1 / 30

Moderate-to-Vigorous Physical Activity (MVPA), 2003-2005

Moderate-to-Vigorous Physical Activity (MVPA), 2003-2005. HP 2010 Goal. En Vivo Lessons. Lesson 1: What’s Wrong with Screen-Time? Lesson 2: Less Screen-Time, More Fun Lesson 3: Planning Screen-Time Lesson 4: Screen-Time and Snacking Lesson 5: Live Life En Vivo Lesson 6: Booster Session.

meryl
Download Presentation

Moderate-to-Vigorous Physical Activity (MVPA), 2003-2005

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Moderate-to-Vigorous Physical Activity (MVPA), 2003-2005 HP 2010 Goal

  2. En Vivo Lessons • Lesson 1: What’s Wrong with Screen-Time? • Lesson 2: Less Screen-Time, More Fun • Lesson 3: Planning Screen-Time • Lesson 4: Screen-Time and Snacking • Lesson 5: Live Life En Vivo • Lesson 6: Booster Session

  3. Comic Books – Time Twisters • Comic 1: Screen-Time definition and consequences • Comic 2: Benefits of reducing Screen-Time and Alternatives • Comic 3: Skills and Strategies to reduce Screen-Time • Comic 4: TV Commercials and Snacking

  4. Motivation • The probability that a person will enter into, continue, and comply with a change-directed behavior • Motivation can be influenced

  5. Motivational Enhanced Interview • A client centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence Create cognitive dissonance between where one is & where one wants to be

  6. Ambivalence Feeling two ways about something

  7. Parental Self-Report of TV in Child’s Bedroom (2nd grader) Pre- & Post- MEI Intervention OR=0.25 (0.08-0.82); p=0.02

  8. Proportion of Parents in Contemplation or Greater Stage Post-MEI Intervention to Remove TV from Child’s Bedroom (2nd grader) OR=3.55; p=0.04

  9. En Vivo - Community Setting • 69 families • 25 female tweens • 22 male tweens • 20 mothers • 2 fathers

  10. Behavioral Outcomes • Reduce screen-time • Remove TV from bedroom • Increase physical activity • Reduce intake of sugared beverages • Increase intake of fruit and vegetables • Restrict snacking while watching TV

  11. Physiological Outcomes • BMI (overweight & obesity) • C-reactive protein • Insulin resistance (HOMA-IR) • HbA1c

  12. Participant Recruitment • Diabetes Cohort • Local clinics • Faith-based settings • Community partners

  13. Physical Activity Among Mexican-American Tweens

  14. Physical Activity Among Mexican-American Tweens • To se a socio-ecological framework to obtain physical activity levels • To identify facilitators & barriers to physical activity 

  15. Physical Activity Among Mexican-American Tweens • Two local churches • 100 tweens • Focus groups

  16. Teachers & Students Aiming for Wellness

  17. Teachers & Students Aiming for Wellness

  18. Specific Messages: Physical Activity • Children - 60 minutes of MVPA/day • Adults - 30 minutes of MVPA/day • Encourage everyone to walk or bike (when reasonable) • Be active as a family (park, walk, hike, bike, soccer, frisbee, etc.)

  19. Specific Messages: Sedentary Behaviors • Remove television from child's bedroom (& parents’) • Limit “screen time” - no more than 2 hours/day • Replace screen time with physical or family activities

  20. Specific Messages: Diet • Eat 5-9 fruits & vegetables per day (not including juice) • Fast food < 1 time per week • Limit foods of minimal nutritional value (candy, processed snacks, etc.) • Replace sugar sweetened & caffeinated beverages with water • Pack a healthy lunch

  21. Specific Messages: Other • 8 hours of sleep per night • Wear bike/sport helmets • Wash hands 3-5 times per day • Join schools health advisory board or PTA • Implementation of school health education

  22. Key Conclusions – Childhood Obesity • Population-based prevention approach • Energy balance – healthy eating and active living to achieve a healthy weight while protecting health, normal growth, & development • Collective responsibility – multiple sectors & stakeholders must be involved in societal changes at all levels

  23. Summary – Childhood Obesity • Causes (and solutions) are multi-factorial • Both societal level solutions (policy) and individual level solutions (prevention and treatment programs) are necessary • In the Rio Grande Valley, we are implementing a combination of policies, programs, & community-based initiatives • These efforts need to be maintained!

  24. Academic Research Centers

  25. Acknowledgments • Steven H. Kelder, PhD, MPH • Deanna M. Hoelscher, PhD, RD, LD, CNS • Diamond Freeberg, PhD • Christopher Ledingham, PhD • Andrew E. Springer, DrPH • Kelli Drenner, PhD • Carolyn Agurcia-Parker, DrPH • Susan Hart, PhD • Lizbette Hernandez • Lidiana Ramirez • Rosa Sauceda • Dianeth Rodriguez • Nancy Gonzalez • Alda Rivas • Margarita Ramirez • Alejandro Bernal

  26. Gracias

More Related