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Empowering Communities to Combat Childhood Obesity Through Collaborative Approaches

This initiative emphasizes the importance of recognizing community strengths and assets while viewing community members as experts in addressing childhood obesity. By building trusting relationships and engaging opinion leaders, we can better serve community needs. With alarming statistics predicting lower life expectancy for today's children, interventions must shift from a clinical view of obesity to understanding the sociocultural and environmental factors contributing to this epidemic. We advocate for reducing screen time, increasing physical activity, and promoting healthier lifestyle choices.

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Empowering Communities to Combat Childhood Obesity Through Collaborative Approaches

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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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