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Childhood Obesity: A Family Affair

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Four 'Kid' Food Groups. Forgetting Fruits & Vegetables. Unbalanced Food Pyramid. Bypassing Breakfast. Grazing. Clean Plate Club. Dashboard Dining ... – PowerPoint PPT presentation

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Title: Childhood Obesity: A Family Affair


1
Childhood Obesity A Family Affair
  • Tami Ross, RD, CDE
  • mdrosslex_at_aol.com
  • Patti Geil, MS, RD, FADA, CDE
  • jdgeil_at_pol.net

2
Generation XXL A Profile
  • Tall for age (above 50tile)
  • Began gaining weight between ages 3-5 years
  • Frequent fast food consumer
  • Drinks most of his/her calories
  • May skip one or more meals each day, then
    starts to graze
  • Watches four or more hours of TV each day

3
  • Generation XXL
  • The Facts
  • Prevalence of childhood obesity and overweight
    has doubled in the past 20 years in the United
    States
  • 15.3 of 6-11 year olds are at or above 95tile
    for BMI
  • 15.5 of 12-19 year olds are at or above 95tile
    for BMI
  • Higher rates of obesity and overweight in
    minority and economically disadvantaged children

4
Generation XXL The Consequences
  • Hypertension and CVD
  • Type 2 diabetes
  • Hepatic disease
  • Airway disorders
  • Back, hip and knee strain
  • Dyslipidemia
  • 70 chance of becoming overweight adults
  • Depression, low self-esteem, lack of
    self-confidence

5
Factors Associated with Childhood Obesity
  • Genetics
  • Family influence
  • Nutrition
  • Physical activity
  • Other variables

6
Obesitys Genetic Link Its a Family Affair
  • Neither parent obese 10 chance of having an
    obese child
  • One parent obese 50 chance of having an obese
    child
  • Both parents obese 66 chance of having an
    obese child
  • Other factors
  • high birth weight
  • maternal diabetes
  • early menarche

7
Family Factors That Influence Weight
  • Role models
  • Food environment
  • Demise of family meal time
  • Reinforce dietary behaviors
  • ocioeconomic status

8
Healthy Habits for Healthy Kids www.wellpoint.com
9
Newtons First Law of Thermodynamics
  • Energy is neither created or destroyed.
  • Calories in (food) Calories out (activity)
    weight gain
  • Calories in Calories out Weight maintenance
  • Calories in
  • Calories in Calories out Weight gain
  • 3500 calories 1 pound
  • .15 daily caloric excess obesity within 5
    years

10
Nutrition Factors
  • Four Kid Food Groups
  • Forgetting Fruits Vegetables
  • Unbalanced Food Pyramid
  • Bypassing Breakfast
  • Grazing
  • Clean Plate Club
  • Dashboard Dining
  • Portion Distortion
  • Food, Food Everywhere
  • Self-regulation of Intake

11
Portion Distortion
1960s fries 210 calories 2003 super size
fries 610 calories 1916 cola bottle size 6 ½
ounces 2003 cola bottle size 20 ounces
12
Common Nutrition Blind Spots
  • Liquid calories
  • 4 cans soda/day 600 calories which could
    promote 1 /week weight gain
  • Snacks
  • Caloric density

13
Physical Activity Factors
  • Increasing urbanization - only 10 of children
    walk to school
  • Modern technology
  • Screen time

14
Screen Time and Obesity
  • Of U.S. children 8-16 years old, more than 25
    watch at least 4 hours of TV per day.
  • Children who watch 4 hours of TV/day have
    significantly greater BMI than those watching 2hours/day.
  • TV in the bedroom is a strong predictor of
    overweight.

15
The CDC recently recalculated Americans
activities KY had the lowest percentage of
people achieving the minimum physical activity
recommendations of 30 min./day, 4 days/wk.
16
Other Variables Associated with Childhood Obesity
  • Smoking
  • Alcohol use
  • Early sexual experimentation

17
15-20 of Americas teens are either overweight
or at risk. www.ActionForHealthyKids.orgPrevent
ion is the key
  • Check BMI once a year.
  • Breastfeed babies.
  • Begin the day with breakfast.
  • Encourage healthy habits at school away from
    home.
  • Make moderation the motto.
  • Factor in family mealtime.
  • Count liquid calories.
  • Dont join the clean plate club.
  • Keep kid portions kid-sized.
  • Cut screen time devise an after-school action
    play.
  • Get moving.

18
Family Interventions Its a Family Affair
  • Provide encourage healthy food and beverages
  • Be a positive role model
  • Teach balance, variety, moderation
  • One family meal/day
  • Avoid using food for rewards, bribes, or comfort

19
Nutrition InterventionsTarget the common
offenders
  • Eliminate concentrated sources of empty calories.
  • 64 oz. Big Gulp regular soda 750 calories
  • Aim to reduce
  • fat consumption.

20
Nutrition InterventionsTarget the common
offenders
  • Begin every day with breakfast.
  • Eat 3 meals/day and reduce grazing.
  • Snack calories do count!
  • Keep snacks healthy
  • Fresh fruit
  • Raw vegetables w/ low fat dip
  • Graham crackers w/ low fat hot chocolate
  • Low sugar cereal w/ low fat milk
  • Pretzels salsa
  • Fruit sorbet
  • Low fat yogurt
  • Animal crackers
  • Light microwave popcorn

21
Nutrition InterventionsTarget the common
offenders
  • Dont join the clean plate club.
  • Get in touch with hunger.
  • Reduce fast-food frequency.
  • Choose kid-size portions, not super-size portions.

22
Portion size check-up
  • 1 tsp. thumb tip
  • ½ cup medium handful
  • 1 cup size of fist
  • ½ cup pasta or rice tennis ball or ice cream
    scoop
  • 1 slice bread computer disk size of palm of
    hand halfway up fingers
  • 1 medium fruit tennis ball
  • ½ cup vegetables light bulb
  • 2-3 oz meat deck of cards, cassette tape, bar
    of soap, size and thickness of palm of hand
  • 2 Tbs. peanut butter ping pong ball

23
Nutrition InterventionsTarget the common
offenders
  • Work toward 5-9 fruits vegetables/day.
  • ½ cup cooked vegetables or vegetable juice
  • 1 cup raw vegetables
  • ½ cup cut fruit
  • 1 medium fruit
  • Get the food pyramid back in balance.

24
Kids Food Pyramid
www.pork4kids.com/images/kidpyramid.pdf
25
Physical Activity Interventions
  • Kids need at least 30 minutes of moderate to
    vigorous physical activity most days of the week,
    muscle strengthening exercise at least twice a
    week, lifestyle fitness activity every day.

26
Physical Activity Interventions
  • Make activity part of the childs daily routine.
  • Expose children to a variety of physical
    activities.
  • Buy a pedometer.
  • Build activity into the family routine.

27
Physical Activity Interventions
  • Cut screen time to no more than 2 hours/day.
  • Get moving in front of the tube.
  • Take screen breaks.

28
Track Progress Provide Rewards
  • Food activity log
  • Focus on the positive
  • Reward positive changes

29
What Else Can We Do?
  • Check blood glucose
  • Check blood pressure
  • Check for sleep disturbances
  • Other interventions Medication Surgery

30
Home is where the HEALTH is!
31
Resources
American Diabetes Association, 2003
www,diabetes.org www.amazon.com
32
Success Stories!!
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