Childhood Obesity Bill Berlin and Sarah Gurd Ferris State
University
Slide 3
Objectives After this presentation, the learner will: Identify
the significance of childhood obesity to nursing. Explain 2 main
causes of childhood obesity Identify 3 issues caused by childhood
obesity Explain what strategies nursing can implement to help
prevent and reduce the rate of childhood obesity
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Why is Childhood Obesity a BIG Deal? 17% of children between 2
and 18 are considered obese Complications of obesity- Diabetes,
hypertension, cardiovascular disease and many more! Nurses work to
promote health and prevent disease
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Assessment of the Healthcare Environment- the pros Reaching out
to children and their families: Primary Care Provider well visits,
sports physicals, acute care visits School nurses - focus on
keeping students healthy and promoting health. Community Based or
Public Health Nurse
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Assessment of the Healthcare Environment- the cons Childhood
obesity a difficult subject to talk about. Stigma surrounding
childhood obesity judgmental attitude Lack of continuity in
healthcare providers Time Constraints during appointments Medical
Expenses: over a lifetime childhood obesity costs $19,000 per child
(Duke Medicine, 2014)
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The Great Debate: Genetics vs. Environment Genetics Studies
have found that certain loci are strongly associated with childhood
obesity. Currently, we have no way to alter these traits
Environment Research has shown that poor diets and lack of physical
activity are risk factors for childhood obesity. Modifiable
factors
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Root Cause Analysis Factors affecting food choices: Unhealthy
food and drink choices served in schools, childcare centers and
homes Marketing of unhealthy food and drink choices Expense
associated with healthier food options Increases in portion size
and intake of processed foods
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Root Cause Analysis contd Factors affecting physical activity:
Daily physical activity programs not available in all school
systems. Difficulty to find safe, positive environments for
children to take part in regular physical activity. Overuse of
television and media
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Root Cause Analysis contd Other factors leading to obesity
Learned behaviors Lack of breastfeeding support Medications Medical
conditions
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Inferences and Implications Self assessment Primary medical
care needs to be transformed. Community approach to prevention of
childhood obesity Health Promotion Strategy Prevention
Interventions Protection Interventions Lifestyle changes
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Inferences and Implications contd The Three Es Educate Expose
Empower
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Solution GET INVOLVED!!!! Build Relationships Raise Awareness
Take Action
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Solutions contd Strategies to encourage a balanced diet Offer
incentives to grocery stores Reduce access to sugary, processed
food and drinks Model healthy eating Strategies to encourage
physical activity Limit time spent using electronic devices 60
minutes of play per day! Make activities accessible
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Summary Childhood obesity is a major issue Leads to multiple
health issues Costs BIG BUCKS Can be mitigated through better
nutrition and regular exercise
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References Babyatzky, J., Kim, J., Kramer, S., Radday, A.,
& Stanzler, C. (2011). Childhood Obesity Prevention. Social
Issue Report, May 2011, 1-6. Berkowitz, B and Borchard, M. (2009).
Advocating for the prevention of childhood obesity: a call to
action for nursing. The Online Journal of Issues in Nursing 14(1).
Retrieved from www.nursingworld.org/ CDC (2013). A growing problem,
what causes childhood obesity? Retrieved from
http://www.cdc.gov/obesity/childhood/problem.html Centers for
Disease Control and Prevention. (2011, May 16). Overweight and
obesity. Retrieved from http://www.cdc/gov/obesity/ Duke Medicine
(2014, April 7). Over a lifetime, childhood obesity costs $19,000
per child. Retrieved from:
HTTP://WWW.SCIENCEDAILY.COM/RELEASES/2014/04/140407 090220.HTM
Findholt, N. (2007). Application of the community readiness model
for childhood obesity prevention. Public Health Nursing 24(6) DOI:
10.1111/j.1525- 1446.2007.00669.x
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References contd Kaneshiro, N. (2012, August 1). Causes and
risks for obesity - children. Retrieved from
http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000383.
htm Kern, E., Chan, N., Fleming, D., & Krieger, J. (2014).
Declines in student obesity prevalence associated with a prevention
initiative-King County, Washington, 2012. Morbidity and Mortality
Weekly Report, 63(07), 155-157. Rabin, R.C. (2014, April 21)
15-minute visits take a toll on the doctor-patient relationship.
Retrieved from
http://www.kaiserhealthnews.org/stories/2014/april/21/15-minute-doctor-
visits.aspx Zhao, J., & Grant, S. (2011, April 6). Genetics of
Childhood Obesity. Journal of Obesity, 2011,1-9.
doi:10.1155/2011/845148