Protecting kids from a most
     deadly disease!

  Ernie Medina, Jr., DrPH, CHFS

        August 17, 2011
“Physical Activity
   Evangelist”
Mission Inn Half Marathon, Nov. 14, 2010



Team Medina in action!
“Nooo! I
don’t want
to exercise!”
“I’d rather
stay here
in 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-2010

Contact: David Sampson
david.sampson@cancer.org
American Cancer Society

Study links more time spent sitting to higher risk of death
Risk found to be independent of physical activity level
A new study from American Cancer Society researchers finds it's not just how much
physical activity you get, but how much time you spend sitting that can affect your
risk of death. Researchers say
                                                  . They conclude that public health
messages should promote both being physically active and reducing time spent
sitting. 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, Leslie
Bernstein, Anusila Deka, Heather Spencer Feigelson, Peter T. Campbell, 5 Susan M. Gapstur, Graham A. Colditz, and
Michael 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 biomarkers

Moderate	
  evidence…	
  
      Reduced	
  symptoms	
  of	
  anxiety	
  &	
  depression	
  
Moderate to strong…
     •  Better functional health (older
        adults)
     •  Reduced abdominal obesity
Moderate…	
  
      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 Royall




http://www.health.gov/paguidelines/
Rx for
physical
 activity
Aerobic - Kids
60 minutes daily
Strength training - Kids
3 days per week
Builds muscle AND bone!
Do something!
Daily
10 minute blocks
Rx#2: Move more!
10,000 steps a day!
“How can I get kids to
be 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
 often
blamed!
Source: Ellen LaPointe
HopeLab | Vice President, Strategic Partnerships
www.hopelab.org
Hope Lab’s
Accelerometers
CES 2011
Shellie Pfohl
Exec. Dir.
Presidents Council on
Fitness, 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 playing
here I get a great workout and it
doesn’t feel like exercising!”
Gunnar, age 12
Drayson Center’s XRtainment Zone
Cardio test – 5 min Jackie
            Chan Run on Xavix




Grip test
Tanita TBF-300
45 mins of nutrition
instruction:

Label reading
Food Choices (Nutripoints,
NuVal, Pyramid)
Physical activity
Portions
Eating out
Modifying recipes
45-mins of exercise
Exergaming Rx –
circuit of games




                      Encourage the
                      parents to exercise
                      with their kids!
Project Impact Life




Energizebulls Exergame Fitness Center
TRAQ is a medically-based, health, fitness and performance enhancement resource now being
showcased at the Cleveland Clinic’s Western Medical Campus. TRAQ 3D offers both profitable
private-pay prevention and performance enhancement programs, as well as medically-reimbursable
clinical 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 & Videogame




Games 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
Conducive
Enivronment:

Know your
local resources
hIp://*nyurl.com/BeAc*veDirectory;	
  
 hIp://*nyurl.com/BeAc*veMovie	
  
hIp://PhysicalAc*vityEvangelist.blogspot.com/	
  
The Physical Activity Evangelist’s
             7 rules
for 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 mins




Mission Inn Half Marathon, Nov. 14, 2010
5. Play & have fun!
6. Your
reason,
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	
  

Protecting kids from most deadly dz