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Preventing Childhood Obesity

Preventing Childhood Obesity. Kim Gorman, MS, RD Anschutz Health and Wellness Center kim.gorman@ucdenver.edu. 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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  1. Preventing Childhood Obesity

    Kim Gorman, MS, RD Anschutz Health and Wellness Center kim.gorman@ucdenver.edu
  2. 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
  3. 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
  4. Sporting Event Snacks 485 calories 6 cal/oz 400 calories 12 cal/oz 250 calories 14-15 cal/oz
  5. Good Behavior/Task Completions
  6. Grades
  7. Potty Training
  8. Celebrations
  9. 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
  10. 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%
  11. Healthy People 2020 Reduce the proportion of youth ages 2-19 years that are obese by 10% start: 16.1% goal: 14.5%
  12. 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
  13. 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
  14. Energy Requirements Source: 2005 US Dietary Guidelines
  15. Choose MyPlate 2011
  16. 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
  17. http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html
  18. http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html
  19. http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html
  20. 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***
  21. http://www.cdc.gov/nchs/data/databriefs/db71.htm
  22. http://www.cdc.gov/nchs/data/databriefs/db71.htm
  23. 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
  24. 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
  25. 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
  26. 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
  27. 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)
  28. 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
  29. 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)
  30. 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
  31. Intervening Across Multiple Levels
  32. 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
  33. 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?”
  34. Visit www.americaonthemove.org for Family Tools
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