1 THE OBESITY EPIDEMIC TODAYS YOUTH ARE THE OBESE PATIENTS AND PARENTS OF TOMORROW Name Organization

2 WHY MEDICAL ORGANIZATIONS SHOULD BE INVOLVED IN A STUDENT- BASED PROGRAM IN PLANNING FOR THE FUTURE JUST THINKING AHEAD

3 4 CONCEPTS GRASSROOTS APPROACH: A NECESSARY COMPLEMENT TO LAW AND POLICYACTION AT THE COMMUNITY LEVEL ONE MODEL: A STUDENT-BASED, STUDENT-DRIVEN APPROACH TO OBESITY LINKING CLINICIANS, MEDICAL ORGANIZATIONS, AND THE NEXT GENERATION IN A PREVENTIVE HEALTH EFFORT GRASSROOTS CONCEPT: PHYSICIANS OUT OF THEIR OFFICES, ENGAGING STUDENTS AND THEIR COMMUNITIES

4 WHY FOCUS ON STUDENTS? TODAYS TEENS ARE TOMORROWS OVERWEIGHT/OBESE ADULTS 2/3S WILL BE YOUR PATIENTS WEIGHT REDUCTION PROGRAMS: <5% SUCCESS RATE ONLY 15% OF TODAYS ADOLESCENTS ARE OVERWEIGHT/OBESE GOAL FOR THE NEXT GENERATION: HEALTHY LIFETIME EATING AND ACTIVITY BEHAVIORS BASED UPON BETTER UNDERSTANDING AND BUY-IN

5 TALKING TO STUDENTS: THIS IS NOT A NUTRITION OR FOOD PYRAMID LECTURE THIS IS ABOUT OBESITY THIS IS ABOUT HEALTH, NOT ABOUT APPEARANCE THIS IS ABOUT THE MEDICAL REALITIES OF LIFE-LONG DISEASES RELATED TO WRONG FOODS (JUNK FOOD), TOO MUCH FOOD, AND LACK OF ACTIVITY, THE MAIN CAUSES OF OBESITY THIS IS ABOUT YOUR FUTURE

6 WE ALL KNOW THE NUMBERS OVER 60% OF ADULTS ARE OVERWEIGHT/OBESE 15-20% OF CHILDREN ARE OVERWEIGHT/OBESE 80% OF CHILDREN REMAIN OVERWEIGHT/OBESE AS ADULTS EPIDEMIC OF CHILDHOOD TYPE II DIABETES SIGNIFICANT FUTURE INCREASES IN INCIDENCE OF CARDIOVASCULAR DISEASE, ARTHRITIS, HTN, CERTAIN CANCERS, DIABETES LACK OF FITNESS, EXCESSIVE COUCH TIME AND SCREEN TIME (UP TO HR/WEEK)

7 A BRIEF HISTORY OF OBESITY NO LONGER ARE WE HUNTER-GATHERERS OBESITY EPIDEMIC STARTED IN THE 60S: FAST FOODS, MARKETING, ENVIRONMENTAL ISSUES, TECHNOLOGY, COMMUTING, TIME CRUNCH THE PROBLEM DEVELOPED OVER TIME THE SOLUTION WILL TAKE PLACE OVER TIME THIS PROGRAM BEGINS WITH YOUTH

8 STUDENTS AS CONSUMERS STUDENTS AND CHILDREN AS TARGETS MARKETING – FAST FOOD NATION BRAND LOYALTY SALT, OIL, SUGAR – ACQUIRED TASTES SUPER-SIZING – PROFIT MARGINS MAKING BETTER, SMARTER CHOICES

9 STUDENT BUY-IN IS CRITICAL TOP DOWN IS NOT THE STRATEGY HERE STUDENT BUY-IN COMPLEMENTS LAWS, REGULATIONS, AND POLICIES ENGAGE AND INVOLVE STUDENTS IN SHARED DECISION MAKING GOAL IS FOR STUDENTS TO CHANGE BEHAVIOR AND TO MAKE BETTER CHOICES MULTIGENERATIONAL SOLUTION

10 STUDY AIDS

11 STUDENTS BECOME ENGAGED RESEARCH: INTERNET ACCESS BRAINSTORMING: MULTIPLE SUB-ISSUES, INCLUDING REVENUE, FREEDOM OF CHOICE, FOOD SERVICES, SCHOOL POLICIES AND ED CODES, CULTURES APPROACHES: WORKING WITH ADMINISTRATORS, PARENTS, FOOD SERVICE, VENDORS. STUDENT SURVEYS, TASTE TESTING, STUDENT PROJECTS PEER PRESSURE, PEER SUPPORT

12 SOME STUDENT INITIATIVES CHANGES: ONE VEGETARIAN ENTRÉE AT LUNCH, INSTALL MILK-CHUG MACHINE, REMOVE ONE SODA MACHINE (OF 2) STUDENT EDUCATION AT A PEER LEVEL: HEALTH AWARENESS WEEK SCHOOL ANNOUNCEMENTS, STUDENT NEWSPAPER PHYSICAL ACTIVITIES: JUMP ROPE FOR THE HEART – FUND RAISER GIRLS ON THE RUN – NON-COMPETITIVE ACTIVITY

13 STUDENT CHOICE

14 What I find exciting is that the kids are taking ownership, rather than having it forced on them by adults, which in my experience never works anyway. Paul Simonin, Principal Joaquin Moraga Intermediate School THE PRINCIPAL SAYS….

15 RECOGNITION AND PRIDE STUDENTS TESTIFY IN SAN FRANCISCO, SACRAMENTO STATE SENATOR TOM TORLAKSON VISITS AND RECOGNIZES STUDENT PROJECT AND ITS SUCCESS MEMBERS OF THE PRESS INTERVIEW STUDENTS LOCAL NEWSPAPER ARTICLES FEATURE STUDENTS SCHOOL AND COMMUNITY SPECIFIC – RECOGNIZING CALIFORNIAS DIVERSITY

16 WHY GET COMMUNITY PHYSICIANS INTO THE COMMUNITY? NEED FOR CLINICIANS TO TRANSITION FROM ACUTE CARE TO SOME PREVENTIVE CARE COMMUNITY PHYSICIANS HAVE TREMENDOUS CREDIBILITY IN THEIR OWN COMMUNITIES LEVERAGING TIME AND COMMITMENT OF A SMALL CORPS OF PHYSICIANS – 12 HOURS/YEAR KEY STRATEGY: STUDENTS, THE NEXT GENERATION OF OBESE PATIENTS, BECOMING ENGAGED AND RESPONSIBLE FOR THEIR HEALTH ONE SCHOOL, ONE COMMUNITY AT A TIME

17 PROGRAM POSITIVES THIS MODEL IS ADAPTABLE: SOCIOECONOMIC, CULTURAL, DIVERSITY, ACADEMIC ISSUES – NOT ONE SIZE FITS ALL A FOCUS ON STUDENT UNDERSTANDING OF OBESITY AND SHAPING LIFELONG BEHAVIORS A GRASSROOTS, PHYSICIAN, STUDENT, COMMUNITY- BASED MODEL THAT RECOGNIZES DIVERSITY MEASURABLE OUTCOMES: DECREASE IN BMIS PROBABLY SAVES PAPER

18 PROGRAM CHALLENGES DIFFICULT TO DO COST-BENEFITS ANALYSIS DIFFICULT TO GET DOCTORS OUT OF THEIR OFFICES DIFFICULT TO GET INTO SCHOOLS NEED TO TRAIN DOCTORS ON COMMUNICATING WITH STUDENTS – TO ENGAGE STUDENTS. BANS & DIRECTIVES ARE SELDOM EFFECTIVE HEALTH PLANS ARE COMPETITIVE ( CAN THEY COLLABORATE ON THIS EFFORT? )

19 FOOD FOR THOUGHT THE COST OF OBESITY TO HEALTH PLANS TODAY AND THE COST FOR TOMORROW WHAT ARE WE ALREADY DOING? HEALTH PLANS TAKING THE NEXT STEP TODAY, TO IMPACT STUDENT EATING AND PHYSICAL ACTIVITY CALIFORNIA MEDICAL ASSOCIATION FOUNDATION PROGRAM: 1. LINKED TO COMMITTED COMMUNITY PHYSICIANS 2. LINKED TO SCHOOLS, PTA, CALIFORNIA NUTRITION NETWORK, OTHER LOCAL AND STATEWIDE PROGRAMS

20 ANALYZING NEXT STEPS ( IS THERE A BUSINESS PLAN?) LEVERAGING YOUR ASSETS: COMMUNITY PHYSICIANS IN THEIR COMMUNITIES HOW CAN HEALTH PLANS ENABLE PHYSICIANS & MEDICAL GROUPS TO GET OUT INTO THEIR COMMUNITIES? HEALTH PLANS HAVE RESOURCES: COMMUNITY OUTREACH PROGRAMS, FUNDS FOR STIPENDS, TRAINING, MATERIALS WHAT IS THE RETURN? WHAT IF WE DONT TRY IT?