2.  Goal: Address  Health issue  Accompanying research  Focus group or Susceptible population  Inferences  Supplementary numbers  How can the nurses be involved  Plan of action  How to explain positive outcomes

3.  What is considered to be a unhealthy dietary pattern?  Who are prone to be affected?  Why?  What can the outcomes be ?

4.  Value of facts  Healthy People 2020 Indicator

5.  Children  Pre-school (2-5 years)  Elementary School ( 6-12 years)  Middle and High School (13-19 years)

6.  Drastic increase in 1980s and 1990s  Stayed flat for the past 10 years  >One-third of age 2-19 years are obese  2008  Nearly 17% of age 2-19 years were obese  20% of age 6-11 years were obese (Table 1)

7.  Increased Medical cost in the past 10 years  1998 $78.5 billion  2008 $147 billion  Treating obesity is complex  Childhood obesity may lead to severe ravages

8. Age (in years) 1971- 1974 1976- 1980 1988- 1994 1999- 2000 2001- 2002 2003- 2004 2005- 2006 2007- 2008 Total 5.05.510.013.915.417.115.516.9 2-5 5.0 7.210.310.613.911.010.4 6-11 4.06.511.315.116.318.815.119.6 12-19 6.15.010.514.816.717.417.818.1 (Centers for Disease Control and Prevention, 2010).

9. Assessment Research CommunicationPolicy Advocacy

10.  Healthy Lunch Program in Schools  Say “No” to  Fried foods  High fructose foods  Vending machine snacks  Say “Yes” to  Cook from scratch  Freshly grown foods  Salad

11.  Measurement: BMI’s and diets  Starting and finishing calculations  Comparing both  Fortitude of accomplishment for the program  Implementing changes if necessary

12.  Shared finding within the community  Helpful tools  Interventions  Outcomes! Outcome! Outcomes!

13.  Abood, S. (2007, January). Influencing health care in the legislative Arena. OJIN: The Online Journal of Issues in Nursing, 12(1), Man02. doi:10.3912/OJIN.Vol12No01Man02  Bell, J., Rogers, V. W., Dietz, W. H., Ogden, C. L., Schuler, C., & Popovic, T. (2011). CDC grand rounds: Childhood obesity in the United States. MMWR: Morbidity & Mortality Weekly Report, 60(2), p42-46.  Berkowitz, B., & Borchard, M. (2009, January). Advocating for the prevention of childhood obesity: A call to action for nursing. The Online Journal of Issues in Nursing, 14(1), Manuscript 2. doi: 10.3912/OJIN.Vol14No1Man02  Budd, G.M., & Hayman, L.L. (2008, March/April). Addressing the childhood obesity Crisis: A Call to Action. Lippincott's Nursing Center.com, 33(2), 111-118. Retrieved from http://www.nursingcenter.com

14.  Centers for Disease Control and Prevention (2011). Adolescent and school health. Retrieved from http://www.cdc.gov/healthyyouth/obesity/facts.htm.  Centers for Disease Control and Prevention. (2010). NCHS Health E-Stat. Retrieved from http://www.cdc.gov/nch/data/hestat/obesity  Cooper, A. (2011). Lunch lessons. Educational Leadership, 68(8), p75-78. Retrieved February 24th, 2012 from EBSCOhost database.  Cowell, J.M. (2011, February). Childhood obesity research: Directions for school health researchers and school nurses. The Journal of School Nursing, 27(1), 7-12. 10.1177/1059840510394983

15.  Healthy People 2020. (2012). Retrieved from http:// www.healthypeople.gov.  Obesity in children and teens. (2011). American Academe of Child and Adolescent Psychiatry. Retrieved from http://www.aacap.org.  Parker, S. (2005, Spring). Fighting childhood obesity in minority communities. Minority Nursing, Retrieved from http:// www.minoritynurse.com  Rowen, L. (2009, January). Overview and Summary: Obesity on the rise: What can nurses do? The Online Journal of Issues in Nursing, 14(1), doi:10.3912/OJIN.Vol14No1ManOS  Ten reasons to fix school lunch and save our children's future. (2012). Retrieved from http://www.chefann.com/html/tools- links/Boulder.html