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Preventing Childhood Obesity. Kim Gorman, MS, RD Anschutz Health and Wellness Center [email protected] Objectives. State the obesity statistics among youth State at least 4 of the AMA/CDC expert committee recommendations to prevent childhood obesity

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Preventing childhood obesity

Preventing Childhood Obesity

Kim Gorman, MS, RD

Anschutz Health and Wellness Center

[email protected]


Objectives
Objectives

  • State the obesity statistics among youth

  • State at least 4 of the AMA/CDC expert committee recommendations to prevent childhood obesity

  • Increase your awareness of factors that are often times less reported but essential


Guidelines
Guidelines

  • Last Names A-G Cannot Make Eye Contact

  • Last Names H-M Cannot Ask Questions

  • Last Names N-S Cannot Use Electronic Device

  • Last Names T-Z Cannot Use Right Hand


Sporting event snacks
Sporting Event Snacks

485 calories

6 cal/oz

400 calories

12 cal/oz

250 calories

14-15 cal/oz






Guidelines1
Guidelines

  • Last Names A-G Cannot Make Eye Contact

  • Last Names H-M Cannot Ask Questions

  • Last Names N-S Cannot Use Electronic Device

  • Last Names T-Z Cannot Use Right Hand


Childhood youth obesity
Childhood/Youth Obesity

NHANES 2003 -2004 / 2007-2008

Prevalence overweight and obesity at 32%

(>85th%tile for BMI)

16.9 % of youth 2-19 years are obese

Healthy People 2010 goal was < 5%


Healthy people 2020
Healthy People 2020

  • Reduce the proportion of youth ages 2-19 years that are obese by 10%

    start: 16.1% goal: 14.5%


NHANES: Prevalence of obesity among U.S. children and adolescents aged 2-19, for selected years

1971-1974 through 2007-2008

by Cynthia Ogden, Ph.D., and Margaret Carroll, M.S.P.H., Division of Health and Nutrition Examination Surveys

NOTE: Obesity defined as body mass index (BMI) greater than or equal to sex- and age-specific 95th percentile from the 2000 CDC Growth Charts.

http://www.cdc.gov/nchs/data/hestat/obesity_child_07_08/obesity_child_07_08.htm


Prevention, Assessment and Treatment of Child/Adolescent Overweight and ObesityAMA /CDC Expert Committee

Assessment Recommendations:

BMI > 95th percentile is considered Obese

BMI > 85th but <95th percentile is considered Overweight


Energy requirements
Energy Requirements Overweight and Obesity

Source: 2005 US Dietary Guidelines


Choose myplate 2011
Choose Overweight and ObesityMyPlate 2011


Prevention, Assessment and Treatment of Child/Adolescent Overweight and ObesityOverweight and ObesityAMA/CDC Expert Committee (2005)

Prevention Recommendations:

  • Eating more fruits and vegetables

  • Eating breakfast daily

  • Limiting screen time to <2 hours/day for those over 2 years of age, and

  • NO TV if under 2 years of age


http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.htmlhttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html


http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.htmlhttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html


http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.htmlhttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html


Ama cdc expert committee cont
AMA/CDC http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.htmlExpert Committee cont…

Prevention Recommendations:

  • Limit eating out at restaurants specifically “fast food” restaurants

  • Encourage family meals meaning parents and children

  • Limit portion sizes

  • Limit consumption of sugar-sweetened beverages***


http://www.cdc.gov/nchs/data/databriefs/db71.htmhttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html


http://www.cdc.gov/nchs/data/databriefs/db71.htmhttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html


National school lunch program
National School Lunch Program http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html

  • National School Lunch Act 1946 by Harry Truman- To ensure kids receive adequate nutrition

  • NSLP includes 100,000 educational sites

  • NSLP feeds over 31 million kids daily

  • For complete presentation on Nutrition Standards and roll-out, visit:

    http://www.fns.usda.gov/cnd/Governance/Legislation/FinalRulePresentation2-2012.pdf


Nslp standards for schools 2012
NSLP:Standardshttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html for Schools 2012

  • <10% saturated fat and 0 grams trans

  • Calorie ranges for lunch

    • Elementary 550-650 kcal

    • Middle School 600-700 kcal

    • High School 750-850 kcal

  • Protein (ounces), Vit A/Vit C/Iron-rich food offerings per weekly menu, and Calcium (skim/1%) targets

    • Analyzed weekly menu averages


Nslp standards for schools 20121
NSLP:Standardshttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html for Schools 2012

  • Sodium roll-out

    • SY 2013-2014: < 1230-1420mg

    • SY 2017-2018: < 935-1080mg

    • SY 2022-2023: < 640-740mg

  • Whole Grain Roll-out

    • 7/1/2012: at least half of grains must be whole grain

    • 7/1/2014: all grains must be whole grain rich


Sample lunch menus
Sample Lunch Menushttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html

Fresh Sliced Turkey Breast, Whole Wheat Bread, Cheddar Cheese, Lettuce, Tomato, Baked Chips, Whole Fresh Apple

Homemade Banana Bread, LF Cottage Cheese, Fresh Fruit Salad, Organic Baby Carrots, LF Ranch

BBQ Roasted Chicken or Tofu with Roll, Fresh Fruit & Salad Bar, LF or fat-free milk


Ama cdc expert committee cont1
AMA/CDC http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.htmlExpert Committee cont…

Prevention Recommendations:

  • Promote moderate to vigorous physical activity for at least60 minutes each day

    (60 minutes can be accumulated during the day)


Preventing childhood obesity health in the balance food nutrition board institute of medicine
Preventing Childhood Obesityhttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.htmlHealth in the BalanceFood/Nutrition Board, Institute of Medicine

Major Conclusions and Findings:

Childhood obesity is a serious nationwide health problem requiring urgent attention and a population-based prevention approach


Preventing childhood obesity health in the balance food nutrition board institute of medicine1
Preventing Childhood Obesityhttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.htmlHealth in the BalanceFood/Nutrition Board, Institute of Medicine

Immediate Steps for Confronting the Epidemic:

1. Parents and Families:

  • Engage in and promote more healthful dietary intakes and active lifestyles (increased physical activity, reduced TV and other screen time and more healthy eating)


5 th gear kids mission
5http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.htmlth Gear Kids Mission

We will engage and empower 5th graders to make healthy decisions regarding food and physical activity through understanding energy balance.

This year, approximately 7200 5th graders in Cherry Creek School District and Aurora Public Schools will be taught “energy balance” skills in physical activity and nutrition

  • In science curriculum and PE class

  • School-to-home projects


Intervening across multiple levels
Intervening Across Multiple Levelshttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html


Preventing childhood obesity health in the balance food nutrition board institute of medicine2
Preventing Childhood Obesityhttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.htmlHealth in the BalanceFood/Nutrition Board, Institute of Medicine

Immediate Steps for Confronting the Epidemic:

2. Industry and Media:

  • Develop healthier food and beverage product and packaging innovations

  • Expand consumer nutrition information

  • Provide clear and consistent media messages


Efforts
Effortshttp://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html

  • We Can! (2005)

    NHLBI with NIDDKD

  • Play 60 (2007)

    NFL campaign to get kids moving 60 minutes per day

  • Alliance for a Healthier Generation

    Clinton Foundation and AHA

  • Let’s Move! (Feb 2010)

    Michelle Obama’s campaign

  • Kids Eat Right (Oct 2010)

    Academy of Nutrition and Dietetics

  • Disney Anti-Obesity Initiative (2015)

    Complete ban on all junk food ads on TV, websites, radio

    shows that cater to children + revamp of park foods

    Governing question: “Is this good for our kids?”


Visit http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.htmlwww.americaonthemove.org for Family Tools


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