1. Physical Activity in the Homes Presented by Uzo Nwankpa RN BSN Nurse Home Visitor Nurse Family Partnership Easter Seals Blake Foundation

2. Nurse Family Partnership  To quality, must be less than 7months(28 weeks) pregnant  RN visits family  Weekly/Bi Weekly till baby is 2yrs old  Focus on Personal Health, environmental health, Maternal Role, family and friends, life course development & Child Health

3. Objectives  Learn how to incorporate physical activity in the home with your teaching  Learn the developmental milestones and how to fit in an appropriate physical activity teaching  Learn the importance of physical activity in the home before school

4. Why are we interested? Pregnancy Infancy Toddler Pre School

5. Benefits of Physical Activity  Reduce Your Risk of Cardiovascular Disease  Reduce your risk of Type 2 Diabetes and Metabolic Syndrome  Reduce Your Risk of Some Cancers  Improve Your Mental Health and Mood  Increase Your Chances of Living Longer

6. Group Activity Get into groups of ? Assign a leader (Home Visitor) Use the package to do a teaching. Incorporate physical activity into it. Make it fun

7. Ages and Stages

8. 0-6months By 6 months, will be able to:  roll over, front to back and back to front  sit alone for a few moments when you put her into a sitting  position, then manage to sit by herself without falling over  do push ups when on her tummy, i.e. lift her head  and chest off the floor and support herself on  outstretched arms  start to move while on her tummy, first ‘commando’  style, i.e. pulling herself along on her arms, then crawl  on all fours  reach for a rattle and shake it  swap a toy from one hand to the other  find her feet, play with them and put them in her mouth.

9. 6months-12months A baby usually  can move around by crawling or bottom shuffling by10 months  can reach out while sitting without falling over  can pull up to standing by 10 to 11 months  walks with hands held by 10 to 12 months.  There may be a problem if a baby:  is not sitting by 9 to 10 months  is not starting to move around by any means.

10. 12 months-24months  By 15 months your child is able to walk alone with feet  wide apart and arms held high to maintain balance.  By two years of age your child will probably be able to run,  without bumping into things and stop when necessary.  At 15 months he gets to his feet using his hands to  push up with and by two years can get up without using  his hands. By two years most children can go down stairs while  holding on but will put two feet on each step before  moving to the next one.  One year olds can push themselves along ‘scooting along’  on a four-wheeled riding toy.  By two your child will be interested in and capable of  turning knobs and pushing buttons

11. 3yrs-5yrs  Four year olds can:  walk easily up and down steps, one foot to a step  throw and catch, bounce and kick a ball and use a bat  climb ladders and trees  stand on tiptoe, and walk and run on tip toe  run quite fast  jump over small objects  walk along a line for a short distance  ride their tricycles very well and may try bicycles with trainer wheels  stand on one foot for a few seconds and most can hop  thread beads to make necklaces  swing themselves on a swing  dress themselves providing the fastenings are not too difficult  manage their own toilet needs during the day, but still may not be dry at night.

12. Self Assessment  Lead an active lifestyle yourself  Make family time an opportunity for physical activity Take a walk together during the visit Don’t for get to breathe and stretch frequently Listen to your favorite music Make use of low- or no-cost resources  Public parks  Community fields and courts  Recreation areas  Replace inactivity with activity whenever possible Recommended by the CDC

13. Group Moving  Head shoulders knees and toes  Hokey pokey  This is the way we ……  Ring around the roses  Any other ones????

14. It has often been said, "children learn through movement." In addition to the health benefits of physical activity, movement is an integral part of the young child's life and education, for it is through movement that children develop social, emotional, and cognitive skills. For young children, movement is a critical means of communication, expression, and learning. It is imperative that Home visitors give children as many opportunities as possible to be physically active and to learn through movement. Dr. Eloise Elliott, Ph.D

15. References http://www.pmh.health.wa.gov.au/health/child_deve lopment/resources.htm U.S. Department of Health and Human Services Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Adolescent and School Health www.cdc.gov/HealthyYouth