1. Knowledge Health Power

2.  http://www.youtube.com/watch?v=Dvn_Ied9t4M&f eature=PlayList&p=437C10C8C5389305&index=0& playnext=1 http://www.youtube.com/watch?v=Dvn_Ied9t4M&f eature=PlayList&p=437C10C8C5389305&index=0& playnext=1

3. Why We’re Here?Why We’re Here?

5. The Results…The Results… Overweight and obesity rates, by province, aged 2-17 Statistics Canada, 2004

6. Co-Morbidities of Childhood ObesityCo-Morbidities of Childhood Obesity  Hypertension  Type 2 diabetes  High cholesterol  Sleep apnea  Polycystic ovary  Orthopaedic problems  Depression/anxiety  Smoking, alcohol and drugs?

7. Causes of Death –US 2000 Mokdad et al, JAMA 2004; 291:1238-45

9. Percentage of Childhood Diabetes that was Type 2 variety  1990 4%  2003 20%  Presently 45% new cases

10. “Contemporary obesity is a natural and appropriate response to the environment in which we live.” Dr. James Hill

11. Super Sized Portions Lead to Super Sized Children

13. FACT  The average high school student will have spent 15,000 hrs in the classroom by graduation  The average high school student will have spent 18,000 hrs in front of the television by graduation

16. Evolution of workEvolution of work

18. Advertising… Can Nutrition Education Compete?

23. Dr. David KatzDr. David Katz “This generation of children will be the first in modern memory whose life expectancy will not exceed that of their parents” Canadian Cardiovascular Congress, Toronto, Oct. 2003

24. Heart and Stroke FoundationHeart and Stroke Foundation  Heart disease will present 20 years earlier in this age group due to the childhood obesity epidemic  Fat is the new tobacco Feb. 2004

25. Physical Inactivity in ChildhoodPhysical Inactivity in Childhood  International guidelines recommend activity sufficient to burn 8 kcal/kg body weight/day for optimal growth and development  2/3 of children do not meet this requirement  84% of adolescents do not meet this requirement

26. Factors Contributing to Decreased Physical Activity Levels  Increased sedentary activities (computer, tv, internet, videos)  Less play  Fewer children with increased safety concerns  Inactive parents  Time pressures

28. Direct Healthcare cost of Physical Inactivity in 1999  2.1 billion dollars.  10% reduction in physical inactivity would reduce healthcare costs by 150 million dollars per year. (The Economic Burden of Physical Inactivity in Canada, P. Katzmaryzk, CMAJ 2000)

29. Lifestyle IssuesLifestyle Issues  Eating habits  Physical Inactivity  Sedentary behaviours

30. The Results…The Results…  Children who are obese…generally stay that way later in life  Adolescents who are obese have an 85% chance of staying that way as adults (The Canadian Journal of Diagnosis, March 2004) =

31. Obesity also leads to…Obesity also leads to…  Poor Self Esteem  Increased risk for drug taking, smoking and other risky behaviours  Poorer health and more doctors visits/hospitalizations

32. And it leads to…And it leads to…  Certain types of Cancer  Breast, endometrial, colon, prostate, & kidney  Gall bladder disease  Respiratory problems  Fertility problems  Sleep apnea  Osteoarthritis

33. What Can you do?What Can you do? What are we doing?

36. School Food GuidelinesSchool Food Guidelines  Based on Canada’s Food Guide  Promote most nutritious foods possible, NOT better junk food  Categories:  Serve Most,  Serve Moderately  Foods Not Included

37. Education week: walk across NLEducation week: walk across NL

46. The challenge is to do today what men and women of intelligence and good-will would wish, 10 yrs hence, had been done. Edmund Burke