Pedi Obesity Type2

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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.

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