1. Bright Futures in Practice: Physical Activity

2. New Morbidities of the 21st Century Changing family structures Highly mobile populations Lack of access to health care Health disparities Deteriorating neighborhoods and communities Intentional and unintentional injuries, substance abuse, depression, and HIV infection

3. Bright Futures Sponsors

4. Every Child Deserves a Bright Future!

5. The Mission of Bright Futures To promote and improve the health and well-being of infants, children, adolescents, families, and communities. Bright Futures is dedicated to developing educational materials for health professionals, families, and communities; implementing Bright Futures content, philosophy, and materials; and fostering partnerships and collaboration.

6. Bright Futures An Organized Structure for Health Supervision Bright Futures provides a framework to address the current and emerging health needs of infants, children, adolescents, and their families.

7. Bright Futures Guidelines Cornerstone Document

8. Immunizations Back to Sleep Bike Helmets Fluoridation Health Promotion/Prevention Works!

10. Partnerships Make a Difference Health professionals Families Child care professionals Social service professionals Schools Local and state government Community groups Business/industry Faith communities Payers

11. Bright Futures in Practice Series Oral Health Nutrition Physical Activity Mental Health

12. Physical Activity Trends Daily attendance of high school students in physical activity classes declined from 42% in 1991 to 25% in 1995 Nearly half of adolescents (12-21) did not participate regularly in vigorous physical activity Participation in physical activity declines strikingly as age or grade in school increases Children and adolescents with certain health conditions are less likely to engage in moderate or vigorous physical activity than other children and adolescents

13. Bright Futures in Practice: Physical Activity Vision and Goals Improve the health and physical activity status Establish health supervision guidelines focusing on physical activity Increase families’ knowledge, skills, and participation in developmentally appropriate physical activities Encourage partnership among health professionals, families, and communities

14. Organizations That Support Bright Futures in Practice: Physical Activity American Academy of Family Physicians American Academy of Pediatrics American Dietetic Association American School Health Association National Association for Sport and Physical Education National Association of Pediatric Nurse Practitioners and many more …

15. How the Guide is Organized Introduction Developmental Chapters Issues and Concerns Tools Indexes

16. Introduction Surgeon General’s Report on Physical Activity and Health Benefits of Physical Activity Building Partnerships

17. Developmental Chapters Infancy 0–11 Months Early Childhood 1–4 Years Middle Childhood 5–10 Years Adolescence 11–21 Years

18. Developmental Chapters Highlights Overview of developmental period Strengths, and issues and concerns Physical activity supervision

19. Developmental Chapters Highlights Desired outcomes Vignette Frequently asked questions

20. Issues and Concerns Chapters Asthma Children and Adolescents with Special Health Care Needs Ergogenic Aids Heat-related Illness Injury Obesity

21. Tools Definitions Characteristics of Excellent Physical Activity Programs Characteristics of Excellent Coaching Physical Activity Resources CDC Growth Charts

22. How the Guide Can Be Used Clinical settings Community setting Policy Education and Training

23. How the Guide Can Be Used: Clinical Incorporate information into each health supervision visit Develop and evaluate physical activity programs Implement standards of practice and protocol Educate children, adolescents, and their families

24. How the Guide Can Be Used: Community Provide anticipatory guidance to families on developmentally appropriate physical activity Develop physical activity programs Help schools incorporate physical activity education Implement standards of practice and protocol

25. How the Guide Can Be Used: Policy Provide information to policymakers, program administrators, and community leaders on relevant physical activity issues and concerns Obtain support for physical activity policies and programs

26. How the Guide Can Be Used: Education and Training Educate and train health professionals and paraprofessionals Provide in-service education and training to staff Use as a textbook or reference

27. Bright Futures Web Site www.brightfutures.org Resources for health professionals and families View, download and order publications

28. Bright Notes

29. To find out more about Bright Futures, contact Bright Futures Project National Center for Education in Maternal and Child Health Georgetown University 2000 15th Street, North, Suite 701 Arlington, VA 22201-2617 Tel: (703) 524-7802 Fax: (703) 524-9335 E-mail: BrightFutures@ncemch.org