Childhood Obesity and the Importance of Parental Support

ADPIE Group Presentation - 2010

Stacey Klein, Jan Lozon, Sheryl Piper

Ferris University

Purpose

The purpose of the presentation is to demonstrate the fact that childhood obesity can be stopped, but to make this happen will take focused commitment and parental support to improve the health of our children.

AnalysisEpidemiology – Statistics indicate an

increase in childhood obesity of 45% over the past decade

Reason – Lack of parental-guided healthy diet and activity

National Center for Health Statistics (2002)

report 16% of children, ages 6 to 19, are obese (Zenzen & Kridli, 2009)

Statement about childhood obesity from the American Heart Association

Overweight children are more likely to be overweight adults. Successfully preventing or treating the obesity problem in childhood may help reduce the risk of heart disease, adult obesity and other complications.

(Daniels et al., 2009. p. 2114)

AHA tests your knowledge on the health of our kids

1. How many American kids between the ages of 2 and 19, are currently considered obese?

1, 6, 9, or 12 million2. What percentage of kids and teens eat

the recommended five or more servings of fruits and vegetables each day.

12%, 21%, 32%, 50%http://healthykidquiz.heart.org/quiz/Quiz.html

Test your knowledge continues

3. Under the current USDA definition of “food of minimal nutritional value” (i.e. junk foods), which one of the following is not allowed to be sold in schools?

Fruit drinks, seltzer water, French fries, candy bars

4. What percentage of elementary schools provide daily Physical Education?

2.5%, 3.8%, 7.5% 42.3% http://healthykidquiz.heart.org/quiz/Quiz.html

Mayo Clinic Staff Definition of Childhood Obesity

Obesity occurs when children are well above the normal weight for their age and height.

Childhood obesity is a serious medical condition that affects children and adolescents.

Childhood obesity is particularly troubling because the extra pounds often start children on the path to health problems that were once confined to adults, such as diabetes, high blood pressure and high cholesterol.

Childhood obesity can also lead to poor self-esteem and depression. http://www.mayoclinic.com/health/childhood-obesity/DS00698

Risk Factors for Childhood Obesity

GeneticPoverty-level incomeDisease/drug manifestationGenerational acceptanceSedentary lifestyleDietary intake

Cause of Childhood Obesity

Too many calories inToo few calories out

“Because of the increasing rates of obesity, unhealthy eating habits and physical inactivity, we may see the first generation that will be less healthy and have a shorter life expectancy than their parents.”

http://www.surgeongeneral.gov/news/testimony/childobesity03022004.htm

Complications of Childhood Obesity

Type 2 diabetesFatty liver diseasePolycystic ovary disorderAsthmaHigh blood pressureElevation in blood cholesterol levelsSleep disordersLow self-esteem http://www.cdc.gov/healthy-weight/children/index.html

http://www.heart.org/HEARTORG/GettingHealthy/WeightManagement/Obesity/Childhood-Obesity_UCM_304347_Article.jsp

Problem Statement

The risk of childhood obesity among Holland Public Elementary Schools relates to unhealthy food choices and a sedentary lifestyle, as evidenced by a higher than national average obesity rate.

J. Borr (Personal Communication, November 9,2010)

Statistics - zip code 49423

2008 est. household income $49,421 (Michigan $48,591)2,146 single-parent households; 9,053 married

with children81% English speaking,14.3% Spanish speaking,

2.4% Asian/Pacific, 1.7% Indo-European, 0.4% other

38,385 White, 1,391 Asian, 943 Black, 237 other http://www.city-data.com/zips/49423.html

Fun Facts - Holland Public School

41% of the Holland Public Schools (K – 6th ) receive free lunches

1% of the Holland Public Schools (K- 6th) receive reduced prices for meals

M. Lane (Personal Communication, November 30, 2010)

Holland Public Schools – 18% to 20% of the students have elevated BMI

Michigan ranks #50 out of 50 states in the

student to school nurse ratio J. Borr (Personal Communication,

November 9,2010)

Parents need to be engaged in the prevention of obesity in their children

“Parents and home family environments are among the strongest influences on children’s diet, physical activity and weight status, and are important intervention targets in efforts to curb the growing burden of disease associated with childhood obesity.” (Wolfenden, et al., 2010, p.1)

Schools can help but parental involvement is desperately needed

Incorporating knowledge of healthy eating and activity in all student and family activities.

Offer healthy alternative to sweet treats at all meetings.

Offer educational workshops to keep parents involved in the lives of their children.

Send out newsletters with education and statistical information.

Partnership with community organizations, businesses and local churches.

Key thought to remember about the current epidemic of childhood obesity:

Don’t give up Childhood obesity is a reversible health condition

Parents must be involved

A Policy-Based School Intervention to Prevent Overweight and Obesity

Schools are the ideal place for interventions to prevent overweight and obesity. The intervention and study used in 10 schools in the Philadelphia area found that it was effective in preventing the development of overweight children.

(Foster et al, 2008)

A Workable Plan for the Prevention of Childhood Obesity

1. The School Board must be committed to health and well-being program

2.Hire a project manager to develop a program◦ a. Search out and write grant for financial support◦ b. Fund raising from corporations and the community◦ c. Build a volunteer staff

◦ d. Collaborate with teachers, school nurse, and the parents

◦ e. Complete a parental survey

www.michigan.gov/documents/Tool_kit_Nutrition_104147_7.pdf

Plan continues

◦ f. Develop a Nutrition Policy

◦ g. Implement the Program

◦ h. Involve the community

◦ i. Keep accurate data to support outcomes

◦ j. Monthly newsletter

◦ k. Monthly report cards to the parents

Moving forward to a healthy kids program

a. Program involves grades 1st through 5th

b. All children will participate in a one-hour after-school mandatory program

J. Borr , (Personal Communication, November 9,2010)

c. At the beginning of the program obtain a BMI on all students

d. Each session will start with a 30-minute activity session followed by an educational session and healthy snacks

e. Send home a goals calendar to record number of fruits and vegetables eaten and activities completed

e. Post a goal-recognition bulletin board highlighting students accomplishments

f. Remember to give recognition, reward and support

ObjectiveOur objective is to change bad behavior by

modeling good behavior. This goal can be reached by educating parents and students on the importance of maintaining a nutritious dietary intake and an active healthy lifestyle.

“Children spend approximately half of their waking hours in school. Schools provide 1 to 2 meals daily and are a natural setting for education about healthy food choices”.

(Foster, G., et al, 2008. p. 794)

Measurable OutcomeAll students will participate in

setting attainable goals for the week/month. These goal will be recorded on their personal calendar of activity.

1. One goal will address healthy food intake

2. One goal will address healthy activity

A comparison BMI will be obtained at the beginning and at the end of the school year.

Child’s statement to Parent

Tell me and I’ll forget; show me and I may remember; involve me and I’ll understand. Chinese Proverbs

thinkexist.com/...me_and_i-ll_forget-show_me_and_i_may/10546.html

ResourcesAmerican Heart Association. (2010). Live and Learn. (2010). Retrieved from

http://www.heart.org/HEARTORG/GettingHealthy/WeightManagement/Obesity/Childhood-Obesity_UCM_304347_Article.jsp

Centers for Disease Control and Prevention – Your Online Source for Credible Health Information. (2010). Retrieved from http://www.cdc.gov/physicalactivity/everyone/guidelines/children.html

City-Data.com. 49423 Zip Code (Holland, Michigan) Detailed Profile. (2010). Retrieved from http://www.city-data.com/zips/49423.html

Daniels, S., Jacobson, M., McCrindle, B., Eckel, R., Sanner, B. (2009) American Heart Association Childhood Obesity Research Summit: Executive Summary. Circulation, Apr 2009; 119: 2114 - 2123. doi:10.1161/circulationaha.109.192215

Finding Quotations was never this Easy! Think exist.com (2010). Retrieved from thinkexist.com/...me_and_i-ll_forget-show_me_and_i_may/10546.html

Foster, G., Sherman, S., Borradaile, K., Grundy, K., VanderVeur, S., Nachmani, J., … (2008) A Policy-Based School Intervention to Prevent Overweight and Obesity. Journal of the American Academy of Pediatrics, 121:e794-e802.

Mayo Clinic Childhood obesity. (2010). Retrieved from http://www.mayoclinic.com/health/childhood-obesity/DS00698

Testimony before the Subcommittee on Competition, Infrastructure and Foreign Commerce Committee on Commerce, Science and Transportation United States Senate. “The Growing Epidemic of Childhood Obesity” Statement of Richard H. Carmona, M.D., M.P.H., F.A.C.S. Surgeon General, U.S. Public Health Service, U. S. Department of Health and Human Services. (2004). Retrieved from : http://www.surgeongeneral.gov/news/testimony/childobesity03022004.htm

Tips and tools to help implement Michigan’s Healthy Food and Beverages Policy. Michigan Action for Healthy Kids. (2004). Retrieved from: www.michigan.gov/documents/Tool_kit_Nutrition_104147_7.pdf

Wolfenden, L., Bell, C., Wiggers, J., Butler, M., James, E., & Chipperfield, K. (2010). Engaging parents in child obesity prevention: Support preferences of parents. Journal of Paediatrics and Child Health. doi: 10.1111/j.1440-1754.2010.01776.x

Zenzen, W., & Kridli, S. (2009). Integrative review of school-based childhood obesity prevention programs. Journal of Pediatric Healthcare, 23(4), 242-258. doi:10.1016/j.pedhc.2008.04.008