Marlborough Parent Wellness Committee Training

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MarlboroughParent Wellness Committee Training 3

• Changing the Fitness Mindset
• Hakeem O. Adeniyi, Jr., MS2
• Wayne Altman, MD
• Tufts University School of Medicine

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Obesity Trends Among U.S. Adults Between 1985 and
2004

• During the past 20 years there has been a
  dramatic increase in obesity in the United
  States. In 1985 only a few states were
  participating in CDC's BRFSS and providing
  obesity data. In 1991, four states had obesity
  prevalence rates of 15-19 percent and no states
  had rates at or above 20 percent.
• In 2004, 7 states had obesity prevalence rates of
  1519 percent 33 states had rates of 2024
  percent and 9 states had rates more than 25
  percent.

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Obesity Trends Among U.S. AdultsBRFSS, 1991,
1996, 2004
(BMI ?30, or about 30 lbs overweight for 54
person)
1996
2004
No Data lt10 1014
1519 2024 25
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• In 1999, 1 in every 7 school-aged children (6-19)
  in the United States were overweight.
• This prevalence has nearly tripled for
  adolescents in the past 2 decades.

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• Risk factors for heart disease, such as high
  cholesterol and high blood pressure, occur with
  increased frequency in overweight children and
  adolescents compared to children with a healthy
  weight.

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• Type 2 diabetes, previously considered an adult
  disease, has increased dramatically in children
  and adolescents. Overweight and obesity are
  closely linked to type 2 diabetes.

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• According to new report by the CDC, one in three
  American children born in 2000 will develop
  diabetes in his or her lifetime.

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• Overweight adolescents have a 70 chance of
  becoming overweight or obese adults. This
  increases to 80 if one or more parent is
  overweight or obese.

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• Overweight or obese adults are at risk for a
  number of health problems including heart
  disease, type 2 diabetes, high blood pressure,
  and some forms of cancer.

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• The most immediate consequence of overweight as
  perceived by the children themselves is social
  discrimination. This is associated with poor
  self-esteem and depression.

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What can be done to reverse the childhood obesity
trend?

• Nutrition
• Exercise

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What are the benefits of exercise?
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• Exercise burns calories and may increase the
  resting metabolic rate such that more calories
  are used even while not exercising.

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• Exercise can improve blood sugar control and
  insulin sensitivity, and may prevent the
  development of type 2 diabetes.

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• Exercise improves the blood fats (lipid
  profile) by
• Raising HDL (good cholesterol) levels
• Lowering LDL (bad cholesterol) levels
• Decreasing triglyceride levels

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• Exercise reduces the risk of cardiovascular
  disease
• Heart Attack
• Stroke

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• Exercise helps to build and maintain healthy
  bones, muscles and joints.

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• Exercise reduces the risk of developing colon
  cancer.

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• Exercise is associated with reduced tension,
  anxiety, and depression.

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Have we convinced you yet?
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How can we increase physical fitness?

• In yourself
• In your family
• In your schools
• In your community

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• It is recommended that children accumulate 60
  minutes of moderate physical activity most days
  of the week.
• Even greater amounts of physical activity may be
  necessary for the prevention of weight gain, for
  weight loss, or for sustaining weight loss.
• Plan family activities that provide everyone with
  exercise and enjoyment.

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• Provide a safe environment for your children and
  their friends to play actively
• Encourage swimming, biking, skating, ball sports,
  and other fun activities.

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• Reduce the amount of time you and your family
  spend in sedentary activities
• Watching TV, playing video games, and/or using
  the computer
• Limit Screen time to less than 2 hours a day.

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What are some other options?
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• Promote collaboration between physical education
  and classroom teachers.
• Physical education teachers might provide ideas
  for "fitness breaks" to classroom teachers, where
  5-minute aerobic activities could be used to
  break up the school day.

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• Provide extracurricular physical activity
  programs.
• Interested teachers and parents might be
  encouraged to establish developmentally
  appropriate clubs and/or intramural activities of
  a competitive and noncompetitive nature.
• Walking clubs, in-line skating, jumping rope,
  water aerobics, and intramural swim teams.

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• Coordinate physical activities with community
  agencies.
• Schools might allow use of school facilities by
  community agencies that sponsor physical activity
  programs
• Facilitate training programs for volunteer youth
  coaches
• Invite community groups to an "activity fair" for
  students in the school gymnasium, or provide a
  listing of community physical activity resources
  to students.

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• Provide physical and social environments that
  encourage and enable physical activity.
• Allow access to facilities before and after
  school hours and during vacation periods
• Encourage teachers to provide time for
  unstructured physical activity during recess and
  during physical education class
• Help school personnel to serve as active role
  models by enabling and encouraging their own
  participation in physical activity.

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• Encourage and enable parental involvement in
  physical activity.
• Schools can help encourage activity in parents by
  sending home activity homework that parents and
  children do together
• Recruiting parent volunteers for PE Classes
• Sponsoring parent-child activity programs at
  school.

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Walking School Bus

• A group of students walking to school with one or
  more adults.
• Children are part of a large, visible and
  supervised group, which re-assures parents who
  are concerned about letting their children walk
  on their own
• Children learn pedestrian safety skills while
  getting regular exercise
• Car traffic around the schools is reduced
• The "bus drivers" become "eyes on the streets in
  their neighborhood and can help identify unsafe
  areas along the route.

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Bicycle Rodeo

• A course with stations testing different
  bicycle-riding skills
• Give a large number of children at least a basic
  understanding of the rules of the road
• Educate families about elementary bike safety
• Give trained personnel a chance to look over the
  equipment the kids are riding
• Involve parents, teachers, or a local civic
  organization in a worthwhile activity

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What can be done to reverse the childhood obesity
trend?

• Metanoia
• Changing the mind
• Changing the culture

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List of Fitness Resources

• http//www.activelivingresources.org/
• http//www.walkingschoolbus.org/
• http//www.adventurecycling.org/
• http//www.cdc.gov/nccdphp/dnpa/physical/index.htm
  l
• http//www.kidsource.com/kidsource/content4/promot
  e.phyed.html

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What are your suggestions?