growing healthy kids in kentucky. janet tietyen, ph.d., r.d., l.d. assistant professor, u of...
TRANSCRIPT
Growing Healthy Kids Growing Healthy Kids in Kentuckyin Kentucky
Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition
Kentucky Cooperative Kentucky Cooperative Extension ServiceExtension Service
offices in all 120 Kentucky counties
Agriculture & Natural Resources
Family & Consumer Sciences
4H & Youth Development
The Clover Cat Way to Wellness-fall 2001 pilot test with 400 Clark County students-fall 2002 training for Kentucky Extension Agents-designed for use in classroom or 4-H Club-correlates to KERA core content & objectives-CATSkills:
-Choose Healthy Foods-Activate Your Life-Take Time to Be Well
Our Growing ConcernsOur Growing Concerns
Obesity in adults
Overweight children – Why are children gaining
weight?
Community action plans
Obesity* Trends Among U.S. Adults BRFSS, 1991, 1995 and 2000
(*BMI 30, or ~ 30 lbs overweight for 5’4” person)1991 1995
2000
Source: Mokdad A H, et al. JAMA 1999;282:16, 2001;286:10.
No Data <10% 10%-14% 15-19% 20%
How do we define How do we define overweight children?overweight children?
Body mass index (BMI) is the most widely used approach to defining overweight in children. BMI assesses weight by using height and weight.
Overweight = children at or above the 95th percentile of BMI by sex and age
At risk of being overweight = children between the 85th and 94th percentile of BMI
Should we be Should we be concerned about concerned about
overweight children?overweight children?From 1980 to 1999
Overweight children rose from 7% to 13%
Overweight teenagers almost tripled from 5% to 14%
Consequences of Consequences of Childhood OverweightChildhood Overweight
May last into adulthood
Increased risk for high blood pressure, diabetes, high blood lipids, asthma, joint problems, and sleeping disorders
Low self-esteem and poor body image
Comparison of Kentucky’s Comparison of Kentucky’s overweight children to the overweight children to the
U.S?U.S?
0
2
4
6
8
10
12
1419
95
1996
1997
1998
1999
2000
% c
hildre
n ov
erwei
ght
Kentucky
U.S.
Risk Factors for Risk Factors for OverweightOverweight
Skipping meals Eating high fat/high sugar “snack” foods Drinking sweetened beverages such as
soft drinks Eating large, infrequent meals Constant snacking Eating fast food frequently Increased TV watching Decreased physical activity
Why are children gaining Why are children gaining weight? weight?
Affordable/high-calorie foods Accessibility of food Lack of physical activity Limited access to
opportunities for activity
Model for InfluenceModel for InfluencePublic Policy
Institutes/Organizations
Community
Interpersonal
Individual
Community ActionCommunity Action
Create a community which promotes physical activity
Make healthy foods more accessible
Have increased access to gyms, playgrounds, and walking trials
Civic LeadersCivic Leaders
Work with city planners and engineers to plan for sidewalks and bicycle paths
Designate a place and promote a farmer’s market
Increase the access for the use of public facilities
Create a community coalition to address childhood overweight in your area
Community Health Community Health EducatorsEducators
Go to the schools and talk with students and teachers on ways to combat childhood overweight
Have signs posted in your waiting and exam rooms promoting weight loss benefits and ways to increase physical activity
Site-Based CouncilsSite-Based Councils Set policies for what can and cannot be sold
in schools Reevaluate the contracts between your
district and soft drink industries Require schools to have daily physical
activity Schools should have the equipment and
supervision for children to meet physical activity needs
Assess school’s eating & activity environment and make changes accordingly
School AdministratorsSchool Administrators Promote healthier eating and physical
activity in your school Have a Health Educator, Registered
Dietitian, County Extension Agent or School Foodservice Director come to your faculty/staff meetings to bring unity on this issue
Give students healthier options in the vending machines
Foodservice DirectorsFoodservice Directors
Make healthy food options appealing
Provide low-fat, low-calorie, and low-sugar food items
Reduce access to high-fat, high-calorie, high-sugar foods, and excessive portion sizes
Plan school menu with a group of parents and teachers
TeachersTeachers Have some form of movement in the
health curriculum For bake sales/class parties, have
parents bring healthy snacks Do not reward students with food or
punish students by taking away recess Raise awareness to students and staff
on the benefits of physical activity Have a health educator speak to
students on ways to be more active
ParentsParents Limit TV, movies, video and computer
games for children to 1-2 hours per day Encourage child to be involved in organized
sports, 4-H programs, outdoor activities, active playtime at home
Enjoy regular exercise with the entire family Assign active chores to all family members Contact your school/school board know that
you are concerned about food and physical activity at school
ParentsParents Buy healthier snacks (like fruit and
vegetables) Be a healthy role model for your children Buy only 100% fruit juice Eat meals together at the dinner table Avoid watching TV during mealtimes Limit fast food eating to no more than
once per week Avoid using food as a reward or using the
lack of food as a punishment
ChildrenChildren Try eating low-fat, low-sugar snacks Eat more fruits and vegetables Record what you eat for 2-3 days and
compare it to the Food Guide Pyramid Be active for at least 60 minutes a
day