Pediatric Obesity and Type 2 Diabetes Forum Survey: Pediatric Obesity and Type 2 Diabetes Forum Survey Priorities, Prediction andamp; suggested solutions
Executive Summary
James Rawlings
Executive Director
Department of Community Health Health Directors Forum
Presented by : Presented by Sonia Caprio, MD Kelly Brownell, PhD
Associate Professor Director, Yale Center for Eating
Pediatric Endrocinology and Weight Disorders
Yale School of Nursing Yale University
Health Directors Forum Members : Health Directors Forum Members Susan Adams Leslie Balch Virgilo Dixon VNA of South Central CT Quinnipiak Valley Health District Pedi PC Yale-New Haven Hospital
Nancy Eatough Carla Giles Ann Levison
City of New Haven Dept. of Health AIDS Care Program American Lung Association of CT
Ellen Liskov Dennis McBride James Monopoli
Nutrition Clinic Milford Health Department East Shore Health District
Yale-New Haven Hospital
William P. Quinn James Rawlings Erick Triffin
City of New Haven Department of Community Health West Haven Health Dept.
Department of Health Yale-New Haven Hospital
Patricia Dewitt Stephen Updegrove
Director, Outreach Program Hill Health Center
Department of Community Health
Yale-New Haven Hospital
Our children are not making the gradesObesity and type 2 diabetes - not receiving enough attention : Our children are not making the grades Obesity and type 2 diabetes - not receiving enough attention
Project Overview: Project Overview This program has been planned and implemented in accordance with the Essentials of Standards of the Accreditation Council for Continuing Medical Education through the Yale School of Medicine. YSM is accredited
by the ACCME to sponsor continuing medical education for physicians.
Pediatric Obesity and Type 2 Diabetes a “new epidemic”: Pediatric Obesity and Type 2 Diabetes a 'new epidemic' Risk Factors
Obesity Major risk factor Type 2 diabetes
Family history
Ethnic origin
Age and gender
Certain clinical signs
Nutrition
Survey: Survey We wanted to know:
What is the current practice among providers related to BMI monitoring management and
What activities were underway in schools relative to issues of obesity
Who Pediatricians, Nurse Practitioners, School Nurses, Nutritionists, Principals of Schools, Teachers, School Food Administrators, WIC Directors
How well informed are the providers, schools andamp; food services personnel about childhood obesity and type 2 diabetes
Providers and School & Food Participantssurvey respondents: Providers and School andamp; Food Participants survey respondents
Providers responses Do you currently record a BMI for Children in Your Practice?: Providers responses Do you currently record a BMI for Children in Your Practice? Questions: A1. At every Well Child Care Visit
A2. Only on Children Who Appear Overweight
A3. Only on children over age
A4. Sometimes, but not in a consistent fashion
A5. Rarely or Never
Providers responses If you do not record the BMI in any regular or consistent fashion, is it because it is difficult to calculate in children?: Providers responses If you do not record the BMI in any regular or consistent fashion, is it because it is difficult to calculate in children? Questions: B1. I do not feel it adds anything to the assessment of children that weight does
not already tell me
B2. I do not have the habit of recording it
B3. I do not have the growth charts for BMI v age
School & Food Service Personnel questions : School andamp; Food Service Personnel questions D1-Have you formed a Committee to help work on the issues of nutrition and physical activity in schools?
D2- Have you reached out to invite the participation of local pediatricians and other health care providers about these issues?
D3- What are the major barriers your school(s) face with regard to eliminating foods of low nutritional value from your building?
D4- Would it help to have information from studies that show that better nutrition and more physical activity improve school performance even if, in the case of physical activities, this takes time away from current classroom contact time?
D5- Do you view vending machines as a problem area for implementing health diet etc. in school system? If so, have any changes been made?
D6- Would you be willing to support changes in this area? What ideas do you have?
D7- Does your school system provide any education on healthy habits for exercise diet?
D8- Do you feel the school has a role in prevention and treatment?
School & food service personnel responses: School andamp; food service personnel responses
Provider’s Comments : Provider’s Comments To question:
C: Do you counsel, refer or otherwise act upon evidence that a child is overweight?
Refer for nutrition counseling. Where?
-Yale Nutritional Program/Yale Pediatric Endocrine
Refer to other out of office resources:
-Dr. Caprio for GTT
-Weight Watchers/Cheshire Fitness
Zone
-Obesity clinic, Nutrition program
-SBHC, CCMC, WIC, Bright Bodies
School & Food Service Personnel’s Comments to questions: School andamp; Food Service Personnel’s Comments to questions
D 3. What are the major barriers your school(s) face with regard t eliminating foods of low nutritional value from your building?
Food services provide breakfast/lunches high in sugar
Value Vs Volume (Federal Funding program)
School culture, district culture, commitment and money
School lunches are unhealthy
School & Food Service Personnel’s Comments to questions: School andamp; Food Service Personnel’s Comments to questions
D 5. Do you view vending machines as a problem area for implementing healthily diet etc. in the school system? If so, have any changes been made?
Not in the elementary but upper grades - yes
Add timers, not to operate during lunch
Suggestion are being made to lock-up the machines
during meals to prevent junk food consumption
Soda, candy, junk food machines needs to be removed
Priorities & Predictions and Suggested Solutions : Priorities andamp; Predictions and Suggested Solutions Survey summary:
Broad educational programs for providers and communities
Vending machines issues
BMI Tools availability
Develop a full comprehensive report
Work with the schools to modify the physical activities curriculum
I want to be healthy, please lead the changes: I want to be healthy, please lead the changes
Conclusion: Conclusion The survey finding demonstrate that childhood obesity and type 2 diabetes should be a leading priority in school system, community and providers.