1. Healthy Schools Healthy Children

2. NEW Kids TM This presentation was created by:This presentation was created by: –Joey Skelton, Medical Director for NEW Kids, and –Michelle Smith-Beckley, Dietitian with NEW Kids –Current Co-Chairs for Childhood Obesity Prevention Special Project for the Wisconsin PTA –NEW (Nutrition, Exercise, Weight-management) Kids is: Multi-disciplinary team working with overweight children and their families to improve their health statusMulti-disciplinary team working with overweight children and their families to improve their health status Children referred to clinic have: high cholesterol, high blood pressure, pre-diabetes, early liver disease, or bone and muscle problemsChildren referred to clinic have: high cholesterol, high blood pressure, pre-diabetes, early liver disease, or bone and muscle problems –We have seen over 600 kids in les than 3 years –This is our experience and expertise thus far

3. Obesity Trends Among Adults 1993 No Data <10% 10%–14% 15%–19%

4. Obesity Trends Among Adults 1996 No Data <10% 10%–14% 15%–19%

5. Obesity Trends Among Adults 1999 No Data <10% 10%–14% 15%–19% ≥20

6. Obesity Trends Among Adults 2001 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

7. Obesity Trends Among Adults 2004

8. The Spread of Overweight in Children Source: CDC/NCHS, NHES and NHANES Percent Overweight

9. Obesity in Adults Children: Health Risks Heart Disease High Cholesterol High Blood Pressure Diabetes Joint Problems & Arthritis Liver Problems Sleep Problems Low self-esteem

10. How Do We Define Overweight? With the Body Mass Index (BMI) A measure of weight, height, and gender together 7 years old 110 Pounds 4 feet tall BMI = 35 14 years old 110 Pounds 5 feet tall BMI = 22

11. Overweight At risk of overweight ♦♦

12. Advice from Experts: Avoid the “Don’t ya’ just think…” Syndrome “Obesity is a complex problem- It will require complex solutions” -William H. Dietz, MD, PhD Centers for Disease Control & Prevention

13. Genetics Nutrition & Activity Environment Overweight

14. Nutrition- Not So Simple How much we eat What we eat How we eat

15. 140 calories 3-inch diameter Calorie Difference: 210 calories 350 calories 6-inch diameter BAGEL 20 Years Ago Today

16. “Super-Sized Generation” Fast Food French Fry Servings YearCalories per serving 1960s200 Kcal 1970s320 Kcal Mid 1990s450 Kcal Late 1990s540 Kcal 2000610 Kcal

17. Total Expenditures in US: Food away from home in millions

18. Fast Food Restaurant Growth Worldwide Source: Fast Food Corporation

23. Television VideoGames Cell Phones Computer/Internet Inactivity

24. Exercise = Activity

25. 2.5 million years50 years Borrowed from R Unger

26. “Friends” are not always friends Rejected by other childrenRejected by other children –Name calling, physical aggression, withdrawing friends, spreading rumors/lies Least liked by other childrenLeast liked by other children –Overweight children preferred least as friends –GETTING WORSE

27. Families- No longer Mayberry Single ParentsSingle Parents Duel Working ParentsDuel Working Parents Over-schedulingOver-scheduling Busy ≠ ActiveBusy ≠ Active HomeworkHomework ALL IMPACTING: –FAMILY MEALS –FAMILY LIFE –FAMILY TIME

28. Genetics Nutrition & Activity Activity Lifestyle & Behaviors Overweight Environment

29. Principles of Improving Health Modeling BehaviorModeling Behavior Making changes as a FAMILYMaking changes as a FAMILY Activity- Physical and SedentaryActivity- Physical and Sedentary Nutritional BalanceNutritional Balance Quick weight loss-Quick weight loss- NEVER PERMENANT Slow, steady changeSlow, steady change Life-long healthy habitsLife-long healthy habits

30. What about Schools? Children spend most of their day thereChildren spend most of their day there Opportunity for teachingOpportunity for teaching Resource for familiesResource for families Role modelingRole modeling School Wellness PoliciesSchool Wellness Policies Are you aware of what is included in your school’s wellness policy?Are you aware of what is included in your school’s wellness policy?

31. Indirect Messages Food Policy Are students allowed to have food in class?Are students allowed to have food in class? Are students allowed to have beverages in class?Are students allowed to have beverages in class? Are students allowed to have snacks in the hallways?Are students allowed to have snacks in the hallways? Are students allowed to have beverages in the hallways?Are students allowed to have beverages in the hallways? Are food or food coupons used as rewards or incentives for students?Are food or food coupons used as rewards or incentives for students? Do you have classroom fundraising that includes food sales?Do you have classroom fundraising that includes food sales? Do you have school-wide fundraising that includes food sales?Do you have school-wide fundraising that includes food sales?

32. Focus Your Efforts Gym classGym class Consistent physical activityConsistent physical activity Educate on how to be activeEducate on how to be active Competitive foodsCompetitive foods A la carteA la carte Vending machinesVending machines FundraisersFundraisers Open campusOpen campus Lunch periodsLunch periods ShortShort After recessAfter recess

33. Focus your Efforts cont Role modeling by school teachers and staffRole modeling by school teachers and staff Resource to familiesResource to families Nutrition and Health EducationNutrition and Health Education Tools for a healthy lifestyleTools for a healthy lifestyle Wellness PoliciesWellness Policies Awareness of developmentAwareness of development

34. Thank you!