1. The American Academy of Orthopaedic Surgeons GET UP, GET OUT, GET MOVING!

2. QUESTIONS: How much aerobic activity does the Center for Disease Control (CDC) recommend for children – ages 6-17? A – 30 minutes per day B – 45 minutes per day C – 60 minutes every other day D – 60 minutes every day

3. QUESTIONS: Which one of the following activities is a “bone strengthening” activity? A – Running B – Swimming C – Bicycle Riding D – Sit Ups / Push ups

4. QUESTIONS: What are some benefits of physical activity? A – Help Maintain or Lose Weight B – Lowers Blood Pressure C – Decrease risk for Diabetes, Osteoporosis, Heart Disease, and other Health Problems D – All of the above

5. QUESTIONS: The First Lady - Michelle Obama has helped change the Food Pyramid to what symbol to reflect a balanced diet? A – Refrigerator B – Plate C – Square D – Dinner Table

6. QUESTIONS: The recommended calcium intake for people ages 9-18 is 1300mg per day. How many milligrams of calcium is in an 8 oz glass of milk? A – 100 mg B – 300 mg C – 500 mg D – 1000 mg

7. QUESTIONS: What is the most important age to focus on calcium and nutrition for developing strong bones and preventing osteoporosis? A – Infancy / Early Childhood (0-4 years) B – Childhood (5-10 years) C – Adolescence (11-18 years) D – Adulthood (20+ years)

8. HEALTHY LIFESTYLE Basic Building Blocks Physical Activity / Exercise Good Nutrition Sleep

9. BENEFITS OF EXERCISE Many!!!!!! 1. Decreases health problems 2. Improves your energy level and mood 3. Strengthens bones and joints 4. Helps control weight 5. FUN!!!! If the benefits of exercise could be put into a pill, doctors would prescribe it to all of our patients!

10. TYPES OF EXERCISE Sports Walking Bicycling Swimming Hiking – Outdoor Parks Dancing Weights / Gym Getting Out / Get Moving! Anything from walking in a parade to neighborhood clean-up! All activity is helpful.

11. PHYSICAL ACTIVITY - GOAL The Center for Disease Control (CDC)Recommends 60 minutes of physical activity a day for people ages 6-17. Vigorous Activity – 3 days / week Muscle Strengthening Activity – 3 days / week Bone Strengthening Activity – 3 days / week

12. BALANCED DIET The Dietary Guidelines for Americans, 2010, (January 31, 2011) - Emphasizes three major goals for Americans: Balance calories with physical activity to manage weight Consume more of certain foods and nutrients such as fruits, vegetables, whole grains, fat-free and low-fat dairy products, and seafood Consume fewer foods with sodium (salt), saturated fats, trans fats, cholesterol, added sugars, and refined grains

13. Old Nutrition Guides 1980’s1990’s

14. Current Nutrition Guide

15. HEALTHY BONES Calcium and Vitamin D Calcium – One of the building blocks for bones Vitamin D – Helps in calcium metabolism People ages 9 – 18 should get… 1300mg of Calcium per day 400 IU of Vitamin D per day

16. HEALTHY BONES Bone is living tissue – it is constantly in flux Formed and Resorbed In early adolescence – Bone Formation exceeds Bone Resorption 85-90% of the bone mass is formed by age 18 in females, and age 20 in males. We reach “Peak Bone Mass” by age 30 Adolescents and Early Adulthood is the best time to lay the FOUNDATION for healthy bones There are only 300mg of Calcium in an 8oz cup of milk – so a balanced diet is very important!

17. CHALLENGES Low Physical Activity and Poor Nutrition can lead to various health problems Examples – Problems with Blood Pressure and Bone Health Doctors calculate the Body Mass Index to help assess the overall health of a patient Weight (lbs) x 703 / Height (inches) 2 = BMI

18. BMI MEASUREMENTS BMI Underweight Below 18.5 Normal 18.5–24.9 Overweight 25.0–29.9 Obesity 30.0 and Above

19. BONE PROBLEMS The Hip Bone Can Slip

20. Slipped Hips

21. Slipped Hips Require Surgery We put a screw in the hip to prevent any further slipping Surgery helps stabilize the bone and helps the pain go away.

22. BONES CAN BEND

23. Bent Bones Surgery helps to straighten the bones and help prevent future problems

26. Case Example 13year old girl who came in with knee pain Xrays showed a “Bent Knee” She required surgery to fix and straighten her knee

27. AFTER SURGERY SHE CHANGED HER ACTIVITY AND NUTRITION, WHICH LEAD TO AN IMPROVEMENT IN HER OVERALL HEALTH!

28. PREVENTION IS KEY!!! Physical Activity / Exercise Healthy Eating Calcium and Vitamin D Get Up, Get Out, Get Moving!!!!

29. QUESTIONS: How much aerobic activity does the Center for Disease Control (CDC) recommend for children – ages 6-17? A – 30 minutes per day B – 45 minutes per day C – 60 minutes every other day D – 60 minutes every day

30. QUESTIONS: Which one of the following activities is a “bone strengthening” activity? A – Running B – Swimming C – Bicycle Riding D – Sit Ups / Push ups

31. QUESTIONS: What are some benefits of physical activity? A – Help Maintain or Lose Weight B – Lowers Blood Pressure C – Decrease risk for Diabetes, Osteoporosis, Heart Disease, and other Health Problems D – All of the above

32. QUESTIONS: The First Lady - Michelle Obama has helped change the Food Pyramid to what symbol to reflect a balanced diet? A – Refrigerator B – Plate C – Square D – Dinner Table

33. QUESTIONS: The recommended calcium intake for people ages 9-18 is 1300mg per day. How many milligrams of calcium is in an 8 oz glass of milk? A – 100 mg B – 300 mg C – 500 mg D – 1000 mg

34. QUESTIONS: What is the most important age to focus on calcium and nutrition for developing strong bones and preventing osteoporosis? A – Infancy / Early Childhood (0-4 years) B – Childhood (5-10 years) C – Adolescence (11-18 years) D – Adulthood (20+ years)

35. THANK YOU!