Post on 25-Feb-2016
description
School Nutrition Environment
And Adolescent Obesity A Training of Trainee Program
Presented at the Dallas Independent School District, Dallas, Texas
ByOnyema Madukauba Pascal
Doctoral Student of Public Health Walden University
To impart knowledge and skills
Clip art
Microsoft 2007
Learning Objectives 1
To motivate the school authorities
How?
Ban or restrict fast foods Clip art Microsoft 2007
Create an enabling environment for exercise
Learning Objectives 2
Overweight & Obesity have reached epidemic levels in the US (Ludwig, 2007). Clip art Clip art ( microsoft
2007)
Ludwig, D.S (2007, December).Childhood Obesity – The shape of things to come.
The New England Journal of Medicine.357(23):2325-2327.Retrieved from http://content.nejm.org/cgi/content/full/357/23/2325
Obesity A Major Concern
The incidence of adolescent obesity has more than tripled in the past 30 years (CDC,2009)
Texas is one of the states with the highest prevalence of obesity; ranking 15th among 50 States of the Federation as at 2007 (TDSHS, 2009)
Center for Disease Control and Prevention (CDC) (2009). Overweight and Obesity. Retrieved from http://www.cdc.gov/obesity/causes/economics.htmlTDSHS (2010). Obesity in Texas. Retrieved from http://www.dshs.state.tx.us/obesity/pdf/THIPolicyBrief06.pdf
Incidence and Prevalence
As at 2009, 1 out every 3 adolescents in the US is overweight and close to 25 % are obese( CDC,2009) Clip art (Microsoft 2007)
Center for Disease Control and Prevention (CDC) (2009). Overweight and Obesity. Retrieved from http://www.cdc.gov/obesity/causes/economics.html
Incidence and Prevalence
Coronary heart disease(CHD)
Type 2 diabetes
Cancers (endometrial, breast, and colon)
Hypertension(CDC, 2009).
Center for Disease Control and Prevention (CDC) (2009). Overweight and Obesity. Retrieved from http://www.cdc.gov/obesity/causes/economics.html
Major Health Implications
Direct medical costs
Indirect medical costs
More than 15% of the United States GDP
( Ludwig, 2007)
Ludwig, D.S (2007, December).Childhood Obesity – The shape of things to come. The New England Journal of Medicine.357(23):2325-2327.Retrieved from http://content.nejm.org/cgi/content/full/357/23/2325
Economic Implications
Discrimination
Stigmatization
Negative stereotyping
Clip art ( microsoft 2007) Griffiths, L.J., Wolke, D., Page, A.S., & Horwood, J.P. (2006). Obesity and
bullying: Different effects for boys and girls. Archives of Disease in Childhood, 91(2), 121-125.
Social Implications
Depression
Low self esteem
Negative body image
Inferiority complex
Sweeting, H.N,(2008). Gendered dimensions of obesity in childhood and adolescence. Nutrition Journal.7:1. Retrieved from http://www.ncbi.nlm.gov/PMC/articles/PMC2265740pdf/1475-2891-7-1.pdf
Psychosocial Implications
Overconsumption of calories
Lack of Physical activity
TV watching / Adverts
Parental behaviors
Boone-Heinonen,J, Gordon-Larsen, P and Adair, L.S(2008,Dec). Obesogenic clusters: multidimensional adolescent obesity related behaviors in the U.S. Ann Behav Med. 36(3): 217–230. Retrieved from. http://www.ncbi.nlm.gov/PMC/articles/PMC2769258pdf/nihms.94416.pdf
Behavioral Risk Factors
Access to Vending machine
Proximity to fast food joints
Peer group sporting activities
Kleisser, C, Rosario, A.S, Mensink, G.B.M ,Prinz-Langenohl,R and Kurth, B.M (2009). Potential determinants of obesity among children andadolescentsin Germany: results from the cross-sectional KiGGS study. BMC Public Health. Retrieved from http://www.ncbi.nlm.gov/PMC/articles/PMC2642815pdf/1471-2458-9-46.pdf
Environmental Risk factors
A holistic approach
Appropriate Intervention
Keeping with the objectives of school nutrition programs
Encouraging fruits and Vegetables
Encouraging sporting activity
Center for Disease Control and Prevention (CDC) (2009). Overweight and Obesity.
Retrieved from http://www.cdc.gov/obesity/causes/economics.html
Focus on Environment
• Schools
• Schools
• Parent Teacher Association
• Food vendors
• School Nutrition Association
Pietiläinen, K.H, Kaprio,J, Borg, P, Plasqui,G,Yki- Järvinen, H,Kujala, U.M, et al, (2008,Feb). Physical inactivity and obesity: A vicious circle. Obesity (Silver spring)16(2): 409–414. Retrieved from http://www.ncbi.nlm.gov/PMC/articles/PMC2249563pdf/nihms.26744.pdf
Formation of Coalition
Image credit: nottingham.ac.uk
Working with US Department of Agriculture
Collaboration with the CDC
Pursuing the institute of medicine( IOM) nutrition standards
Center for Disease Control and Prevention (CDC) (2009). Overweight and Obesity.
Retrieved from http://www.cdc.gov/obesity/causes/economics.html
School Nutrition Program
Farm to School Programs
Turnkey nutrition education
Center for Disease Control and Prevention (CDC) (2009). Overweight and Obesity. Retrieved from http://www.cdc.gov/obesity/causes/economics.html
Vegetable and Fruits
Image from usda.gov
Engaging students during free plays.
Organizing sporting activities clip art ( Microsoft 2007) Pietiläinen, K.H, Kaprio,J, Borg, P, Plasqui,G,Yki- Järvinen, H,Kujala, U.M, et al, (2008,Feb). Physical inactivity and obesity: A vicious circle. Obesity (Silver spring)16(2): 409–414. Retrieved from http://www.ncbi.nlm.gov/PMC/articles/PMC2249563pdf/nihms.26744.pdf
Sporting Activity
Banning or restricting vending machines
Creating more paths for Biking and walking
Reconstructing bus stops.
Pietiläinen, K.H, Kaprio,J, Borg, P, Plasqui,G,Yki- Järvinen, H,Kujala, U.M, et al, (2008,Feb). Physical inactivity and obesity: A vicious circle. Obesity (Silver spring)16(2): 409–414. Retrieved from http://www.ncbi.nlm.gov/PMC/articles/PMC2249563pdf/nihms.26744.pdf
Environmental modifications
Financial implications
Adherence/ Sustainability
Parental influence
Newman, K.(2009).Parenting behaviors and adolescent obesity. Ph.D. dissertation,
The University of Alabama at Birmingham, United States -- Alabama. Retrieved from
http://ezp.waldenulibrary.org/login?url=http://proquest.umi.com/pqdweb?did=1955643521&Fmt=2&clientId=70192&RQT=309&VName=PQD
Challenges
Knowledge has a bearing on attitude and practice
Collaboration with other stake holders is a plus
Prospects
Obesity is preventable
Now is the time to act
School nutrition environment is the target.
Conclusion
Boone-Heinonen,J, Gordon-Larsen, P and Adair, L.S(2008,Dec). Obesogenic clusters: multidimensional adolescent obesity related behaviors in the U.S. Ann Behav Med. 36(3): 217–230. Retrieved from.
http://www.ncbi.nlm.gov/PMC/articles/PMC2769258pdf/nihms.94416.pdf
Center for Disease Control and Prevention (CDC) (2009). Overweight and Obesity. Retrieved from http://www.cdc.gov/obesity/causes/economics.html
Griffiths, L.J., Wolke, D., Page, A.S., & Horwood, J.P. (2006). Obesity and bullying: Different effects for boys and girls. Archives of Disease in Childhood, 91(2), 121-125
References
Kleisser, C, Rosario, A.S, Mensink, G.B.M ,Prinz- Langenohl,R and Kurth, B.M (2009). Potential determinants of obesity among children and adolescentsin Germany: results from the cross-sectional KiGGS study. BMC Public Health. Retrieved from
http://www.ncbi.nlm.gov/PMC/articles/PMC2642815pdf/1471-2458-9-46.pdf
Ludwig, D.S (2007, December).Childhood Obesity – The shape of things to come. http://content.nejm.org/cgi/content/full/357/23/23251
References
Newman, K.(2009).Parenting behaviors and adolescent obesity. Ph.D. dissertation, The University of Alabama at Birmingham, United States -- Alabama. Retrieved from
http://ezp.waldenulibrary.org/login?url=http://proquest.umi.com/pqdweb?did=1955643521&Fmt=2&clientId=70192&RQT=309&VName=PQD
Pietiläinen, K.H, Kaprio,J, Borg, P, Plasqui,G,Yki- Järvinen, H,Kujala, U.M, et al, (2008,Feb).
Physical inactivity and obesity: A vicious circle. Obesity (Silver spring)16(2):
409–414. Retrieved from
http://www.ncbi.nlm.gov/PMC/articles/PMC2249563pdf/nihms.26744.pdf
References
Sweeting, H.N,(2008). Gendered dimensions of obesity in childhood and adolescence.
Nutrition Journal.7:1. Retrieved from
http://www.ncbi.nlm.gov/PMC/articles/PMC2265740pdf/1475-2891-7-1.pdf Scharoun-Lee, M, Kaufman,J.S, Popkin,B.M and Gordon-Larsen, P,(2009,Jan).
Obesity, Race/ethnicity and Life Course Socioeconomic Status across the
Transition from Adolescence to Adulthood. J Epidemiol Community Health. 63(2): 133–139. Retrieved from
http://www.ncbi.nlm.gov/pmc/articles/PMC2627789/pdf/nihms.73895.pdf
TDSHS (2010). Obesity in Texas. Retrieved from http://www.dshs.state.tx.us/obesity/pdf/THIPolicyBrief06.pdf
References