Obesity in children in Trinidad and Tobago
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Obesity in children in Trinidad and Tobago

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Health promotion perspective

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Obesity in children in Trinidad and Tobago Presentation Transcript

  • 1. OBESITY IN CHILDREN IN TRINIDAD Presented by: Anuradha Boodoo-Balliram Natherly Ferguson Shomuela Griffith Terry Lawrence
  • 2. WHAT IS OBESITY? •Overweight and Obesity are defined as abnormal or excessive fat accumulation that may impair health. (WHO, 2013) •Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/ or increased health problems.
  • 3. WHAT IS CHILDHOOD OBESITY? •Childhood obesity is a serious medical condition that affects children and adolescents. It occurs when a child is well above the normal weight for his or her age and height
  • 4. STATISTICS (children ages 3-12) •In Trinidad and Tobago, research has shown that a quarter (25%) of school-aged children (5 – 18years) is overweight or obese. •One in four children is overweight. One third of our children so far have a cholesterol level over 200.(WHO 2013) •This country is the fifth fattest nation in the world, according to a recent report from the Food and Agriculture Organisation (FAO).
  • 5. •According to the World Health Organisation (WHO) 2010 figures, about 43 million children under age five are overweight. •According to research done in 2009/2011 by the Caribbean Food and Nutrition Institute •23% of primary school children in Trinidad and Tobago were overweight/obese •25% of students overweight/obese at secondary school were •14% of the children in secondary schools had been underweight. •In the last ten years in this country, obesity levels have tripled.
  • 6. DETERMINANTS •Lifestyle •Working moms •Availability of fast food •Technology
  • 7. Determinants •Genetics •Inherited genes •Hormonal causes
  • 8. Determinants •Importation of Culture •Foreign cable advertisements and T.V shows
  • 9. EFFECTS OF CHILDHOOD OBESITY •Physiological: ( Type II diabetes, high blood pressure, sleep apnea…) •Psychological: (low self-esteem, social discrimination…)
  • 10. PRIMARY PREVENTION METHODS
  • 11. Primary prevention is an action designed to prevent/reduce probability of disease occurring. Methods: • Teaching: Nurses should educate parents, children on healthy life styles. • Physical education : enforced in schools. “School children stay inside and play games instead of participating in P.E activities.” (Fuad Khan,2011)
  • 12. Practice Recommendations Nurses promote healthy eating and physical activity throughout the lifecycle but beginning at an early age by educating parents , importantly if parents are obese putting emphasis on Childhood obesity, associated health risks, ( chronic and acute) risk and protective factors
  • 13. Nurses promote healthy eating using Food Guide to Healthy Eating and focus on: •Using age-appropriate portion sizes; •Emphasizing fruits and vegetables; •Limiting sugar containing beverages (e.g., soft drinks and fruit juices); •Limiting consumption of energy-dense snack foods high in sugar and fat (e.g. potato chips, french fries, candy) •Breakfast consumption
  • 14. Nurses promote increased physical activity based on Guides for Children and Youth using interventions with one or more of the following components: •Behaviour modification. • •Leisure activity of low intensity that is gradually increased to recommended levels. •Sustained, repeated interventions.
  • 15. Nurses promote a decrease in sedentary activities with emphasis on reducing the amount of time clients spend watching TV, playing video games, and engaging in recreational computer use.
  • 16. Secondary Prevention Methods
  • 17. Secondary prevention aims to halt or slow the progress of disease (if possible) in its earliest stages. Methods: • Height/Weight (BMI), Blood Sugar, Cholesterol and Blood Pressure screening for children – (available at Community health Center). • Children at Childhood Healthy Lifestyle Clinic (Wendy Fitzwilliams Paediatric Hospital) screened.
  • 18. Practice Reommendations Nurses work with school communities to implement school-based strategies for the prevention of obesity using a multi-component approach including: •Integrating healthy lifestyle messages into curriculum •Advocating for and supporting implementation of quality daily physical •Education taught education teachers; by specialist the physical
  • 19. • Advocating for and supporting the implementation of quality daily physical activity (including vigorous physical activity) • Using youth driven approaches with information and advocacy component. an • Offering healthy choices in cafeterias and vending machines; • Increasing physical activity opportunities at recess and during lunch breaks • Forming community coalitions. partnerships and
  • 20. •Nurses support a family-centred approach to promote healthy eating and physical activity. •Nurses assess physical growth and development of children and adolescents which includes: •Discussing and documenting basic dietary patterns •Discussing and documenting physical activity patterns including sedentary activity (e.g., television and computer time)
  • 21. •Identifying individual and factors for childhood obesity family risk •Accurately measuring and recording height and weight •Calculating Body Mass Index (BMI) for children two years of age and older
  • 22. TERTIARY PREVENTION METHODS Tertiary prevention aims to prevent further physical deterioration and maximize quality of life. Methods: • The Ministry of Health conducted a Childhood Healthy Lifestyle Camp, 'The Wee Fit Camp' at Mount Hope Hospital.
  • 23. About The WEE FIT CAMP • Participants in the Wee Fit Camp are currently enrolled in the Childhood Healthy Lifestyle Clinic at the Wendy Fitzwilliams Paediatric Hospital. • Camp held for (50) children aged 7-12 years old from primary schools in St. George East County. • Children are screened and assessed as overweight or obese by school nurses of the St. George East County
  • 24. WeeFit Camp is geared towards promoting healthy lifestyles . The objectives of the camp were: • Promote healthy nutrition by focusing on making healthy food choices, using correct portion sizes, and eating fruit and vegetables daily. • Promote active lifestyles through the use of fun, and physical activities. • Promote and improve self confidence and self esteem in the children.