1. CATCH grant: Pediatric Obesity and Weight Management Community Assessment Naya Antink, MD June 25, 2008

2. Obesity! Concern for increasing rates of pediatric obesity: nationwide and locally Lack of family awareness regarding patient’s growth status Lack of awareness of resources for families with obese kids Lack of community resources for pediatric weight management

3. What is Overweight? Example: 10 yo boy Height: 4 ft 11 in Weight: 113 lbs ● ●

4. Body Mass Index (BMI) Weight in kg OR Weight in lbs x 703 (Height in m) 2 (Height in inch) 2

5. Example: 10 yo boy Height: 4 ft 11 in Weight: 113 lbs BMI = 23

6. Obesity Trends Among U.S. Adults No Data <10% 10%–14% 1985

7. Obesity Trends Among U.S. Adults 1986 No Data <10% 10%–14%

8. Obesity Trends Among U.S. Adults 1987 No Data <10% 10%–14%

9. Obesity Trends Among U.S. Adults 1988 No Data <10% 10%–14%

10. Obesity Trends Among U.S. Adults 1989 No Data <10% 10%–14%

11. Obesity Trends Among U.S. Adults 1990 No Data <10% 10%–14%

12. Obesity Trends Among U.S. Adults 1991 No Data <10% 10%–14% 15%–19%

13. Obesity Trends Among U.S. Adults 1992 No Data <10% 10%–14% 15%–19%

14. Obesity Trends Among U.S. Adults 1993 No Data <10% 10%–14% 15%–19%

15. Obesity Trends Among U.S. Adults 1994 <10% 10%–14% 15%–19%

16. Obesity Trends Among U.S. Adults 1995

17. <10% 10%–14% 15%–19% Obesity Trends Among U.S. Adults 1996

18. 10%–14% 15%–19% ≥20% Obesity Trends Among U.S. Adults 1997

19. 10%–14% 15%–19% ≥20% Obesity Trends Among U.S. Adults 1998

20. 10%–14% 15%–19% ≥20% Obesity Trends Among U.S. Adults 1999

21. 10%–14% 15%–19% ≥20% Obesity Trends Among U.S. Adults 2000

22. 10%–14% 15%–19% 20%–24% ≥25% Obesity Trends Among U.S. Adults 2001

23. 15%–19% 20%–24% 25%–29% Obesity Trends Among U.S. Adults 2002

24. 15%–19% 20%–24% 25%–29% Obesity Trends Among U.S. Adults 2003

25. 15%–19% 20%–24% 25%–29% Obesity Trends Among U.S. Adults 2004

26. 15%–19% 20%–24% 25%–29% ≥30% Obesity Trends Among U.S. Adults 2005

27. 15%–19% 20%–24% 25%–29% ≥30% Obesity Trends Among U.S. Adults 2006

28. Increasing Prevalence of Overweight Children Source: CDC/NCHS and NHANES

29. Summary of Health Indicators Number Included in Analysis Prevalence % Nation * (0-5 yo)BMI ≥ 95th percentile7,192,04313.8 Nation (2-5 yo)BMI 85th to 95th percentile2,945,21216.4 BMI ≥ 95th percentile2,945,21214.8 Idaho: 2-5 yoBMI 85th to 95th percentile16,30516.9 Idaho: 2-5 yoBMI ≥ 95th percentile16,30512.4 * Based on 2000 CDC growth chart percentiles for weight-for-length for children under 2 years of age and BMI-for-age for children 2 years of age and older. 2006 Pediatric Nutrition Surveillance National Summary of Health Indicators Children Aged less than 5 years

30. More Idaho Stats 26% of the 160,000 Idaho kids ages 10-17 yo are considered overweight or obese. # Hispanic children have almost double the rate of overweight/obesity than non-Hispanic children (49% vs 24%). Kids with public insurance have almost double the incidence compared to those with private insurance (40% vs 22%). 29% of low-income children ages 2-5 years participating in WIC are overweight/obese.* # 2003 National Survey of Children’s Health * 2006 Pediatric Nutrition Surveillance System (PedNSS)

31. My question is… Is there a need for a comprehensive pediatric weight management program here in the Treasure Valley?

32. CATCH Program CATCH = Community Access To Child Health Founded in 1991 by the AAP under a grant from the Robert Wood Johnson Foundation Increase children’s access to medical homes or specific health services not otherwise available. Focus on underserved children or health disparities among children. Partnership between pediatricians and community-based organizations.

33. The CATCH Program provides pediatricians with: Training Technical Assistance and Resources Peer Support and Networking Opportunities Funding Opportunities

34. Various types of grants offered: Planning Implementation Resident Residency training Visiting Professorship

35. CATCH Planning Grant Needs assessment Community Asset Mapping Feasibility Studies Community meetings Focus Groups Planning meetings Grant proposals for future project implementation

36. What have I accomplished so far?