Don’t Weight To Lose “Kids”

Program Design

Childhood Obesity Background• The CDC findings:

-80% of overweight children 10-15 y/o become obese adults by age 25

-Obesity in 6–11 y/o has climbed from 6.5% to 17.0% in past two decades; adolescent rate has tripled

Adolescent Obesity Background

• 65 % do not meet recommended level of physical activity

• 46% do not attend physical education classes

• 35% watched television 3 or more hrs/day

*2007 national Youth Risk Behavior Survey

Health Risks Associated with Childhood & Adolescent Obesity

• Type 2 diabetes mellitus• Metabolic syndrome• Polycystic ovarian

syndrome• Hypertension• Neruological• Advanced Maturation

• Cardiovascular Disease• Dyslipidemia• Pulmonary• Gastrointestinal• Orthopedic• Psychosocial• Renal

Motivation for Change• Academic Performance

– School performance & test scores decrease in overweight children.*– Inadequate consumption of nutrients affects cognitive function and

has been linked to shortened attention span, irritability and fatigue.– Daily physical activity can lead to increased test scores, particularly

in math; enhances thinking ability and reduces disruptive behavior**– Good News: Better food + More activity = Better grades!

*Krukowski et al., Int J Pediatr Obese, 2009** Shephard, RJ, Pediatric Exercise Science, 2001

• Economic Incentive– Increased financial burden among obese population due to

increased drug costs and outpatient visits.– Good News: loose weight & cut costs!

*Transande L et al., Obesity, 2009

Environmental/Lifestyle Changes

• Less healthy diets– High fat foods

• Take out & fast food• High fat snacks

– Liquid Calories• Non-citrus juice increased by

300% in young children

• More unhealthy foods– “Super-Sized”

• Less physical activity– Less PE in schools– Less participation in

afterschool sports • 20% of US 8-16 yr, have 2

or fewer bouts of rigorous activity/wk

• More physical inactivity– More television time

• 25% of US kids watch >4 hrs/day

– More computer time

Strategies for Obesity Prevention

• Behavioral Family-Based Programs– Epstein, et al: 10 year follow up data available– Positive effects for Children & Young Adolescents– Diet + Exercise more effective than exercise alone

• Parents as Exclusive Agents of Change– Golan et al: “Parents as agents of change in

childhood obesity”

• Non-Dieting Approach– Improve self-esteem and attitude toward eating/food

Behavioral Strategies

• Exercise: “a family affair”– Family walks, interactive games, activities

• Decrease Inactivity – turn off TV, video games, computer games (<2hrs/day)

• Self monitoring– Food records/activity log

• Modification of eating habits– Not in front of TV, food exploration

• Reinforcement and rewards• Enhance self-esteem• Dealing with family/parenting communication

Overview of the Program

• Program is designed to be run for 6 weeks

• Will take place each Saturday 10:30a-Noon

• Targeted sessions for parents and children– Parents: nutrition and exercise education for yourselves

and your family.– Children: nutritional and physical education.– (your input is needed)

Overall Goal of the Program

• Encourage children to think holistically

about how lifestyle behaviors are directly

related to health and wellness.

• Offer a long-term community/family based

approach to learning about the

importance of increased physical activity

and proper nutrition in combating

childhood obesity.

+

DWTL Design Overview

DWTL is community-based 6-week program designed to combat obesity in the New Orleans area through:

• Nutritional Education

• Physical Education

• Increasing Physical Activity

DWTL Design

• Nutritional Education- comprehensive education and counseling for whole families in meal planning, healthy nutrition, and overall wellness.

*School Health Policies and Programs Study CDC 2006

DWTL Design

• Health/Physical Education- education focused on understanding how healthy behaviors are interrelated and how to integrate physical activity into their lives .

*SHPPS CDC 2006

DWTL Design

• Increasing weekly physical activity- limiting TV and other sedentary behaviors, providing a setting for exercise and physical activity, and giving practical take home assignments.

Informational presentation to Church :

– Presentation to take place after Church service 2-3 weeks before kickoff date.

– Promote purpose and the goals of the program

– Family recruitment

– Distribute Parish family needs assessment

– Explain how healthy activity increases test scores, less hospital bills.

Week 1

• Upon arrival, after parents and children separate:

– Parents will begin orientation and baseline measurements including body compositions.

– Children will begin orientation and then baseline assessments will be made.

• Resource handouts will be provided for the participants.

Week 1Children

1st Half (45min.):

• Program orientation • The design of the program explaining exactly what will be done

and what is expected of the participants will be presented.• Surveys

• Retrieving information from the participants in order to better understand the effect of the program.

• Have kids track amount of time spent on screen, and then GIVE them a replacement for that.

• (tv viewing, hours spent outside, educational assessment, reported physical activity)

• Waist-to-Hip measurements and initial body comp readings• Private screenings with the aid of professional medical

personnel.• Dr. Dise - training for medical measurements of the participants

Week 1Children

2nd Half (45min.):• Fun Physical Activity of the Week

– (your input is needed!)

Weeks 2-6 (Kids)1st Half: Nutrition (45min)

Education & Group Activity

• Week 2: “Nutrients & My Pyramid”– Pyramid construction

• *Week 3: “Whole vs. Processed”– Food Organization

• Week 4: “Dietary Guidelines” – Creating balanced meals

• Week 5: “Healthy Choices”– Food label dissection

• *Week 6: “Advertising & Eating Healthy”

– Magazine cut-out

2nd Half: Exercise (45min) Group Physical Activity

• Week 2: Energy In vs Energy Out– Food consumed compared to

exercise needed

• Week 3: “Get Off Your Tail!”– Eliminating Screen Time

• Week 4: Types of Exercise– Cardio vs Resistance

• Week 5: Benefits of Exercise– Creating a balanced playtime

schedule

• Week 6: “You Can Do It!”– Pending Famous Guest Speaker

*Body Comps will be measured during 1st Half

Example of Prizes for Interactive Learning

• Prizes will be age appropriate – Toys – Games – Sports equipment– Music

Adult Classes • DWTL adult classes will be run in

accordance with previous sessions stressing family efforts.

• Each class will be uniquely focused to address all topics with relation to the family unit and active health planning for all members

• Body composition assessment weeks will take place on the 1st, 3rd, and 6th session.

Intended Lecturers

• Dr. Harlan – week 2

• Dr. Hebert – week 4

• Dr. Dise – week 6

Final Note

• At the end of the program, we will have a Family Field Day.

• Family Field Day will be a day of fun filled family activities such as Father-Son 3-Legged Race, Tug-of-War, and the Sack Race.

• Prizes will be provided for All Participants.

• (input needed. Promote dwtl)

Appendix A• Aerobic Activities• jump rope, jumping jacks, squat-

thrusts, running in place, stretching, running, hopping, skipping, walking, jumping rope, swimming, dancing are all examples of aerobic activities)

• basketball, kickball, dodgeball capture the flag, and soccer(or other team sports)

• walk-a-thon (for prizes.)

Appendix B• Muscle/Bone Training: • push-ups, sit-ups, pull-ups, and stretching (or other

pre-existing muscle training activities.) • (Muscle-strengthening activities can be unstructured

and part of play, such as playing on playground equipment, climbing trees, and playing tug-of-war. Bone strengthening activities are acts that produce a force on the bones that promotes bone growth and strength. This force is commonly produced by impact with the ground.)

• Students will also be encouraged to walk to school if possible and safe. (this was mentioned Healthy People 2010)