1 Childhood Obesity. a growing problem... 3 Understanding This Disease.
Obesity a Growing Problem!
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Transcript of Obesity a Growing Problem!
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Obesity a Growing Problem!CAPT Martha Culver
Acting Deputy Regional AdministratorNurse Consultant
CDR Madelyn Reyes Senior Nurse Consultant
Health Resources and Services AdministrationDepartment of Health and Human Services
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The Prevalence of Childhood Obesity
• Childhood Obesity has tripled in last 30 years
• Increased from 6% in 1980 to 20% among children ages 6 to 11 and 5% to 18% among adolescents ages 12 to 19.
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Source: Singh GK, Kogan MD. Book Chapter. Global Perspectives On Childhood Obesity. Elsevier Press. Sept 2010.
5.7
19.7
30.7
36.1
0
5
10
15
20
25
30
35
40
1976-1980 1988-1994 1999-2000 2001-2002 2003-2004 2005-2006 2007-2008
Obese, TotalObese, MaleObese, FemaleOverweight, TotalOverweight, MaleOverweight, Female
Trend in Obesity Prevalence, US Children Aged 6-17, 1976-2008Measured Height & Weight Data from NHANES
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Source: Singh GK, Kogan MD. Book Chapter. Global Perspectives On Childhood Obesity. Elsevier Press. Sept 2010.
Obesity and Overweight Prevalence (%), U.S. Children Aged 10-17 Years
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Source: Singh GK, Siahpush M, Kogan MD. Annals of Epidemiology. Vol. 20, No. 1. January 2010 .
Obesity Prevalence (%) by Family Income/Poverty Level U.S. Children Aged 10-17 Years, 2003-2007
2122
19
910
15
27
14
5
10
15
20
25
30
<100% 100-199% 200-399% ≥400%
2007 2003
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<12.45
12.45-13.63
13.64-15.37
15.38-18.60
18.61-21.89
Source: Singh GK, Kogan MD, van Dyck PC. Archives of Pediatrics & Adolescent Medicine. May 2010 .
2007 Obesity Prevalence, Children Aged 10-17 Years
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Source: Singh GK, Kogan MD, van Dyck PC. Archives of Pediatrics & Adolescent Medicine. May 2010.
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Impact to our Society
• $78 billion a year is spent to treat medical conditions including:
• Heart disease
• Certain cancers
• Type II diabetes
• Stroke
• Arthritis
• Breathing Problems
• Psychological Disorders
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Social and Emotional Health
Obese Children
• Have a lower self-esteem
• Are more likely to suffer from depression
• Are at a greater risk for Bullying and Teasing
• Perform at a lower academic level
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How did we get Here?
• Dietary Patterns
• Physical Activity Patterns
• Environmental Factors
• Changing Lifestyle
• Communities at Risk
• Health Disparities
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HRSA Activities Related to Childhood Obesity Prevention
• Health Center Program
• Partnership with NIH on We Can! Initiative
• Bright Futures in Practice: Nutrition
• National Initiative for Children’s Healthcare Quality
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Health Center Program
• In 2008, federally-funded health centers served over 17 million individuals, including more than 6 million age 19 or under.
• Due to obesity prevalence and its comorbidities, centers are implementing initiatives related to nutrition, obesity, and physical fitness.
• A variety of strategies are being used, including but not limited to early screening and diagnosis, presentations in schools, nutritional counseling for children and families, case management and outreach.
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Partnership with NIH on We Can!
• National outreach program designed for families and communities to help children age 8 to 13 maintain a healthy weight.
• Administered by NIH, the program focuses on three important behaviors:
• improved food choices
• increased physical activity
• reduced screen time
• Over 100 health centers and State-based associations of health centers are participating in the We Can! initiative.
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National Initiative for Children’s Healthcare Quality
• The Center will launch the Healthy Weight Collaborative to share evidence-based, community-based and clinical interventions in preventing and treating obesity.
• Collaborative teams will be recruited to help states and local communities develop practical approaches that link public health and primary care.
• The Center will oversee and provide technical assistance to the team, composed of health departments, community-based organizations, HHS and HRSA grantees, and other related entities.
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Let's Move! • Create a healthy start on life for
our children, from pregnancy through early childhood
• Empower parents and caregivers to make healthy choices for their families
• Serve healthier food in schools
• Ensure access to healthy, affordable food
• Increase opportunities for physical activity
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School Based Health Clinics• Treat overweight and obesity comprehensively
• Organize groups of high-risk children and adolescents to help foster cohesion and peer support toward healthy lifestyle goals
• Ensures that the emotional risk factors for obesity and overweight – depression, stress, and low self-esteem – are not overlooked
• Are most effective when they reinforce and coordinate overall policy and environmental changes that encourage physical activity and healthy eating
• Offer families support, encouragement, and materials, which enhance the efforts of a healthy lifestyles
• Are evaluation sites for monitoring the effectiveness of strategies to prevent obesity and improve nutrition and health
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Contact InformationCAPT Martha Culver Acting Deputy Regional Administrator/Nurse ConsultantHRSA/ORO1301 Young St., Suite 1030Dallas, TX [email protected]
CDR Madelyn Reyes Senior Nurse ConsultantHRSA/MCHB/DHSPS5600 Fishers LaneRoom 18-12, Parklawn Building Rockville, MD [email protected]