Healthy SchoolsHealthy Schools Healthy ChildrenHealthy Children

NEW KidsNEW KidsTMTM

• This presentation was created by:This presentation was created by:– Joey Skelton, Medical Director for NEW Kids, andJoey Skelton, Medical Director for NEW Kids, and– Michelle Smith-Beckley, Dietitian with NEW KidsMichelle Smith-Beckley, Dietitian with NEW Kids– Current Co-Chairs for Childhood Obesity Prevention Current Co-Chairs for Childhood Obesity Prevention

Special Project for the Wisconsin PTASpecial Project for the Wisconsin PTA

– NEW (Nutrition, Exercise, Weight-management) NEW (Nutrition, Exercise, Weight-management) Kids is:Kids is:• Multi-disciplinary team working with overweight Multi-disciplinary team working with overweight

children and their families to improve their children and their families to improve their health statushealth status

• Children referred to clinic have: high cholesterol, Children referred to clinic have: high cholesterol, high blood pressure, pre-diabetes, early liver high blood pressure, pre-diabetes, early liver disease, or bone and muscle problemsdisease, or bone and muscle problems

– We have seen over 600 kids in les than 3 yearsWe have seen over 600 kids in les than 3 years– This is our experience and expertise thus farThis is our experience and expertise thus far

Obesity Trends Among Adults1993

No Data <10% 10%–14% 15%–19%

Obesity Trends Among Adults1996

No Data <10% 10%–14% 15%–19%

Obesity Trends Among Adults1999

No Data <10% 10%–14% 15%–19% ≥20

Obesity Trends Among Adults2001

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Obesity Trends Among Adults2004

The Spread of Overweightin Children

0

2

4

6

8

10

12

14

16

18

20

1963-70

1971-74

1976-80

1988-94

1999-00

2001-02

2003-04

2 to 5

6 to 11

12 to 19

Source: CDC/NCHS, NHES and NHANES

Perc

ent

Overw

eig

ht

Obesity in Adults Children: Obesity in Adults Children: Health RisksHealth Risks

•Heart Disease

•High Cholesterol

•High Blood Pressure

•Diabetes

•Joint Problems & Arthritis

•Liver Problems

•Sleep Problems

•Low self-esteem

How Do We Define How Do We Define Overweight?Overweight?

With the Body Mass IndexWith the Body Mass Index

(BMI)(BMI)

A measure of weight, height, A measure of weight, height, and gender togetherand gender together

7 years old 110 Pounds4 feet tallBMI = 35

14 years old 110 Pounds5 feet tallBMI = 22

OverweigOverweighthtAt risk of At risk of overweigoverweightht♦♦ ♦♦

Advice from Experts:Advice from Experts:

Avoid theAvoid the““Don’t ya’ just think…” Don’t ya’ just think…”

SyndromeSyndrome

““Obesity is a complex Obesity is a complex problem-problem-

It will require complex It will require complex solutions”solutions”

-William H. Dietz, MD, PhD-William H. Dietz, MD, PhDCenters for Disease Control & PreventionCenters for Disease Control & Prevention

GeneticsGenetics Nutrition &Nutrition &ActivityActivity

EnvironmentEnvironment

OverweightOverweight

Nutrition- Not So SimpleNutrition- Not So Simple

How much we How much we eaea t t

What we eatWhat we eat

How we eatHow we eat

140 calories 140 calories 3-inch 3-inch

diameter diameter

Calorie Difference: 210 Calorie Difference: 210 caloriescalories

350 calories350 calories 6-inch 6-inch

diameterdiameter

BAGELBAGEL 20 Years 20 Years

AgoAgoTodayToday

““Super-Sized Super-Sized Generation”Generation”

Fast Food French Fry Servings

Year Calories per serving

1960s 200 Kcal

1970s 320 Kcal

Mid 1990s 450 Kcal

Late 1990s 540 Kcal

2000 610 Kcal

Total Expenditures in US: Total Expenditures in US: Food away from home in Food away from home in

millionsmillions

050000

100000150000

200000250000

300000350000

400000450000

Year

Food

aw

ay f

rom

hom

e (m

illio

n do

llars

)

Fast Food Restaurant Fast Food Restaurant Growth WorldwideGrowth Worldwide

0

5000

10000

15000

20000

25000

30000

35000

1963 1968 1987 1999 2000 2001

Source: Fast Food Corporation

TelevisionTelevision

VideoVideoGamesGames

Cell PhonesCell Phones

Computer/Computer/InternetInternet

InactivityInactivity

Exercise = ActivityExercise = Activity

2.5 million years 50 years50 years

Borrowed from R Unger

““Friends” are not always Friends” are not always friendsfriends

• Rejected by other childrenRejected by other children– Name calling, physical aggression, Name calling, physical aggression,

withdrawing friends, spreading withdrawing friends, spreading rumors/liesrumors/lies

• Least liked by other children Least liked by other children – Overweight children preferred least as Overweight children preferred least as

friendsfriends

– GETTING WORSEGETTING WORSE

Families- No longer MayberryFamilies- No longer Mayberry• Single ParentsSingle Parents• Duel Working ParentsDuel Working Parents• Over-schedulingOver-scheduling

•Busy Busy ≠ ≠ ActiveActive

• HomeworkHomework

ALL IMPACTING:ALL IMPACTING:– FAMILY MEALSFAMILY MEALS– FAMILY LIFEFAMILY LIFE– FAMILY TIMEFAMILY TIME

GeneticsGenetics Nutrition &Nutrition & ActivityActivity

Lifestyle Lifestyle &&BehaviorsBehaviors

OverweightOverweight

EnvironmentEnvironment

Principles of Improving HealthPrinciples of Improving Health

• Modeling BehaviorModeling Behavior• Making changes as a FAMILYMaking changes as a FAMILY• Activity- Physical and SedentaryActivity- Physical and Sedentary• Nutritional BalanceNutritional Balance• Quick weight loss- Quick weight loss-

NEVER PERMENANTNEVER PERMENANT• Slow, steady changeSlow, steady change• Life-long healthy habitsLife-long healthy habits

What about Schools?What about Schools?

• Children spend most of their day Children spend most of their day therethere

• Opportunity for teachingOpportunity for teaching• Resource for familiesResource for families• Role modelingRole modeling• School Wellness PoliciesSchool Wellness Policies

•Are you aware of what is included Are you aware of what is included in your school’s wellness policy?in your school’s wellness policy?

Indirect MessagesIndirect MessagesFood PolicyFood Policy

• Are students allowed to have food in Are students allowed to have food in class?class?

• Are students allowed to have Are students allowed to have beverages in class?beverages in class?

• Are students allowed to have snacks Are students allowed to have snacks in the hallways?in the hallways?

• Are students allowed to have Are students allowed to have beverages in the hallways?beverages in the hallways?

• Are food or food coupons used as Are food or food coupons used as rewards or incentives for students?rewards or incentives for students?

• Do you have classroom fundraising Do you have classroom fundraising that includes food sales?that includes food sales?

• Do you have school-wide fundraising Do you have school-wide fundraising that includes food sales?that includes food sales?

Focus Your EffortsFocus Your Efforts• Gym classGym class

• Consistent physical activityConsistent physical activity• Educate on how to be activeEducate on how to be active

• Competitive foodsCompetitive foods• A la carteA la carte• Vending machinesVending machines• FundraisersFundraisers• Open campusOpen campus

• Lunch periodsLunch periods• ShortShort• After recessAfter recess

Focus your Efforts Focus your Efforts contcont

• Role modeling by school Role modeling by school teachers and staffteachers and staff

• Resource to familiesResource to families• Nutrition and Health EducationNutrition and Health Education

• Tools for a healthy lifestyleTools for a healthy lifestyle

• Wellness PoliciesWellness Policies• Awareness of developmentAwareness of development

Thank you!