Sheronda Johnson JU_512 Healthcare Promotion Program

1. LET’S MOVE!
Sheronda L. Johnson, BSN, CCRN
Nursing 512
Jacksonville University

2. PROGRAM OVERVIEW
• Let’s Move! Campaign launched Feb. 9, 2010 by First Lady Michelle Obama
• Campaign against childhood obesity
• Comprehensive initiative that involved everyone from parents, schools,
church organizations, and government officials

3. 5 PILLARS OF THE LET’S MOVE!
INITIATIVE
• Creating a healthy beginning for children
• Empowering parents and caregivers
• Providing healthy food in schools
• Improving access to healthy, affordable foods
• Increasing physical activity
(www.Letsmove.gov)

4. SEVERITY OF THE PROBLEM OF
CHILDHOOD OBESITY
• Childhood obesity rates have tripled over past 30 years
• Almost 1 in 3 children are overweight or obese
• Overweight and obese children suffer the same obesity-related health issues as their
adult counterparts
• Cardiovascular disease (CVD)
• 60% of overweight children have at least 1CVD risk factor
• 25% of overweight children have 2 or more CVD risk factors
• Cardiovascular disease risk factors:
• Type 2 Diabetes
• Hypertension
• Asthma
• Sleep Apnea (www.Letsmove.gov)

5. SEVERITY OF THE PROBLEM OF
CHILDHOOD OBESITY
• In the African American and Hispanic population, approximately 40% of
children are overweight or obese
• Obese children and teens are 5 times more likely become obese as adults
• Social Discrimination
• Low self-esteem may affect academic and social function and may continue
into adulthood
• Physical fitness has been associated with higher achievement
(www.letsmove.gov)

6. CURRENT CHILDHOOD AND
ADOLESCENT LIFESTYLES
• Gym class and afterschool
programs have been eliminated
from public schools
• 1 in 3 high school student get the
recommended amount of physical
activity
• Goal: 60 minutes, 5 days a week
• Increased snacking and portion
sizes
• Increased fast food intake
• Increased use of media and
electronics
• 8-18 year olds spend an average of
7.5 hours per day using
entertainment media
• TV
• Cell phones
• Internet
• Video games
(www.letsmove.gov)

7. PORTION SIZES
• Portion sizes have increased 2-5 times larger than in past years
• 31% more caloric intake compared to 40 years ago
• 56% more intake of fats and oils
• 14% more sugar
• Average American consumes 15 pounds of sugar per year!!!
(www.letsmove.gov)

8. PORTION SIZE VS. COST

9. PROGRAM ACCOMPLISHMENTS
• The Department of Defense updated nutritional standards for our troops and
their families
• The Disney company pledged to meet federal standards to limit calories,
sugar, and sodium, and promote fruits and vegetables by 2015
• Commitments from Walmart, Walgreens, and other regional grocers will:
• Build or expand in communities with limited or no access to healthy food
• Creating 1,000s of jobs
• Provide access to fresh food who currently have limited access
• The Fresh Works Fund- committed $200 million to this effort to increase access to
healthy food
(www.letsmove.gov)

10. DESIRED CHANGE
• Decrease in childhood obesity in low-income areas
• Evidence of progress per CDC Report
• 13% decrease in obesity in Mississippi
• Decreases in New York City, Philadelphia, and California
• From 40 states, the District of Columbia, U.S. Virgin Islands, and Puerto Rico:
• 20 reported steady rates of obesity and improvement from growing trend over
past 30 years
• 19 reported declines
(www.letsmove.gov)

11. DESIRED CHANGE

12. MONITORING PROGRAM
OUTCOMES
Monitoring overall trends in childhood obesity:
1. The number of children eating a healthy diet by monitoring the HEI score
• Healthy Eating Index (HEI)- measures the quality of diet that assesses adherence
to federal dietary recommendations
• 2010 HEI current score55.9
• 2015 HEI score goal 65
• 2020 HEI score goal 70
• 2030 HEI score goal  80
(www.letsmove.gov)

13. MONITORING PROGRAM
OUTCOMES
Monitoring overall trends in childhood obesity
Two Targeted indicators:
• Increase fresh fruit and vegetables
• More fruits and vegetables
• Current fruit intake64%
• Goal: 75% by 2015, 85% by 2020, 100% by 2030
• Current vegetable intake46%
• Less added sugar in children’s diet
• Targets for reducing sugar consumption are being established
• Goal is to decrease obesity rates to 5% by 2030
(www.letsmove.gov)

14. MONITORING PROGRAM
OUTCOMES
2. The amount of children meeting the current physical activity
recommendation
• Currently tracking of physical activity is limited to high school students
• A survey tool is being developed to monitor children of all ages
• After baseline data is collected and reviewed, interventions will be developed to
improve the level of physical activity
• By 2015, 2.5% reduction
• By 2020, 5 % reduction
• Overall goal is to decrease childhood obesity to 5% by 2030

15. FINANCING AND REVISION OF
PROGRAM
• Financial cost of this program was $4.5 million
• A Task Force on Childhood Obesity
• Signed by President Obama to review of programs and policies
• Create a plan to maximize federal resources and set firm benchmarks toward
Let’s Move! Goals
• Responsible for revisions and recommendations
(Barnes, 2011)

16. PROGRAM SUSTAINABILITY
• The overwhelming nationwide response to partnership with the Let’s Move!
campaign will sustain the longevity of this program
• Subway
• Disney
• United States Tennis Association (USTA)
• Partnership for a Healthier America (PHA)
• USDA
• My Plate Campaign
• Department of Defense
• Walmart Nutrition Charter
• New nutrition charter to lower the cost of fruits and veggies
• Let’s Move! Has a multitude of supporters of this campaign
(Barnes, 2011)

17. PROGRAM SUSTAINABILITY
Government officials on the local and state levels to support changes in
schools
• Salad Bars to Schools
• Smart Snacks in Schools
• Implemented by the USDA in 2014
• Let’s Move Outside!
• Let’s Move Active Schools-
• promotes activity before, during, and after school
• Community programs have committed to the success of this program and to
improve the quality of life of the children in their community
• YMCA
• Faith United to End Childhood Obesity and Save the Children
(Barnes, 2011)

18. ACCOUNTABILITY OF PROGRAM
EVALUATION
• Unintended Effects
• There are no unintended effects of this program to report
• Providing Information
• Program progress is documented in the CDC’s annual National Health and
Nutrition Examination Survey (NHANES)
• Collected every 2 years
• Accreditation
• This is federal government supported program not seeking accreditation

19. “The physical and emotional health of an entire generation and the
economic health and security of our nation is at stake.” – Michelle Obama
Are you doing your part?
Let’s Move!

20. THANK YOU

21. REFERENCES
• Barnes, M. (2011, May). Solving the Problem of Childhood Obesity within a
Generation. Retrieved from http://www.letsmove.gov/:
http://www.letsmove.gov/sites/letsmove.gov/files/TaskForce_on_Childhood_
Obesity_May2010_FullReport.pdf
• Let's Move! (n.d.). Retrieved May 14, 2015, from http://www.letsmove.gov/