moderate to vigorous physical activity mvpa 2003 2005 l.
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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.

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en vivo lessons
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
comic books time twisters
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
motivation
Motivation
  • The probability that a person will enter into, continue, and comply with a change-directed behavior
    • Motivation can be influenced
motivational enhanced interview
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

ambivalence
Ambivalence

Feeling two ways about something

parental self report of tv in child s bedroom 2 nd grader pre post mei intervention
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

slide10
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

en vivo community setting
En Vivo - Community Setting
  • 69 families
    • 25 female tweens
    • 22 male tweens
    • 20 mothers
    • 2 fathers
behavioral outcomes
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
physiological outcomes
Physiological Outcomes
  • BMI (overweight & obesity)
  • C-reactive protein
  • Insulin resistance (HOMA-IR)
  • HbA1c
participant recruitment
Participant Recruitment
  • Diabetes Cohort
  • Local clinics
  • Faith-based settings
  • Community partners
physical activity among mexican american tweens16
Physical Activity Among Mexican-American Tweens
  • To se a socio-ecological framework to obtain physical activity levels
  • To identify facilitators & barriers to physical activity 
physical activity among mexican american tweens17
Physical Activity Among Mexican-American Tweens
  • Two local churches
  • 100 tweens
  • Focus groups
specific messages physical activity
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.)
specific messages sedentary behaviors
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
specific messages diet
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
specific messages other
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
key conclusions childhood obesity
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
summary childhood obesity
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!
acknowledgments
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