Lets move!

Lets move!Sheronda L. Johnson, BSN, CCRNNursing 512Jacksonville University

Program OverviewLets Move! Campaign launched Feb. 9, 2010 by First Lady Michelle ObamaCampaign against childhood obesityComprehensive initiative that involved everyone from parents, schools, church organizations, and government officials

5 Pillars of the lets move! initiativeCreating a healthy beginning for childrenEmpowering parents and caregiversProviding healthy food in schoolsImproving access to healthy, affordable foodsIncreasing physical activity

(www.Letsmove.gov)

Severity of the problem of childhood obesityChildhood obesity rates have tripled over past 30 yearsAlmost 1 in 3 children are overweight or obeseOverweight and obese children suffer the same obesity-related health issues as their adult counterparts

Cardiovascular disease (CVD)60% of overweight children have at least 1CVD risk factor25% of overweight children have 2 or more CVD risk factorsCardiovascular disease risk factors: Type 2 DiabetesHypertensionAsthmaSleep Apnea(www.Letsmove.gov)

Severity of the problem of childhood obesityIn the African American and Hispanic population, approximately 40% of children are overweight or obeseObese children and teens are 5 times more likely become obese as adultsSocial DiscriminationLow self-esteem may affect academic and social function and may continue into adulthoodPhysical fitness has been associated with higher achievement

(www.letsmove.gov)

Current childhood and adolescent lifestylesGym class and afterschool programs have been eliminated from public schools1 in 3 high school student get the recommended amount of physical activityGoal: 60 minutes, 5 days a weekIncreased snacking and portion sizesIncreased fast food intakeIncreased use of media and electronics8-18 year olds spend an average of 7.5 hours per day using entertainment mediaTVCell phonesInternetVideo games(www.letsmove.gov)

Portion sizesPortion sizes have increased 2-5 times larger than in past years31% more caloric intake compared to 40 years ago56% more intake of fats and oils14% more sugarAverage American consumes 15 pounds of sugar per year!!!(www.letsmove.gov)

Portion size vs. cost

Program accomplishmentsThe Department of Defense updated nutritional standards for our troops and their familiesThe Disney company pledged to meet federal standards to limit calories, sugar, and sodium, and promote fruits and vegetables by 2015Commitments from Walmart, Walgreens, and other regional grocers will:Build or expand in communities with limited or no access to healthy foodCreating 1,000s of jobsProvide access to fresh food who currently have limited accessThe Fresh Works Fund- committed $200 million to this effort to increase access to healthy food (www.letsmove.gov)

Desired changeDecrease in childhood obesity in low-income areasEvidence of progress per CDC Report13% decrease in obesity in MississippiDecreases in New York City, Philadelphia, and CaliforniaFrom 40 states, the District of Columbia, U.S. Virgin Islands, and Puerto Rico:20 reported steady rates of obesity and improvement from growing trend over past 30 years19 reported declines

(www.letsmove.gov)

Desired change

monitoring program outcomesMonitoring overall trends in childhood obesity:The number of children eating a healthy diet by monitoring the HEI scoreHealthy Eating Index (HEI)- measures the quality of diet that assesses adherence to federal dietary recommendations2010 HEI current score55.92015 HEI score goal 652020 HEI score goal 702030 HEI score goal 80

(www.letsmove.gov)

Monitoring program outcomesMonitoring overall trends in childhood obesityTwo Targeted indicators:Increase fresh fruit and vegetablesMore fruits and vegetablesCurrent fruit intake64%Goal: 75% by 2015, 85% by 2020, 100% by 2030Current vegetable intake46%Less added sugar in childrens dietTargets for reducing sugar consumption are being established Goal is to decrease obesity rates to 5% by 2030 (www.letsmove.gov)

Monitoring program outcomesThe amount of children meeting the current physical activity recommendationCurrently tracking of physical activity is limited to high school studentsA survey tool is being developed to monitor children of all agesAfter baseline data is collected and reviewed, interventions will be developed to improve the level of physical activityBy 2015, 2.5% reductionBy 2020, 5 % reductionOverall goal is to decrease childhood obesity to 5% by 2030

Financing and revision of programFinancial cost of this program was $4.5 million A Task Force on Childhood Obesity Signed by President Obama to review of programs and policies Create a plan to maximize federal resources and set firm benchmarks toward Lets Move! GoalsResponsible for revisions and recommendations

(Barnes, 2011)

Program sustainabilityThe overwhelming nationwide response to partnership with the Lets Move! campaign will sustain the longevity of this programSubwayDisneyUnited States Tennis Association (USTA) Partnership for a Healthier America (PHA)USDAMy Plate CampaignDepartment of DefenseWalmartNutrition CharterNew nutrition charter to lower the cost of fruits and veggiesLets Move! Has a multitude of supporters of this campaign (Barnes, 2011)

Program sustainabilityGovernment officials on the local and state levels to support changes in schoolsSalad Bars to SchoolsSmart Snacks in SchoolsImplemented by the USDA in 2014Lets Move Outside!Lets Move Active Schools- promotes activity before, during, and after schoolCommunity programs have committed to the success of this program and to improve the quality of life of the children in their communityYMCAFaith United to End Childhood Obesity and Save the Children(Barnes, 2011)

Accountability of program evaluationUnintended EffectsThere are no unintended effects of this program to report

Providing InformationProgram progress is documented in the CDCs annual National Health and Nutrition Examination Survey (NHANES)Collected every 2 years

AccreditationThis is federal government supported program not seeking accreditation

The physical and emotional health of an entire generation and the economic health and security of our nation is at stake. Michelle Obama

Are you doing your part?

Lets Move!

Thank you

ReferencesBarnes, M. (2011, May). Solving the Problem of Childhood Obesity within a Generation. Retrieved from http://www.letsmove.gov/: http://www.letsmove.gov/sites/letsmove.gov/files/TaskForce_on_Childhood_Obesity_May2010_FullReport.pdfLet's Move! (n.d.). Retrieved May 14, 2015, from http://www.letsmove.gov/