1. Kristin Wiley Parents of obese children

2. Introduction  Past 3 decades the number of youth obese has tripled  Today, 12.5 million children and adolescents are obese (age 2-19)

3. Why is obesity increasing?  Common reason: eating more calories in food then they burn off in exercise)  Increase in “convenience foods” : high in calories and fat  Inactive lifestyle: 30 years ago: Kids play outside Today: Video games, TV, computers  Technology Exercise

4. Immediate Effects  Psychological impact of being overweight is devastating  Higher rates of sickness  Lower self- esteem  Diabetes  Decreased social life/ interaction

5. Long-Term Health Effects  Heart problems  High blood pressure  Higher rates of sickness and death as an adult  Overweight kids are at higher risk than adults to become obese  Stroke  Diabetes

6. Measurement and Identification of Obesity  Body Mass Index (BMI)  Calculated by measuring: Proportion of weight to height  Calculated same for adults and children  Categorized differently (BMI- for- age)  http://apps.nccd.cdc.gov/dnpabmi/ BMI calculator for children and teens http://apps.nccd.cdc.gov/dnpabmi/

7. Example Calculation  Johnny is a 11 year old boy, weighs 150 pounds, height: 5’1’’ RESULTS:BMI: 28.3 BMI- for –age: 98 th percentile for boys Obese and likely to have health- related problems due to weight See health care professional

8. Categories of Obesity  Class I: BMI of 30-34.9  Class II: BMI of 35-39.9  Class III: BMI 40 or higher *Based on this 1/3 of all Americans are considered obese

9. Most Affected?  African American girls  Non- Hispanic girls  Mexican- American boys

10. Influences and Causes  School pressures  Family conflict  Environmental influences  Parents, community, and school CAN make a difference

11. Parental Influence  Development of a healthy home environment  Quantity of foods they provide  Time children eat  Amount/ type of food they eat  Exercise?!

12. Parental Influence Continued  Increase in dual- earning families results in: Less time being active Cooking less nutritious foods Allowing increased computer and TV time

13. Community Influences  First social group youth encounter beyond family  Promote active lifestyles: Encourage more walking More green space Increased recreational activities Limit number of fast food options

14. School Influence  Continuous, intense contact with children  Positive impact by promoting: Physical activity Providing foods Educating children on nutrition

15. Obesity effects on school  Hunger, inadequate nutrition: cognitive functioning Academic achievement

16. Intervention  Earlier treatment, Higher success rates  Treatment to kids 10-14 (highest success rate): They can grasp basis nutrition Highest number to become “healthy, and stay healthy”

17. Prevention  Many… school based  Healthy living curricula  Changes in physical education  Changes in food service  Parent/ family changes

18. Treatment MMedical EEducational SSchool- based FFamily- based* *Research indicates most successful and long term

19. Recommendations for Families  Turn off the TV  More vegetables during dinner  Get off the bus earlier and walk  Smaller portion, skip dessert  Walks after dinner  Involve kids in grocery shopping and cooking  Family goals: healthy eating 4x’s a week

20. Sources:  http://www.cdc.gov/healthyyouth/obesity/ facts.htm http://www.cdc.gov/healthyyouth/obesity/ facts.htm  http://edis.ifas.ufl.edu/fy932 http://edis.ifas.ufl.edu/fy932  http://www.cdc.gov/obesity/data/facts.ht ml http://www.cdc.gov/obesity/data/facts.ht ml  http://apps.nccd.cdc.gov/dnpabmi/ http://apps.nccd.cdc.gov/dnpabmi/