PHYSICAL FITNESS & HEALTH IN MIDDLE SCHOOL
Susan Matulevicius, MD, MSCS, FACCAssistant Professor
Division of CardiologyUT Southwestern
2000
Obesity Trends* Among U.S. Adults
US Prevalence of Obesity 1990-2010(*BMI 30, or about 30 lbs. overweight for 5’4” person)
2010
1990
No Data <10% 10%–14 15%–19% 20%–24% 25%–29% ≥30%
http://www.cdc.gov/obesity/data/adult.html
Obesity has Tripled Since 1980
1973 1978 1992 2000 2002 2003 2005 2008 20100%
2%
4%
6%
8%
10%
12%
14%
16%
18%
Prevalence of Obesity in Chlidren age 2-19
Circulation 2012; 126(14): 1770-1779.
Our Children are More Obese than Our Neighbors’ Children
Canada Mexico United States
0%2%4%6%8%
10%12%14%16%18%20%
JAMA 2012; 307 (5): 482-490.
Texas Leads the Way in Childhood Obesity
.
Complications of Childhood Obesity
Lancet 2002; 360(9331): 473-482.
•By 2035, it is estimated that >100,000 cardiovascular events (stroke, heart attack, congestive heart failure) will be attributable to excess weight in adolescence•In one study looking at carotid intimal thickness, which is a measure of vascular age, 75% of obese children age 6 to 19 years with cardiac risk factors had the vascular age of a 45 year old!
Journal of the American College of Cardiology 2013; 62(15): 1309-1319..
Key to Combating Childhood Obesity: Balancing Energy in & Out
Energy In Energy Out
Eat Healthy
Get Active
Kids & TV
Less likely to:1. Eat meals together with
their families2. Be actively engaged in
school3. Participate in
extracurriculars4. Sleep enough
Kids who have a TV in their room are:
More likely to:1. Have problematic social
behaviors2. Watch 1.5 more hrs of TV a
day3. Be overweight
Prev Med 2011; 52(2):104-8.
Physical Activity and Academic Achievement
Journal of School Health 2013; 83(7): 500-507.
30
40
50
60
70
<2 3 4 5
6th g
rad
e A
cad
emic
Ach
ieve
men
t(%
)
Fitness Level
MathEnglish
Things Families Can Do
Limit Screen Time
Eat Together
Be Active! Healthy Snacks
Weekly Menu
Drink Water
Things Schools Can Do
Walk to School ProgramsPhysical Education
Physical Activity in the Classroom Community Engagement
Weigh2Rock.com
E-mail and Texting Interventions
Circulation 2013; 127:260-67.
Exergaming
Steps for Implementing a Social Network Intervention/Campaign
Circulation 2013; 127:260-67.
Healthy Resources
Letsmove.gov – Michelle Obama’s mission to raise a healthier generation of kids
Take10.net – Successful physical activity in the classroom
JAMmin’ Minute – 1 minute exercise routine and health tips created by schools around the country (www.healthetips.com/corporate_social.php)
CDC: http://www.cdc.gov/physicalactivity/everyone/guidelines/children.html
Get Moving! With UT Southwestern
• Pilot of the Walk with a Doc program established by Dr David Sabgir in Ohio•Partnering with the City of Coppell as part of the “Living Well in Coppell” Campaign•Goal is to get people moving and access to UTSW doctors and health professionals in a causal setting•Talk (10 minutes on a health) by a UTSW MD•Walk with doctors for 1 hour (or as long as you like) with the opportunity to ask questions or discuss health topics•Snacks and Screening by UTSW Student Dietetic Association and the Preventive Medicine Interest Group•GOAL: A walk a month with a health topic of interest for any participants. Kids,
Save the Date: 11/9/2013
Get Moving! with UT SouthwesternHear about an important health topic and
then take a walk with our expert cardiologists to learn how the “heart
pros” stay healthy.
WHERE: Andrew Brown Park EastWHEN: 9AM -11 AM Rain or shine
WHO: Everyone is welcome!
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