PowerPoint Presentation

Childhood obesity: national initiatives and policiesLeah GecheoBoot camp presentation 20121 OutlineCause of obesityNational statisticsObesity prevention initiativesFunding agenciesHow to apply for funding

Obesity prevention in WV- Dr. Murphy, Kristin McCartney.

2 Cause of obesity: The Thrifty gene hypothesis

Obesity?3

Cause of obesity: our environment4How bad is it?1 in 3 children/adolescent is overweight or obeseBelow 2 yr. old- 10%2-5 yr. old; 14%10-17 yr old: 18.2%Obese children have 70-80% probability of being obese adultsOverweight and obese adults outnumber healthy adultsCost of obesity: $147B.Reduced work productivity

http://www.heart.org/HEARTORG/5

A growing problem6 How obese is our country?35.7% of Americans are obese, 7/10 are overweight or obese

7 Initiatives to fight the obesity epidemicFederal government initiatives- CDCNon-profit organizations- AHADepartment of healthPrivate/charitable organizations- Coke, PepsiCo, Hershey, Kraft foods Community-based initiatives

State initiatives*8CDC funded initiativesDivision of Nutrition, Physical Activity and Obesity (DNPAO) reduce obesity through state programs, research, intervention and policy changesMonitor nutritional status through PedNSS (pediatric nutrition surveillance system and PNSS (pregnancy surveillance systems)Promote fruits and vegetable consumptionImprove breastfeedingGlobal collaborations

9 Programs under DNPAOBAM! Body and mindInteractive site for 9-13 yr olds; stress and physical fitnesshttp://www.bam.gov/

Fruits and veggies-more matter initiative

Healthier worksite initiative (HWI)Kit for employers to improve employees healthhttp://www.cdc.gov/nccdphp/dnpao/hwi/index.htm

Kidswalk-to-schoolIdentify safe walking routes to school

CDCS LEAN worksIdentify science-based interventions that works. Obesity cost calculator for employers10 CDC funded initiatives2. Childhood obesity demonstration program

Target: 2-12 year olds covered by CHIP (childrens health insurance program)Goal: improve childrens nutrition and physical activity through effective healthcare and community strategies.Preventive medicine, retail food stores, safe parks.Ongoing project; completion 2015Location: UT, Houston, San Diego state university, Massachusetts state department of public health.

11 CDC funded initiatives4. Communities putting prevention to workTarget: Rural, tribal area, small urban groups to tackle obesity and tobacco useGoal: Implement environmental changes to make healthier living easier.Improve active means of transport.5. Community transformation grant:Target: Communities overburdened by chronic diseasesGoal: Community levels effort to reduce chronic diseases related to obesity.12America Heart Association (AHA) initiativesWhat is AHA? A non-profit organization that fosters cardiac care to reduce death and disability caused by heart disease

Goal : Improve cardiovascular health of all Americans by 20% and reduce deaths due to CVD by 20% by 2020

13

AHA initiatives :NFL PLAY60 challenge

Collaboration of NFL and AHARecommend 60 minutes /daily physical activityEncourage physically active lifestyle year-roundParticipating schools:Teachers guideLesson planGame planClassroom scoreboardcertificate

14 AHA initiatives:

Hoops for hearts

Jump rope for hearts

Engage middle school students in basketball and raise money for stroke/ heart disease research.

Engage elementary students to jump rope while raising money for stroke/heart disease research.

School teams sign up for the 6-weeks programLearn the skill and also heart health educationFundraising

15 AHA initiatives: Alliance for a healthier generation

Collaboration of AHA and William J Clinton foundationOngoing project to inspire young people to adopt a lifestyle of healthy habits

Reduce childhood obesity by 201514,000 schools enrolled

Program assess school progress in changing policies, practice and environment that are in favor of healthy lifestyle

Focus on 3 key initiatives; Healthy schools program, EmpowerME kids movement, Industry and healthcare

16 Alliance for a healthier generationKey Initiatives:

Healthy schools programProvide expert advice to school professionals, teachers and students

2. EmpowerME kids movement (8-12 yr.o) incorporating physical activity in after school programs. 8 lessons on healthy eating and physical activityGoal is to make healthy lifestyle cool for kids by kids.1.3M kids enrolled

17Alliance for a healthier generation focus3. Industry and healthcare voluntary agreements with leaders in food, beverage, fitness and healthcare to create access of healthier food and affordable healthcare benefitsHealthcare:17,500 pediatricians to give free book- The very hungry caterpillar, associated with learning tools that promote healthy eating.

Alliance healthcare initiative to reimburse doctors and dietitians who provide obesity-related care counseling to children

18Alliance for a healthier generation focus3. Industry and healthcare

Industry:Voluntary agreement with industry to provide healthier school meals at the price not higher than classic meals

Companies that have signed the agreement:AdvancePierre foods, Dominos pizza, JTM food groups, McCain Foods, Rich products corporation, Schwans foods and Trident seafoods.4950 schools enrolled

19 Lets move initiative: Goal: solve obesity within a generation, be advocating healthy lifestyle so that children born today can reach adulthood at a healthy weight.Healthier food in schoolsBetter food labelingMore physical activity

Presidential memorandumChildhood obesity taskforce to review current initiatives and develop a national plan

20Campaign to create awareness and start the obesity conversation in the community.Collaboration of Institute of Medicine (IOM), CDC, NIH and HBO.3 years of research on the science and economics of obesity.

21http://theweightofthenation.hbo.com/films/main-films/Consequences

22 BackgroundResults from Bogalusa heart study77% of obese children remained obese as adultsObesity disparitiesPoorest states ranks highest in obesityObesity more prevalent among African Americans and Latinos39% of obese children had 2 or more risk factors for heart diseaseBeing overweight increases the chances of developing asthma by 52%.

23The big picture:

The weight of the nation is not healthy. And to get healthy, were all going to have to do our part -Dr. Thomas, director, CDC.

24 The role of a community dietitians Explore means to fight the pandemicCreate nutritional intervention projectResearch Community education25 Grants and fundingMajor funding agencies National Institute of Health (NIH)USDAGrants.govAcademy of Nutrition and Dietetics(AND)Private agencies26 Grant writingIdentify the agencyIdentify award/funding opportunityDetermine eligibilityProposal requirementsSubmission deadlines27 Components of a grant proposalExecutive summaryBiographical sketchNarrativeBudgetBudget justificationChronogrambibliography28Executive summarySpecific objectivesNoveltyBroader impact29

A. Personal Statement B. Positions and Honors

Positions and Employment Other Experience and Professional Memberships Honors C. Selected Peer-reviewed Publications (in chronological order) D. ResearchBIOGRAPHICAL SKETCH

NAME

POSITION TITLE

credential, EDUCATION/TRAINING INSTITUTION AND LOCATIONDEGREE(if applicable)MM/YYFIELD OF STUDY 30NarrativeStatement of needStudy rationaleStudy description and methodologyExpected outcomePotential Impact

31YrYr 1Yr 2Yr 3Rate201020112012CumulativeSalary: Senior PersonnelPI Other Personnel Fringe Benefits Equipment Travel Participant Cost Materials/Supplies Other Direct costPublication Costs/Documentation Equipment maintenance (service)TOTAL DIRECT COSTSTOTAL INDIRECT COSTS(% rate of institution) Budget32Budget justificationJustification of every component of the budget in a narrative format.33ActivityYear 1Year 2Year 3recruiting1st phase of sampling and in vitro incubation of samples2nd phase of sampling and in vitro incubation 3rd phase of sampling and in vitro incubation Gas liquid chromatography analysisresidual carbohydrate analysisbomb calorimetryStatistical analysis of dataprepare manuscriptsPublications and presentation of findings Chronogram34

BibliographyLiterature cited in the narrative and in the executive summary.

Grants writing class: PLSC 550:Grants and grantsmanship.35 Health people 2010: Lower obesity to 15%.

Obesity in West Virginia36 Questions?37