8/14/2019 Gorman Poster CSM 2010

http://slidepdf.com/reader/full/gorman-poster-csm-2010 1/1

PercentBMI

Shuttle Run Curls Ups Vertical Jump

Nutrition 0.07 0.077 0.127 0.169MultimediaUsage

0.193 0.016 0.107 0.079

Health Attitudes 0.088 .197* 0.144 0.137

INTRODUCTION

Over the past 20 years, the prevalence of children whoare overweight has become an epidemic, increasing by

50% in the United States.1,2

This trend has proven toput children, with increased Body Mass Index (BMI), atserious risk for developing negative or adverse healthimplications across the lifespan including: type IIdiabetes, numerous cardiovascular complications, andearly mortality rates. The three major levels that webelieve contribute to this epidemic are the individualfactors, the physical environment (i.e., school andhome) and the social/cultural environment. Th is said, ithas been noted that increased physical activity cannotonly reduce children’s BMI, but reduce the numerouscorollary health conditions associated with high BMI. Itis further evident that performance gains in the areas of strength, power, speed, endurance, coordination, andagility have been associated with increased physicalactivity in children.

Examination of the association between a child’s health behavior and home environment and HR, BMI,flexibility and strength measures of 2 nd and 3 rd graders

Ira Gorman PT, MSPH, Stephanie Birkenstock PT, DPT, Katie Lorenzi PT, DPT, Grace Price PT, DPTAdam Engel PT, DPT, Josh Merrick PT, DPT, Kalina Myszkowski PT, DPT, Julie Waldie PT, DPT

School of Physical Therapy, Regis University, Denver, CO

DISCUSSION•Cohort of overall healthy 2 nd and 3 rd graders with onsubjects falling into the overweight category

•Percent BMI decreased significantly but can beattributed to maturation of the subjects

•Pre/post-test analysis of the subject’s attitudesdemonstrated a statistically significant positive trendtowards increased physical activity and better eatinghabits

•Small sample size and skewed distribution of theoutcome variables prevented the finding of significantregression models

METHODS

Subjects: Subjects included second and third grade students at TheOdyssey School, a DPS charter school that uses dynamicexpeditionary learning to foster each child's uniquepotential and spirit of adventure. A total of 54 students(32 males) from two separate classes, participated in thisstudy.

RESULTS

Purpose:

To examine the association between a child’s healthbehavior and access to healthy living at home and their HR, BMI, flexibility, and strength measures. Additionally,

to determine if an educational-based intervention for second and third graders would result in improvedattitudes towards exercise, physiological measures, andphysical performance. As a result, we hope to further identify appropriate interventions for battling the epidemicof childhood overweight as well as contribute to theevidence detailing the effectiveness of school-basedintervention programs.

Procedures:We worked in collaboration with the faculty at theOdyssey School to enrich the student’s learningexperience on various health-related topics

•Distributed initial survey that was completed at homewith parents included validated questions regardingphysical activity levels, attitudes about health, nutrition,and environment

•Performance tests and measures administered to thechildren including: shuttle run, vertical jump, curl-up, sitand reach, push ups, and shoulder flexion

•Educational segments included :•Small group discussions about nutrition and physicalactivity

•Pro-section observation of human and sheep hearts andlungs

•Instruction on self monitoring of HR

•Data analysis conducted :•Descriptive statistics to define demographics•Paired t-test to determine if significant differences pre-post-test existed

•Linear Regression models to determine if certainbehaviors or attitudes predicted the various outcomevariables

Acknowledgements :We would like to thank the 2 nd and 3 rd graders of Mr. Andy and Ms. Kathi’s

Amy Hammerich, PT, DPT and Marcia Smith, PT, PhD.References :Snethen JA, Broome ME. Weight, exercise, and health: children's perceptions. Clin Nurs Re

2007;16(2):138-152.Center for disease control and prevention: BMI. May 2007

http://www.cdc.gov/nccdphp/dnpa/bmi/childrens_BMI/about_childrens_BMI.htm.

CLINICAL RELEVANCE•Physical therapists have a role in health education

within the community

•Beginning health and wellness education at a young

age could have beneficial effects on subjects’ attitudestowards a healthy lifestyle

•Future studies should consider…

•Larger sample size, different age groups, more diverse

SES, longer period for follow-up, and/or more active

intervention

•Analysis of covariates as stated above and control for

other possible confounders

•Clustering of tests to more effectively determine fitness

level of subjects

EDUCATIONAL PIECE

Heart Health Education

Nutritional Reflection

Importance of Physical Activity

Pro-section of human and sheephearts/lungs

October2007

April 2008

Post-TestSurvey

Pre-Test

Shuttlerun

HR/HT/WT

Curlup

Shoulder Flex

Sit and Reach

Vertical Jump

Pre-TestSurvey

Post-Test

Shuttlerun

HR/HT/WT

Curl up

Shoulder Flex

Sitand reach

Vertical Jump

*significant p<.05

*significant p<.05

Post Test Data Regression Analysis with r 2 Values

* significant to p <.05

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