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Docs Adopt© Childhood Obesity Prevention

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Presentation on theme: "Docs Adopt© Childhood Obesity Prevention"— Presentation transcript:

1 Docs Adopt© Childhood Obesity Prevention
Dr. NAME

2 How did we get here… Obesity is a recent phenomenon; today normal human behavior results in unhealthy weight gain. Therefore effective intervention must address the “obesogenic” environment.

3 THEN vs NOW 1950s NOW

4 20 year change in average caloric intake
Children eat fast food 2X/week* Fast food meal 187 cal > home meal** Fast food restaurants more common in low SES predominantly AA neighborhoods*** *Paeratakul J Am Diet Assoc 2003;103:1330 **Bowman Pediatrics 2004;113(1):112 ***Block Am J Preventative Med 2004;27:211

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7 THEN vs NOW 1950s NOW

8 Screen Time Most children watch 3 hrs TV/day*
Average child has 5-7 hrs total screen time* TV in bedroom associated with obesity Limiting “Media Time” lowered BMI** 5 h / day = 5X Higher risk obesity **Robinson JAMA 1999; 282:1561 *

9 THEN vs NOW 1950s NOW

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11 THEN vs NOW 1950s NOW

12 Decreased Physical Education and Physical Activity in Schools
Increased emphasis on academic achievement and testing PE & PA enhances learning, academic achievement, and positive behaviors* *Shepard Pediatric Exercise Science 1997;9:113 Calas Pediatric Exercise Science 1994;6:406 Dwyer Pediatric Exercise Science 2001;13:225

13 THEN vs NOW 1950s NOW

14 HIGH FRUCTOSE CORN SYRUP

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16 Prevalence of obesity (body mass index >95th percentile) among children and adolescents 2 to 19 years of age in the United States between 1971 to 1974 and 2009 to 2010 shows a recent plateau from 2003 to 2004 on. Prevalence of obesity (body mass index >95th percentile) among children and adolescents 2 to 19 years of age in the United States between 1971 to 1974 and 2009 to 2010 shows a recent plateau from 2003 to 2004 on. Based on data from the National Health and Nutrition Examination Survey (NHANES) published by Ogden et al.1,4 Lakshman R et al. Circulation. 2012;126: Copyright © American Heart Association, Inc. All rights reserved.

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18 Change in the distribution of weight among adults in SC (During the past 40 years, obesity has gone from being rare to the “normal” condition)

19 Robert Wood Johnson Foundation County Health Rankings & Roadmaps

20 Consequences of obesity in children and adolescents
9X risk of hypertension Early onset puberty in girls* 25% impaired glucose tolerance** 4% type 2 diabetes mellitus** 80% adult obesity, 1/4 of whom will have metabolic syndrome*** * Pediatrics 108(2):347,2001; ** NEJM 346(11):802,2002; ***JAMA 287(3):356,2002

21 What works …public health efforts to change the environment

22 Increase physical activity Include physicians in this effort
What It Takes To Work: Address the obesogenic environment through policy, systemic and environmental changes Improve nutrition Increase physical activity Include physicians in this effort Target schools to reach children

23 Why schools: (www.cdc.gov/HealthyYouth/keystrategies/why-schools)
> 95% young people in schools Large portion of daily food and exercise occurs at school Ideal setting to teach about healthy lifestyle Can enhance academic performance and behavioral improvements ( “Strengthen schools as the heart of health.” Institute of Medicine Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation May 2012

24 IOM GOAL 4: Expand the role of health care providers…in obesity prevention
“Health care providers should increase the support … for achieving better population health and obesity prevention. …advocate for improved physical activity and diet opportunities in their patients' communities.”

25 IOM GOAL 5: Make schools a national focal point for obesity prevention
Require quality physical education and opportunities for physical activity Ensure strong nutritional standards for all foods & beverages Ensure food literacy

26 Public Health Approach for Obesity Prevention:
IOM Accelerating Progress in Obesity Prevention 2012

27 Public Health Approach for Obesity Prevention:
IOM Accelerating Progress in Obesity Prevention 2012

28 The Boeing Center for Children’s Wellness Docs Adopt School Health Initiative©
Matches physicians or practices with individual schools Physicians join school wellness committee No clinical services School Wellness Checklist© Action guide for implementing evidence-based strategies to improve overall school health environment Basis of an annual contest that leads schools to improve nutrition and increase physical activity Qualifying schools receive monetary award to use towards wellness projects of their own choosing

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