Dakota County Childhood Obesity SummitPresentation Transcript
Obesity Prevention in Young Children: A Call for Social & Environmental Action Sharon Tucker, PhD, RN, CNS Assistant Professor, Mayo Clinic College of Medicine Nursing Research & Pediatrics, Mayo Clinic Robert Wood Johnson Executive Nurse Fellow Growing Health Kids in Dakota County November 16, 2007
Discuss the multiple and complex factors contributing to childhood obesity and child health and well being.
Raise awareness regarding the environmental and social change needed to help reverse childhood obesity rates.
Recommend a number of creative environmental and social strategies that can support parents in their efforts to promote family physical activity, nutritious eating patterns, and parent-child quality time.
It is all about Balance….. Energy Balance
The same amount of energy IN and energy OUT over time = weight stays the same More IN than OUT over time = weight gain More OUT than IN over time = weight loss
Robert Wood Johnson (RWJ) Publication
Nation's largest philanthropy devoted exclusively to improving the health and health care of all Americans
Works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change.
We Will Reverse the Epidemic of Childhood Obesity…..Risa Lavizzo-Mourey, MD, MBA (2006), President and Chief Executive Officer
Reading from document
1998 Obesity Trends* Among U.S. Adults BRFSS, 1990, 1998, 2006 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 2006 1990 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Easy to get around fast with vehicles or public transportation
Time in day limited for adding activities that require physical effort or exercise
Sports events are scheduled, no longer as spontaneous
Fatigue levels lead to easy fixes
Health clubs expensive
Working out and sweating purely for the calorie burnout or health benefit (not tied to some other outcome) not motivating and takes substantial commitment and determination to sustain
Habits…….physical activity can seem ordinary or extraordinary
Stand up and pull arms over head
Bend over & touch toes
Turn around 360 degrees
Jump up and down 10 times
??? Walk a circle in room
Remaining standing or get up 1-3x more during the remaining slides
Models for Change
Research on Prevention Interventions
Overall, obesity interventions that target children have shown marginal success, whereas programs that have targeted parents and families as the agent of change, with modeling and promotion of physical activity (in addition to behavioral counseling and nutrition education) are most effective.
Revamp delivery system to focus on prevention and chronic care
Address the toxic environment & the environments in which we live and work towards redesign for movement
Reinvest in the public health infrastructure to manage chronic illnesses
Engage the public in dialogue about the future
Our Focus in Rochester
Exploring and studying approaches
that partner different stakeholders
build on Dr. James Levine and colleagues research on NEAT
Targeting working parents (nurses) who are obese and have a child under 10 years
Aiming to increase NEAT within the work flow of registered nurses
The activities of living:
Mowing the lawn
Tapping your toes
Dr. Jim Levine’s Comments (July, 2007, Mayo Clinic Proceedings )
Emphasis is moving away from intermittent sweat-drenched bouts of arduous exercise to more frequent walking, whether in the park, at work, or at home
All exercise is good, more is better
Regardless of the study population, walking improves health
In the short span of 150 years, we have forsaken our legs as a means of locomotion, work, and leisure. We are designed to walk all day long, and Nemoto’s [research] article suggests that we should.
Robert Wood Johnson Executive Nurse Fellows Program Project Funds
Collaboration between Mayo, Public Health, Public Schools, & Winona State University
Partnering senior nursing students with 4-5 th grade elementary students and parents, and engaging teachers, to contractually establish and implement a walking and standing plan (assessed weekly) for one semester
Using WE CAN Program as a guide and resource
One Public Health Approach: We Can Campaign
WE CAN! : W ays to E nhance C hildren’s A ctivity & N utrition
A new public education outreach program designed to help children 8–13 years old stay at a healthy weight through improving, food choices, increasing physical activity, and reducing screen time.
W e Can! is unique because it focuses on parents and families in home and community settings.
We Can! is harnessing power through:
Programs in local communities throughout the country
Partnerships with other national organizations that care about children and their health
We Can….Learn It
View 60 second video clip
We Can…Live It
Wean the screen
We Can…Get Involved
Help your family
Help your patients
Run the We Can Program
Become a We Can Partner
Experience Journal Children’s Hospital Boston
One mother’s comments……
“ I think that, to support our children who struggle with weight or any kind of disease or illness, we should back them one hundred percent- especially where weight is concerned. Our whole family got on board......and we all made the changes necessary. Gavin wasn't left alone; he wasn't left to feel like well, this is his food, and that is our food. It was: this is everybody's food; this is what we all eat”.
“ We all made a change for the better because we all were not eating properly…..One person in a rowboat takes a long time to cross a lake. But with four or five people in that rowboat, it's so much easier”.