1. Pictures that tell stories

2. Objectives Describe the prevalence of the childhood obesity epidemic
Understand the long term impact of an overweight & obese BMI in childhood
Review Key 2 a Healthy Start Initiative
Review outcomes of Key 2 a Healthy Start and the CHOICES model
Keys4healthykids.com

3. NOW 2-5 year old “line” is increasing as well.
What do 2-5 year old do?
Why are they gaining weight so rapidly?
ADULTS are in charge of their nutrition and PA habits and environments.
Best example of how adults demanding convenience….is killing our kids.
Keys4healthykids.com

4. Keys4healthykids.com

5. Pan L, Freedman DS, Sharma AJ, et al
Pan L, Freedman DS, Sharma AJ, et al. Trends in Obesity Among Participants Aged 2–4 Years in the Special Supplemental Nutrition Program for Women, Infants, and Children — United States, 2000–2014. MMWR Morb Mortal Wkly Rep 2016;65:1256–1260. DOI:
Keys4healthykids.com

6. Keys4healthykids.com

7. Bogalusa Heart Study Cohort Based 1973-1996
2,610 Children 2-17 years followed to ages years
Mean follow-up 17.6 years
BMI-for-age & Skinfold (SF) thickness in childhood compared to adult mean SF (subscapular & triceps SF)
Keys4healthykids.com

8. Bogalusa: Children Who Become Obese Adults with chronic disease
Keys4healthykids.com

9. NEW Shocking Data
healthykidshealthycommunities.org

10. BMI
Obese
Overweight
Adiposity Rebound
Normal
BMI Nadir
Underweight

11. KEY 2 a Healthy Start
Keys4healthykids.com

12. Physical Activity Standards Screen Time Standards
Nutrition Standards
Physical Activity Standards
Screen Time Standards
Keys4healthykids.com

13. Keys4healthykids.com

15. Peer Learning Collaborative #1
KEY 2 a Healthy Start
Peer Learning Collaborative #1
Nutrition Standards
Leap of Taste Standards
Menu Planning
Garden-based Learning
Start a Garden
Goals & Action Plan
Keys4healthykids.com

16. Custom Garden Plans with Start A Garden
Keys4healthykids.com

17. Peer Learning Collaborative #2
KEY 2 a Healthy Start
Peer Learning Collaborative #2
Physical Activity (PA) Standards
PA Quantity and Quality
Music and Movement
Goals & Action Plan
Keys4healthykids.com

18. Peer Learning Collaborative #3
KEY 2 a Healthy Start
Peer Learning Collaborative #3
Role Modeling Healthy habits:
Staff, Parents & Choosy
Healthy Celebrations
Goals & Action Plans with POLICIES
Keys4healthykids.com

19. Keys4healthykids.com

20. Keys4healthykids.com

21. Best Practice Outcomes in
Child Care Centers
N8-Nutrition Education
PA4- PA Education
N3- Beverages
N1- Fruits and Vegetables
PA1- Active Play & Inactive Time
N7- Supporting Family Eating
N6- Foods Offered Outside
of Regular Meals
Keys4healthykids.com

22. Peer Learning Network For Graduates
Food demonstrations
Grant writing and
implementation assistance
Choosy physical activity
site visits
Pop up farmers’ markets
High school
student volunteers
Garden assistance
Natural learning environments
Keys4healthykids.com

23. Funding Benedum Foundation SNAP-Ed with FNP CDC 1305
Bureau of Public Health
Greater Kanawha Valley Foundation
Dept. of Education/OCN
Quick healthy tips
Keys4healthykids.com

24. 593 CASES OF CHILDHOOD OBESITY PREVENTED in 2025
Implementing KEY 2 a Healthy Start is an investment in the future:
38,000 CHILDREN REACHED
593 CASES OF CHILDHOOD OBESITY PREVENTED in 2025

25. Results
Treated in HealthyKids: 20 to 33 years to treat 593 children

26. Quick healthy tips
Keys4healthykids.com

27. Which playground do you prefer?
Dave –
Sign – “Your kid will get dirty.”
School shoes vs play shoes
kids getting sweaty.
Good for mind and body.
Psychology and physiology.
Pirates and spaceships.
Photos Courtesy of National Wildlife Federation “Nature Play at Home”
Keys4healthykids.com