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Protecting kids from a most deadly disease!

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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!

  1. 1. Protecting kids from a most deadly disease! Ernie Medina, Jr., DrPH, CHFS August 17, 2011
  2. 2. “Physical Activity Evangelist”
  3. 3. Mission Inn Half Marathon, Nov. 14, 2010Team Medina in action!
  4. 4. “Nooo! Idon’t wantto exercise!”
  5. 5. “I’d ratherstay herein bed.”
  6. 6. Our kids’ lives are at stake!
  7. 7. Being a couch potato can kill you! (And it’s not the carbs…)
  8. 8. Worst risk factor? Sedentarianism   Hypokine1c  Dz  
  9. 9. 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
  10. 10. Hans  Kraus,  MD   1960  
  11. 11. May !
  12. 12. Let’s move
  13. 13. Why  be  physically  ac1ve?  
  14. 14. Benefits of PA well-known
  15. 15. 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  
  16. 16. 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  
  17. 17. 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  
  18. 18. 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
  19. 19. October, 2008 Rear Admiral Penelope Royallhttp://www.health.gov/paguidelines/
  20. 20. Rx forphysical activity
  21. 21. Aerobic - Kids60 minutes daily
  22. 22. Strength training - Kids3 days per week
  23. 23. Builds muscle AND bone!
  24. 24. Do something!Daily10 minute blocks
  25. 25. Rx#2: Move more!
  26. 26. 10,000 steps a day!
  27. 27. “How can I get kids tobe physically active?”
  28. 28. 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)
  29. 29. Fears about PA
  30. 30. Fun!
  31. 31. •  “Limit recreational screen time to less than 2 hours a day.” (CDC, USDHHS, IOM, Amer. Academy of Pediatrics, HP 2010)
  32. 32. RST oftenblamed!
  33. 33. Source: Ellen LaPointeHopeLab | Vice President, Strategic Partnershipswww.hopelab.org
  34. 34. Hope Lab’s
  35. 35. Accelerometers
  36. 36. CES 2011
  37. 37. Shellie PfohlExec. Dir.Presidents Council onFitness, Sports, &Nutrition Ernie@MedPlayTech.com
  38. 38. Exergaming
  39. 39. Loma Linda University Drayson Center XRtainment Zone Special needs Athletic training Senior physical, cognitive, Rehab & social fitness
  40. 40. Criticism against exergaming I support traditional… Meeting people where they are at
  41. 41. “I don’t like to exercise, but playinghere I get a great workout and itdoesn’t feel like exercising!”Gunnar, age 12
  42. 42. Drayson Center’s XRtainment Zone
  43. 43. Cardio test – 5 min Jackie Chan Run on XavixGrip test
  44. 44. Tanita TBF-300
  45. 45. 45 mins of nutritioninstruction:Label readingFood Choices (Nutripoints,NuVal, Pyramid)Physical activityPortionsEating outModifying recipes
  46. 46. 45-mins of exerciseExergaming Rx –circuit of games Encourage the parents to exercise with their kids!
  47. 47. Project Impact LifeEnergizebulls Exergame Fitness Center
  48. 48. 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
  49. 49. Next  genera*on  videogames   Sony’s  Move   Sept.  19,  2010   $99.00  Microso3’s  Kinect  Nov.,  2010,  $150  
  50. 50. ??
  51. 51. We need more evidence-based research!
  52. 52. www.exergamesunlocked.org
  53. 53. http://exergamenetwork.blogspot.com/
  54. 54. http://exergaming.pbworks.com
  55. 55. http://tinyurl.com/g4hjournalPR
  56. 56. http://www.humanagames.com/
  57. 57.  monitoring  Better use of resources  Increased pt satisfaction  Improved outcomes!Starts here…
  58. 58. Digital & VideogameGames for Health Healthcare
  59. 59. www.mobileAdventureWalks.com  
  60. 60. Mobile Game Watch Videos Solve Clues Answer Q’s Earn Points Next Location!
  61. 61. 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
  62. 62. Keep update on Facebook & Twitter
  63. 63. Man’s best friend… …needs exercise, too! Roxy Davy
  64. 64. www.dogtra.com
  65. 65. ConduciveEnivronment:Know yourlocal resources
  66. 66. hIp://*nyurl.com/BeAc*veDirectory;   hIp://*nyurl.com/BeAc*veMovie  
  67. 67. hIp://PhysicalAc*vityEvangelist.blogspot.com/  
  68. 68. The Physical Activity Evangelist’s 7 rulesfor motivating yourself & kids to be more active…
  69. 69. 1.  Walk  the  talk!  
  70. 70. 2.  Do  as  a  family  
  71. 71. 3. Provide appropriate environment
  72. 72. http://teamcyclefit.blogspot.com http://www.tripsforkids.org
  73. 73. 4.  Schedule  it!   Summer   Keri   2 hrs 4 minsMission Inn Half Marathon, Nov. 14, 2010
  74. 74. 5. Play & have fun!
  75. 75. 6. Yourreason,purpose
  76. 76. 7. Serve others, a cause
  77. 77. “I  need  YOU,  our  future  public  health  professionals,   to  help  me  fix  our   healthcare  system  by   geXng  kids  to  be  more   ac*ve!”  
  78. 78. Thank you! Emedina@epiclp.com   C:  909-­‐747-­‐5935  

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