity/overweight. Risk factors for Obesity/Overweight Depression High Cholesterol Hypertension Asthma

10. Jump Rope for Heart Jointly sponsored by AAHPERD & AHA Started in 1970s by Jean Barkow Idea presented at AAHPERD Public Relations Conference Piloted as a fundraiser in 1977 Launched by AAHPERD & AHA in 1978 Educational component added by AAHPERD & AHA

11. Participating Schools Crockett Sul Ross

12. Our Program Intermediate Changes Strategies and Activities Short Term Changes -Increase physical activity in children -Decrease obesity/overweight in elementary school children Impact -Increase physical activity in children -Elementary children at Sul Ross and Crocket Elementary Schools SupportsTarget Populations Action Group: -SRPH Students -Principal from each school -Patti Willems with The Coordinated Approach to Child Health (C.A.T.C.H.)‏ -All P.E. Teachers from both schools -1 Teacher from each grade level at both schools -1 Parent from each PTO -Preparation through group effort Funding Support: -Bryan ISD and/or -C.A.T.C.H and/or -PTO’s from each school Action Group -Teach a new move and provide time, once a week, during class to jump rope -Provide access to jump ropes -Learn how to and participate in jumping rope -Celebrate achievements by having a Jump Rope for Heart Competition between grades on Track and Field Day in each school. P.E. Teachers All Teachers and Helpers + Role modeling ↑ Investment in health of children ↑ Fun physical activities ↑ Knowledge and skills for jumping rope

13. Modifications Provide jump rope time every Friday during P.E. -Teach students new jumps -Have pro-athlete come speak -Encourage increasing jumps and style Supply various jump ropes before/after school and during recess Include Jump Rope for Heart competition, once a year, during school track and field day

14. Sustainability Progress and diversity is inevitable to keep children interested and happy Low cost, fun, and exciting

15. Other Countries Influenced by JR4H Canada Japan Australia Spain

16. Maintaining Activity Collaborate with CATCH Program to continue school involvement Children are encouraged to enter jump rope contests on city, state, and national levels to win prizes Endorsed by Disney Corp.

17. Financial Factor Cost effective for schools Fundraiser for Jump Rope for Heart Financial support from school district and PTO will influence sustainability of the program

18. Take Away Points Jump Rope for Heart – Good way to engage children’s interest in physical activity – Low cost approach to keep students physically fit – Easy method to incorporate everyday activity for a large group of children

19. References Daniels, Stephen R. "The Consequences of Childhood Overweight and Obesity." The Future of Children, 16, no. 1 (2006): 47-67. Jump Rope For Heart - Jump Into the Fun. http://www.aahperd.org/jointprojects.html Katzmarzyk, Peter T., Baur, Louise A., Blair, Steven N., Lambert, Estelle V., Oppert, Jean-Michel, Riddoch, Chris, Force, For the International Association for the Study of Obesity Physical Activity Task and Panel, the Conference Speaker (2007) ‘International Conference on Physical Activity and Obesity in Children: Summary Statement and Recommendations’, International Journal of Pediatric Obesity, 3:1, 3-21. Koletzko, Berthold, Giradet, J.P., Klish, William, Tabacoo, Omar. “Obesity in Children and Adolescents Worldwide: Current Views and Future Directions- Working Group Report of the First World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition.” Journal of Pediatric Gastroenterology and Nutrition, 35, (2002): S205-S212. Sothern, Melinda S. "Obesity Prevention in children: physical activity and nutrition." Nutrition, 20, no. 7/8 (2004): 704-708. 2006 Brazos Valley Health Status Assessment. Executive Report. Center for Community Health Development, School of Rural Public Health. http://www.srph.tamhsc.edu/ http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/prevalence.htm http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/contributing_factors.htm http://www.jumpropeforheart.ca/ http://www.sph.uth.tmc.edu/catch/