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Childhood Obesity

Heart disease is the leading cause of death in the United States. Childhood obesity has more than doubled over the past 30 years and 1/3 of American children are either obese or at risk of obesity, increasing their risk for health problems like heart disease. Body mass index (BMI) is used to screen for weight categories in children and can indicate risks related to being underweight, healthy weight, overweight, or at risk of being overweight. Adopting healthy behaviors like following a healthy diet and regular physical activity can help children achieve a healthy weight and reduce health risks.

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81 views27 pages

Childhood Obesity

Heart disease is the leading cause of death in the United States. Childhood obesity has more than doubled over the past 30 years and 1/3 of American children are either obese or at risk of obesity, increasing their risk for health problems like heart disease. Body mass index (BMI) is used to screen for weight categories in children and can indicate risks related to being underweight, healthy weight, overweight, or at risk of being overweight. Adopting healthy behaviors like following a healthy diet and regular physical activity can help children achieve a healthy weight and reduce health risks.

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Abuzdea Alex
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CHILDHOOD OBESITY

TRENDS
OBJECTIVES
• Become aware of child obesity problem
• Inform what BMI is
• Consider changes that can be made
• Give ways to encourage classroom activities
• Suggest ways to improve school health
• Review Middleboro Wellness Plan
• Tips for Parents
Heart disease is the leading cause of death in the United States. Overweight and
obesity increase one's risk of developing heart disease.
•By 8 yrs of age 40% of children have significant cardiac
risk factors like high blood pressure, high cholesterol
and/ or inactive lifestyles.
•The percentage of overweight youth has more than
doubled in the past 30 years.
•Obesity is one of the most pressing health threats to
families and children nationwide.
•1/3 of American children and adolescents are either
obese or at risk of being obese.
•Children who are overweight or obese increase their
likelihood of developing heart disease, type 2 diabetes,
stroke, asthma and a host of other serious health
problems.
•Numerous factors contribute to weight problems
including heredity or family history, activity, and eating
habits.
December 2008 NASN STUDY
• Overweight and obesity are considered the “number one
reason for peer rejection in America”.
• Falkner & colleagues (2001) compared to nonobese peers
7th,9th & 11th graders were more likely to have negative
social experiences, believe they were poor students, and
expect to quit school.
• Costs of illnesses related to childhood obesity have risen
from $35 mil to $127 mil over the past 20 years. Claims to
medicaid in North Carolina for management of chronic
diseases related to obesity have already been affected.
• As already stated physical and psychological consequences
are more damaging.
Adopting heart healthy behaviors, such as following a healthy
eating plan and participating in regular physical activity, can
help individuals achieve or maintain a healthy weight.
Even modest amounts of weight loss of approximately 10
percent of initial body weight can reduce high blood pressure,
high blood cholesterol levels, and high blood glucose levels in
overweight or obese individuals with high levels.
Reducing these risk factors helps to prevent cardiovascular
disease and/or reduce its severity in those with existing
disease.
What is BMI?
BMI
Body Mass Index (BMI) is a number calculated from a child’s
weight and height. BMI is a reliable indicator of body
fatness for most children and teens. BMI does not measure
body fat directly, but research has shown that BMI
correlates to direct measures of body fat, such as
underwater weighing and dual energy x-ray absorptiometry
(DXA).1 BMI can be considered an alternative for direct
measures of body fat. Additionally, BMI is an inexpensive
and easy-to-perform method of screening for weight
categories that may lead to health problems.
For children and teens, BMI is age- and sex-specific and is
often referred to as BMI-for-age.
WHAT IS BMI PERCENTILE

After BMI is calculated for children and teens, the BMI number is
plotted on the CDC BMI-for-age growth charts (for either girls or
boys) to obtain a percentile ranking. Percentiles are the most
commonly used indicator to assess the size and growth patterns
of individual children in the United States. The percentile indicates
the relative position of the child’s BMI number among children of
the same sex and age. The growth charts show the weight status
categories used with children and teens (underweight, healthy
weight, at risk of overweight, and overweight).
BMI-for-age weight status
categories and the
corresponding percentiles are
shown in the following table.

Weight Status Category Percentile Range

Underweight Less than the 5 th percentile

Healthy weight 5th percentile to less than the 85 th percentile

At risk of overweight 85th to less than the 95th percentile

Overweight Equal to or greater than the 95 th percentile


Tips for Teachers

Just another thing to add to your


already busy day!
There are many ways to celebrate at school. I have
provided you with a hand-out that lists non-food ways
to celebrate and healthy snack ideas.
It is my desire that we could institute a new policy for
the 2008-2009 school year.

Examples of this would be:

non-food ways ( active game chosen by students, special art


project, donate a book to classroom)

healthy snacks ( fruit tray, finger sandwiches, cheese cubes &


crackers).

Unfortunately getting parents onboard with no cupcakes/treats


could be hard. Parents like to send sweets in because in some
respects that is easier than being more creative.
Constructive Classroom Rewards:

Classroom rewards can be an effective way to encourage positive behavior but


schools should not only teach children to make healthy food choices but also
provide an environment that fosters that. Somehow the connection between
food and mood needs to be broken.

Therefore a goal should be to separate food from rewards. (Handout of non


food rewards)

Examples:
social rewards ( special attention, praise, or thanks)
recognition ( sticker, photo, or note sent home)
Privileges
school supplies.
A School can increase physical
activities
• Teach academics through physical activity
• Keep kids active at recess, before and after school.
• Brain power breaks.
• Reward students with physical activity
opportunities – helps eliminate food rewards
• Promotion of lifestyle physical activities to
students & staff. ( take & display pictures of staff
& students being active)
• Engage students and families in physical activities
Activity websites

• www.fitnessfinders.net
• http://www.actionforhealthykids.org/gotuwc/
• www.creativewalking.com
• www.opi.mt.gov/pdf/health/Mind&Body.pdf
• http://
teamnutrition.usda.gov/Resources/empoweringyo
uth.html
• http:www.bam.gov
• www.newenglanddairycouncil.org/wellness
     We need to  praise Food Services for the healthy changes
that have already been made. Lynn Petrowski, our prior Food
Services Director, did a wonderful job of making healthy
changes within our lunch program. This has been well
accepted at the lower levels but still causes complaints with
upper levels due to likes & dislikes.
We have an enhanced food base, follow the A-list for health
foods and have limited the a la carte to all baked not fried
foods.
Nationwide there are now changes to whole grains, baked
not fried snacks, and vending machines being removed from
within schools.
55% of national schools are using skinless poultry, only 19%
offer French fries, and 60% of elementary schools offer
lettuce, vegetable or bean salads.
Study says ads trick children's taste buds

Wrapping affects their preferences


By Lindsey Tanner, Associated Press  |  August 7, 2007

Even carrots, milk, and apple juice tasted better to the children when they were
wrapped in the familiar packaging of the Golden Arches

“You see a McDonald's label and kids start salivating," said Diane Levin, a childhood
development specialist who campaigns against advertising to children

The study will probably stir more debate over the movement to restrict ads to children.
It comes less than a month after 11 major food and drink companies, including
McDonald's, announced new curbs on marketing to children under 12
Entire school activity ideas

1. A walking club for staff and


or students.
2. A mock relay to correspond
to the Boston Marathon.
3. Bulletin board showing staff
& students being active.

Would like volunteers who might


be interesting in doing
something like this.
THE MIDDLEBORO
WELLNESS POLICY
PROCEDURAL GUIDELINES
• Set Nutrition Education Goals –encourage students
to make lifelong healthy food choices.
• Set Physical Activity Goals – help students to
understand the short and long term benefits of a
physically active & healthy lifestyle.
• Establish nutrition standards for all food available in
school setting.
• Set goals for school based activities to promote
wellness.
• Set goals for measurement & evaluation.
It is very important that parents are a role model for their children.
Behavior is learned from observation. We can either be a good or bad
example. It helps to examine your own behavior. Please think about the
following questions in order to examine your own eating habits.

Do you snack all day long?


Do you eat in front of the TV?
Do you eat whenever you are bored or under stress?
Do you eat dessert at every meal?
Do you skip breakfast?
Do you have soda rather than milk or water with your meals?
Do you diet all the time and have a fear of food?

These are behaviors your kids may pick-up on, which can affect their eating
     now and in the future. Therefore, think about your own eating regimen
1. habits
             

to support your child’s positive food choices.


Ways to be a role model would be:

•never skip meals


•limit junk food in the house
•eat and prepare food with your
children
•try new foods but don’t force children
to try
•turn off the TV while eating
•be active yourself.
•WHAT ARE HEALTHY FOODS

We should never label foods as either GOOD or BAD.


This can restrict eating or lead to negative attitudes
toward food.
Healthy foods are those that are nutrient-rich or have a
large amount of key vitamins and minerals for their
calories.
It is critical to make each calorie count; especially when
weight may be an issue.
You don’t have to give up your favorite foods to eat a
healthy diet just try to have your core choices nutrient-
rich and round out with other foods.
Colorful fruits and vegetables have more nutrients, lean
meats, beans, low fat and fat free dairy and nuts are
examples of ideal foods.
A website that is a good family guide to healthy eating is:
www.nutritionexploration.org
WAYS TO ENCOURAGE BETTER
EATING HABITS FOR YOUR CHILD
• Be that positive role • Encourage drinking
model low fat milk & water
• Plan & cook meals • Plan afternoon snacks
together • Pay attention to
hunger cues
• Offer kid-size servings
• Avoid skipping meals
• Give your child a good
• Restrictive diets are
start with breakfast usually not best for
kids
HELP YOUR CHILD BECOME MORE ACTIVE

• Boundaries- set time limits on TV, video games &


computers
• Play- encourage daily after school activities: play
outdoors, ride a bike, walk the dog, toss a ball
• Family time- adopt a lifestyle that includes regular
physical activity: walk after dinner, games that incorporate
movement
• Encourage- provide opportunities to experience different
activities & let them choose what they like
• Enjoy- make sure the activity is not viewed as punishment
I have a survey for the families
which might give them an
indication of how their food
choices measure up.
IN YOUR HOME SURVEY
 
1.        What snack foods do you have in your home? (Check all that apply.
___ cookies ___ chips ___ granola bars ___yogurt
___ fruit ___ veggies ___bagels other ______________
 
2.        If you pack a lunch for school, what foods do you send?
___ Sandwich ___leftovers ___cookies ___chips
___ granola bar ___ yogurt ___ veggies ___ fruit other ________
 
3.        What is there to drink in your house? (Check all that apply.)
___ water ___ soda ___ fruit drink ___ 100% fruit juice (orange, apple, etc)
___ 1% milk ___ whole milk ___ fat-free milk
 
4.        How many times does your family eat out during the week?
___ every day ___ 4 times a week ___ 2 times a week
___ Once a week ___ rarely
 
5.        Do you have sports equipment (bike, balls, roller blades, etc.) at home?
___ Yes ___ No, Explain __________________________________
 
6.        Are the adults in the home physically active?
___ All the time ___ Sometimes, explain ______________________
___ Never
 
THANK YOU

You do a lot in your days and I


appreciate your attention as we work
together to fight this “growing”
problem.

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