1 creating a health movement lydia tinajero-deck,m.d. co-director of the heal(healthy eating, active...

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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