1 creating a health movement lydia tinajero-deck,m.d. co-director of the heal(healthy eating, active...
TRANSCRIPT
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Creating a Health Movement
Lydia Tinajero-Deck,M.D.Co-director of the HEAL(healthy eating, active living
program) ProgramChildren’s Hospital and Research Center, Oakland
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What we have learned at the HEAL program?
Working to make the environment better for your patients
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Barriers perceived by our teens and staff
Poor family support and poor peer support Environment Poor access to healthy foods Motivation Self-esteem Socio-economics/Health disparities Abundance of sedentary entertainment Medical problems Food/sweets are good
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The barriers Media, food industry,
social constructs, neighborhood designs
Food is good and eating is complicated
Parenting styles School environment Reimbursement
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Why is this epidemic occurring? We live in a toxic environment.
Cheap, ample food supply– decreased fat but increased calories– supersizing– increased eating opportunities
Less energy is expended– labor saving devices– less physical jobs– sedentary entertainment
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Poor family &peer support
Teens home alone Everyone is big in our
family Teasing Shield
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Environment Neighborhood design Unsafe neighborhoods Accessible community
resources ie parks, YMCAs
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Poor access to healthy foods
Cafeteria Home refrigerator Corner stores Fresh produce Affordable healthy
foods
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Motivation
Time Get up and go
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Self-esteem Embarrassed to exercise
in public
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Health disparities
Socioeconomics Ethnicity Urban areas Suburban areas
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Ethnic groups
Genetics, risk factors Traditional food Parenting styles
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Abundance of sedentary entertainment
TV Video games Cell phone computers
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Medical problems
Asthma Joints Allergic rhinitis Sickle cell disease Psych meds
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Food is good
Sweets Chips Soda Fast food nation
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Breaking the Epidemic---
Recognize the role of genetics Delete “portion distortion” Replace simple with complex
carbohydrates Create an American culture “on the
move.” Initiate a “healthy body weight rights
movement”
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What we can do?In the office
Encourage breastfeeding BMI, Follow-up, Referrals as needed Nutrition 101 in the office Encourage physical activity Be informed about a few resources
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Schools
Wellness policy PTA health speaker Sponsor a salad bar or school garden Get involved in a walkathon Meet with the principal Meet with the school district board
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Community
Community design Parks and Recreation YMCA Boys and Girls Club Public Health Department Hospital Council
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Advocacy groups
AAP ENACT Local government officials CMA
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Other groups that are working on this epidemic
WIC California Nutrition Network University of California Extension,
Alameda County (5 a day power play) Local grocery store or farmer’s market
events Breastfeeding Coalitions
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Physical Activity
Walk the Talk One resource or many in your waiting
room or on your walls. Screen for physical activity and
sedentary habits