protecting kids from a most deadly disease!
DESCRIPTION
Lecture given by Ernie Medina, Jr., DrPH, on Aug. 17, 2011, for a grad class at Loma Linda Univ. School of Public Health. Professor: Serena Tonstadt, MD. Topic: getting kids to be more physically active.TRANSCRIPT
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Protecting kids from a most deadly disease!
Ernie Medina, Jr., DrPH, CHFS
August 17, 2011
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“Physical Activity Evangelist”
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Mission Inn Half Marathon, Nov. 14, 2010
Team Medina in action!
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“Nooo! I don’t want to exercise!”
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“I’d rather stay here in bed.”
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Our kids’ lives are at stake!
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Being a couch potato can kill you!
(And it’s not the carbs…)
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Worst risk factor?
Sedentarianism Hypokine1c Dz
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Public release date: 22-Jul-2010
Contact: David Sampson [email protected] American Cancer Society
Study links more time spent sitting to higher risk of death
Risk found to be independent of physical activity level A new study from American Cancer Society researchers finds it's not just how much physical activity you get, but how much time you spend sitting that can affect your risk of death. Researchers say
. They conclude that public health messages should promote both being physically active and reducing time spent sitting. The study appears early online in the American Journal of Epidemiology.
Article: "Leisure Time Spent Sitting in Relation to Total Mortality in a Prospective Cohort of US Adults." Alpa V. Patel, Leslie Bernstein, Anusila Deka, Heather Spencer Feigelson, Peter T. Campbell, 5 Susan M. Gapstur, Graham A. Colditz, and Michael J. Thun. Am J Epid Published online July 22, 2010 (DOI: 10.1093/aje/kwq155).
Link to abstract: http://aje.oxfordjournals.org/cgi/content/abstract/kwq155
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Hans Kraus, MD 1960
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May!
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Let’s move
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Why be physically ac1ve?
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Benefits of PA well-known
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Strong scientific evidence • Lower risk of
– Early death – CHD – CVD – DM2 – Metabolic syndrome – HTN – High lipids – Colon & breast CA
• Prevent weight gain • Weight loss (with diet) • Improved cardioresp. &
muscular fitness • Prevention of falls • Reduced depression • Better cognitive fx in
older adults
US Dept of Health & Human Services, 2008
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Strong evidence in kids • Improved cardioresp endurance &
muscular fitness • Favorable body composition • Improved bone health • Improved cardiovascular & metabolic
health biomarkers
Moderate evidence… Reduced symptoms of anxiety & depression
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Moderate to strong… • Better functional health (older
adults) • Reduced abdominal obesity
Moderate… Weight maintenance aLer loss
Lower risk of hip fracture Increased bone density Improved sleep quality
Lower risk of lung, endometrial CA
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Know benefits, yet 56.5 % aren’t doing!
Source: Healthy People 2020; National YRBS 1991-2009
81.6% kids (81.8% of adults)
Hypokinetic disease is deadly!!!
18.4 % kids did meet 60” daily
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http://www.health.gov/paguidelines/
Rear Admiral Penelope Royall
October, 2008
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Rx for physical
activity
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Aerobic - Kids 60 minutes daily
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Strength training - Kids 3 days per week
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Builds muscle AND bone!
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Do something! Daily 10 minute blocks
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Rx#2: Move more!
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10,000 steps a day!
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“How can I get kids to be physically active?”
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http://www.childtrends.org
*Parents who do not exercise *Overweight *Spend a lot of time with electronic media *Non-supportive neighborhood (safety, don’t know neighbors, etc)
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Fears about PA
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Fun!
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• “Limit recreational screen time to less than 2 hours a day.” (CDC, USDHHS, IOM, Amer. Academy of Pediatrics, HP 2010)
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RST often
blamed!
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Source: Ellen LaPointe HopeLab | Vice President, Strategic Partnerships
www.hopelab.org
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Hope Lab’s
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Accelerometers
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CES 2011
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Exergaming
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Special needs
Rehab
Athletic training
Senior physical, cognitive, & social fitness
Loma Linda University Drayson Center XRtainment Zone
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Criticism against exergaming I support traditional…
Meeting people where they are at
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“I don’t like to exercise, but playing here I get a great workout and it doesn’t feel like exercising!”
Gunnar, age 12
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Drayson Center’s XRtainment Zone
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Cardio test – 5 min Jackie Chan Run on Xavix
Grip test
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Tanita TBF-300
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45 mins of nutrition instruction:
Label reading Food Choices (Nutripoints, NuVal, Pyramid) Physical activity Portions Eating out Modifying recipes
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45-mins of exercise Exergaming Rx – circuit of games
Encourage the parents to exercise with their kids!
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Project Impact Life
Energizebulls Exergame Fitness Center
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TRAQ is a medically-based, health, fitness and performance enhancement resource now being showcased at the Cleveland Clinic’s Western Medical Campus. TRAQ 3D offers both profitable private-pay prevention and performance enhancement programs, as well as medically-reimbursable clinical services.
http://www.traq3d.com/Healthcare/Healthcare.aspx
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Next genera*on videogames
Microso3’s Kinect Nov., 2010, $150
Sony’s Move Sept. 19, 2010 $99.00
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?
?
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We need more evidence-based research!
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www.exergamesunlocked.org
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http://exergamenetwork.blogspot.com/
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http://exergaming.pbworks.com
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http://tinyurl.com/g4hjournalPR
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http://www.humanagames.com/
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PA input device
monitoring
Better use of resources Increased pt satisfaction Improved outcomes!
Starts here…
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Digital & Videogame
Games for Health Healthcare
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www.mobileAdventureWalks.com
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Watch Videos Solve Clues Answer Q’s Earn Points
Next Location!
Mobile Game
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How to Get Started • Get notified when it’s
available, sign up for mailing list at: www.MobileAdventureWalks.com
• Get involved: Email [email protected] to find out how to create your own Adventure Walk
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Keep update on Facebook & Twitter
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Man’s best friend… …needs exercise, too!
Roxy Davy
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www.dogtra.com
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Conducive Enivronment:
Know your local resources
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hIp://*nyurl.com/BeAc*veDirectory; hIp://*nyurl.com/BeAc*veMovie
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hIp://PhysicalAc*vityEvangelist.blogspot.com/
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The Physical Activity Evangelist’s 7 rules
for motivating yourself & kids to be more active…
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1. Walk the talk!
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2. Do as a family
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3. Provide appropriate environment
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http://teamcyclefit.blogspot.com
http://www.tripsforkids.org
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Keri Summer
Mission Inn Half Marathon, Nov. 14, 2010
2 hrs 4 mins
4. Schedule it!
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5. Play & have fun!
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6. Your reason, purpose
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7. Serve others, a cause
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“I need YOU, our future public health professionals,
to help me fix our healthcare system by geXng kids to be more
ac*ve!”
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Thank you! [email protected] C: 909-‐747-‐5935