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Other Important CBPR Aspects

Other Important CBPR Aspects. Recognize & highlight community assets & strengths View community members as advisers & experts Provide real service to communities by addressing the community's needs Build & maintain respecting, trusting relationships within/across the community.

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Other Important CBPR Aspects

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  1. Other Important CBPR Aspects • Recognize & highlight community assets & strengths • View community members as advisers & experts • Provide real service to communities by addressing the community's needs • Build & maintain respecting, trusting relationships within/across the community. • Develop relationships with opinion leaders in the community Agency for Healthcare Research and Quality, 2003

  2. Cultural responses to Obesity (wellness) CBPR in Brownsville, texas

  3. Children BORN TODAY HAVE A LOWER LIFE EXPECTANCY THAN THEIR PARENTS • 1 in 3 will develop diabetes • 3/5 if African American • ½ if Hispanic • > ½ if Native American

  4. Portrait of an Overweight Child

  5. Toxic Environment • Availability & affordability of high fat/high carbohydrate food (fast food, soft drinks) • Large portion sizes • Marketing to children • Fewer family meals • TV, computers, video games • Safety issue • Decrease in physical education Schwartz MB & Brownell KD, 2007

  6. Dollars spent on U.S. food advertising in 2005 • Food, beverages, candy $7,313,200,000 • Restaurants & fast food $5,061,000,000 Advertising Age, 2006

  7. Mixed messages

  8. Obesity is caused by long-term positive energy balance FatStores ~ 600 calories per day

  9. Obesity Interventions • Current strategies are not containing the “diabesity” (sedentary) epidemic • Need to shift away from clinical view of obesity as personal disorder requiring medical Rx • Understanding, measuring, & altering the “obesogenic” environment is critical • Society has a key role in sharing with individuals the high “costs” of a healthy lifestyle change (maintenance)

  10. A framework for obesity prevention

  11. The Truth About TV (True or False) • The average child watches about one hour of TV a day. TRUE or FALSE • By the age of eighteen, the average child has seen about two-thousand murders on TV. TRUE or FALSE • Children who watch three or more hours of TV a day are more likely to be overweight than children who watch less than two hours a day. TRUE or FALSE • Children who have a TV in their bedrooms are more likely to be overweight. TRUE or FALSE

  12. What is Screen-Time? • Time spent in front of a screen: • TV (videos or DVDs) • Computer (surfing the Internet, emailing, playing games) • Handheld (instant messaging, playing games)

  13. American Academy of Pediatricians Guidelines for Children’s Media Use No TV viewing for children < 2 years old No more 2 hours/day for older children Monitor programming

  14. Over Exposed The Role of Media in Childhood Obesity, 2004 • Average of 5½ hours a day using media • Preschoolers (< 6 years old) • Time with screen media • Playing outside

  15. TV Viewing & Behavior Problems Mistry et al., Pediatrics, 2007 • Healthy Steps for Young Children • Age 2.5 & 5.5 • 20% watched 2+ hrs • Behavioral problems • 41% kids had a TV in their bedroom • Poor sleep

  16. TV Advertisements & Kids Illustration:: Cathy Wilcox The Role of Media in Childhood Obesity, 2004 • 40,000 ads a year on TV • Elaborate advertising campaigns • Candy • Soda • Snacks

  17. TV Watching & Over Eating Credit iStock Francis & Birch, J Am Diet Assoc, 2006 • 24 children 3-5 years old • High socioeconomic status • > 1.5 hours of TV daily ate more while watching TV

  18. What To Do about the TV? Set family goal to reduce screen-time “No eating while watching TV” rule Remove the TV from child’s bedroom Reward family with fun - EXERCISE

  19. Physical Activity www.cdc.gov Reduces the risk for many diseases Helps control weight Strengthens muscles, bones, & joints Reduces feelings of depression & anxiety

  20. Physical Activity & Academic Achievement Vail, Am School Board J, 2006; Grissom, 2004 Healthier students do better in school Students who do better on achievement tests tend to be more physically fit than peers Exercise alleviates stress & anxiety, improves asthma, boosts self-esteem – FACTORS that influence school attendance & performance

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