childhood obesity programs that work presented by: karen rodgers
TRANSCRIPT
Childhood ObesityPrograms that Work
Presented By:
Karen Rodgers
Obesity Facts
Childhood obesity puts children at risk for serious medical conditions now and in the future
Childhood obesity is a growing problem in the world today and we need to do all we can to stop the climbing rate of overweight children in our society
Obesity Facts
In the United States at least one child in five is overweight
According to the CDC the number of overweight children and adolescents increased by 100% in the United States between 1980 and 1994
Health Problems in overweight children
We must remember that overweight children are more likely to be overweight adults
Being overweight also increases their risk of cardiovascular disease
Reasons children become overweight
Genetic Factors Lack of physical activity Unhealthy eating habits Medical problems
Common Medical Conditions of the overweight child
Hyperlipidemia Glucose Intolerance Hepatic steatosis Cholelithiasis Early maturation
Additional Complications
Sleep apnea – the cessation of breathing during sleep which lasts ten seconds
Orthopedic complications affecting the legs, hips and feet
Type 2 Diabetes in Children
Overweight and obese children are a risk for developing type 2 diabetes
Usually between ages 10 – 19 Family history of diabetes Acanthosis Nigricans
Programs that Work for Weight Loss
SHAPEDOWN CATCH – School Based Program Stoplight Diet Adventure Based Learning –
– We need more research in this area
What doesn’t work
Camps with very low calorie diets Anything with very low calorie diets
SHAPEDOWN
One of the nation’s leading weight management programs for children and adolescents
In business for over 20 years
SHAPEDOWN
SHAPEDOWN program creators
Faculty members of University of California, San Francisco, School of Medicine
Contributions from the following disciplines: – Nutrition - Exercise Physiology– Endocrinology - Psychology– Family Therapy - Adolescent Medicine– Family Medicine– Behavioral and developmental Pediatrics
More about SHAPEDOWN
Family based – Research shows that family based treatment is
effective even at 10 – year follow-up
Program Levels
Level 16-8 year-old children
Level 29-10 year-old children
Level 311-12 year old children
Level 413-18 year-old adolescents
Program Includes
Problem Solving Family Approach Assertive and emotionally expressive
communication Parenting skills
SHAPEDOWN Recommendations
Increasing Physical Activity– New social interests and activities– Chores (as a way to increase physical activity)
Food Behaviors – Eating regular meals – Eating in response to hunger– Only eating till they are full
How to use the program
Primary instructor may be a dietitian, mental health professional, exercise specialist, registered nurse or physician
The instructor undergoes 6-40 hours of training before the class begins
Group sessions – 10 weeks – 2 ½ hours each
Long-term Results
More Results
They have shown that kids who complete the program have improvement in the following areas: – Weight loss– Self-esteem– Diet and exercise habits – Weight management knowledge
Contact Information
http://www.shapedown.com (415) 453-8886
School Based Programs
CATCH The Child and Adolescent Trial for
Cardiovascular Health Four sites around the nation 5105 students initially, 96 schools Third-grade students 3 year study
Components of CATCH
Family- based curricula – Home curricula– Family fun nights
School – based curricula for the following: – School food service – Physical education – Classroom curricula
Food Service Intervention
Eat Smart Lower fat to 30 % of energy Saturated fat to 10% of energy Sodium to 600-1000 mg per serving
PE Intervention
Increasing the amount of enjoyable physical activity during PE classes
Classroom Intervention
Adventures of Hearty Heart and Friends Go for Health-4 Go for Health-5
Home curricula
Activity packets that complemented classroom activities
19 activity packets over 3 school years Small rewards to encourage family
participation
Family fun Night
Dance performances by students Food booths with healthy snacks Distribution of recipes Games
Results of CATCH
Success in the short and long term Long term behavior outcomes were seen in
programs that were – Multiyear– Included environmental components– Had parent and community support
More results
Intensity of Physical Education Class increased Dietary knowledge increased Self- reported food choice changes on Health
Behavior Questionnaire
Comments from the professionals
Leonard Epstein, PhD, a leading authority on childhood obesity and professor of pediatrics at University at Buffalo
“Get the whole family involved in the tratment and prevention of obesity.”
“Parents need to be active participants in their child’s weight loss.”
Traffic-light Diet
Produces long-term success for obese children Links food to the three signals on a traffic light Green -GO
– Low-calorie foods that can be eaten freely
Yellow – CAUTION– Moderate-calorie foods that can be eaten in moderation
Red - STOP– High calories foods that should be eaten rarely
Traffic-light Diet
Significant decrease in percent of overweight over 5-10 years when program includes – Behavioral control– Exercise– Family participation
Adventure Based Learning
Camp experience incorporating – Healthier food choices – Increased physical activity – Problem solving skills – Stress Management – Team Work
Quiz given at camp this year
True or False Being overweight increases my risk of diabetes There are 8-10 teaspoons of sugar in one can
of pop. Mayonnaise has less fat in it than mustard Being inactive increases my risk of developing
diabetes Physical activity has to be boring or hard.
Results from Quiz
Grades 3 –4 – 63% correct on pretest – 88% correct on posttest
Grades 5-8 – 86% correct on pretest – 97% correct on posttest
Adventure Based Wt loss
More information is still need to determine the long term affects of adventure based camps
Final comments
Obesity in our children is a definite problem We need more research so that we can see
what programs work and so new programs can be developed