childhood obesity : are we doing all we can do?
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Childhood Obesity : Are we doing all we can do?. Dr. Sandy Blizzard Tripp. Obesity Trends* Among U.S. Adults BRFSS, 1990, 1999, 2009. (*BMI 30, or about 30 lbs. overweight for 5’4” person). 1999. 1990. 2009. - PowerPoint PPT PresentationTRANSCRIPT
Childhood Obesity: Are we doing all we can do?
Dr. Sandy Blizzard Tripp
1999
Obesity Trends* Among U.S. AdultsBRFSS, 1990, 1999, 2009
(*BMI 30, or about 30 lbs. overweight for 5’4” person)
2009
1990
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
PATIENT STATISTICS
North Carolina StateOverweight 17.1% 18.1%
Obese 25.8% (42.9)
28.0% (46.1)
Duplin CountyOverweight 15.0% 15.9%
Obese 22.5% (37.4)
34.9% (50.8)
Lenoir CountyOverweight 11.0% 16.7%
Obese 14.8% (25.8)
25.0% (41.7)
Location 5 – 11 Years of Age 12 – 18 Years of Age
NC-NPASS, 2009
Welcome to Obesity Related Disease 101What do these statistics mean?
Counties in the top and bottom two quintiles of both diabetes and obesity, 2007
MMWR 58:1259-1263, 2009
Asthma
Heart is muscle and it grows when it works harder …
Increased blood pressure and enlarged heart are now diseases of children not just adults!
Child as young as 4 years showing signs of arterial plaque
Journal of Pediatric Endocrinology & Metabolism, 23, 17-18 (2010)
Fatty Liver Disease
Blount’s Disease
BLOUNT’S DISEASE TREATMENT
DEPRESSIONQUALITY OF LIFE IS POORER THAN A CHILD WITH CANCER
Obesity Costs Money
The direct medical cost of unhealthy lifestyles*
among youth in Lenoir County is over $118,000 annually
If trends continue, the current group of inactive and overweight youth in our county will incur medical care and lost productivity costs of over $174 million by the mid-point of their working years (mid-40s) and over $1.6 billion by the time they retire.
Lenoir County Youth
http://www.beactivenc.org/pages/223/County-Impact/Be Active NC 2008
Limit intake of sweetened beverages
Limit television and video time to 1 to 2 hours per day
Encourage 60 minutes daily physical activity
5-6 Servings of fruit and vegetables daily
Provide portions sizes appropriate for age
HEALTHY LIFESTYLE OPTIONS
Schools Can Help
EXERCISE Good, fitness-
based exercise,
makes our brain ready to
learnJohn Ratey, MD, Harvard Medical School
NC Task Force on Preventing Childhood Obesity, 2009
Suggestions for the NC House of Representatives:
State Board of Educationrequired to report to
Education Oversight Committee annually regarding the
physical education program and Healthy Active Children Policy
Received Immediate Priority Ranking from Task Force
Know Your Farmer
Child Nutrition Programs
• “Let’s Move” - Set a good example
• Plant a school garden• Teach kids about fruit and
veggies• Teach calorie counting• Cafeteria Upgrade: Swap the
deep fryer for a salad bar
• Farms to School Program
New USDA Rule Encourages the Purchase of Local Agricultural Products for Critical Nutrition Assistance Programs 'Know Your Farmer, Know Your Food'
USDA News Release: WASHINGTON, April 26, 2011
Who Decides What is on the Plate?
School lunches must meet Federal nutrition requirements, but decisions about what specific foods to serve and how they are prepared are made by local school food authorities.
http://www.fns.usda.gov/cnd/lunch/AboutLunch/NSLPFactSheet.pdf
School Lunch Menu
Lenoir CountyMay 2011
BRIGHT SPOTS•Apple sauce•Strawberries
•Peaches•Green Beans
•Broccoli•Grapes
SHIFT IN PRIORITIES
In many NC school districts, the philosophy of
“What is the right thing to do for children” has been replaced with the
administration’s priority of
“How much revenue can be generated?”
A la carte
•Cookies •Chips•Debbie cakes•Ice cream•Fried chicken sandwich
1.Eat Smart Move More2.Public School Wellness Programs3.Farms to School4.Let’s Move 5.Community Obesity Summits
Health Care Providers, Elected Officials, Educators, Community Leaders, Parents