!  Based on Center for Disease Control and Prevention

(CDC) Growth Charts in 2000, Childhood overweight is

recognized by having a “BMI at or above the 85th

percentile and lower than the 95th percentile”

!  Obesity identified as a “BMI at or above the 95th

percentile for children of the same age and sex”.

• (BMI)/ uses height and weight to estimate how much body fat you have

• In children and teens, body mass index is used to assess underweight, overweight, normal, and risk for overweight

• BMI at or above the 95th percentile /Obese

! Calories that kids ages 1 to 3 need in a day- 1,000

! Calories that American kids get at this age- 1,250

! Calories that kids ages 4 to 6 need in a day- 1,250

! Calories that American kids get at this age- 1,800

SOURCE: CDC/NCHS, NHES and NHANES.

Source: National Health and Nutrition Examination Survey, NCHS, CDC.

!  Increase in American children obesity since 1980. " Doubled percentage of obese children aged 6-11 years " Tripled percentage of obese teenagers aged 12-19

years

! Annual sales of foods and beverages to young consumers exceed $27 billion in 2002

! More than $1 billion is spent on media advertising to children (primarily on television)

!  $3 billion is spent on packaging designed for children.

!  Fast food outlets spend $3 billion in television ads targeting children

•  Genetics •  race/ethnicity •  Poor eating

• unhealthy eating patterns • excess energy intake

•  Lack of physical activity Watching TV, Playing video games,

sitting in front of the computer

•  media and marketing

! Childhood obesity is associated with both

immediate and long-term serious health

consequences such as: " Type II diabetes " Early indicators of atherosclerosis " Osteoporosis " Stroke " Heat attacks

! From 1979–1981 and 1997–1999, annual hospital costs related to obesity among children and adolescents increased

!  from $35 million to $127 million.

! Less than 40% of American children and adolescents, meet the U.S. dietary guidelines for saturated fat.

! In 2007, only 21.4% of high school students consumed fruits and vegetables five or more times daily during the past 7 days.

! 39% of U.S children ages 2-17 meet the USDA’s dietary recommendation for fiber

! 

!  According to a recent study, 61% of obese 5-10 years

old children , had risk factors for heart disease, and

26% had two or more risk factors for the disease.

!  Also at greater risk for bone and joint problems, sleep

apnea, and social and psychological problems.

!  Diabetes, "silent killer”, is the sixth leading cause

of death in the U. S.

! Influence health ! Culture ! Parental education ! Income level ! Limited access of health care ! Schools ! Neighborhoods

! Children at risk of becoming obese come from low-income.

! Low-income families lack the resources and services to make healthier food choices.

! Today, life expectancy in the U.S. is 77.6 years. !  In the U.S. over 25 million children are

overweight. ! People will have shorter lives because of being

overweight at such a young age. ! Obesity reduces life expectancy by four to nine

months.

! Decrease in life span two to five years. ! Children who become obese as adults increase the

chances of: #  Heart attacks #  Stroke #  Kidney failure # Increased morality # Type two diabetes

!  Education of children and engaging all groups

" Parents

" Schools

" Communities

" Healthcare

" Government

!  Encourage healthy eating !  Parents are role models

!  Engaging active lifestyles ! Help children find an activity that is enjoyable

! Reduce television and playing computer games !  Encourage more activities

! Tennis table ! Soccer table

!  Improve the nutritional quality of foods and beverages served and sold in schools

!  Increase opportunities for frequent physical activity !  Implement pilot programs for both staffing and teaching about

wellness, healthful eating, and physical activity

!  Provide opportunities for healthy eating and physical activity particularly for high-risk populations ! After school program ! Boys and girls club

! Cooking classes ! Dance classes

•  Early screening and intervention ! Recommend appropriate counseling and assist

children and their families !  Emphasis should be on positive family eating

behaviors, meal structure, and appropriate portion size.

! Develop nutrition standards for foods and beverages sold in schools

!  Enhance the budget for school meal programs and physical activity

!  Arrange advertisements for children and teens on healthy eating.

!  Expand funding for intervention and nutrition education.

! Promote healthy food choices and portion sizes

! Nutrition education ! Encourage kids to increase daily physical

activity ! Encourage kids to get their families,

schools, and communities involved ! Writing to legations

!  Centre for Disease Control and Prevention. (2009). Childhood Overweight and Obesity. Retrieved on April 28, 2009, from http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/index.htm

!  Finkelstein, E. A., Fiebelkorn, I. C., & Wang, G., (2003). National medical spending attributable to overweight and obesity: How much, and who’s paying? Health Affairs, Supplement web Exclusives: W3-219-226.

!  Medical College of Washington, Health Link. (2003). Childhood Obesity Causes Diabetes and Other Health Problems. Retrieved on April 28, 2009, from http://healthlink.mcw.edu/article/941223597.html

!  Public Health Agency of Canada, Chronic Diseases, Diabetes (2007). Retrieved April 25, 2009 from http://www.phac-aspc.gc.ca/ccdpc-cpcmc/diabetes-abete/english/risk/index.html

!  United States Department of Agriculture, Food and Nutrition Service. (2000). Promoting Healthy Eating Behaviors: The Challenge. Retrieved on April 28, 2009, from http://www.fns.usda.gov/tn/Healthy/healthyeatingchallenge.html

!  Washington University in St. Louise. School of Medicine (2005). Obesity, Type 2 diabetes rates growing rapidly among children. Retrieved on April 28, 2009, from http://mednews.wustl.edu/news/page/normal/4881.html

!  http://www.cdc.gov/nccdphp/publications/AAG/pdf/obesity.pdf (2009)