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Obesity Final Presentation2

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Obesity Final Presentation2

  1. 1. Childhood Obesity<br />Group B<br />
  2. 2. Big<br />The<br />Picture<br />
  3. 3. The U.S. is in the midst of an epidemic of obesity involving more than one third of the adult population, which is approx.<br />60 millionpeople.<br />
  4. 4.
  5. 5. Obesity Defined<br />BMI = [Lbs./ (Height in inches)2] x703<br />Or… BMI ≠ accurate predictor of risk<br />
  6. 6. Trends<br /><ul><li>Continuing with the trajectory of the past 30 years would result in 86% of Americans becoming overweight or obese by 2030, with 1 in every 6 health care dollar being spent on obesity and its sequellae.
  7. 7. In 2008, only one state (Colorado) had a prevalence of obesity less than 20%. Thirty-two states had a prevalence equal to or greater than 25%; six of these states (Alabama, Mississippi, Oklahoma, South Carolina, Tennessee, and West Virginia ) had a prevalence of obesity equal to or greater than 30%.</li></ul>http://www.youtube.com/watch?v=7iBHm5zji_Y<br />
  8. 8. Obesity Trends* Among U.S. AdultsBRFSS,1990, 1999, 2008<br />(*BMI 30, or about 30 lbs. overweight for 5’4” person)<br />1999<br />1990<br />2008<br />No Data &lt;10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%<br />
  9. 9. Obesity Trends* Among U.S. AdultsBRFSS, 1985<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14%<br />
  10. 10. Obesity Trends* Among U.S. AdultsBRFSS, 1986<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14%<br />
  11. 11. Obesity Trends* Among U.S. AdultsBRFSS, 1987<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14%<br />
  12. 12. Obesity Trends* Among U.S. AdultsBRFSS, 1988<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14%<br />
  13. 13. Obesity Trends* Among U.S. AdultsBRFSS, 1989<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14%<br />
  14. 14. Obesity Trends* Among U.S. AdultsBRFSS, 1990<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14%<br />
  15. 15. Obesity Trends* Among U.S. AdultsBRFSS, 1991<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% <br />
  16. 16. Obesity Trends* Among U.S. AdultsBRFSS, 1992<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% <br />
  17. 17. Obesity Trends* Among U.S. AdultsBRFSS, 1993<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% <br />
  18. 18. Obesity Trends* Among U.S. AdultsBRFSS, 1994<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% <br />
  19. 19. Obesity Trends* Among U.S. AdultsBRFSS, 1995<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% <br />
  20. 20. Obesity Trends* Among U.S. AdultsBRFSS, 1996<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% <br />
  21. 21. Obesity Trends* Among U.S. AdultsBRFSS, 1997<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% ≥20%<br />
  22. 22. Obesity Trends* Among U.S. AdultsBRFSS, 1998<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% ≥20%<br />
  23. 23. Obesity Trends* Among U.S. AdultsBRFSS, 1999<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% ≥20%<br />
  24. 24. Obesity Trends* Among U.S. AdultsBRFSS, 2000<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% ≥20%<br />
  25. 25. Obesity Trends* Among U.S. AdultsBRFSS, 2001<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% 20%–24% ≥25%<br />
  26. 26. Obesity Trends* Among U.S. AdultsBRFSS, 2002<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% 20%–24% ≥25%<br />
  27. 27. Obesity Trends* Among U.S. AdultsBRFSS, 2003<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% 20%–24% ≥25%<br />
  28. 28. Obesity Trends* Among U.S. AdultsBRFSS, 2004<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br />No Data &lt;10% 10%–14% 15%–19% 20%–24% ≥25%<br />
  29. 29. Obesity Trends* Among U.S. AdultsBRFSS, 2005<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br /> No Data &lt;10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%<br />
  30. 30. Obesity Trends* Among U.S. AdultsBRFSS, 2006<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br /> No Data &lt;10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%<br />
  31. 31. Obesity Trends* Among U.S. AdultsBRFSS, 2007<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br /> No Data &lt;10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%<br />
  32. 32. Obesity Trends* Among U.S. AdultsBRFSS, 2008<br />(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)<br /> No Data &lt;10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%<br />
  33. 33. Causes and Risk Factors<br /><ul><li>Poor diet
  34. 34. Lack of physical activity
  35. 35. Genetics
  36. 36. Culture
  37. 37. Certain medical disorders
  38. 38. Environment Metabolism
  39. 39. Lifestyle
  40. 40. Psychological factors
  41. 41. Lack of knowledge</li></li></ul><li>Health Implications<br />Coronary heart disease<br />Type 2 diabetes<br />Hypertension<br />Non-alcoholic fatty liver disease <br />Increased risk of disability<br />
  42. 42. Health Implications<br />Also linked with mental health conditions such as :<br />Depression<br />Low self-esteem<br />Feelings of shame<br />Many obese people are discriminated against and the targets of insults and verbal abuse<br />
  43. 43. Who is affected?<br />Everyone… Even your dog.<br />
  44. 44. How Obesity Harms A Child<br />Brain<br />Heart <br />Liver<br />Pancreas <br />Growth Plates<br />
  45. 45.
  46. 46.
  47. 47.
  48. 48.
  49. 49.
  50. 50. Emotional Effects of Childhood Obesity<br />Obese White and Hispanic girls 13-14 years old<br />Significantly diminished self-esteem levels than non-obese girls<br />Increased loneliness, sadness, nervousness<br />More likely to engage in unhealthy activities (smoking and drinking) -Richard S. Strauss, M.D. (Jan 2000).<br />
  51. 51. Childhood Obesity Trends<br />1971-2006<br />
  52. 52.
  53. 53. Federal Policies on Obesity<br />“(A) a physical or mental impairment that substantially limits one or more of the major life activities of such individual [such as walking, or working]; (B) a record of such an impairment; or (C) being regarded as having such an impairment.” <br />-Americans with Disabilities Act<br />
  54. 54. Federal Policies on Obesity<br />“…temporary, non-chronic impairments of short duration, with little or no long term or permanent impact, are usually not disabilities…Similarly, except in rare circumstances, obesity is not considered a disabling condition.” <br />ADAObesityprotection<br />
  55. 55. Court Decisions<br />Cook v. Rhode Island Department of Mental health, Retardation and Hospitals<br />Francis v. City of Meriden<br />EEOC v. Watkins<br />
  56. 56. Obesity Legislation Up For Reauthorization in 2009 <br />Child Nutrition and Special Supplemental Nutrition Program for Women, Infants and Children Act<br />Elementary and Secondary Education Act<br />
  57. 57. Obesity Legislation Up For Reauthorization in 2009 <br />Safe, Accountable, Flexible, Efficient Transportation Equity Act<br />Supports transportation by “bike, foot, or other non-motorized means”<br />Number of children walking to/from school: 48% in 1969 vs. 16% in 2001<br />
  58. 58. Children’s Health Insurance Program (CHIP) Act<br />Obesity Legislation Up For Reauthorization in 2009 <br />
  59. 59. New Health Care Reform and Childhood Obesity<br />Obesity Legislation Up For Reauthorization in 2009 <br />
  60. 60. State Obesity-Related Legislation<br />
  61. 61. School Focused Legislation<br />
  62. 62. Interventions<br />Community programs of health promotion through lifestyle change<br />Education programs<br />Facilitating the development of new habits and routines<br />Lifestyle Redesign® programs; recommendation of home modifications<br />Adaptations/equipment<br />Compensatory training in ADL and IADL<br />Wellness programs for children, teens, and adults; play and physical education in the schools<br />Safe patient-handling programs in hospitals and skilled-nursing facilities; and post-surgical acute-care interventions<br />
  63. 63. Equipment<br />Expandable support surface bariatric beds,<br />Weight-rated portable bedside hoyer lifts, <br />Weight-rated wheelchairs, <br />Bariatric bedside commodes and shower chairs, <br />HoverMat<br />Bariatric tilt tables <br />Bariatric rolling and standard walkers, <br />Bariatric sliding boards, etc. <br />
  64. 64. People and Perspectives<br />Who is impacted by childhood obesity?<br />
  65. 65. People and Perspectives<br />Case Study<br />
  66. 66. People and Perspectives<br />Arguments supporting occupational therapists play a role in childhood obesity.<br />Arguments against occupational therapists playing a role in childhood obesity.<br />
  67. 67. OT Practice<br />“AOTA endorsed occupational therapy intervention as a way to meet the needs of children and adolescents who are at risk for overweight status or obesity caused by controllable lifestyle factors.” <br />AOTA adopted a statement -2006.<br />
  68. 68.
  69. 69. Prevention<br />Advocacy/policy<br />Educational programs<br />
  70. 70. Interventions<br />Working with families<br />Changing habits<br />Working with school systems<br />Environment modification<br />ADLs/IADLs<br />
  71. 71. Ots = imperative in changing policy to fix the issue that is derived from factors both on a macro and micro level.<br />

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