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1: Introduction1
Your Health Matters: Fitness for Life
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Acknowledgement
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This curriculum was created by The University of Texas School of Public
Health, Brownsville Regional Campus with partial funding from the University
of Texas Community Outreach supported by the Texas Department of
State Health Services (DSHS).
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Knowledge Questionnaire
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Fitness for LifeProgram Goals
Expand understanding about why physical activity is important for a healthy life. Demonstrate how staying active helps reduce risk for chronic diseases. Empower participants to get and stay active and counsel clients with activity planning strategies.
Provide a curriculum which gives Community Health Workers the knowledge and skills about exercise to impart to their communities.
This curriculum provides the physical activity component to compliment the Your Health Matters!: Nutritious Eating curriculum.
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Fitness for LifeLearning Objectives
Describe the obesity epidemic and its implications to health.
Describe how energy balance influences healthy weight maintenance or weight loss.
Be familiar with the “FITT” concept.
Give three examples of how to get and stay active.
Explain the benefits of exercise.
Plan ways to reduce screen time. 5
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PowerPoint Presentations, Handouts, Information Sheets, Activities, and Videos
Fitness for LifeProgram Materials CD
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So why are we here? …
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Obesity is an Epidemic
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A defining public health challenge for the next half-century
The most challenging public health problem ever faced
#1 health problem facing American children
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What is Obesity?
9Centers for Disease Control and Prevention
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Obesity is not about appearance.
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Obesity is a medical diagnosis.
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Adult Overweight & Obesity
For adults 20 years and older
Overweight BMI of 25 to 29.9
ObeseBMI of 30+
Extremely ObeseBMI of 40+
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Body Mass Index (BMI)DEGREE OF BODY FAT BASED ON HEIGHT AND WEIGHT
Nutrition Through the Life Cycle, Brown 2008; National Heart Lung and Blood Institute-National Institutes of Health
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Activity: Calculating Adult BMI• Step 1: Find individual’s height along left side of chart—use this
chart to convert feet and inches to inches only.
• Step 2: Follow height row over to the right until you see the individual’s weight.
• Step 3: Follow this column up to find the individual’s BMI.
Discussion: What do you think? How do you feel? How do people in the community feel when they are told they are obese?
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Feet/inches Inches Feet/inches Inches Feet/inches Inches Feet/inches Inches
4’ 10’’ 58 5’ 3’’ 63 5’ 8’’ 68 6’ 1’’ 73
4’ 11’’ 59 5’ 4’’ 64 5’ 9’’ 69 6’ 2’’ 74
5’ 0’’ 60 5’ 5’’ 65 5’ 10’’ 70 6’ 3’’ 75
5’ 1’’ 61 5’ 6’’ 66 5’ 11’’ 71 6’ 4’’ 76
5’ 2’’ 62 5’ 7’’ 67 6’ 0’’ 72
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Childhood Obesity
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BMI-for-age Growth Charts
For children 2 to 19 years
Overweight BMI between 85th and 95th
percentile
ObeseBMI at or above95th percentile
Centers for Disease Control and Prevention
Measures are different for boys and girls by age. They are not the same as adults since children are still growing. Remember BMI is used by pediatricians to determine
the health of a child, it is not based on appearance.
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Why Do We Care?
Obesity is a major risk factor for:
• Cardiovascular disease• High total cholesterol• High blood pressure• Type 2 diabetes• Stroke• Liver disease• Gall bladder disease • Certain cancers• Osteoporosis• Depression
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What’s holding us back?
Centers for Disease Control and Prevention; Be Active Your Way, U.S. Department of Health and Human Services 2008 Activity Guidelines for Americans
2 out of 3 Americans are not active enough.
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Obesity Trends Among U.S. AdultsBRFSS, 1985
No Data <10% 10%–14%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1986
No Data <10% 10%–14%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1987
No Data <10% 10%–14%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1988
No Data <10% 10%–14%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1989
No Data <10% 10%–14%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1990
No Data <10% 10%–14%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1991
No Data <10% 10%–14% 15% - 19%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1992
No Data <10% 10%–14% 15% - 19%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1993
No Data <10% 10%–14% 15% - 19%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1994
No Data <10% 10%–14% 15% - 19%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1995
No Data <10% 10%–14% 15% - 19%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1996
No Data <10% 10%–14% 15% - 19%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1997
No Data <10% 10%–14% 15% - 19% 20% - 24%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1998
No Data <10% 10%–14% 15% - 19% 20% - 24%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 1999
No Data <10% 10%–14% 15% - 19% 20% - 24%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 2000
No Data <10% 10%–14% 15% - 19% 20% - 24%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 2001
No Data <10% 10%–14% 15% - 19% 20% - 24% 25% - 30%
Centers for Disease Control and Prevention
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No Data <10% 10%–14% 15% - 19% 20% - 24% 25% - 30%
Obesity Trends Among U.S. AdultsBRFSS, 2002
33Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 2003
No Data <10% 10%–14% 15% - 19% 20% - 24% 25% - 30%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 2004
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No Data <10% 10%–14% 15% - 19% 20% - 24% 25% - 30%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 2005
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No Data <10% 10%–14% 15% - 19% 20% - 24% 25% - 30% 30% - 34%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 2006
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No Data <10% 10%–14% 15% - 19% 20% - 24% 25% - 30% 30% - 34%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 2007
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No Data <10% 10%–14% 15% - 19% 20% - 24% 25% - 30% 30% - 34%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 2008
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No Data <10% 10%–14% 15% - 19% 20% - 24% 25% - 30% 30% - 34%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 2009
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No Data <10% 10%–14% 15% - 19% 20% - 24% 25% - 30% 30% - 34%
Centers for Disease Control and Prevention
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Obesity Trends Among U.S. AdultsBRFSS, 2010
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Centers for Disease Control and Prevention
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Adult Obesity in Texas
Centers for Disease Control and Prevention: National Diabetes Surveillance System. Available online at: http://apps.nccd.cdc.gov/DDTSTRS/default.aspx. Retrieved 3/30/2011.
2008 Estimates of the Percentage of Adults Age ≥20 Who Are Obese in Texas
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Ogden et al, 2006
Centers for Disease Control and Prevention, 2010
66% of all Americans are overweight
with a BMI above 25
= Healthy Weight
= Overweight
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Ogden et al, 2006
Centers for Disease Control and Prevention, 2010
29% of all Americans are obese with a BMI above 30
= Healthy Weight
= Overweight
= Obese
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= Healthy Weight
= Overweight
= Obese
= Extremely Obese
Ogden et al, 2006
Centers for Disease Control and Prevention, 2010
5% of all Americans are extremely obese
with a BMI above 40
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Adult Obesity By RaceFor Non-Hispanic Black Americans - 36% are obese
For Hispanic Americans - 29% are obese
For Non-Hispanic White Americans - 24% are obese
Centers for Disease Control and Prevention, 2006−2008 Behavioral Risk Factor Surveillance data
= Healthy Weight
= Obese46
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Children today have a lower life expectancy than their parents
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17% of American children (approximately 1 in 5) age 2 to 19 years old are obese
Centers for Disease Control and Prevention, 2007-2008 NHANES data
= Healthy Weight
= Obese
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Childhood Obesity
For Mexican American children age 12 to 19 years old - 34% are obese
For Non-Hispanic White children age 12 to 19 years old - 31% are obese
Centers for Disease Control and Prevention, 2007-2008 NHANES data
For Non-Hispanic Black children age 12 to 19 years old - 49% are obese
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= Healthy Weight
= Obese
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What are the health problems created by a sedentary lifestyle?
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Consequences for Obese Individuals
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Sedentary Lifestyle
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Why are we so inactive?
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Because we have designed activity out of our lifestyle.
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How did we get here?
The answer is simple:–We are eating more.
–We are moving less.
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Toxic Environment: Inexpensive unhealthy food available everywhere
55Brownell, 1994
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Toxic Environment: Conflicting Messages
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Toxic Environment: Screen Time
American Pediatric Association; Brownell, 1994
More time watching TV, computers, video gamesLess time moving
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Centers for Disease Control and Prevention
Toxic Environment: Environmental LimitationsTraffic, sidewalks leading to nowhere, underused playgrounds
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Brownell, 1994
Toxic Environment: Safety ConcernsNo safe place to walk or play
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Toxic Environment: Less Physical Education (P.E.) in Schools
Brownell, 1994; American Heart Association60
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Understanding Terms• Physical Activity = bodily movement that expends energy
• Exercise = regular, planned, structured physical activity
• Physical Fitness = influenced by physical activity and
exercise; consists of:
Body Composition
Muscular Strength
Muscular Endurance
Cardio Respiratory Endurance
Flexibility
61Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical Activity, Exercise, and Physical Fitness: Definitions and Distinctions for Health-Related Research. Public Health Reports , 126-131.
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HOW CONFIDENT ARE YOU?
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“On a scale of 0-10, how confident do you feel that you could talk about physical activity with
the community?
“On a scale of 0-10, how confident do you feel that you could talk about physical activity with
the community?
0 5 6 7 9 1084321
Not confident at all Very confident
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Community Health Workers can help bring about change with
health promotion.
Let’s begin!
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Switch to Energy Balance
PowerPoint