Preventing childhood obesity
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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

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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


Good behavior task completions

Good Behavior/Task Completions


Grades

Grades


Potty training

Potty Training


Celebrations

Celebrations


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%


Preventing childhood obesity

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


Preventing childhood obesity

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

Source: 2005 US Dietary Guidelines


Choose myplate 2011

Choose MyPlate 2011


Preventing childhood obesity

Prevention, Assessment and Treatment of Child/Adolescent Overweight 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


Preventing childhood obesity

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


Preventing childhood obesity

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


Preventing childhood obesity

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


Ama cdc expert committee cont

AMA/CDC Expert 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***


Preventing childhood obesity

http://www.cdc.gov/nchs/data/databriefs/db71.htm


Preventing childhood obesity

http://www.cdc.gov/nchs/data/databriefs/db71.htm


National school lunch program

National School Lunch Program

  • 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:Standards 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:Standards 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 Menus

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 Expert 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 ObesityHealth 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 ObesityHealth 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

5th 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 Levels


Preventing childhood obesity health in the balance food nutrition board institute of medicine2

Preventing Childhood ObesityHealth 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

Efforts

  • 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?”


Preventing childhood obesity

Visit www.americaonthemove.org for Family Tools


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