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@msdcenter /msdcenter CATCH Monthly Webinar: What is MVPA and why is it important? featuring Erica Gordon Marathon Kids

What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

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Page 1: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

@msdcenter!

/msdcenter!

CATCH Monthly Webinar:

What is MVPA and

why is it important?

featuring Erica Gordon Marathon Kids

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Today’s Moderator

Duncan Van Dusen, MPH Executive Director

CATCH Global Foundation

Today’s webinar will be recorded and available online at

www.CATCHusa.org

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We are an international leader in conducting research and providing programs that promote healthy living for children, their families and communities. Our work fosters improved health behaviors among youth, influences policy and environmental change to support healthy living, and advances professional education and community service. Our vision: Healthy children in a healthy world

About our Center

www.msdcenter.org

Page 4: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Erica Gordon National Director of Programs Marathon Kids

Our Guest

Page 5: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

What is MVPA and why is it important?

Page 6: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Goals: 1.  Overview of Marathon Kids 2.  Today’s Reality 3.  What We’re Doing About It

18 years and running

Page 7: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

18 years and running

Our Mission: Marathon Kids is an evidence-based nonprofit organization dedicated to improving the health of children by providing them with the motivation, tools, and support in order to live happier, healthier lifestyles.

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Our Current Program:

18#years#and#running#

!  School-based

!  K-5th grade students commit to w a l k i n g / r u n n i n g 2 6 . 2 m i l e s incrementally over the course of 5-6 months

!  Mileage Log and Fuel Log

!  Events

!  Rewards

!  Focused on the child’s experience

Page 9: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Our Journey

1995 – Marathon Kids was founded by Kay Morris 2004 – Grew beyond Austin to 7 other cities. 2010 – Wellness Teams formed in 6 schools. 2012 – Grew to 6 additional cities. 2013 – Served 300,000 kids in 841 elementary schools across 13 cities. 20 wellness teams formed. NOW…

Page 10: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Goals: 1.  Overview of Marathon Kids 2.  Today’s Reality 3.  What We’re Doing About It

18 years and running

Page 11: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

•  Since 1980, obesity prevalence among children has almost tripled.1

•  In 2010, no state had a prevalence of obesity less than 20%.

•  12 of these states had a prevalence of 30% or more.3

•  It is estimated that obesity will cost the US $344 billion in medical-related expenses by 2018.4

1http://www.cdc.gov/obesity/childhood/data.html 2Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mas index among US children and adolescents, 1999-2010. JAMA. 2012;307(5):483-490. 3Ogden C, Carroll M, Kit B Flegal K. Prevalence of Obesity in the United States, 2009-2010. NCHS Data Brief. Number 82, January 2012. http://www.cdc.gov/nchs/data/databriefs/db82.pdf. 4United Health Foundation, American Public Health Association and Partnership for Prevention. (2009). America’s Health Rankings – 2009 edition. Minnetonka, MN: Author.

Stats

Page 12: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

The US Department for Health and Human Services (HHS)

recommends that children receive a daily total of:

60!

!minutes of moderate-to-vigorous physical

activity (MVPA)5!!!

…AND WE CAN’T DO IT WITHOUT SCHOOLS!!

5U.S. Department of Health and Human Services: Physical Activity Guidelines for Americans. In In Physical Activity Guidelines for Americans . Washington DC: U.S. Department of Health and Human Services; 2008.

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OUR QUESTIONS: Is Marathon Kids an evidence-based nonprofit organization dedicated to improving the health of children?!Are we providing them with the motivation, tools, and support in order to live happier, healthier lifestyles?

Page 14: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Understanding MVPA & Distance Over Time

1.  Why is MVPA important?

2.  How is MVPA

measured?

3.  Do we help kids reach their MVPA

goals?

4.  If not, what can we do?

Page 15: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Why is MVPA Important? •  Improved cardiorespiratory and

muscular fitness9

•  Improved bone health9

•  Favorable body composition9

•  Reduced symptoms of depression9

•  Decreased likelihood of developing heart disease10

•  Decreased likelihood of developing type 2 diabetes10

•  Improved concentration, memory and classroom behavior10

9U.S. Department of Health and Human Services: Physical Activity Guidelines for Americans. In In Physical Activity Guidelines for Americans . Washington DC: U.S. Department of Health and Human Services; 2008. 10www.cdc.gov/healthyyouth/physicalactivity/pdf/quality_pe.pdf

Page 16: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

How is MVPA Measured? 1) Metabolic Equivalent of Task (MET)

Page 17: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Measuring MVPA via METS

Procedure for expressing energy cost of physical activities as multiples of resting metabolic rate.

•  1 MET is the equivalent of the average person sitting at rest.12

•  MET values range from 0.9-23.12

12Byrne, Nuala M., Andrew P. Hills, Gary R. Hunter, Roland L. Weinsier, and Yves Schutz. "Metabolic Equivalent: One Size Does Not Fit All."Journal of Applied Physiology 99 (2005): 1112-119. Journals of the American Physiological Society. American Physiological Society, 1 Sept. 2005. Web. 5 June 2014. <http://jap.physiology.org/content/99/3/1112>.

Page 18: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Moderate = 3.0 – 5.9 METs

Vigorous = > 6.0 METs

13Ainsworth, B. E., W. L. Haskell, M. C. Whitt, M. L. Irwin, A. M. Swartz, S. J. Strath, W. L. O'Brien, D. R. Bassett, Jr., K. H. Schmitz, P. O. Emplaincourt, D. R. Jacobs, Jr., and A. S. Leon. "Compendium of Physical Activities Tracking Guide." Compendium of Physical Activities. N.p., 2011. Web. 5 June 2014. <https://sites.google.com/site/compendiumofphysicalactivities/home>.

Measuring MVPA via METS in adults

Page 19: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Currently defined as > 3 METS

BUT many researchers argue it should be

4-5 METS16!

14Ridley, Kate, Barbara E. Ainsworth, and Tim S. Olds. "Development of a Compendium of Energy Expenditures for Youth." International Journal of Behavioral Nutrition and Physical Activity 5.1 (2008): 45. 2008. Web. 5 June 2014. http://www.ijbnpa.org/content/supplementary/1479-5868-5-45-s1.pdf. 15U.S. Department of Health and Human Services: Physical Activity Guidelines for Americans. In In Physical Activity Guidelines for Americans . Washington DC: U.S. Department of Health and Human Services; 2008. 16Adams, Marc A., William D. Johnson, and Catrine Tudor-Locke. "Steps/day Translation of the Moderate-to-vigorous Physical Activity Guideline for Children and Adolescents." International Journal of Behavioral Nutrition and Physical Activity 10.1 (2013): 49. 2013. Web. 5 June 2014. <http://www.ijbnpa.org/content/pdf/1479-5868-10-49.pdf>.

Measuring MVPA via METS in youth

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A Detailed Glimpse

ACTIVITY! MET!

Walking – light effort! 2.9!

Walking – moderate effort! 3.6!

Walking – hard effort! 4.6!

Running/Jogging – light effort! 7.7!

Running/Jogging – moderate effort! 8.5!

Running/Jogging – hard effort! 9.3!

Page 21: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

How is MVPA Measured? 2) Steps/Day

Page 22: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Aged 6- to 19-years-old receive on average:22

!  Boys: 9500 steps/day!!

!  Girls: 7900 steps/day!!

How Many Steps Do Kids Get Now?

22Tudor-Locke, Catrine, Cora L. Craig, Michael W. Beets, Sarahjane Belton, Greet M. Cardon, Scott Duncan, Yoshiro Hatano, David R. Lubans, Timothy S. Olds, Anders Raustorp, David A. Rowe, John C. Spence, Shigeho Tanaka, and Steven N. Blair. "How Many Steps/Day Are Enough? for Children and Adolescents." International Journal of Behavioral Nutrition and Physical Activity 8.1 (2011): n. pag. Web. http://www.ijbnpa.org/content/8/1/78.

Amish 6-18 years of age average over 15,000 steps/day.22

!

Page 23: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

18 years and running

How Many Steps Kids SHOULD Be Getting

Steps Per Day! Category!<10,000 – boys!

<7,000 – girls!Sedentary!

10,000-12,499 – boys!7,000-9,499 – girls!

Low Active!

12,500-14,999 – boys!9,500-11,999 – girls!

Somewhat Active!

15,000-17,499 – boys!12,000-14,499 – girls!

Active!

>17,500 – boys!>14,500 – girls!

Highly Active!

Page 24: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

25Tudor-Locke, Catrine, Cora L. Craig, Michael W. Beets, Sarahjane Belton, Greet M. Cardon, Scott Duncan, Yoshiro Hatano, David R. Lubans, Timothy S. Olds, Anders Raustorp, David A. Rowe, John C. Spence, Shigeho Tanaka, and Steven N. Blair. "How Many Steps/Day Are Enough? for Children and Adolescents." International Journal of Behavioral Nutrition and Physical Activity 8.1 (2011): n. pag. Web. http://www.ijbnpa.org/content/8/1/78. 26Adams, Marc A., William D. Johnson, and Catrine Tudor-Locke. "Steps/day Translation of the Moderate-to-vigorous Physical Activity Guideline for Children and Adolescents." International Journal of Behavioral Nutrition and Physical Activity 10.1 (2013): 49. 2013. Web. 5 June 2014. http://www.ijbnpa.org/content/pdf/1479-5868-10-49.pdf.!

Who Knows?!

Page 25: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

The U.S. Presidential Challenge Program (and others) have

recently adopted:

12,000 !steps/day!

Page 26: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Research is currently being done to confirm that while

12,000 steps/day should be a goal for all youth,

7,000 !steps/day!

is the “RED ZONE.” Dr. Tudor-Locke says, “alarms should be going off” if a child is only achieving 7,000 steps/day.

Page 27: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

How is MVPA Measured? 3) Steps/Minute (Cadence)

Page 28: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Measuring MVPA via Steps/Minute

“GO WITH 100 STEPS/MINUTE…ANYTHING ABOVE THAT IS CREAM.”!!

Page 29: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

18 years and running

What We Know MVPA is good

> 60 min/day MVPA is also good

> 12,000 steps/day is great

Shoot for > 100 steps/min

Kids avg. 2,500 steps/mile

20#Minutes#a#Day#of#Walking#Fast/Running#(30%#of#daily#MVPA)##

#X#####100:160#steps#

=#######2,000#:#3,200#steps#(17<27%#daily#recommended#steps)#

(/#2500)###=###Total#Mile(s):#0.8#:#1.28#miles#OR#(at#least)#1#mile#

Page 30: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

1.  Why is MVPA important?

2.  How is MVPA measured?

3.  Do we help kids reach their MVPA goals?

4.  If not, what can we do?

Understanding MVPA & Distance Over Time

Page 31: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

18 years and running

Do we help kids reach their MVPA goals?

3 days a week X 20 minutes a day = at least 3 miles a week

3 miles a week X 20 weeks ________________________________

(at least) 60 miles > 26.2 miles

Page 32: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

Understand MVPA & Distance Over Time

1.  Why is MVPA important?

2.  How is MVPA measured?

3.  Do we help kids reach their MVPA goals?

4.  If not, what can we do?

Page 33: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

!!

6 KEY COMPONENTS!

Tying yesterday’s successes with today’s technology & research, and focusing on "

!

Page 34: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

①  KEEP IT SIMPLE, FLEXIBLE & FUN!

•  Customized Goals !

•  Recess, PE, Classroom Breaks, Running Clubs, etc.!

Page 35: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

②  HELP SCHOOLS & ORGANIZATIONS

MEET THEIR GOALS

•  State and National Standards!

•  Coordinated School Health!

•  Reporting!

!

Page 36: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

HELP SCHOOLS MEET THEIR GOALS •  State and National Standards!

•  Coordinated School Health!

•  EOY Reporting!

!

Page 37: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

③  HELP KIDS MEET THEIR GOALS

•  60 min/day MVPA!•  12,000 steps/day!

Page 38: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting
Page 39: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

④  BRING THE COMMUNITY TOGETHER •  Regionalized our Program Team

•  Community-wide and led Kick Off Ceremony

•  Community-wide and led Finisher Medal Celebration

•  Online Community, Resources & Webinars

•  Site Visits

Page 40: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting
Page 41: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

⑤  GET PARENTS INVOLVED

Page 42: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

⑥  REWARD & INCENTIVIZE

•  Water Bottles

•  Finisher Medals

•  Finisher Shirts

•  Stickers & Tattoos

Page 43: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

•  240,000 scholarships in 13 service areas

•  $8 per student, no matter where you live – SCHOOL OR ORGANIZATION

>>Email: [email protected] •  Keep asking the tough questions

•  Adjust accordingly

NEXT STEPS

Page 44: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

QUESTIONS?

Page 45: What is MVPA and why is it important? - System folder · 2014-10-17 · Measuring MVPA via METS Procedure for expressing energy cost of physical activities as multiples of resting

/msdcenter

@msdcenter

msdcenter.org msdcenter

/msdcenter

/msdcenter

Thank You!

Peter Cribb, MEd National CATCH Director Michael & Susan Dell Center for Healthy Living The University of Texas School of Public Health [email protected] (512) 482-6167

Today’s webinar was recorded and will be available online at

www.CATCHusa.org

Duncan Van Dusen, MPH Executive Director CATCH Global Foundation [email protected]