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Physical Fitness & Health in Middle School. Susan Matulevicius, MD, MSCS, FACC Assistant Professor Division of Cardiology UT Southwestern. Obesity Trends* Among U.S. Adults US Prevalence of Obesity 1990-2010. (*BMI  30, or about 30 lbs. overweight for 5’4” person). 2000. 1990. 2010.

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physical fitness health in middle school

Physical Fitness & Health in Middle School

Susan Matulevicius, MD, MSCS, FACC

Assistant Professor

Division of Cardiology

UT Southwestern


Obesity Trends* Among U.S. AdultsUS Prevalence of Obesity 1990-2010

(*BMI 30, or about 30 lbs. overweight for 5’4” person)




No Data <10% 10%–14 15%–19% 20%–24% 25%–29% ≥30%

obesity has tripled since 1980
Obesity has Tripled Since 1980

Circulation 2012; 126(14): 1770-1779.

complications of childhood obesity
Complications of Childhood Obesity

Lancet 2002; 360(9331): 473-482.


By 2035, it is estimated that >100,000 cardiovascular events (stroke, heart attack, congestive heart failure) will be attributable to excess weight in adolescence

  • In one study looking at carotid intimal thickness, which is a measure of vascular age, 75% of obese children age 6 to 19 years with cardiac risk factors had the vascular age of a 45 year old!

Journal of the American College of Cardiology 2013; 62(15): 1309-1319..

key to combating childhood obesity balancing energy in out
Key to Combating Childhood Obesity: Balancing Energy in & Out

Eat Healthy

Get Active

Energy In

Energy Out

kids tv
Kids & TV

Kids who have a TV in their room are:

Less likely to:

Eat meals together with their families

Be actively engaged in school

Participate in extracurriculars

Sleep enough

More likely to:

Have problematic social behaviors

Watch 1.5 more hrs of TV a day

Be overweight

Prev Med 2011; 52(2):104-8.

physical activity and academic achievement
Physical Activity and Academic Achievement





6th grade

Academic Achievement









Fitness Level

Journal of School Health 2013; 83(7): 500-507.

things families can do
Things Families Can Do

Weekly Menu

Eat Together

Limit Screen Time

Be Active!

Healthy Snacks

Drink Water

things schools can do
Things Schools Can Do

Physical Education

Walk to School Programs

Physical Activity in the Classroom

Community Engagement


E-mail and Texting Interventions


Circulation 2013; 127:260-67.

steps for implementing a social network intervention campaign
Steps for Implementing a Social Network Intervention/Campaign

Circulation 2013; 127:260-67.

healthy resources
Healthy Resources
  • – Michelle Obama’s mission to raise a healthier generation of kids
  • – Successful physical activity in the classroom
  • JAMmin’ Minute – 1 minute exercise routine and health tips created by schools around the country (
  • CDC:
get moving with ut southwestern
Get Moving! With UT Southwestern
  • Pilot of the Walk with a Doc program established by Dr David Sabgir in Ohio
  • Partnering with the City of Coppell as part of the “Living Well in Coppell” Campaign
  • Goal is to get people moving and access to UTSW doctors and health professionals in a causal setting
  • Talk (10 minutes on a health) by a UTSW MD
  • Walk with doctors for 1 hour (or as long as you like) with the opportunity to ask questions or discuss health topics
  • Snacks and Screening by UTSW Student Dietetic Association and the Preventive Medicine Interest Group
  • GOAL: A walk a month with a health topic of interest for any participants. Kids,
save the date 11 9 2013
Save the Date: 11/9/2013

Get Moving! with UT Southwestern

Hear about an important health topic and then take a walk with our expert cardiologists to learn how the “heart pros” stay healthy.

WHERE: Andrew Brown Park East

WHEN: 9AM -11 AM Rain or shine

WHO: Everyone is welcome!