Childhood Obesity: Childhood Obesity Mary E. LaBella
Maternal and Child Health
Social Work Leadership Team
November 5, 2004 Purpose of the Presentation: Purpose of the Presentation In order to be leaders in the fight against childhood obesity WE MUST BE WELL INFORMED. Goals and Objectives: Goals and Objectives Goal
Each recipient will be well-informed on the topic of childhood obesity
Each recipient will be able to define childhood obesity and discuss its multi-faceted nature What is Obesity?: What is Obesity? The presence of a body mass index (BMI) greater than the 95th percentile for age and sex according to national growth charts.
The most common nutritional disorder among our nation’s youth. Contributing Factors of Childhood Obesity: Contributing Factors of Childhood Obesity Medical
Reduced energy expenditure
Nutritional transition Physical Consequences: Physical Consequences Cardiovascular
Orthopedic Long-term Consequences: Long-term Consequences Adult obesity
Type 2 Diabetes
Financial ramifications Psychological Factors : Psychological Factors Lowered self-esteem
Increased depression ratings
Social outcasts Psychosocial Aspects: Psychosocial Aspects Fewer years of education
Lower family income
Higher poverty rates
Lower marriage rates Diagnostic Methods: Diagnostic Methods Research - underwater weighing, multifrequency bioelectrical impedance analysis, and magnetic resonance imaging
Clinical - weight for height, body mass index (BMI = weight (kg) / height (m)), waist circumference, and skinfold thickness Epidemiology: Epidemiology Epidemiology: Epidemiology Epidemiology: Epidemiology Prevention: Prevention Risk factors to be addressed:
high birth weight
maternal smoking in first trimester
early introduction to solid foods
Black, Caribbean, or Pakistani ethnic group
Prevention: Prevention Risk factors to be addressed:
andgt; 11 hours/week TV/video
low participation in school sports
few interests involving active play
andgt; 2 hours per day traveling by car
few siblings Treatment: Treatment A combination of simple dieting and exercise is not the 'magic bullet.'
Interventions should focus on acceptance of realistic body weight and the incorporation of healthy eating and physical activity. Treatment – Family Involvement: Treatment – Family Involvement The home, with parental and family involvement, appears to be the most influential treatment setting.
Combination of behavioral, social learning, and family system approach.
'Parenthood Presence' Cultural and Socioeconomic Aspects: Cultural and Socioeconomic Aspects White children are at a reduced risk for obesity than their African American and Hispanic counterparts.
Research shows that environmental factors that promote increased energy intake and decreased energy output are increasing and have a significant effect on children from various ethnic backgrounds. Cultural and Socioeconomic Aspects: Cultural and Socioeconomic Aspects SES is inversely associated with childhood obesity among whites, yet higher SES does not seem to protect African American and Hispanic children. Cultural and Socioeconomic Aspects: Cultural and Socioeconomic Aspects African American and Hispanic youth tend to have lower levels of physical activity and dietary patterns that contribute to higher BMIs compared to white children. Organizational and Community Factors: Organizational and Community Factors Fast-paced
Limited access to treatment Ethical Issues: Ethical Issues Self-determination
Dignity and worth of the person Social Work Interventions: Social Work Interventions Macro level
lobby local units of government
organize family events Social Work Interventions: Social Work Interventions Micro level
planning In Conclusion….: In Conclusion…. Childhood obesity is a growing epidemic that disproportionately affects minorities.
Childhood obesity is not just an individual disease with individual consequences, but a public health issue with many causes and effects. In Conclusion….: In Conclusion…. Due to its multi-faceted nature, childhood obesity needs to be addressed ACROSS ALL HELPING PROFESSIONS in an INTERDISCIPLINARY MANNER
In order to combat childhood obesity we must involve FAMILIES, not just the obese child Any Questions?: Any Questions?