1. Childhood Obesity Programs 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 Level 2 Level 3 Level 4 6-8 year-old children
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
(415)

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
Largest and most rigorous school-based health promotion field trial that had been implemented before 1996

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 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 Grades 5-8 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