CHILDHOOD OBESITY. TRENDS. OBJECTIVES. Become aware of child obesity problem Inform what BMI is Consider changes that can be made Give ways to encourage classroom activities Suggest ways to improve school health Review Middleboro Wellness Plan Tips for Parents.
Heart disease is the leading cause of death in the United States. Overweight and obesity increase one's risk of developing heart disease.
Adopting heart healthy behaviors, such as following a healthy eating plan and participating in regular physical activity, can help individuals achieve or maintain a healthy weight.
Even modest amounts of weight loss of approximately 10 percent of initial body weight can reduce high blood pressure, high blood cholesterol levels, and high blood glucose levels in overweight or obese individuals with high levels.
Reducing these risk factors helps to prevent cardiovascular disease and/or reduce its severity in those with existing disease.
What is BMI?
Body Mass Index (BMI) is a number calculated from a child’s weight and height. BMI is a reliable indicator of body fatness for most children and teens. BMI does not measure body fat directly, but research has shown that BMI correlates to direct measures of body fat, such as underwater weighing and dual energy x-ray absorptiometry (DXA).1 BMI can be considered an alternative for direct measures of body fat. Additionally, BMI is an inexpensive and easy-to-perform method of screening for weight categories that may lead to health problems.
For children and teens, BMI is age- and sex-specific and is often referred to as BMI-for-age.
After BMI is calculated for children and teens, the BMI number is plotted on the CDC BMI-for-age growth charts (for either girls or boys) to obtain a percentile ranking. Percentiles are the most commonly used indicator to assess the size and growth patterns of individual children in the United States. The percentile indicates the relative position of the child’s BMI number among children of the same sex and age. The growth charts show the weight status categories used with children and teens (underweight, healthy weight, at risk of overweight, and overweight).
Less than the 5th percentile
5th percentile to less than the 85th percentile
At risk of overweight
85th to less than the 95th percentile
Equal to or greater than the 95th percentile
BMI-for-age weight status categories and the corresponding percentiles are shown in the following table.
Just another thing to add to your already busy day!
There are many ways to celebrate at school. I have provided you with a hand-out that lists non-food ways to celebrate and healthy snack ideas.
It is my desire that we could institute a new policy for the 2008-2009 school year.
Examples of this would be:
non-food ways ( active game chosen by students, special art project, donate a book to classroom)
healthy snacks ( fruit tray, finger sandwiches, cheese cubes & crackers).
Unfortunately getting parents onboard with no cupcakes/treats could be hard. Parents like to send sweets in because in some respects that is easier than being more creative.
Classroom rewards can be an effective way to encourage positive behavior but schools should not only teach children to make healthy food choices but also provide an environment that fosters that. Somehow the connection between food and mood needs to be broken.
Therefore a goal should be to separate food from rewards. (Handout of non food rewards)
social rewards ( special attention, praise, or thanks)
recognition ( sticker, photo, or note sent home)
We need to praise Food Services for the healthy changes that have already been made. Lynn Petrowski, our prior Food Services Director, did a wonderful job of making healthy changes within our lunch program. This has been well accepted at the lower levels but still causes complaints with upper levels due to likes & dislikes.
We have an enhanced food base, follow the A-list for health foods and have limited the a la carte to all baked not fried foods.
Nationwide there are now changes to whole grains, baked not fried snacks, and vending machines being removed from within schools.
55% of national schools are using skinless poultry, only 19% offer French fries, and 60% of elementary schools offer lettuce, vegetable or bean salads.
Wrapping affects their preferences
By Lindsey Tanner, Associated Press | August 7, 2007
Even carrots, milk, and apple juice tasted better to the children when they were wrapped in the familiar packaging of the Golden Arches
“You see a McDonald's label and kids start salivating," said Diane Levin, a childhood development specialist who campaigns against advertising to children
The study will probably stir more debate over the movement to restrict ads to children. It comes less than a month after 11 major food and drink companies, including McDonald's, announced new curbs on marketing to children under 12
It is very important that parents are a role model for their children. Behavior is learned from observation. We can either be a good or bad example. It helps to examine your own behavior. Please think about the following questions in order to examine your own eating habits.Do you snack all day long?Do you eat in front of the TV?Do you eat whenever you are bored or under stress?Do you eat dessert at every meal?Do you skip breakfast?Do you have soda rather than milk or water with your meals?Do you diet all the time and have a fear of food?These are behaviors your kids may pick-up on, which can affect their eating habits now and in the future. Therefore, think about your own eating regimen to support your child’s positive food choices.
WHAT ARE HEALTHY FOODSWe should never label foods as either GOOD or BAD.This can restrict eating or lead to negative attitudes toward food. Healthy foods are those that are nutrient-rich or have a large amount of key vitamins and minerals for their calories. It is critical to make each calorie count; especially when weight may be an issue. You don’t have to give up your favorite foods to eat a healthy diet just try to have your core choices nutrient-rich and round out with other foods. Colorful fruits and vegetables have more nutrients, lean meats, beans, low fat and fat free dairy and nuts are examples of ideal foods.A website that is a good family guide to healthy eating is: www.nutritionexploration.org
Plan & cook meals together
Offer kid-size servings
Give your child a good start with breakfast
Encourage drinking low fat milk & water
Plan afternoon snacks
Pay attention to hunger cues
Avoid skipping meals
Restrictive diets are usually not best for kidsWAYS TO ENCOURAGE BETTER EATING HABITS FOR YOUR CHILD
IN YOUR HOME SURVEY
1. What snack foods do you have in your home? (Check all that apply.
___ cookies ___ chips ___ granola bars ___yogurt
___ fruit ___ veggies ___bagels other ______________
2. If you pack a lunch for school, what foods do you send?
___ Sandwich ___leftovers ___cookies ___chips
___ granola bar ___ yogurt ___ veggies ___ fruit other ________
3. What is there to drink in your house? (Check all that apply.)
___ water ___ soda ___ fruit drink ___ 100% fruit juice (orange, apple, etc)
___ 1% milk ___ whole milk ___ fat-free milk
4. How many times does your family eat out during the week?
___ every day ___ 4 times a week ___ 2 times a week
___ Once a week ___ rarely
5. Do you have sports equipment (bike, balls, roller blades, etc.) at home?
___ Yes ___ No, Explain __________________________________
6. Are the adults in the home physically active?
___ All the time ___ Sometimes, explain ______________________
You do a lot in your days and I appreciate your attention as we work together to fight this “growing” problem.