Orie AchonwaEstela CardenasAshley Gendrett

Jennifer Pate

April 17, 2008

Defining Childhood OverweightOverweight is defined as a BMI at or above the 95th percentile for children

of the same age and sex.

BMI is a measure of weight in relation to height that is used to

determine weight status.

What is BMI?

Prevalence of Overweight Children and Adolescents (Aged 2-19 Years)

•Prevalence of overweight is increasing for children of all ages•Healthy People 2010 identified overweight and obesity as 1 of 10 leading health indicators

NHANES I1971-1974

NHANES II1976-1980

NHANES III1988-1994

NHANES2003-2004

Ages2 through 5

5% 5% 7.2% 13.9%

Ages 6 through 11

4% 6.5% 11.3% 18.8%

Ages 12 through 19

6.1% 5% 10.5% 17.4%

Contributing Factors to Childhood Obesity

• Behavioral factors- can include energy intake, physical activity, and sedentary behavior

• Genetics- may increase an individual’s susceptibility to overweight

• Environmental factors- children’s behaviors can be influenced in the home, in the schools, and the community.

Implications of childhood obesityCardiovascular damage

High blood pressurePulmonary complications

Obesity sleep apneaGastrointestinal disorders

Skeletal abnormalitiesPsychosocial issuesEconomical issues

Future of Childhood obesity

• Research into the development of food habits, dietary choices, and physical activity in children

• Public and Private funding agencies should give a high priority to research on obesity in children and adolescents

• Parents and public need to be aware of problem and possible contributions to improve the health of children

Prevention

Prevention

Prevention

Physical Activity• The World Health Organization has estimated that every year 1.9 million people die as a result of physical inactivity

• The home is not a promising setting for promoting physical activity

• Beneficial effects on body weight, blood pressure, and bone strength

• The Youth Risk Behavior Surveillance System reported that only 40% of boys and 30% of girls are meeting the physical activity recommendation of at least 60 minutes of physical activity per day.

Shrek Video Clip

Brazos Valley Health Assessment• Main health concerns

– Lack of preventive health care– Lack of mental health services

• Frequently reported conditions– Obesity/overweight– Hypertension– High cholesterol– Arthritis/rheumatism– Depression– Asthma

Obesity/Overweight

Arthritis

*65% of the population report a risk factor for obesity/overweight.

Risk factors for Obesity/Overweight

Depression

HighCholesterol

Hypertension

Asthma

Jump Rope for Heart

• Jointly sponsored by AAHPERD & AHA• Started in 1970s by Jean Barkow• Idea presented at AAHPERD Public Relations

Conference• Piloted as a fundraiser in 1977• Launched by AAHPERD & AHA in 1978• Educational component added by AAHPERD &

AHA

Participating Schools

Crockett

Sul Ross

Our ProgramIntermediate

ChangesStrategies and Activities Short Term

Changes

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Impact

-Increase physical activity in children

-Elementary children at Sul Ross and Crocket Elementary Schools

Supports Target Populations

Action Group:

-SRPH Students-Principal from each school-Patti Willems with The Coordinated Approach to Child Health (C.A.T.C.H.)-All P.E. Teachers from both schools-1 Teacher from each grade level at both schools-1 Parent from each PTO

-Preparation through group effort

Funding Support:-Bryan ISDand/or

-C.A.T.C.Hand/or

-PTO’s from each school

Action Group

-Teach a new move and provide time, once a week, during class to jump rope

-Provide access to jump ropes

-Learn how to and participate in jumping rope

-Celebrate achievements by having a Jump Rope for Heart Competition between grades on Track and Field Day in each school .

P.E. Teachers

All Teachers and Helpers

+ Role modeling

↑ Investment in health of children

↑ Fun physical activities

↑ Knowledge and skills for jumping rope

Modifications

• Provide jump rope time every Friday during P.E.- Teach students new jumps - Have pro-athlete come speak - Encourage increasing jumps and style

• Supply various jump ropes before/after school and during recess

• Include Jump Rope for Heart competition, once a year, during school track and field day

Sustainability• Progress and diversity is inevitable to

keep children interested and happy• Low cost, fun, and exciting

Other Countries Influenced by JR4H

• Canada• Japan• Australia• Spain

Maintaining Activity

• Collaborate with CATCH Program to continue school involvement

• Children are encouraged to enter jump rope contests on city, state, and national levels to win prizes

• Endorsed by Disney Corp.

Financial Factor

• Cost effective for schools

• Fundraiser for Jump Rope for Heart

• Financial support from school district and PTO will influence sustainability of the program

Take Away Points

• Jump Rope for Heart – Good way to engage children’s interest in physical

activity

– Low cost approach to keep students physically fit

– Easy method to incorporate everyday activity for a large group of children

ReferencesDaniels, Stephen R. "The Consequences of Childhood Overweight and Obesity."

The Future of Children, 16, no. 1 (2006): 47-67.

Jump Rope For Heart - Jump Into the Fun. http://www.aahperd.org/jointprojects.html

Katzmarzyk, Peter T., Baur, Louise A., Blair, Steven N., Lambert, Estelle V., Oppert, Jean-Michel, Riddoch, Chris, Force, For the International Association for the Study of Obesity Physical Activity Task and Panel, the Conference Speaker (2007) ‘International Conference on Physical Activity and Obesity in Children: Summary Statement and Recommendations’, International Journal of Pediatric Obesity, 3:1, 3-21.

Koletzko, Berthold, Giradet, J.P., Klish, William, Tabacoo, Omar. “Obesity in Children and Adolescents Worldwide: Current Views and Future Directions- Working Group Report of the First World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition.” Journal of Pediatric Gastroenterology and Nutrition, 35, (2002): S205-S212.

Sothern, Melinda S. "Obesity Prevention in children: physical activity and nutrition." Nutrition, 20, no. 7/8 (2004): 704-708.

2006 Brazos Valley Health Status Assessment. Executive Report. Center for Community Health Development, School of Rural Public Health. http://www.srph.tamhsc.edu/

http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/prevalence.htm

http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/contributing_factors.htm

http://www.jumpropeforheart.ca/ http://www.sph.uth.tmc.edu/catch/