Download - REDUCING CHILD OBESITY
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REDUCING CHILD OBESITY
STEVEN H KELDER, PhD , MPH
Beth Toby Grossman Distinguished Professor of Spirituality and Healing
Co-Director, Michael & Susan Dell Center for Healthy Living
THANK YOU FOR INVITING ME!
PORTRAIT OF AN OVERWEIGHT CHILD
5
75 percent of young Americans are ineligible to join the military.
Obesity is the leading reason applicants fail to qualify for military service.
Otherwise excellent recruits, some with generations of family military service, are turned away because they are obese.
HEALTH CONSEQUENCES
SCOPE AND SOCIETAL COSTS
NHANES AGE 12-20
1971-1975 1976-1980 1988-1994 1999-2002 2003-2006 2007-20100.0%2.0%4.0%6.0%8.0%
10.0%12.0%14.0%16.0%18.0%
# Overweight Kids # Obese Kids# Severe Obese Kids
Overweight is defined as 85-95 percentileObese is defined between the 95% and 120% of 95 percentileSeverely Obese is defined as greater than 120% of the 95th percentile
All 34%White 31%Black 41%Hispanic42%
NHANES AGE 12-20HOW MANY KIDS ARE WE TALKING ABOUT?
1971-1975
1976-1980
1988-1994
1999-2002
2003-2006
2007-2010
01,000,0002,000,0003,000,0004,000,0005,000,0006,000,0007,000,0008,000,000 # Overweight Kids # Obese Kids # Severe Obese Kids
2.5 million X $25,000 = $62.5 billion
Overweight is defined as 85-95 percentileObese is defined between the 95% and 120% of 95 percentileSeverely Obese is defined as greater than 120% of the 95th percentile
No Data
10.7% - 13.8%
13.9% - 14.6%
14.7% - 15.7%
15.8% - 19.5%
PERCENTAGE OF HIGH SCHOOL STUDENTS WHO WERE OVERWEIGHT,* 2011
* Students who were = 85th percentile but < 95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts.
State Youth Risk Behavior Surveys, 2011
No Data
7.3% - 10.8%
10.9% - 11.9%
12.0% - 14.6%
14.7% - 17.0%
PERCENTAGE OF HIGH SCHOOL STUDENTS WHO WERE OBESE,* 2011
* Students who were = 95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts.
State Youth Risk Behavior Surveys, 2011
PHYSICAL ACIVITY AND HEALTH
Activity
Ris
k o f
“Dis
ease
”
Prevention of Weight Gain
Diabetes Mellitus
Musculoskeletal Injury
Functional Health Status
CHDStroke
Osteoporosis
ADOPT POLICIES AND IMPLEMENT PRACTICES TO REDUCE OVERCONSUMPTION OF SUGAR-SWEETENED
BEVERAGES.
SSBs provide more calories and added sugars to American diets
than any other food or beverage.
WE KNOW WHAT TO DO
ACCELERATING PROGRESS IN OBESITY PREVENTION
HBO’S THE WEIGHT OF THE NATION
• Documentaries (4) for adult audience• Short documentaries (12) on specific topics in obesity prevention• Documentaries (3) for children and families• Trade publication for general audiences• Website (http://theweightofthenation.hbo.com/)• Social media (Facebook, Twitter, Youtube, and
GetGlue)• Screening kits with discussion guides• Marketing efforts, including reaching families with
children• Written materials for school-age children and teachers
(Scholastic, Inc.)
• Briggs, M., et. al, (2010). Position of the American Dietetic Association, School Nutrition Association, and Society for Nutrition Education: comprehensive school nutrition services. Journal of nutrition education and behavior, 42(6), 360-71. Society for Nutrition Education.
• Kann, L., et. al, (2007). Health Education: Results from the School Health Policies and Programs Study 2006. The Journal of school health, 77(8), 408-34. doi:10.1111/j.1746-1561.2007.00228.
7600 food ads/year153 F&N/ year
HOW MUCH NUTRITION EDUCATION IS ENOUGH?
School Day
Physical Educatio
nRecess &Breaks
Classroom
Before School
After-school time
After-school Programs
Intramural Sports
Extramural Sports
~6-7 hrs/dActive Commute
To~15 minutes
Active Commute From
~15 minutes
~60 min/d
~2-3hrs /d
WHOLE-OF-SCHOOL
CAN SCHOOL SUPPORT 60 MINUTES OR MORE OF PHYSICAL ACTIVITY PER DAY?
IF YOU BUILD IT THEY WILL COME…
GO NOODLE!
TE
Sep, Oct Nov, Dec Jan, Feb Mar, Apr, May
TEA 6-8 foundation curriculum
Math
English/ Reading
Science
Social Studies
Activity break formatsAerobic
Anaerobic
Stretching
Breathing
Delivery Type
Peer Led
Video Led
Teacher Led
TEA Foundation Curriculum: http://bit.ly/13fsUzj
SCHOOL YEAR SCOPE AND SEQUENCE
28
• Physical activity improves academic achievement, including grades and standardized test scores.
• Physical activity impacts cognitive skills, including enhanced concentration, attention, and improved classroom behavior.
• Increasing physical education time does not reduce academic performance.
CATCH 2.0EVIDENCE | COST-EFFECTIVE | SCALABLE |
NATIONWIDE | RECOGNIZED| APPROVED
CATCH
Preschool CEC
Grades K-2
Grades 3-5
Grades 6-8
After School
CKC
Parks & Recreati
on
CATCH FAMILY OF PROGRAMS
Campus Team –
Program Champi
on
Physical
Education
Nutrition
Services
Classroom
Education
Family Educati
on
After School
Activity
Breaks
CATCH MODEL FOR SCHOOL HEALTH IMPLEMENTATION
A CATCH SCHOOL YEAR
Cafeteria supervisors post daily menus with GO, SLOW, and WHOA foods identified.
GO, SLOW, WHOA Menu Signs
Randomized Control TrialEl Paso replication studyTravis County replication studyChild Obesity Research & Demonstration project
EVIDENCE
PASS & CATCH IMPROVES STANFORD MATH & READING SCORES
Tmt-Ctl Male Female Not At Risk At Risk0
1
2
3
4
5
6
1.65 1.321.96
1.15
4.94
* *
*
Murray (UTSPH), under review
At Risk: adaptability, social skills, leadership, study skills, functional communication
First year investment ~ $10.00 per childSecond year investment ~ $4.00 per child“Childhood school-based programs such as CATCH are
beneficial investments”
COST EFFECTIVENESS
Sources: Brown et al., 2007; Cawley et al, 2010
“Based on the published literature, the most cost-effective way to prevent obesity in youth is CATCH…” – Harvard Economist, Cawley et al, 2010.