susan matulevicius, md, mscs, facc assistant professor division of cardiology ut southwestern

PHYSICAL FITNESS & HEALTH IN MIDDLE SCHOOL

Susan Matulevicius, MD, MSCS, FACCAssistant Professor

Division of CardiologyUT Southwestern

2000

Obesity Trends* Among U.S. Adults

US Prevalence of Obesity 1990-2010(*BMI 30, or about 30 lbs. overweight for 5’4” person)

2010

1990

No Data <10% 10%–14 15%–19% 20%–24% 25%–29% ≥30%

http://www.cdc.gov/obesity/data/adult.html

Obesity has Tripled Since 1980

1973 1978 1992 2000 2002 2003 2005 2008 20100%

2%

4%

6%

8%

10%

12%

14%

16%

18%

Prevalence of Obesity in Chlidren age 2-19

Circulation 2012; 126(14): 1770-1779.

Our Children are More Obese than Our Neighbors’ Children

Canada Mexico United States

0%2%4%6%8%

10%12%14%16%18%20%

JAMA 2012; 307 (5): 482-490.

Texas Leads the Way in Childhood Obesity

.

Complications of Childhood Obesity

Lancet 2002; 360(9331): 473-482.

•By 2035, it is estimated that >100,000 cardiovascular events (stroke, heart attack, congestive heart failure) will be attributable to excess weight in adolescence•In one study looking at carotid intimal thickness, which is a measure of vascular age, 75% of obese children age 6 to 19 years with cardiac risk factors had the vascular age of a 45 year old!

Journal of the American College of Cardiology 2013; 62(15): 1309-1319..

Key to Combating Childhood Obesity: Balancing Energy in & Out

Energy In Energy Out

Eat Healthy

Get Active

Kids & TV

Less likely to:1. Eat meals together with

their families2. Be actively engaged in

school3. Participate in

extracurriculars4. Sleep enough

Kids who have a TV in their room are:

More likely to:1. Have problematic social

behaviors2. Watch 1.5 more hrs of TV a

day3. Be overweight

Prev Med 2011; 52(2):104-8.

Physical Activity and Academic Achievement

Journal of School Health 2013; 83(7): 500-507.

30

40

50

60

70

<2 3 4 5

6th g

rad

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cad

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Ach

ieve

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Fitness Level

MathEnglish

Things Families Can Do

Limit Screen Time

Eat Together

Be Active! Healthy Snacks

Weekly Menu

Drink Water

Things Schools Can Do

Walk to School ProgramsPhysical Education

Physical Activity in the Classroom Community Engagement

Weigh2Rock.com

E-mail and Texting Interventions

Circulation 2013; 127:260-67.

Exergaming

Steps for Implementing a Social Network Intervention/Campaign

Circulation 2013; 127:260-67.

Healthy Resources

Letsmove.gov – Michelle Obama’s mission to raise a healthier generation of kids

Take10.net – Successful physical activity in the classroom

JAMmin’ Minute – 1 minute exercise routine and health tips created by schools around the country (www.healthetips.com/corporate_social.php)

CDC: http://www.cdc.gov/physicalactivity/everyone/guidelines/children.html

Get Moving! With UT Southwestern

• Pilot of the Walk with a Doc program established by Dr David Sabgir in Ohio•Partnering with the City of Coppell as part of the “Living Well in Coppell” Campaign•Goal is to get people moving and access to UTSW doctors and health professionals in a causal setting•Talk (10 minutes on a health) by a UTSW MD•Walk with doctors for 1 hour (or as long as you like) with the opportunity to ask questions or discuss health topics•Snacks and Screening by UTSW Student Dietetic Association and the Preventive Medicine Interest Group•GOAL: A walk a month with a health topic of interest for any participants. Kids,

Save the Date: 11/9/2013

Get Moving! with UT SouthwesternHear about an important health topic and

then take a walk with our expert cardiologists to learn how the “heart

pros” stay healthy.

WHERE: Andrew Brown Park EastWHEN: 9AM -11 AM Rain or shine

WHO: Everyone is welcome!