Childhood ObesityPrograms that Work

Presented By:

Karen Rodgers

Obesity Facts

Childhood obesity puts children at risk for serious medical conditions now and in the future

Childhood obesity is a growing problem in the world today and we need to do all we can to stop the climbing rate of overweight children in our society

Obesity Facts

In the United States at least one child in five is overweight

According to the CDC the number of overweight children and adolescents increased by 100% in the United States between 1980 and 1994

Health Problems in overweight children

We must remember that overweight children are more likely to be overweight adults

Being overweight also increases their risk of cardiovascular disease

Reasons children become overweight

Genetic Factors Lack of physical activity Unhealthy eating habits Medical problems

                                       

                  

Common Medical Conditions of the overweight child

Hyperlipidemia Glucose Intolerance Hepatic steatosis Cholelithiasis Early maturation

Additional Complications

Sleep apnea – the cessation of breathing during sleep which lasts ten seconds

Orthopedic complications affecting the legs, hips and feet

Type 2 Diabetes in Children

Overweight and obese children are a risk for developing type 2 diabetes

Usually between ages 10 – 19 Family history of diabetes Acanthosis Nigricans

Programs that Work for Weight Loss

SHAPEDOWN CATCH – School Based Program Stoplight Diet Adventure Based Learning –

– We need more research in this area

What doesn’t work

Camps with very low calorie diets Anything with very low calorie diets

SHAPEDOWN

One of the nation’s leading weight management programs for children and adolescents

In business for over 20 years

SHAPEDOWN

SHAPEDOWN program creators

Faculty members of University of California, San Francisco, School of Medicine

Contributions from the following disciplines: – Nutrition - Exercise Physiology– Endocrinology - Psychology– Family Therapy - Adolescent Medicine– Family Medicine– Behavioral and developmental Pediatrics

More about SHAPEDOWN

Family based – Research shows that family based treatment is

effective even at 10 – year follow-up

Program Levels

Level 16-8 year-old children

Level 29-10 year-old children

Level 311-12 year old children

Level 413-18 year-old adolescents

Program Includes

Problem Solving Family Approach Assertive and emotionally expressive

communication Parenting skills

SHAPEDOWN Recommendations

Increasing Physical Activity– New social interests and activities– Chores (as a way to increase physical activity)

Food Behaviors – Eating regular meals – Eating in response to hunger– Only eating till they are full

How to use the program

Primary instructor may be a dietitian, mental health professional, exercise specialist, registered nurse or physician

The instructor undergoes 6-40 hours of training before the class begins

Group sessions – 10 weeks – 2 ½ hours each

Long-term Results

More Results

They have shown that kids who complete the program have improvement in the following areas: – Weight loss– Self-esteem– Diet and exercise habits – Weight management knowledge

Contact Information

http://www.shapedown.com (415) 453-8886

School Based Programs

CATCH The Child and Adolescent Trial for

Cardiovascular Health Four sites around the nation 5105 students initially, 96 schools Third-grade students 3 year study

Components of CATCH

Family- based curricula – Home curricula– Family fun nights

School – based curricula for the following: – School food service – Physical education – Classroom curricula

Food Service Intervention

Eat Smart Lower fat to 30 % of energy Saturated fat to 10% of energy Sodium to 600-1000 mg per serving

PE Intervention

Increasing the amount of enjoyable physical activity during PE classes

Classroom Intervention

Adventures of Hearty Heart and Friends Go for Health-4 Go for Health-5

Home curricula

Activity packets that complemented classroom activities

19 activity packets over 3 school years Small rewards to encourage family

participation

Family fun Night

Dance performances by students Food booths with healthy snacks Distribution of recipes Games

Results of CATCH

Success in the short and long term Long term behavior outcomes were seen in

programs that were – Multiyear– Included environmental components– Had parent and community support

More results

Intensity of Physical Education Class increased Dietary knowledge increased Self- reported food choice changes on Health

Behavior Questionnaire

Comments from the professionals

Leonard Epstein, PhD, a leading authority on childhood obesity and professor of pediatrics at University at Buffalo

“Get the whole family involved in the tratment and prevention of obesity.”

“Parents need to be active participants in their child’s weight loss.”

Traffic-light Diet

Produces long-term success for obese children Links food to the three signals on a traffic light Green -GO

– Low-calorie foods that can be eaten freely

Yellow – CAUTION– Moderate-calorie foods that can be eaten in moderation

Red - STOP– High calories foods that should be eaten rarely

Traffic-light Diet

Significant decrease in percent of overweight over 5-10 years when program includes – Behavioral control– Exercise– Family participation

Adventure Based Learning

Camp experience incorporating – Healthier food choices – Increased physical activity – Problem solving skills – Stress Management – Team Work

Quiz given at camp this year

True or False Being overweight increases my risk of diabetes There are 8-10 teaspoons of sugar in one can

of pop. Mayonnaise has less fat in it than mustard Being inactive increases my risk of developing

diabetes Physical activity has to be boring or hard.

Results from Quiz

Grades 3 –4 – 63% correct on pretest – 88% correct on posttest

Grades 5-8 – 86% correct on pretest – 97% correct on posttest

Adventure Based Wt loss

More information is still need to determine the long term affects of adventure based camps

Final comments

Obesity in our children is a definite problem We need more research so that we can see

what programs work and so new programs can be developed