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Protecting kids from a most deadly disease!

Protecting kids from a most deadly disease!



Lecture given by Ernie Medina, Jr., DrPH, on Aug. 17, 2011, for a grad class at Loma Linda Univ. School of Public Health. Professor: Serena Tonstadt, MD. Topic: getting kids to be more physically ...

Lecture given by Ernie Medina, Jr., DrPH, on Aug. 17, 2011, for a grad class at Loma Linda Univ. School of Public Health. Professor: Serena Tonstadt, MD. Topic: getting kids to be more physically active.



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    Protecting kids from a most deadly disease! Protecting kids from a most deadly disease! Presentation Transcript

    • Protecting kids from a most deadly disease! Ernie Medina, Jr., DrPH, CHFS August 17, 2011
    • “Physical Activity Evangelist”
    • Mission Inn Half Marathon, Nov. 14, 2010Team Medina in action!
    • “Nooo! Idon’t wantto exercise!”
    • “I’d ratherstay herein bed.”
    • Our kids’ lives are at stake!
    • Being a couch potato can kill you! (And it’s not the carbs…)
    • Worst risk factor? Sedentarianism   Hypokine1c  Dz  
    • Public release date: 22-Jul-2010Contact: David Sampsondavid.sampson@cancer.orgAmerican Cancer SocietyStudy links more time spent sitting to higher risk of deathRisk found to be independent of physical activity levelA new study from American Cancer Society researchers finds its not just how muchphysical activity you get, but how much time you spend sitting that can affect yourrisk of death. Researchers say . They conclude that public healthmessages should promote both being physically active and reducing time spentsitting. The study appears early online in the American Journal of Epidemiology.Article: "Leisure Time Spent Sitting in Relation to Total Mortality in a Prospective Cohort of US Adults." Alpa V. Patel, LeslieBernstein, Anusila Deka, Heather Spencer Feigelson, Peter T. Campbell, 5 Susan M. Gapstur, Graham A. Colditz, andMichael J. Thun. Am J Epid Published online July 22, 2010 (DOI: 10.1093/aje/kwq155).Link to abstract: http://aje.oxfordjournals.org/cgi/content/abstract/kwq155
    • Hans  Kraus,  MD   1960  
    • May !
    • Let’s move
    • Why  be  physically  ac1ve?  
    • Benefits of PA well-known
    • Strong scientific evidence•  Lower risk of •  Prevent weight gain –  Early death •  Weight loss (with diet) –  CHD •  Improved cardioresp. & –  CVD muscular fitness –  DM2 •  Prevention of falls –  Metabolic syndrome –  HTN •  Reduced depression –  High lipids •  Better cognitive fx in –  Colon & breast CA older adults US  Dept  of  Health  &  Human  Services,  2008  
    • Strong evidence in kids •  Improved cardioresp endurance & muscular fitness •  Favorable body composition •  Improved bone health •  Improved cardiovascular & metabolic health biomarkersModerate  evidence…    Reduced  symptoms  of  anxiety  &  depression  
    • Moderate to strong… •  Better functional health (older adults) •  Reduced abdominal obesityModerate…    Weight  maintenance  aLer  loss    Lower  risk  of  hip  fracture    Increased  bone  density    Improved  sleep  quality    Lower  risk  of  lung,  endometrial  CA  
    • Know benefits, yet 56.5 % aren’t doing! 81.6% kids (81.8% of adults) 18.4 % kids did meet 60” daily Hypokinetic disease is deadly!!! Source: Healthy People 2020; National YRBS 1991-2009
    • October, 2008 Rear Admiral Penelope Royallhttp://www.health.gov/paguidelines/
    • Rx forphysical activity
    • Aerobic - Kids60 minutes daily
    • Strength training - Kids3 days per week
    • Builds muscle AND bone!
    • Do something!Daily10 minute blocks
    • Rx#2: Move more!
    • 10,000 steps a day!
    • “How can I get kids tobe physically active?”
    • http://www.childtrends.org*Parents who do not exercise*Overweight*Spend a lot of time with electronic media*Non-supportive neighborhood (safety, don’t know neighbors, etc)
    • Fears about PA
    • Fun!
    • •  “Limit recreational screen time to less than 2 hours a day.” (CDC, USDHHS, IOM, Amer. Academy of Pediatrics, HP 2010)
    • RST oftenblamed!
    • Source: Ellen LaPointeHopeLab | Vice President, Strategic Partnershipswww.hopelab.org
    • Hope Lab’s
    • Accelerometers
    • CES 2011
    • Shellie PfohlExec. Dir.Presidents Council onFitness, Sports, &Nutrition Ernie@MedPlayTech.com
    • Exergaming
    • Loma Linda University Drayson Center XRtainment Zone Special needs Athletic training Senior physical, cognitive, Rehab & social fitness
    • Criticism against exergaming I support traditional… Meeting people where they are at
    • “I don’t like to exercise, but playinghere I get a great workout and itdoesn’t feel like exercising!”Gunnar, age 12
    • Drayson Center’s XRtainment Zone
    • Cardio test – 5 min Jackie Chan Run on XavixGrip test
    • Tanita TBF-300
    • 45 mins of nutritioninstruction:Label readingFood Choices (Nutripoints,NuVal, Pyramid)Physical activityPortionsEating outModifying recipes
    • 45-mins of exerciseExergaming Rx –circuit of games Encourage the parents to exercise with their kids!
    • Project Impact LifeEnergizebulls Exergame Fitness Center
    • TRAQ is a medically-based, health, fitness and performance enhancement resource now beingshowcased at the Cleveland Clinic’s Western Medical Campus. TRAQ 3D offers both profitableprivate-pay prevention and performance enhancement programs, as well as medically-reimbursableclinical services. http://www.traq3d.com/Healthcare/Healthcare.aspx
    • Next  genera*on  videogames   Sony’s  Move   Sept.  19,  2010   $99.00  Microso3’s  Kinect  Nov.,  2010,  $150  
    • ??
    • We need more evidence-based research!
    • www.exergamesunlocked.org
    • http://exergamenetwork.blogspot.com/
    • http://exergaming.pbworks.com
    • http://tinyurl.com/g4hjournalPR
    • http://www.humanagames.com/
    •  monitoring  Better use of resources  Increased pt satisfaction  Improved outcomes!Starts here…
    • Digital & VideogameGames for Health Healthcare
    • www.mobileAdventureWalks.com  
    • Mobile Game Watch Videos Solve Clues Answer Q’s Earn Points Next Location!
    • How to Get Started•  Get notified when it’s available, sign up for mailing list at: www.MobileAdventureWalks.com•  Get involved: Email Fun@MobileAdventureWalks. com to find out how to create your own Adventure Walk
    • Keep update on Facebook & Twitter
    • Man’s best friend… …needs exercise, too! Roxy Davy
    • www.dogtra.com
    • ConduciveEnivronment:Know yourlocal resources
    • hIp://*nyurl.com/BeAc*veDirectory;   hIp://*nyurl.com/BeAc*veMovie  
    • hIp://PhysicalAc*vityEvangelist.blogspot.com/  
    • The Physical Activity Evangelist’s 7 rulesfor motivating yourself & kids to be more active…
    • 1.  Walk  the  talk!  
    • 2.  Do  as  a  family  
    • 3. Provide appropriate environment
    • http://teamcyclefit.blogspot.com http://www.tripsforkids.org
    • 4.  Schedule  it!   Summer   Keri   2 hrs 4 minsMission Inn Half Marathon, Nov. 14, 2010
    • 5. Play & have fun!
    • 6. Yourreason,purpose
    • 7. Serve others, a cause
    • “I  need  YOU,  our  future  public  health  professionals,   to  help  me  fix  our   healthcare  system  by   geXng  kids  to  be  more   ac*ve!”  
    • Thank you! Emedina@epiclp.com   C:  909-­‐747-­‐5935