logging in or signing up weighing in on childhood obesity 3 25 03 FunSchool Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 223 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: August 13, 2007 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Weighing In On: Weighing In On Childhood Obesity Prevalence of Overweight Among Children and Adolescents Ages 6-19 Years: Prevalence of Overweight Among Children and Adolescents Ages 6-19 Years TREND: TREND 1 of every 4-5 children is overweight 1 in 3 adults are overweight Doubling of number of severely obese Ethnic differences AA (1/3) andgt; Hispanic andgt; White (1/5). Little information about Asians and Native Americans DEFINITION: DEFINITION OVERWEIGHT VS OBESE Overweight = weight greater than set standards (may be muscle, bone or fat) Obese = high proportion of body fat Overweight=BMI andgt;85 percentile Obese=BMIandgt;95 percentile WHAT IS THE BMI?: WHAT IS THE BMI? Better measurement of obesity than weight for height Calculation: Weight in kg / height squared in meters Use in children age 6 and over CALCULATING YOUR CHILD’S BMI: CALCULATING YOUR CHILD’S BMI ITS JUST BABY FAT. SHE’LL OUTGROW IT: ITS JUST BABY FAT. SHE’LL OUTGROW IT After the first year of life children become thinner until 5-6 years of age when they become fatter again (Adiposity Rebound) Toddlers are picky eaters Early adiposity rebound is associated with later obesity PREDICTING ADULT OBESITY: PREDICTING ADULT OBESITY Obese 6 year old has a 25% chance of becoming obese adult Obese 12 year old has a 75% chance of becoming a obese adult WHY IS MY CHILD OVERWEIGHT?: WHY IS MY CHILD OVERWEIGHT? Diet Exercise Genetics Endocrine Cultural/behavioral factors Profound environmental effects on a susceptible population DIET: DIET Changing diet with increased fat and calories Changing size of portions-SUPERSIZE MEAL (1800 vs. 600 CAL) BUT no evidence of increased caloric intake in studies EXERCISE: EXERCISE Television and videogames What happened to PE? Decline in physical activity in adolescents GENETIC: GENETIC If parents are obese child is more likely to be obese Genetic vs. environmental Melanocortin 4 receptor gene mutation 5% of subjects with severe obesity commencing in childhood more likely in extremely obese ENDOCRINE: ENDOCRINE Thyroid Not usually a cause Endocrine problems=SHORT and fat Lower resting energy expenditure in some AA girls CULTURAL/BEHAVIORAL: CULTURAL/BEHAVIORAL White girls more dissatisfied with their weight than AA girls AA girls more likely to engage in practices associated with overeating WHY SHOULD I WORRY?: WHY SHOULD I WORRY? TYPE 2 DIABETES Now most frequent cause of diabetes in children HYPERLIPIDEMIA HYPERTENSION Hispanic and African American children at highest risk PSYCHOLOGICAL EFFECTS WHAT CAN I DO?: WHAT CAN I DO? TALK TO YOUR CHILD’S DOCTOR : TALK TO YOUR CHILD’S DOCTOR Children are growing and have special needs Aim for gradual weight loss or no weight gain MAKE IT A FAMILY THING: MAKE IT A FAMILY THING Be a role model for your children Plan family activities that provide exercise Reduce the amount of time spent in sedentary activities Help your family choose a healthy diet. The parent’s job is to decide what foods to offer and when.: The parent’s job is to decide what foods to offer and when. The child’s job is to decide how much to eat. DIET: DIET Avoid fad diets Don't eat or snack in front of the TV Eat slowly. Make mealtime enjoyable. Use fruits an vegetables for snacks Don't use food as a reward STOPLIGHT DIET: STOPLIGHT DIET RED: Cakes, cookies, chips, soda YELLOW: Starchy vegetables, pasta, white bread GREEN: Green vegetables, fresh fruits, water EXERCISE: EXERCISE Increase exercise Decrease sedentary activity Involve everyone in family DISORDERED EATING: DISORDERED EATING Anorexia/Bulimia Be careful what message you send: Focus on health rather than weight WHAT IF IT DOESN’T WORK?: WHAT IF IT DOESN’T WORK? Pharmacological and surgical treatments No safe drugs at this time Surgery carries risks Long term consequences for bone mineralization unknown AN OUNCE OF PREVENTION IS WORTH A POUND OF CURE: AN OUNCE OF PREVENTION IS WORTH A POUND OF CURE SCHOOL LUNCH P.E. WEB INFORMATION: WEB INFORMATION kidnetics.com (ACTIVATE) 9-12 yr. olds niddk.nih.gov/health nhlbi.nih.gov Slide27: QUESTIONS?: QUESTIONS? You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
weighing in on childhood obesity 3 25 03 FunSchool Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 223 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: August 13, 2007 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Weighing In On: Weighing In On Childhood Obesity Prevalence of Overweight Among Children and Adolescents Ages 6-19 Years: Prevalence of Overweight Among Children and Adolescents Ages 6-19 Years TREND: TREND 1 of every 4-5 children is overweight 1 in 3 adults are overweight Doubling of number of severely obese Ethnic differences AA (1/3) andgt; Hispanic andgt; White (1/5). Little information about Asians and Native Americans DEFINITION: DEFINITION OVERWEIGHT VS OBESE Overweight = weight greater than set standards (may be muscle, bone or fat) Obese = high proportion of body fat Overweight=BMI andgt;85 percentile Obese=BMIandgt;95 percentile WHAT IS THE BMI?: WHAT IS THE BMI? Better measurement of obesity than weight for height Calculation: Weight in kg / height squared in meters Use in children age 6 and over CALCULATING YOUR CHILD’S BMI: CALCULATING YOUR CHILD’S BMI ITS JUST BABY FAT. SHE’LL OUTGROW IT: ITS JUST BABY FAT. SHE’LL OUTGROW IT After the first year of life children become thinner until 5-6 years of age when they become fatter again (Adiposity Rebound) Toddlers are picky eaters Early adiposity rebound is associated with later obesity PREDICTING ADULT OBESITY: PREDICTING ADULT OBESITY Obese 6 year old has a 25% chance of becoming obese adult Obese 12 year old has a 75% chance of becoming a obese adult WHY IS MY CHILD OVERWEIGHT?: WHY IS MY CHILD OVERWEIGHT? Diet Exercise Genetics Endocrine Cultural/behavioral factors Profound environmental effects on a susceptible population DIET: DIET Changing diet with increased fat and calories Changing size of portions-SUPERSIZE MEAL (1800 vs. 600 CAL) BUT no evidence of increased caloric intake in studies EXERCISE: EXERCISE Television and videogames What happened to PE? Decline in physical activity in adolescents GENETIC: GENETIC If parents are obese child is more likely to be obese Genetic vs. environmental Melanocortin 4 receptor gene mutation 5% of subjects with severe obesity commencing in childhood more likely in extremely obese ENDOCRINE: ENDOCRINE Thyroid Not usually a cause Endocrine problems=SHORT and fat Lower resting energy expenditure in some AA girls CULTURAL/BEHAVIORAL: CULTURAL/BEHAVIORAL White girls more dissatisfied with their weight than AA girls AA girls more likely to engage in practices associated with overeating WHY SHOULD I WORRY?: WHY SHOULD I WORRY? TYPE 2 DIABETES Now most frequent cause of diabetes in children HYPERLIPIDEMIA HYPERTENSION Hispanic and African American children at highest risk PSYCHOLOGICAL EFFECTS WHAT CAN I DO?: WHAT CAN I DO? TALK TO YOUR CHILD’S DOCTOR : TALK TO YOUR CHILD’S DOCTOR Children are growing and have special needs Aim for gradual weight loss or no weight gain MAKE IT A FAMILY THING: MAKE IT A FAMILY THING Be a role model for your children Plan family activities that provide exercise Reduce the amount of time spent in sedentary activities Help your family choose a healthy diet. The parent’s job is to decide what foods to offer and when.: The parent’s job is to decide what foods to offer and when. The child’s job is to decide how much to eat. DIET: DIET Avoid fad diets Don't eat or snack in front of the TV Eat slowly. Make mealtime enjoyable. Use fruits an vegetables for snacks Don't use food as a reward STOPLIGHT DIET: STOPLIGHT DIET RED: Cakes, cookies, chips, soda YELLOW: Starchy vegetables, pasta, white bread GREEN: Green vegetables, fresh fruits, water EXERCISE: EXERCISE Increase exercise Decrease sedentary activity Involve everyone in family DISORDERED EATING: DISORDERED EATING Anorexia/Bulimia Be careful what message you send: Focus on health rather than weight WHAT IF IT DOESN’T WORK?: WHAT IF IT DOESN’T WORK? Pharmacological and surgical treatments No safe drugs at this time Surgery carries risks Long term consequences for bone mineralization unknown AN OUNCE OF PREVENTION IS WORTH A POUND OF CURE: AN OUNCE OF PREVENTION IS WORTH A POUND OF CURE SCHOOL LUNCH P.E. WEB INFORMATION: WEB INFORMATION kidnetics.com (ACTIVATE) 9-12 yr. olds niddk.nih.gov/health nhlbi.nih.gov Slide27: QUESTIONS?: QUESTIONS?