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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
Guidelines
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Sporting Event Snacks
6 cal/oz
12 cal/oz
14-15 cal/oz
485 calories
400 calories
250 calories
Good Behavior/Task Completions
Grades
Potty Training
Celebrations
Guidelines
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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 obeseHealthy People 2010 goal was < 5%
Healthy People 2020
• Reduce the proportion of youth ages 2-19 years that are obese by 10%
start: 16.1% goal: 14.5%
Age (in years) 1971-1974
1976-1980
1988-1994
1999-2000
2001-2002
2003-2004
2005-2006
2007-2008
Total 5.0 5.5 10.0 13.9 15.4 17.1 15.5 16.9
2-5 5.0 5.0 7.2 10.3 10.6 13.9 11.0 10.4
6-11 4.0 6.5 11.3 15.1 16.3 18.8 15.1 19.6
12-19 6.1 5.0 10.5 14.8 16.7 17.4 17.8 18.1
NHANES: Prevalence of obesity among U.S. children and adolescents aged 2-19, for selected years
1971-1974 through 2007-2008by 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
Prevention, Assessment and Treatment of Child/Adolescent Overweight and Obesity
AMA /CDC Expert Committee
Assessment Recommendations:
BMI > 95th percentile is considered Obese
BMI > 85th but <95th percentile is considered Overweight
Energy RequirementsGender Age
(years)Sedentary Moderate
ActivityActive
Child 2-3 1,000 1000-1400 1000-1400
Female 4-89-13
14-18
120016001800
1400-16001800-2000
2000
1400-18001800-2000
2400
Male 4-89-13
14-18
140018002200
1400-18001800-22002400-2800
1800-22002000-28002800-3200
Source: 2005 US Dietary Guidelines
Choose MyPlate 2011
Prevention, Assessment and Treatment of Child/Adolescent Overweight and Obesity
AMA/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
http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html
http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html
http://www.fruitsandveggiesmatter.gov/health_professionals/maps_youth.html
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***
AMA/CDC Expert Committee cont…
http://www.cdc.gov/nchs/data/databriefs/db71.htm
http://www.cdc.gov/nchs/data/databriefs/db71.htm
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
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
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
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
AMA/CDC Expert Committee cont…
Prevention Recommendations:
• Promote moderate to vigorous physical activity for AT LEAST 60 minutes each day (60 minutes can be accumulated during the day)
Preventing Childhood ObesityHealth in the Balance
Food/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
Preventing Childhood ObesityHealth in the Balance
Food/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)
5th Gear Kids MissionWe 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
Intervening Across Multiple Levels
Preventing Childhood ObesityHealth in the Balance
Food/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
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?”
