childhood obesity powerpoint

7/22/2019 Childhood Obesity PowerPoint

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Childhood Obesitytrends, complications, cost, and prevention


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Overview

Definition, prevalence, and trends

Causes and other contributing factors

Risks psychological and physical

Costs to individual, healthcareinstitutions, and society

Obstacles to shifting the paradigm Recommendations for effecting change

Motivational Interviewing


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Definition, prevalence, and trendsa brief look at childhood obesity


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Definition of obesity

Use of Body Mass Index (BMI)

Overweight 85thpercentile

Obese 95thpercentile


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Prevalence and trends

Increase in obesity from 1976-2000

No trend from 2000-2008

17% of children aged 2-19 wereconsidered obese in 2008

5.5% were obese in 1976


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Causes & other contributing factorsmultiple risk factors and reasons for childhood obesity


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Genetics

At the basic level, obesity occurs whenmore calories are consumed than are

used Susceptibility to obesity

Genetic characteristics havent changed in

last 3 decades, but prevalence amongschool-aged children has tripled duringthat time


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Environmental Factors

Home, childcare, school, and communityinfluence

Childrens habits reflect parents habits

Lack of playgrounds/parks, bike paths,sidewalks, pools


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Risks and complicationspsychological and physical


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Psychological risks

Still a negative stigma

Targets of social discrimination

Disrespected and bullied by peers

Lead to low self-esteem and depression


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Costsindividual, healthcare institutions/insurance companies, society


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Individual costs

$147 billion/year for obesity medical costs

$1,400 higher each year for obese vs.

healthy-weight individuals Immobile patients may spend up to

$1,500 on a bariatric wheelchair

(compared to $150-$330 for regular) Possible reduced lifespan


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Societal costs

Face complications of epidemic together

May not feel need to change if everyone is

obese Healthcare/insurance obstacles cost

may be directed toward general public

through increased taxes and higherinsurance premiums


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Obstacles to shifting the paradigmwhy change isnt easy


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Obstacles for change

Do not wish to/afraid of change

Do not recognize need for change/cultural

differences Bad habits are not easily broken

Takes time & dedication to achieve results

Fast food is easier and cheaper Limited access to healthful foods

Making excusing is easier than takingaction


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Recommendations for effecting changewhat we can do as a society or as individuals


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Parents

Educate children about risk factors

Focus on healthy lifestyle, not weight loss

Limit TV and video games

Limit fast food and sweetened beverages

Encourage physical activity

Have family dinners at the table, not infront of the TV


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Schools and childcare

More time spent educating about wellness

School nurses

Gym & health classes


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Pediatricians and nurses

Use time to promote wellness andincrease awareness

Speak with parents aboutwillingness/ability to change

Motivational Interviewing


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Motivational Interviewingand the transtheoretical model


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MI technique

Patient-centered interaction

Explore and resolve ambivalence about

change Build rapport with patient and family

Collaborate with patient, empowerment

Use empathy and encouragement Evoke intrinsic motivation, required for

lasting change


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Transtheoretical model

Six stages Precontemplation

Contemplation Preparation

Action

Maintenance

Termination

Can move between stages

Example: GiGi and dancing


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Case Management

Used if providers have inadequate time

Multifaceted approach

Collaboration of healthcare team: primarycare physicians, nurse practitioners,dieticians, exercise physiologists,psychologists, and social workers


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Conclusionsand future directions


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References

Anderson, S. (2010, February 8). Childhood obesity: It's not the amount of TV, it's the number of junk food commercials.RetrievedDecember 3, 2010, from UCLA Newsroom: http://newsroom.ucla.edu/

Banerj, M. A. (2010, October 22). One-Third of U.S. Adults Could Have Diabetes by 2050: CDC. Retrieved December 2, 2010, fromHealthDay News: http://www.healthfinder.gov

Centers for Disease Control and Prevention. (2010, March 31). Childhood Overweight and Obesity. Retrieved December 2, 2010,from Centers for Disease Control and Prevention: http://www.cdc.gov/obesity/childhood/index.html

Dehghan, M., Akhtar-Danesh, N., & Merchant, A. T. (2005). Childhood obesity, prevalence and prevention. Nutrition Journal, 4(24).

Ghose, T. (2010, July 17). Hospitals beef up equipment for obese. Milwaukee Journal Sentinal.

Herzog, K. (2010, August 3). Nation's obesity rate skyrocketing, CDC reports. Milwaukee Journal Sentinal.

Howard, K. R. (2007). Childhood Overweight: Parental Perceptions and Readiness for Change. The Journal of School Nursing, 23(2), 73.

Mason, H., Crabtree, V., Caudill, P., & Topp, R. (2008). Childhood Obesity: A Transtheoretical Case Management Approach.Journalof Pediatric Nursing, 23(5), 337-344.

Perrin, E. M., Finkle, J. P., & Benjamin, J. T. (2007). Obesity prevention and the primary care pediatricians office. Current Opinion

in Pediatrics, 19(3), 354-361.

Resnicow, K., Davis, R., & Rollnick, S. (2006). Motivational Interviewing for Pediatric Obesity: Conceptual Issues and EvidenceReview.Journal of the American Diatetic Association, 106(12), 2024-2033.

Schmid, J. (2009, April 24). GE Healthcare unveils new medical imaging equipment. Milwaukee Journal Sentinal.

Waldrop, J. (2006). Behavior Change In Overweight Patients.Advance for Nurse Practitioners, 14(8), 23.

Warner, J. (2004, July 2). Video Games, TV Double Childhood Obesity Risk.Retrieved December 3, 2010, from WebMD:http://children.webmd.com

childhood obesity powerpoint

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