1. CHILDHOOD OBESITY Part 2

2. Hot off the press!  http://letsmove.gov/ http://letsmove.gov/

3. Kids and Fast Food  “One-quarter of children ages five to 10 years show early warning signs of heart disease.” CSPI, 2008  Most fast-food menus – especially kids’ menus  High in saturated fat, trans fat, sodium and calories

4. Food & Advertising  “Children view an average of 3 ½ hours of television commercials per week, and each year they spend the equivalent of a week watching TV ads.” (CSPI, 2003)  About half of these ads are for food.

5. TV Advertising for Food vs. Public Service Announcements for Fitness or Nutrition, 2005 SOURCE: Kaiser Family Foundation, Food for Thought: Television Food Advertising to Children in the United States, March 2007. Average number of food ads and PSAs on fitness or nutrition seen by children per year by age: Age2-7 Age8-12 Age13-17 4,400 per year 7,600 per year 6,000 per year 164 per year 158 per year 47 per year Food ads PSAs on fitness or nutrition

6. Distribution of Types of Food in TV Advertising Targeted to Children or Teens, 2005 34% 10% 28% Candy and snacks Fast food Among all food ads targeted to children or teens, percent that are for: 4% 9% 7% Sugared cereal Sodas & soft drinks Dine-in restaurants Prepared foods Dairy Breads and pastries 2%Fruit juices 1% SOURCE: Kaiser Family Foundation, Food for Thought: Television Food Advertising to Children in the United States, March 2007.

7. Food Advertising  Advertising budgets: Program / CompanyBudget (millions) NCI – 5 A Day Program$3.5 CDC – Nutrition & PE$34 USDA – Team Nutrition$10 McDonald’s$665 M&M’s$74 Coca-Cola & Diet Coke$209 Kellogg cereals$284 CSPI, 2003

8. Direct Advertising & Beyond  Advertising goes beyond commericals  Product placement  School sponsorship Contracts Fundraising Channel One Contests / Coupons / Incentives

9. Junk Food in Schools  “74% of middle schools and 98% of senior high schools have vending machines.” (CSPI, 2004)  Who regulates this?  The USDA’s role

10. Foods in Schools  What message are our kids getting by the types of foods they can buy in school?  Financial impact of selling healthier foods in schools.  Total revenues increased

11. Healthier Schools  Program for success:  Updating the meal program menus  Enhancing serving and eating areas  Improving facilities  Student involvement  Challenges?

12. Physical Activity  Childhood obesity is not just about food.  What are some benefits of exercise?  What about health risks?

13. Physical Activity Recommendations  1 hour (or more) of daily physical activity  Aerobic activity: 60+ minutes of moderate- to vigorous- intensity every day  Muscle-strengthening activity: at least 3 days a week as part of the 60 minutes  Bone-strengthening activity: at least 3 days a week as part of the 60 minutes

14. Type of Physical Activity ChildrenAdolescents Moderate-intensity aerobic Hiking, bike riding, brisk walking Baseball, yard work, hiking, brisk walking Vigorous-intensity aerobic Bike riding, jumping rope, running, soccer, basketball Jumping rope, bike riding, karate, basketball, cross- country skiing Muscle- strengthening Modified push-ups, sit-ups, rope or tree climbing Exercises with hand- held weights, push-ups, pull-ups, climbing wall Bone-strengtheningJumping rope, running, hopping, skipping, gymnastics Jumping rope, running, sports like gymnastics, basketball Examples of Physical Activities for Children and Adolescents CDC, 2008

15. Physical Activity & Youth CDC, 2008

16. Physical Activity: Schools  “In 2007, only 30% of 9 th -12 th grade students said they attended physical education classes every day.” (CDC, 2008)  Does physical activity have any affect on academics?  What can schools do?

17. Physical Activity: Communities  What can communities do to encourage physical activity?  Community-wide campaigns  Improvements  Partner with schools