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Healthy ActiveLiving

Stephen Pont, MD, MPH, FAAPMedical Director,

Texas Center for the Prevention and Treatment of Childhood Obesity

[email protected]: @DrStephenPont


• Healthiest Nation


Disclosure• I have no financial relationships or

potential conflicts of interest to disclose• I am quite passionate about what I do,

which can lead to impatience.• I have to make daily choices

to maintain my weight, or I can gain weight quickly.


What to Remember

• Why do we care? – Healthy active living is important!– Virtually all medical problems can improve!

• Two medications – FOR YOU– Move a little more, eat a little better

• Advocacy and stealth health– Conservation, entertainment, techonolgy,

environmentalism, business


Why Should We Care?

• Medications?• Medical problems?


Why Do We Care About Healthy Active Living?

IT IS NOT…• About cosmetic appearance• Dieting• ConformityIT IS…• Creating a world where we are accepted for

who we are and not what we look like• About being physically and mentally healthy

Sleep apnea: Neurocog

Cardiovascular

Type 2 Diabetes• 10x increase incidence • 33-39% of healthy 2 1/2- to 3-year-olds

are likely to develop diabetes• African-Americans: 45%• Latinos: 50%

•Increased risk of cardiovascular disease•2x ↑ early death

13x ↑ lifetime risk of stroke

Energy Intake Energy Expenditure

Energy Balance

Individual Factors

Behavioral Settings

Social Norms and

Values Communities

Worksites

Health Care

Schools and Child Care

Home

Demographic Factors (e.g., age, sex, SES, race/ethnicity)

Psychosocial Factors

Gene-Environment Interactions

Other Factors

Government

Public Health

University

Health Care

Agriculture

Education

Media

Land Use and Transportation

Communities

Foundations

Industry

Food

Beverage

Retail

Leisure and Recreation

Entertainment

Physical Activity

Sectors of Influence

Food & Beverage Intake

IOM Comprehensive Approach for Supporting Healthy Active Living


Yes, it’s complicated, but…

• Two ways to think about it– There are so many causes, there’s no way

that I can make a difference– There are so many causes

that there has to be at least one area where I can have an impact

Institute of Medicine: Accelerating Progress


Advertising• Disney states that will remove

characters from advertising• Coca Cola’s advertising $$• Report and vote on

good and bad advertising:www.leanwashingindex.com

Institute of Medicine: Accelerating Progress


Encouraging Signs…

• Alliance for a Healthier Generation– Advocating for reimbursement

• White House Let’s Move Campaign• Other national campaigns

– HBO’s Weight of the Nation• AAP Institute for Healthy

Childhood Weight


Successful Families• Small changes that stick

– Can change everything, but only for a short while– Shoot for the low hanging fruit & build momentum

• Make change as a family– Kids of all ages will be more successful

• Keep it positive!– Change is hard – but worth it!– We can learn from challenges


Two important medicines

• Exercise is medicine• Food is medicine• Take your medicine!


ToolsFive-Two-One-Almost None

HOURS OF SCREEN TIME

FRUITS AND VEGETABLES

HOUR OF PHYSICAL ACTIVITY

SUGAR DRINKS

SLEEP9-10 Hours per night


Tools


42 grams~10 ½ tsp

34 grams8 ½ tsp

67.5 grams17 tsp

67 grams~ 16 ½ tsp

79 grams~ 20 tsp

SUGARY drinks


WOW

Rock Star Energy Drink62 grams of sugars (15 ½ tsp)

= 6 Krispy Kreme Original GlazedDoughnuts

Auntie Anne’s Wild Cherry Lemonade Mixer110 g sugar (27 ½ tsp)

= 11 bowls of Cookie Crisp Cereal


Drinks or Deserts?

Sobe Green Tea61 grams of sugar (~15

tsp)= 4 slices Sara Lee Cherry

Pie

20 ounce Sunkist84 grams sugar (21 tsp)

= 6 Breyers Oreo Ice Cream Sandwiches

White Hot Chocolate w/ Whipped Cream

75 grams sugar (~19 tsp)= 9 Strawberry Rice Krispie

Treats


Healthy Active Living for Families

AAP HALF


Become an Advocate!

American Academy of PediatricsPolicy Opportunity Tool


Stealth Health• Academics• Government• Business• Technology• Environment• Entertainment


Stealth Health• Dunk the Junk

– http://www.dunkthejunk.org/– http://www.dunkthejunk.org/top-ten


Stealth Health• Faith-based• Conservation• Nature

– Rich Louv’sChildren & Nature

Network


What to Remember

• Why do we care? – Healthy active living is important!– Virtually all medical problems can improve!

• Two medications – FOR YOU– Move a little more, eat a little better

• Advocacy and stealth health– Conservation, entertainment, techonolgy,

environmentalism, business


You might find these interesting

American Academy of Pediatricswww.healthychildren.orghttp://ihcw.aap.org/Pages/default.aspxYale Rudd Center for Food Policy and Obesity

www.yaleruddcenter.orgLet’s Go!www.letsgo.org5-2-1-0 Handouts and toolkitswww.nemours.org


Some additional sitesAddresses advertising’s affect on healthy livingwww.leanwashingindex.comChildren & Nature Networkwww.childrenandnature.orgNorth Carolina statewide coalitionwww.eatsmartmovemorenc.comNational Initiative for Children’s Healthcare Qualitywww.nichq.org/childhood_obesity


Fuel Up to Play 60

www.fueluptoplay60.com$$ for your school


Thanks! Stephen Pont, MD, MPH, FAAP

Texas Center of the Prevention and Treatment of Childhood Obesity

Chair, AAP Section on [email protected]

Twitter: @DrStephenPont

512-324-9999 x86454www.dellchildrens.net/healthyliving

Healthy Active - Austin ISD€¦ · Land Use and Transportation Communities Foundations Industry...

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