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Adolescent Health: Obesity Prevention Rachel Samsel State Adolescent Health Coordinator Division of Family and Community Health Services Emma Kirkpatrick.

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Presentation on theme: "Adolescent Health: Obesity Prevention Rachel Samsel State Adolescent Health Coordinator Division of Family and Community Health Services Emma Kirkpatrick."— Presentation transcript:

1 Adolescent Health: Obesity Prevention Rachel Samsel State Adolescent Health Coordinator Division of Family and Community Health Services Emma Kirkpatrick Evaluation Coordinator, NPAOP Division of Prevention and Preparedness

2 Page 2 Acknowledgements Division of Family and Community Health Services Office of Program Decision Support Division of Prevention and Preparedness Nutrition, Physical Activity, and Obesity Prevention Child Health and Safety Branch

3 Page 3 Outline Data Prevalence of Adolescent Obesity Adolescent Nutrition and Physical Activity Behaviors Costs and Impact of Adolescent Obesity Programmatic Response Get Fit Kit School Physical Activity and Nutrition (SPAN) Survey Texas School Health Advisory Council State Obesity Prevention Strategic Plan Policy and Environmental Change Efforts Other related efforts

4 Page 4 Prevalence of Adolescent Obesity and Related Behaviors

5 Page 5 Prevalence of Adolescent Obesity 15.6 % of students are overweight (i.e., at or above the 85th percentile but below the 95 th percentile for body mass index, by age and sex) 13.6% of students are obese (i.e., at or above the 95th percentile for body mass index, by age and sex) This is a decrease from 15.9% in 2007 Youth Behavior Risk Survey, 2009

6 Page 6 Prevalence of Adolescent Obesity National data from 2003–2004 show high childhood obesity prevalence among African American girls (24%) and Hispanic boys (22%). In Texas, nearly 20% of African American 11 th grade males are extremely obese.(99 th percentile) More than one-third (35%)of Hispanic 4th grade boys were obese and almost two times more likely than their White peers to be obese. Youth Behavior Risk Survey, 2009 SPAN III, 2004-2005

7 Page 7 Adolescent Nutrition and Physical Activity Behaviors Related to Obesity Youth Behavior Risk Survey, 2009 % of youth reporting nutrition behaviors

8 Page 8 Adolescent Nutrition and Physical Activity Behaviors Related to Obesity Youth Behavior Risk Survey, 2009 % of youth reporting physical activity and screen time

9 Page 9 FITNESSGRAM Results

10 Page 10 Costs and Impacts of Adolescent Obesity Over the next 15 years, Texas adult obesity rate could rise to 48.6% Annual average health care cost per worker up by nearly 500%, to almost $1,300 Source: Texas Comptroller of Public Accounts and U.S. Centers for Disease Control and Prevention

11 Page 11 Costs and Impacts of Adolescent Obesity Source: Texas Comptroller of Public Accounts and U.S. Centers for Disease Control and Prevention

12 Page 12 Adolescent Obesity and Associated Issues The longer a child is overweight, the more he or she is at risk for depression and other mental health disorders. In an 8 years study, chronically obese boys were four times more likely to suffer from depression than their non-obese male peers Another study (JAMA) found that obese kids were 5.5 times more likely to have an impaired quality of life than healthy kids, comparing their quality of life with that of kids undergoing chemotherapy treatment for cancer. Both sexes were two and a half times more likely to suffer from oppositional defiant disorder.

13 Page 13 Adolescent Obesity and Associated Issues Obese and overweight adolescent girls were more likely to have sex before the age of 13 years Overweight and obese females were 30% more likely to report more than 3 lifetime sexual partners before graduating from high school 20% less likely to use condoms than their normal- weight peers Overweight girls were 30% less likely and obese girls were 40% less likely to report any form of contraception at last intercourse than normal-weight adolescent girls *Youth Behavior Risk Survey, United States, 2007

14 Page 14 Adolescent Obesity and Associated Issues Obese boys and girls were more than 2 times more likely than normal-weight youngsters to be victims of "relational" bullying Obese girls were about twice as likely to be physically bullied on a weekly basis than normal-weight girls Obese girls were more than five times more likely than normal-weight girls to physically bully other youngsters at least once weekly.

15 Page 15 Adolescent Obesity and Associated Issues Increased diagnosis of Type 2 diabetes and hypertension in adolescents Higher lifetime risk for a host of serious health problems, such as heart disease, stroke, diabetes, asthma, and some forms of cancer The stigma of obesity carries psychological and social consequences The chance of an obese teen becoming an obese adult is as high as 80%

16 Page 16 Factors Attributed to Obesity Other conditions or psychosocial factors attributed to obesity: Depression History of abuse or domestic violence Underlying medical conditions (polycystic ovarian syndrome; Prader-Willi Syndrome) Environmental (home, school, community) Behavioral (energy intake, physical activity, sedentary behaviors)

17 Page 17 Review of the Data Presented: Take Home Messages Approximately 1/3 of adolescents in Texas are overweight or obese Obesity is not solely a physical condition Obesity is directly associated with other high risk behaviors Obesity prevention requires a multi-pronged approach to be effective

18 Page 18 Programmatic Response

19 Page 19 Get Fit Kit The follow-up to FITNESSGRAM and AN Screening Informative tool to improve health of students identified by the FITNESSGRAM and AN Screenings as overweight or obese Lessons included in the Get Fit Kit: Healthy eating habits Physical fitness Living with Diabetes Goal: Awareness and Behavior Change

20 Page 20 School Physical Activity and Nutrition Survey (SPAN) Partnership with UT School of Public Health Dell Center for the Advancement of Healthy Living Identifies factors that may underlie obesity dietary behaviors, nutrition knowledge and attitudes, and physical activity Survey 4 th, 8 th and 11 th graders in 100 school districts 2009-2010 survey included a matched 4 th grade parent survey Added questions related to bullying, body image, depression, and other psychosocial issues that impact health behaviors

21 Page 21 Texas School Health Advisory Committee Accomplishments: Developed resource tool that provides information on physical activity and academic success Developed position statement on the importance of recess and physical activity during the school day Made recommendations for offering physical activity outside school day Developed FITNESSGRAM Guide for use by parents Made recommendations for modifications to coordinated school health program requirements as requested by law

22 Page 22 Nutrition and Physical Activity Strategies Consumption of fruit and vegetables Physical Activity Breastfeeding Consumption of sugar- sweetened beverages Consumption of high- energy-dense foods Television viewing

23 Page 23 Combined Obesity RFP Nutrition, Physical Activity & Obesity Prevention Program, Office of Title V and Family Health, and the Office of Border Health Evidence-based Physical Activity and Nutrition projects in- line with the CDC Measures Total amount: $2,565,376 (awards ranging $150,000 to $300,000 per project) 11 communities were awarded funds Five projects included strategies for children and adolescents totaling $900,000

24 Page 24 Combined Obesity RFP Teaching and Mentoring Regions 1, 8, 11 Physical activity curriculum in early childhood settings and at home Texas A&M University System Health Science Center Research Foundation Region 11 Pilot project of Edinburg ISD and Cameron, Hidalgo, and Starr Counties Brazos Valley Community Action Agency Region 7 Train youth to conduct assessments, utilize photovoice, and share findings to educate local public officials

25 Page 25 Combined Obesity RFP Community Council of Greater Dallas Region 2/3 Plan to improve infrastructure to increase walkability in target neighborhood. Texas State University - San Marcos Region 8 Partner with restaurants for increased availability of fruits/vegetables; develop kid-friendly portion appropriate plate as learning tool Work with restaurants to offer kids menu items on the plate

26 Page 26 Strategic Plan for the Prevention of Obesity in Texas NPAOP Partner Meeting and Summit - July 2009 Preliminary Data Collection Subject Matter Experts Community Representatives Conference Surveying Physical Activity Community Design Physical Activity Nutrition Community Design Nutrition Breastfeeding Total of 30 persons interviewed Small Communities (3) MediumSized Communities (3) Large Communities (4) Total of 33 persons interviewed Texas Pediatric Society Texas Trails Conference Houston Obesity Summit Input from a total of 64 persons Survey of Partners Completion Rate: 54.08% (272)* *Varies by question in total 503 people gave input (82.7%) Approximately 127 Partners provided preliminary input

27 Page 27 DRAFT Mission, Vision, and Goals Goal: To improve the health of all Texans through improved nutrition and increased physical activity Vision: Where active living and healthy eating is the Texas way of life Mission: To provide Texas communities with tools to create environments to support healthy eating and active living

28 PlanHealthyTexas.org Coming Soon

29 Page 29 Communities Putting Prevention to Work – States and Territories Initiative Component I $2.2 million $1.1 Million for Tobacco Prevention & $1.1 for Obesity Prevention Schools as central community access points Fresh produce Recreation facilities Online Community Action Tool www.PlanHealthyTexas.org Component II $2.7 million Optimal breastfeeding support in worksites mainly facilitated through state agencies Mother Friendly Work Place Organizational policy change

30 Page 30 Environmental Factors Impacting Adolescent Obesity

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35 Page 35 Louisiana Complete Streets Policy

36 Page 36 California Joint Use Agreements

37 Page 37 Various States: Farm to School

38 Page 38 Take Home Message Policy and environmental change initiatives that make healthy choices in nutrition and physical activity Available, Affordable, & Easy Will likely prove most effective in combating obesity.


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