1. Childhood Obesity Problems, Causes & Solutions by Eddie & Krista

2. A Growing Crisis “In the past three decades, the number of overweight children has more than doubled, with most of the increases occurring during the past ten years.” - Rallie McAllister, M.D. Implementing prevention programs and getting a better understanding of adequate treatment is important to controlling this obesity epidemic.

3. What’s the Big Deal?

4. I Don’t Want to Grow Up 25% of children who are obese at age 6 will be obese as an adult 75% of children who are obese at age 12 will be obese as an adult

5. Effects on the Child

6. Physical Consequences Type 2 Diabetes – used to be virtually unrecognized in adolescence – almost entirely attributable to obesity – obese children are reported to be 12 times more likely to have high fasting blood insulin levels Orthopedic complications – bone and cartilage in the process of development are not strong enough to bear excess weight Hypertension – Elevated blood pressure levels have been found to occur about 9 times more frequently among obese children

7. Social Difficulties Obese children… – are stereotyped as “unhealthy, academically unsuccessful & lazy” – may be teased or verbally abused by other children – can become excluded from being a part of social groups and/or other activities

8. Psychological Problems Discrimination can cause a negative self- image and poor self-esteem Sadness can occur, which can lead to depression Loneliness Eating disorders – more prevalent in females

9. People who are obese or overweight also have a lower life expectancy A 40-year-old nonsmoking male who is overweight will lose 3.1 years of life expectancy; one who is obese will lose 5.8 years. A 40-year-old overweight nonsmoking female will lose 3.3 years of life expectancy; one who is obese will lose 7.1 years.

10. How to Tell If Your Child is Overweight or Obese

11. Indicators Growth Chart – height and weight can be compared and plotted Skin fold thickness – measured at the triceps with a caliper that pinches the skin and together and will be higher in obese children BMI (Body Mass Index) – is best measurement to take because it is age and gender specific

12. What is BMI? BMI is used to identify overweight and obesity in children BMI = weight (kg)/height (m)² For children, BMI is age and gender specific and is consistent with adult index, so it can be used continuously from two years of age to adulthood

13. Are you at risk? The Center for Disease Control avoids using the word “obesity” for children Instead they suggest two levels of overweight: 1.) 85 th percentile: At-risk level (overweight) 2.) 95 th percentile: Severe-level (obesity)

14. What does the 95 th percentile BMI score mean? Correlates to BMI score of 30, which is the marker for obesity in adults Indication for children and adolescents to have an in- depth medical assessment Identifies children that are likely to have obesity persist into adulthood Is associated with elevated blood pressure and lipid in older adolescents which increases risk of diseases

15. Increase in obesity among American youth over the past two decades:. Prevalence of Obese Children (Ages 6 to 11) at the 95 th percentile of Body Mass Index (BMI) 1999 to 200015.3% 1988 to 199411% 1976 to 19807% Prevalence of Obese Adolescents (Ages 12 to 19) at the 95th percentile of Body Mass Index (BMI) 1999 to 200015.3% 1988 to 199411% 1976 to 19807%

16. What are the Causes?

17. The Family Atmosphere According to the American Obesity Association, parents are the most important role models for children. Obesity tends to run in families – Eating patterns play a role Children of active parents are six times more likely to be physically active than kids whose parents are sedentary

18. Television & Nutrition Commercials feature many junk foods that promote weight gain – fast food, soft drinks, sweets and sugar- sweetened breakfast cereals Children seem to passively consume excessive amounts of energy-dense foods while watching TV

19. The typical American child spends about 44.5 hours per week using media outside of school.

20. Pick-up or Delivery? Today, families eat fewer meals together and fewer meals at home – Children tend to eat more food when meals are eaten at a restaurant – Plenty of children eat fast food on a regular basis – Take-out food like pizza or chinese is also popular

21. Between 1977 and 1996, portion sizes grew in the U.S., not only at fast-food outlets but also in homes and restaurants One study of portion sizes for typical items showed that: One study of portion sizes for typical items showed that: – Salty snacks increased from 132 calories to 225 calories – Soft drinks increased from 144 calories to 193 calories – French fries increased from 188 calories to 256 calories – Hamburgers increased from 389 calories to 486 calories

22. Setting Standards The United States Department of Agriculture developed the National School Lunch Program (NSLP) in 1946 The NSLP provides lunches to over twenty-six million children every school day The lunches must meet the recommendations of the Dietary Guidelines for Americans – 30% of calories from fat – no more than 10% from saturated fat

23. Bending the Rules In the mid-1990s, the USDA researched the relationship between children’s dietary intake and the school lunch program The results showed that on an average day, NSLP participants consumed more sodium and cholesterol than non participants Students who participated in the NSLP ate more calories in the form of total fat, as well as saturated fat – the total percentage of fat for NSLP participants was almost 37%, with saturated fat at over 14%

24. Food Pyramid & School Lunch On average, NSLP participants ate only 0.1 servings of whole grains and poultry 0.0 servings of dark-green leafy vegetables, fish, eggs, nuts and seeds were typically consumed

25. Vending Machines Soda – each 12-oz (though now most are 20-oz) sugared soft drink consumed daily increases a child’s risk of obesity by 60% – risk of lack of calcium if students choose sweetened drinks with no nutritional value instead of milk, a good source of vitamins, minerals and protein

26. In 1977-78, drank about four times as much milk as soda. In 2001-02, they drank about the same amounts of milk and soda

27. Vending Machines The Center for Science in the Public Interest took a survey of vending machines nationwide in middle and high schools (2004) The results found that the majority of options were high in calories and/or low in nutrition – in middle school vending machines, 73% of the drinks and 83% of the snacks sold were of poor nutritional value – in high schools, 74% of beverages and 85% of snacks were nutritionally-poor choices – only 12% of available drinks were water

28. A La Carte Selections Resembles fast food – Hamburgers, French fries & pizza Do not meet the USDA fat recommendations A recent study published by the American Journal of Public Health suggests that about 35-40% of students reported only eating snack bar items for lunch over the two year study period

29. Simple Solutions

30. Keys to Preventing Obesity Teaching healthy behaviors at a young age is important since change becomes more difficult with age Education in physical activity and nutrition are the cornerstones of preventing childhood obesity Schools and families are the two most critical links to decreasing the prevalence of childhood obesity

31. Parent’s role in Prevention Create an active environment – Limit amount of TV watching – Plan active family trips such as hiking or skiing – Enroll children in a structured activity that they enjoy

32. Parent’s role (cont.) Create a healthy eating environment – Implement the same healthy diet for entire family, not just selected individuals – Avoid using food as a reward or the lack of food as a punishment – Encourage kids to “eat their colors;” (food bland in color often lack nutrients) – Don’t cut out treats all together, think in moderation, or kids will indulge

33. Schools Are Only Exercising Our Minds According to the Center for Disease Control and Prevention: – Nationwide, approximately 56% of high school students were enrolled in a physical education class and only 29% attended PE class daily (1999)

34. What Should Schools Revise? POLICY – Schools should establish policies that require daily physical education and comprehensive health education in grades K-12 – Schools and government should provide adequate funding, equipment, and supervision for programs that meet needs of all students

35. What Should Schools Revise? ENVIRONMENT – Provide adequate school time for physical activity American Heart Association recommends 30-60 minutes of vigorous activities at least 3-4 times each week – Discourage the use or withholding of physical activity as punishment

36. It’s as Easy as Cake… THE END