Title: A COORDINATED APPROACH WILL RESULT IN...
1Nutrition Task Force
Community Resources and The Growth Screening
Program Workshop
School Nursing in 2005 Monday, January 17,
2005 1200 PM to 300 PM
2Washington County Health Partners, Inc.
- Not-for-profit, 501(c) 3 organization
- Dedicated to the enhancement of the health and
well-being of Washington County residents. - Assesses the countys health status periodically
- Works through volunteer task forces and programs
to address identified health issues - Currently 7 task forces and 2 programs
Nutrition Task Force
3Nutrition Task Force Background
- Created in July 2004
- Focus on promoting and supporting healthy
lifestyles for all children and the adults that
impact their homes, schools, and neighborhoods. - Healthy lifestyles defined as living actively,
eating in healthy ways, and encouraging positive
body image and self esteem.
Nutrition Task Force
4Task Force Members
- American Cancer Society, Kathleen Row
- Burgettstown School District, Jan Marietta, RN
- Canonsburg General Hospital, Sandy Hoffman, RN
- Community Action Southwest WIC Program, Judy
Holtz, RD - Family Health Council, Nancy Pauli
- Gateway Health Plan, Connie Osborne
- Highmark Corporation, Lynne Marchese
- Monongahela Valley Hospital, Debbie Hutcheson,
RD, MS, CDE and Linda Kolano, RD, LDN - PA Educational Network for Eating Disorders,
Anita Sinicrope Maier, MSW and Jen Sylves - Pediatric Associates of Washington, Fran Sylvers,
CRNP - Penn State Cooperative Extension, Carolyn
Wissenbach - Pennsylvania Department of Health, Maureen Smith,
RN, BSN - Private Registered Dietitian, Lea Ann Ostergaard,
MS, RD, LDN - Retired Medical Doctor, Jon S. Adler, MD
- University of Pittsburgh Graduate School of
Public Health, Ravi Sharma, PhD and Katie Hindes,
MPH - UPMC for you, Carol Kelley
- The Washington Hospital Teen Outreach, Karen
McFedries
Nutrition Task Force
5Outline of Workshop
- Coordinated School Health Program Overview
- Growth Screening Progam and Available Resources
- Eating Disorder Sensitivity/Screening
- Hands-on Learning (small group break out)
- Anthropometric measurements
- NutStat Program
- Action Plan Brainstorming
Nutrition Task Force
6Objectives
- To understand the concept of a Coordinated School
Health Program - To be aware of available resources for the growth
screening program - To recognize signs and symptoms of eating
disorders and those at risk for development - To understand how to implement the Growth
Screening Program with sensitivity to issues
surrounding eating disorders - To understand how implementation of the Growth
Screening Program could affect negatively affect
eating disorder behaviors - To understand how to work with NutStat Program
Nutrition Task Force
7The American Cancer Society is the nationwide
community-based voluntary health organization
dedicated to eliminating cancer as a major health
problem by preventing cancer, saving lives and
diminishing suffering from cancer through
research, education, advocacy, and service.Â
Coordinated School Health Program Overview
8Causes of Cancer A Review of the Evidence
Estimated Percentage of Total Cancer Deaths
Attributable to Established Causes of Cancer
Tobacco Adult Diet/Obesity Sedentary
lifestyle Occupational factors Family history of
cancer Viruses/other biologic agents Prenatal
factors/growth Reproductive factors Alcohol Socioe
conomic status Environmental pollution Ionizing/ul
tra-violet radiation Rx drugs/medical procedures
Salt/additives/contaminants
Source Harvard Report on Cancer Prevention,
Cancer Causes and Control, November/December,
1996
9(No Transcript)
10(No Transcript)
11ACS Serves as a Resource and Advocate
- Materials
- Information sharing
- Training opportunities
12American Cancer Society 1-888-227-5445www.cancer
.org
13- Procedures for the Growth Screening Program
for Pennsylvanias School-age Population
14Growth Screening Program
- Pennsylvania will be one of the first states in
the nation to track physical growth among the
entire K-12 population on an annual basis. - .
- Screening for the upcoming school year is
voluntary mandatory tiered implementation will
start in the '05-'06 school year and will expand
three additional grades each year thereafter.
By the '08-'09 school year, all grades will be
screened.
15New Screen Procedure
New Screening Procedure
- Measure height
- Measure weight
- Determine Body Mass Index (BMI)
- Graph BMI on 2000 CDC growth charts
- Provide information to parents
16Epidemic
Why Worry About Pediatric Obesity?
- 27 of children age 5-10 have 1 or more heart
disease risk factor - 1 in 3 children born in the year 2000 will
develop Type II Diabetes (based on current
trends) - Obesity is now the most prevalent nutritional
disease of children and adolescents in the United
States.
17Conseqin Children
Consequences of Obesity in Children
- Cardiovascular health -hypercholesterolemia,
dyslipidemia, hypertension (metabolic syndrome) - Endocrine system -hyperinsulinism, insulin
resistance, impaired glucose tolerance, type 2
diabetes mellitus, and menstrual irregularity - Mental health depression, low self-esteem
- Pulmonary -asthma, obstructive sleep apnea
- Orthopedic - slipped capital femoral epiphysis
- Gastrointestinal / Hepatic - nonalcoholic hepatic
steatosis, cholecystitis
18Percentage of Overweight Children Youth Who
Become Obese Adults
Percentage of Overweight Children and Youth Who
Become Obese Adults
National Institute for Health Care Management,
Nov 2003
19BMI-for-Age Cutoffs in Children and Youth
gt95th percentile Overweight
85th to lt95th percentile Risk for Overweight
lt5th percentile Underweight
20Categorizing Weight in Adults and Youth
Categorizing Weight in Adults and Youth
Category Adults (21 years) Youth (2-20 years)
Underweight BMI lt 18.5 lt 5th BMI-for-age percentile
Normal weight BMI 18.5 24.9 BMI-for-age gt5th percentile to lt 85th percentile
At risk of overweight Not Typically Used in Adults BMI-for-age 85th percentile to lt 95th percentile
Overweight BMI 25-29.9 BMI-for-age 95th percentile
Obesity BMI 30-39.9 Not Used in Youth
Extreme Obesity BMI 40 Not Used in Youth
National Institute for Health Care Management,
Nov 2003
21Body Mass Index (BMI)Advantages
Body Mass Index (BMI) Advantages
- Best single measure for obesity in children
- Highest correlation with skinfold thickness
- Simple and useful measure
- Track growth from childhood, through adolescence,
to adulthood - Performed reliably and easily
- Recommended by AAP, WHO, AMA
22Body Mass Index (BMI)Limitations
Body Mass Index (BMI) Limitations
- Screening tool ONLY.. not diagnostic
- Individual assessment, skinfold measurements,
family history, physical examination, metabolic
findings - Influenced by pubertal status
- Not specific for children with special health
care needs - Does not differentiate between central adiposity
and peripheral adiposity - Lean muscle mass vs. fat tissue mass.
- Sensitive to minor changes in weight and height
23Key Messages
Key Messages
- The prevalence of childhood overweight and
obesity is increasing at an alarming rate in the
United States as well as in other developed and
developing countries. - BMI is currently the best tool we have to assess
adiposity in children and adolescents. - Surveillance data for BMI can serve to assess
nutritional status of populations, monitor
changes over time, promote epidemiological
research, screen and refer individuals at risk,
and develop and evaluate programs and policies.
24Available Resources
- Growth Screening Program
- Sample parent letters (pre-screening and results)
- Health Care Resources Brochure
- Parent nutrition and physical activity resource
list - Parent BMI brochure and insert
- School nurse informational resource list
- Floppy disk (Electronic copies of above items)
- Nutrition and physical activity brochures
- CD ROM (Copy of NutStat Program)
- NutStat step-by-step instructions
- Growth screening charts
- BMI wheels
- Eating disorder screening/sensitivity training
materials - List of task force members and resources offered
- Coordinated school health program brochure and
Model Program - Community Action Southwest brochure
- Preventing Childhood Overweight and Obesity
Parents Can Make a Difference--ProjectPA Kit
Nutrition Task Force
25Hands-on Learning
- Two break out groups
- (need to rotate each)
- Digital and balance beam scale and stadiometer
- Laptop with Nutstat Program
Nutrition Task Force
26Action Plan
Nutrition Task Force
27Thank you!
Contact Washington County Health Partners,
Inc. 190 North Main Street, Suite 208
Washington, PA 15301 (P) 724-222-6511
(F) 724-222-6685 (E) info_at_wchpinc.org