NAAFA s COMMENT IN RESPONSE TO THE U.S. PREVENTIVE SERVICES TASK FORCE DRAFT RECOMMENDATION STATEMENT Obesity in Children and Adolescents: Screening
|
|
- Caren Beasley
- 5 years ago
- Views:
Transcription
1 November 22, 2016 NAAFA s COMMENT IN RESPONSE TO THE U.S. PREVENTIVE SERVICES TASK FORCE DRAFT RECOMMENDATION STATEMENT Sirs: Thank you for the opportunity to share the thoughts and concerns of the public. NAAFA is a non profit, all volunteer, civil rights organization dedicated to protecting the rights and improving the quality of life for fat people. NAAFA works to eliminate discrimination based on body size and provide fat people with the tools for self empowerment through advocacy, public education, and support. NAAFA has grave concerns that a recommendation attempting to change a predominantly heritable trait such as body size/weight may set children on a path toward a lifetime of feelings of failure resulting in weight cycling, body hatred, food and body insecurity, with potential for development of eating disorders. We would offer suggestions for a weight neutral approach to assist healthcare professionals, educators, and parents in teaching children how to eat, live and flourish physically, mentally and emotionally. BACKGROUND: Heritability Studies have shown that body size/weight has a strong hereditary component: "Height, weight, and BMI were highly correlated across time, and a path analysis suggested that the major part of that covariation was genetic. These results are similar to those of other twin studies of these measures and suggest that human fatness is under substantial genetic control." i "Genetic influences on BMI and abdominal adiposity are high in children born since the onset of the pediatric obesity epidemic." ii "...the research by Wardle et al adds to our body of research on the genetics of BMI in children by confirming that prior findings of a high heritability remain valid, even in the face of the current obesity epidemic, and by extending that research to show that the same general conclusions apply to waist circumference." iii Weight Cycling Weight cycling, aka yo yo dieting, is the push pull between an individual s conscious and concerted efforts in food restriction for the expressed purpose of reduction of body weight and the body s innate
2 Page 2 of 7 mechanism to protect the individual from starvation and death. The result can cause dis ease in our body s functions and feelings of failure and discontent: A 2013 evaluation of a nine month multicomponent, community based program for obese, inner city adolescents demonstrated modest clinical improvements and increased healthy lifestyle behaviors. However, the loss of clinical improvements nine months after the program was completed resulted in weight cycling. iv A 2016 presentation at the American Heart Association's Scientific Sessions of a study of data from 158,000 women over age 50 found that weight cycling (aka yo yo dieting) behaviors had a 3.5 times greater risk for sudden cardiac death than those with stable weights. It was noted that it may also cause insulin resistance. v Body Hatred An incredible amount of information about the body ideal and the ills of being overweight or obese is fed to our children every day and causing not only body dissatisfaction but body hatred and weight bias: In a 1999 study of 62 third through sixth grade boys and girls: "50% of all children wanted to weigh less and 16% reported attempting weight loss." vi In 2001, a study of 969 third grade children found: "Overweight concerns and body dissatisfaction are highly prevalent among third grade girls and boys, across ethnicity and SES [socioeconomic status]." vii In a 2006 study of third, fourth and fifth grade girls and boys: "Overall results indicated that 50.6% of the children surveyed were dissatisfied with their current body shape, 41.8% wanted to be thinner, while 8.8% wanted to be larger. Fifty percent of the girls were dissatisfied with their current body shape, with 45.1% wishing to be thinner. Boys showed similar trends, with 48.9% dissatisfied and 38.9% wishing to be thinner. A greater percentage of boys wanted to be larger than their current body shape (12.3%) compared to girls (4.9%)." viii A 5 year longitudinal study in 2006 found: "...in general, lower body satisfaction does not serve as a motivator for engaging in healthy weight management behaviors, but rather predicts the use of behaviors that may place adolescents at risk for weight gain and poorer overall health." ix Food and Body Insecurity Research has found that food restriction may in fact cause the desire for those restricted foods and feelings of guilt: "Restricting girls access to foods may not only increase girls desire to obtain and consume those foods, but may set them up for negative self evaluation as they find their behavior at odds with parental expectations." x
3 Page 3 of 7 Eating Disorders The potential of children developing eating disorders due to the stigma of weight is prevalent, especially in adolescents: "Adolescent patients with obesity are at significant risk of developing an eating disorder (ED), yet due to their higher weight status their symptoms often go unrecognized and untreated. Although not widely known, individuals with a weight history in the overweight (BMI for age =85th percentile but <95th percentile, as defined by Centers for Disease Control and Prevention growth charts) or obese (BMI for age =95th percentile, as defined by the Centers for Disease Control and Prevention growth charts) range, represent a substantial portion of adolescents presenting for ED treatment. " xi "Obesity and eating disorders (EDs) are both prevalent in adolescents. There are concerns that obesity prevention efforts may lead to the development of an ED. Most adolescents who develop an ED did not have obesity previously, but some teenagers, in an attempt to lose weight, may develop an ED...The focus should be on a healthy lifestyle rather than on weight." xii "Whereas body dissatisfaction is common among overweight and obese girls, body satisfaction may protect against excessive weight gain and binge eating." xiii As an example of the implications of body dissatisfaction, ABC News online carried a story in 2011 about a 6 year old girl named Taylor: xiv Taylor Call is a healthy, active 6 year old pre kindergarten student who lives outside of Houston. By all outward appearances, she's a normal little girl who likes to play princess and has an outgoing, easy personality. But about a year ago, Taylor came home from school and said something that shocked her mother, Tanya Call. "We were at home and she just out of the blue said, 'Mommy, why is my tummy so fat?... A girl in the bathroom at school asked me why I was fat,'" she said. Dr. Rachel Bray, Taylor's pediatrician, used the girl's height and weight to calculate her body mass index and said Taylor's weight is normal. Taylor told "Good Morning America" that she wanted to lose weight. "I don't like to be my weight and my teacher always tells me I have to run so I can be really, really not like this size," she said.
4 Page 4 of 7 ADDRESSING OTHER FINDINGS IN THE DRAFT RECOMMENDATION: USPSTF finding: "Obesity in children and adolescents is associated with morbidity such as mental health and psychological issues..." Fat stigma and stress result from children being asked to change a heritable trait; similar to asking them to change their eye color, length of their nose, or size of their ears: A 2016 Australian study of 3,557 children found that contrary to popular belief, if a parent perceives their child as being "overweight" this is not a protective factor against weight gain and is instead associated with increased risk of future weight gain across childhood. Researchers suggest that the stigma of being viewed as "overweight' or "obese" may create stress that results in maladaptive coping responses that lead to weight gain. xv A 2015 study from New Zealand's University of Otago found that younger infants, around 11 months of age, preferred to look at obese figures, whereas the older toddler group, around 32 months old, preferred to look at average sized figures and found that preference was strongly related to maternal anti fat prejudice. Study co author Associate Professor Kerry O'Brien from Monash University, says "weight based prejudice is causing significant social, psychological, and physical harms to those stigmatized. It's driving body dissatisfaction and eating disorders in underweight populations; and social isolation, avoidance of exercise settings, and depression in very overweight populations. We need to find ways to address this prejudice." xvi USPSTF finding: "Children and adolescents may also endure weight based victimization (e.g., teasing and bullying)." This is a true statement. However, again you are asking children to change a heritable trait instead of working to change the environment that perpetrates bullying. A 2013 study found that fat children are bullied even if they were to attempt to lose weight and succeed. xvii Weight is not always a matter of over eating but children do not recognize that it may be a symptom of a physical disorder. This was the case when the Huffington Post wrote about a little girl named LaNiyah Bailey in 2011: xviii For 6 year old LaNiyah Bailey, being teased and called names because of her weight was a constant struggle.
5 Page 5 of 7 LaNiyah decided to pick up the pen to describe her struggles. Along with the help of her mother, LaToya White, she wrote a book entitled Not Fat Because I Wanna Be about being bullied because she was overweight, a condition which diet and exercise alone couldn t solve. White opened up to NPR about her daughter s health. LaNiyah has several health problems that contribute to her weight, including polydipsea. She was diagnosed with something called polydipsea before, which is also a term, like water diabetes type of thing that a lot of people may not know about. And that makes a person drink water or any kind of fluid, like, a lot. So they re retaining a lot of fluid. NAAFA suggests that ALL children, parents, teachers and healthcare workers be educated on diversity (including size diversity) and inclusion; to embrace differences and eliminate bias and bullying based on physical appearance. USPSTF finding: "The USPSTF found adequate evidence to bound the harms of screening and comprehensive, intensive behavioral interventions for obesity in children and adolescents as small to none..." Adults that have been pressured to lose weight since childhood will often tell you of body hatred, food and body insecurity, and weight cycling resulting from so called interventions throughout their lives. Victims of childhood bullying show higher levels of depressive disorders, anxiety disorders, generalized anxiety, panic disorder, and agoraphobia into young adulthood. Dieting (forced famine) not only causes food insecurity: it causes adverse health results into adulthood. A 2012 famine study showed, "that a short period of moderate or severe undernutrition during postnatal development increases type 2 diabetes risk in adulthood." xix RECOMMENDATIONS: NAAFA strongly suggests that the final recommendation of the USPSTF be based on weight neutral principles, as in the Health At Every Size (HAES) tenets: xx HAES Based Role of Healthcare Workers and Educators 1. Discourage dieting, skipping of meals, or the use of diet pills; instead, encourage and support the implementation of healthy eating and physical activity behaviors that can be maintained on
6 Page 6 of 7 an ongoing basis. The focus should be on maintaining full and happy lives rather than on body size or weight. 2. Promote a positive body image among ALL children of all ages. Do not encourage body dissatisfaction or promote body shaming. 3. Encourage more frequent family meals. 4. Encourage families not to talk about weight or body size but rather about listening to your body's hunger and satiety cues, along with sharing how activity (such as family play time) help us be healthy and happy. 5. Encourage family play time and enjoyable physical and mental activities. 6. Inquire about mistreatment or bullying based on body size and address these issues with patients and their families. 7. Carefully monitor weight loss to ensure the child has not developed an eating disorder and the medical complications of weight cycling or semi starvation. HAES Based Education in Schools: Everybody in Schools HAES Tool Kit available on the NAAFA website at HAES Based Education for Parents: Healthy Bodies; Teaching Kids What They Need to Know bodies curriculum/ Recommended Reading: Am I Fat? Helping Young Children Accept Differences in Body Size Your Child's Weight: Helping Without Harming Body Diversity Educational Tool: Book: Shapesville by J.Andrew Smills and Rebecca Osbom Respectfully submitted, Darliene Howell NAAFA Board of Directors i A twin study of human obesity., Stunkard AJ, Foch TT, Hrubec Z, 1986, JAMA Jul 4;256(1):51 4.
7 Page 7 of 7 ii Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment, Wardle J, et al., 2008, Am J Clin Nutr February 2008 vol. 87 no iii Obesity still highly heritable after all these years, Musani S, Erickson S, Allison D, 2008, Am J Clin Nutr February 2008 vol. 87 no iv Evaluation of a Community Based Weight Management Program for Predominantly Severely Obese, Difficult To Reach, Inner City Minority Adolescents, Rieder J, et al, 2013, doi: /chi v This Kind of Dieting Is Unhealthy for Women, Rasla S, et al., weight loss heart health/ vi Body dissatisfaction and dieting in young children, Schur E, Sanders M, Steiner H, 1999, DOI: /(SICI) X(200001)27:1<74::AID EAT8>3.0.CO;2 K vii Overweight Concerns and Body Dissatisfaction Among Third Grade Children: The Impacts of Ethnicity and Socioeconomic Status, Robinson TN, Chang JY, Haydel KF, Killen JD, 2001, J Pediatr Feb;138(2): viii Body Dissatisfaction Among Third, Fourth, and Fifth Grade Children, K. M. Skemp Arlt et al. / Californian Journal of Health Promotion 2006, Volume 4, Issue 3, ix Does body satisfaction matter? Five year longitudinal associations between body satisfaction and health behaviors in adolescent females and males., Neumark Sztainer D, Paxton SJ, Hannan PJ, Haines J, Story M, 2006, J Adolesc Health Aug;39(2): x Parents restrictive feeding practices are associated with young girls negative self evaluation of eating, Fisher JO, Birch LL, 2008, doi: /S (00) xi Eating Disorders in Adolescents With a History of Obesity, Sim L, Lebow J, Billings M, 2013, DOI: /peds xii Preventing Obesity and Eating Disorders in Adolescents, Golden N, Schneider M, Wood C, 2016, DOI: /peds xiii Body satisfaction, weight gain and binge eating among overweight adolescent girls. Sonneville KR, Calzo JP, Horton NJ, Haines J, Austin SB, Field AE, 2012, Int J Obes (Lond) Jul;36(7): doi: /ijo xiv Body Image Issues: 6 Year Old Worries She is Fat, ABC News Online, June 20, 2011 xv Parental Perception of Weight Status and Weight Gain Across Childhood, Robinson E, Sutin AR, 2016, Pediatrics May 2016, Volume 137 / Issue 5 xvi Toddlers bias to look at average versus obese figures relates to maternal anti-fat prejudice, Ruffman T, et al., 2015, xvii Weight Based Victimization: Bullying Experiences of Weight Loss Treatment Seeking Youth, Puhl R, Peterson J, Luedicke J, 2013, Pediatrics January 2013, Volume 131 / Issue 1 xviii LaNiyah Bailey, 6 Year Old, Writes Book About Bullying, The Huffington Post, March 25, 2011 xix Famine Exposure in the Young and the Risk of Type 2 Diabetes in Adulthood, van Abeelen A, et al., 2012, xx HAES Principles, Association for Size Diversity and Health,
YOUR CHILD S BODY IMAGE: WHAT S A PARENT TO DO?
YOUR CHILD S BODY IMAGE: WHAT S A PARENT TO DO? Karen Sossin, MS, CDN Project Director, Female Athlete Triad Nutrition Advisor, NYPHSAA ksossin@aol.com WHAT IS BODY IMAGE? Body image is the dynamic perception
More informationTalking to Teens About Anxiety. A Supplement to the 2018 Children s Mental Health Report
Talking to Teens About Anxiety A Supplement to the 2018 Children s Mental Health Report Everyone talks about how stressed they are, but getting teens to open up about serious anxiety isn t easy. Sometimes
More informationChildhood Obesity: Feeding Practices and Eating Behaviors
Childhood Obesity: Feeding Practices and Eating Behaviors A webinar for MiPCT Care Managers May 16, 2014 Presenter: Peggy Crum, MA, RD Years of Service Health4U Nutrition Consultant (8) Pediatric Nutritionist
More informationChapter 10 Lecture. Health: The Basics Tenth Edition. Reaching and Maintaining a Healthy Weight
Chapter 10 Lecture Health: The Basics Tenth Edition Reaching and Maintaining a Healthy Weight OBJECTIVES Define overweight and obesity, describe the current epidemic of overweight/obesity in the United
More informationI Never Thought of It That Way. Joanne P. Ikeda, MA, RD Nutritionist Emeritus UC Berkeley
I Never Thought of It That Way Joanne P. Ikeda, MA, RD Nutritionist Emeritus UC Berkeley Our Goal: To Improve the health of children. Universal Definition of Health Health is a state of complete physical,
More informationUK HEALTH CHECK. How healthy were we in 2017?
UK HEALTH CHECK How healthy were we in 2017? 2 Contents Introduction:...4 Chapter 1: Healthy retirement...6 On hand to advise patients on conditions associated with growing older. Chapter 2: Breathe more
More informationBody Image and Meal Skipping in First Nations Children
Body Image and Meal Skipping in First Nations Children Noreen Willows, Assistant Professor, Community Nutrition, Alberta Institute for Human Nutrition, Department of Agricultural, Food and Nutritional
More informationDo Now: Write Down 5 Traits for Female models and 5 Traits for Male models
Do Now: Write Down 5 Traits for Female models and 5 Traits for Male models Female Models... Common Traits Male Models... Common Traits Beauty Pressure Body Image In one minute, write the most important
More informationLet s Promote Health: Alternatives to the focus on Weight
Let s Promote Health: Alternatives to the focus on Weight Lindsey Mazur RD & Ann McConkey RD Women s Health Clinic Provincial Eating Disorders Prevention and Recovery Program Workshop Objectives 1) a critical
More information2/1/17. Disclosure Statement ADDRESSING OBESITY SAFELY: THE NEW AAP POLICY ON OBESITY AND EATING DISORDERS. DSM-5 for Anorexia and Bulimia Nervosa
ADDRESSING OBESITY SAFELY: THE NEW AAP POLICY ON OBESITY AND EATING DISORDERS Christine Wood, MD, FAAP Pediatrician, Coast Pediatrics Carmel Valley Past Co-Chair San Diego County Childhood Obesity Initiative
More informationDefinitions. Obesity: Having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher.
Obesity in America Definitions Obesity: Having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher. Body Mass Index (BMI): A measure of an adult s weight
More informationWeight Bias in the Medical Setting. Lisa Du Breuil, LICSW Anne Emmerich, MD
Weight Bias in the Medical Setting Lisa Du Breuil, LICSW Anne Emmerich, MD November 10, 2016 Our Stories Beliefs we d like to challenge today.. Fat people always have health issues Fat people don t really
More informationJennifer A.O Dea. Dealing with child & adolescent weight issues body image concerns, eating disorders & child obesity. MPH, PhD
Jennifer A.O Dea MPH, PhD Dealing with child & adolescent weight issues body image concerns, eating disorders & child obesity 10th Conference of the Association For the Welfare of Child Health Parramatta,
More information5/31/2016. The Health At Every Size Approach AFFIRMATIONS. Attuned Eating Body Acceptance Strong science. Health At Every Size by Linda Bacon, PhD
The Health At Every Size Approach Attuned Eating Body Acceptance Strong science Health At Every Size by Linda Bacon, PhD Body Respect by Linda Bacon, PhD and Lucy Aphramor, PhD, RD AFFIRMATIONS Alliance
More informationWhat's Eating You? What Science Tells Us About Food and Weight Issues. Brown School of Professional Development, September 1, 2017
What's Eating You? What Science Tells Us About Food and Weight Issues Brown School of Professional Development, September 1, 2017 Confirmation Bias The tendency to embrace information we agree with and
More informationSTUDENT ASSISTANCE DEPARTMENT
FHS Student Assistance Program June 2016 FRANKLIN TOWNSHIP SCHOOL DISTRICT- STUDENT ASSISTANCE DEPARTMENT Connecting Students and Parents with Student Assistance Counselors As the 2015/16 school year comes
More informationWhy does every single girl on the earth at least once have a desire to be skinnier even
Page 1 Increasing Adolescent Anorexia Increasing Adolescent Anorexia Why does every single girl on the earth at least once have a desire to be skinnier even though they really don't have to be? And why
More informationEATING DISORDERS By Briana Vittorini
EATING DISORDERS By Briana Vittorini OVERVIEW What is an eating disorder? Important facts The SHOCKING truth The most common forms Beliefs about eating disorders Prevalence vs. Funding OVERVIEW Specific
More informationWHY BE AN ADVOCATE FOR HAES = HEALTH AT EVERY SIZE
WHY BE AN ADVOCATE FOR HAES = HEALTH AT EVERY SIZE JOANNE P. IKEDA, MA,RD NUTRITIONIST EMERITUS DEPARTMENT OF NUTRITIONAL SCIENCES UNIVERSITY OF CALIFORNIA, BERKELEY WHAT IS HEALTH?.Health is a state of
More informationThe Relationship Between Bullying and Weight Management Behaviors in High School Aged Youth
Purdue University Purdue e-pubs Open Access Theses Theses and Dissertations 2013 The Relationship Between Bullying and Weight Management Behaviors in High School Aged Youth Lindsey Simpson-Pedigo Purdue
More information2010-2014 www.d.umn.edu/cla/faculty/troufs/anthfood/aftexts.html#title 2010-2014 www.d.umn.edu/cla/faculty/troufs/anthfood/aftexts.html#title The Obesity Epidemic Disordered Body Image and Eating Behaviors
More informationEating Disorder Awareness: Assess, Diagnose, and Refer! Kristin Francis, MD Assistant Professor University of Utah Department of Psychiatry
Eating Disorder Awareness: Assess, Diagnose, and Refer! Kristin Francis, MD Assistant Professor University of Utah Department of Psychiatry Goals of our time together WHY are eating disorders so important
More informationAppendix 1. Evidence summary
Appendix 1. Evidence summary NG7 01. Recommendation 1 Encourage people to make changes in line with existing advice ES 1.17, 1.31, 1.32, 1.33, 1.37, 1.40, 1.50, 2.7, 2.8, 2.10; IDE New evidence related
More informationBreakfast helps girls stay slim
www.breaking News English.com Ready-to-use ESL / EFL Lessons Breakfast helps girls stay slim URL: http://www.breakingnewsenglish.com/0509/050910-breakfast-e.html Today s contents The Article 2 Warm-ups
More informationFirst Do No Harm: Raising the red flag on school healthy eating and obesity prevention initiatives
Presenter: Julie E. Rochefort, MHSc, RD Registered Dietitian Body Image Warrior First Do No Harm: Raising the red flag on school healthy eating and obesity prevention initiatives Shift The Focus @julie_rochefort
More informationName: _Stacy Hall. Grade Level: _7th. Unit / Content Area:_Personal Health and Physical Activity. Lesson Title: _A Healthy Body, A Healthy Weight
Lesson Plan Format Name: _Stacy Hall Grade Level: _7th Unit / Content Area:_Personal Health and Physical Activity Lesson Title: _A Healthy Body, A Healthy Weight Objectives Objective 1: _During lesson
More informationBMI. Summary: Chapter 7: Body Weight and Body Composition. Obesity Trends
Chapter 7: Body Weight and Body Composition Obesity Trends What Is a Healthy Body Weight? There is no ideal body weight for each person, but there are ranges for a healthy body weight A healthy body weight
More informationNot many topics are off-limits anymore. Overweight. I Can Do This... The way to weight loss begins with honesty and support
I Can Do This... The way to weight loss begins with honesty and support Not many topics are off-limits anymore. Overweight and obesity may be among the last. If you or a loved one is overweight, it s time
More informationBuilding Body Acceptance Therapeutic Techniques for Body Image Problems
Building Body Acceptance Therapeutic Techniques for Body Image Problems Susan J. Paxton La Trobe University Beth Shelton Victorian Centre for Excellence in Eating Disorders (with thanks to Siân McLean)
More informationPrevalence of Obesity among High School Children in Chennai Using Discriminant Analysis
IOSR Journal of Mathematics (IOSR-JM) e-issn: 2278-5728, p-issn: 2319-765X. Volume 13, Issue 4 Ver. III (Jul. Aug. 2017), PP 50-56 www.iosrjournals.org Prevalence of Obesity among High School Children
More informationMETABOLIC SYNDROME IN MEXICAN CHILDREN. Yolanda Gutierrez, M.D.
METABOLIC SYNDROME IN MEXICAN CHILDREN By Yolanda Gutierrez, M.D. Dr. Desai: Hello and welcome to the Kaiser Permanente Healthcast. Today in our studio we have Yolanda Gutierrez M.D. who is the Senior
More informationBody Weight and Body Composition
Body Weight and Body Composition Chapter 7 Obesity Trends What Is a Healthy Body Weight? There is no ideal body weight for each person, but there are ranges for a healthy body weight A healthy body weight
More informationMSc. Thesis. Perception of Overweight and Obese People about their Body
MSc. Thesis Perception of Overweight and Obese People about their Body A systematic Review Student: - Askalu Gebreab Registration number: - 860418251030 Programme:- MSc. Applied Communication Sciences
More informationRethinking Bullying: Fat-bullying and weight stigma at schools. Bahar Haghighat PhD Candidate Faculty of Education October 19th, 2017
Rethinking Bullying: Fat-bullying and weight stigma at schools Bahar Haghighat PhD Candidate Faculty of Education October 19th, 2017 Immigrant youth's constructions of health and fitness Healthism The
More informationA dissertation by. Clare Rachel Watsford
Young People s Expectations, Preferences and Experiences of Seeking Help from a Youth Mental Health Service and the Effects on Clinical Outcome, Service Use and Future Help-Seeking Intentions A dissertation
More informationCULINARY CAUTIONS: OBESITY EPIDEMIC (culinary schools.org)
CULINARY CAUTIONS: OBESITY EPIDEMIC (culinary schools.org) The Foodie Blog Culinary Cautions: Obesity Epidemic It is better to build healthy children than repair unhealthy adults. ~ Anonymous In the United
More informationAAP Guidelines Regarding Sugarsweetened Beverages for Children Younger than Five Years of Age
AAP Guidelines Regarding Sugarsweetened Beverages for Children Younger than Five Years of Age STEPHEN R. DANIELS, MD, PHD, FAAP CHAIR, AAP COMMITTEE ON NUTRITION University of Colorado School of Medicine
More informationBreakfast helps girls stay slim
www.breaking News English.com Ready-to-use ESL / EFL Lessons Breakfast helps girls stay slim URL: http://www.breakingnewsenglish.com/0509/050910-breakfast.html Today s contents The Article 2 Warm-ups 3
More informationChapter 9. Body Image and Exercise
Chapter 9 Body Image and Exercise Body Image Defined A multidimensional construct that reflects the following: How we see our own body How we think, feel, and act toward it Four Dimensions of Body Image
More informationHAVE YOUNG PEOPLES WEIGHT LOSS DESIRES CHANGED SIGNIFICANTLY OVER THE PAST 10 YEARS?
7/8 School of Biosciences Wikimedia Commons HAVE YOUNG PEOPLES WEIGHT LOSS DESIRES CHANGED SIGNIFICANTLY OVER THE PAST 1 YEARS? by: David Johns Supervisor: Dr Judy Swift INTRODUCTION Obesity is a growing
More informationA Guide to Help New Mothers Stay Smoke-Free
A Guide to Help New Mothers Stay Smoke-Free 1 Welcome to motherhood! You have just been through a life-changing experience pregnancy and child birth. Having a plan to stay smoke-free is an important step.
More informationMaking Connections: Early Detection Hearing and Intervention through the Medical Home Model Podcast Series
Making Connections: Early Detection Hearing and Intervention through the Medical Home Model Podcast Series Podcast 2 Utilization of the Teach-Back Methodology in Early Hearing Detection and Intervention
More informationcopyrighted material by PRO-ED, Inc.
Preface As a stutterer, as a speech language pathologist, and as a listener, I have grown to understand that stuttering is the absolute worst thing in this world... if we do not talk about it. When I speak
More informationHappy Holidays. Below are the highlights of the articles summarized in this issue of Maternal and Infant Nutrition Briefs. Best Wishes, Lucia Kaiser
Dear colleagues, Happy Holidays. Below are the highlights of the articles summarized in this issue of Maternal and Infant Nutrition Briefs. Best Wishes, Lucia Kaiser Do pregnant teens need to get their
More informationObesity Runs in Families. University of Tennessee, Knoxville; Promoting Healthy Weight Colloquium (Early Childhood) March 25, 2011
Family Influences on the Development of Child Eating Behaviors Tanja V.E. Kral, Ph.D. Assistant Professor of Nutrition University of Pennsylvania U.S. Childhood Obesity Trends By school entry, more than
More informationKeeping a Healthy Weight & Nutrition Guidelines. Mrs. Anthony
Keeping a Healthy Weight & Nutrition Guidelines Mrs. Anthony The Ideal Body Weight Myth Average female model: 5 10, 120 lbs Typical American Adult Female: 5 4, 160 lbs Average male model: 6, 155 lbs Typical
More informationThe Phenomena of Movement pg 3. Physical Fitness and Adolescence pg 4. Fitness as a Lifestyle pg 5. Physical Education and the Student pg 6
Introduction pg 2 The Phenomena of Movement pg 3 Physical Fitness and Adolescence pg 4 Fitness as a Lifestyle pg 5 Physical Education and the Student pg 6 The Program pg 7 Program Outline pg 8 Proposal
More informationUGRC 145: FOOD AND NUTRITION IN EVERYDAY LIFE
UGRC 145: FOOD AND NUTRITION IN EVERYDAY LIFE Session 9 ENERGY BALANCE Lecturer: PROF. MATILDA STEINER-ASIEDU, SBS, CBAS; University of Ghana, Email: tillysteiner@gmail.com College of Education School
More informationObesity Care Competencies GOUTHAM RAO, MD, FAHA CASE WESTERN RESERVE UNIVERSITY/UNIVERSITY HOSPITALS OF CLEVELAND
Obesity Care Competencies GOUTHAM RAO, MD, FAHA CASE WESTERN RESERVE UNIVERSITY/UNIVERSITY HOSPITALS OF CLEVELAND Organizations Engaged in the Development of Obesity Competencies ACADEMY FOR EATING DISORDERS
More informationChantelle: Hi, my name is Chantelle Champagne, a medical student at the University of Alberta
PedsCases Podcast Scripts This is a text version of a podcast from Pedscases.com on Pediatric Obesity. These podcasts are designed to give medical students an overview of key topics in pediatrics. The
More informationAutism and Gastrointestinal Problems (Part 2) Science Brief 3
Autism and Gastrointestinal Problems (Part 2) Science Brief 3 Evaluation, Diagnosis, and Treatment of Gastrointestinal Disorders in Individuals with ASD: A Consensus Report, Pediatrics, January 2010. Research
More informationDiabetes, Cost Of Care Top Health Concerns For U.S. Latinos
http://www.npr.org/blogs/health/2014/01/21/263505386/taking-the-pulse-of-latino-health-concerns Diabetes, Cost Of Care Top Health Concerns For U.S. Latinos by Patti Neighmond January 21, 2014 5:04 AM 5
More informationMaintaining Healthy Weight in Childhood: The influence of Biology, Development and Psychology
Maintaining Healthy Weight in Childhood: The influence of Biology, Development and Psychology Maintaining a Healthy Weight in Biology Development Psychology Childhood And a word about the Toxic Environment
More informationMetroWest Adolescent Health Survey
MetroWest Adolescent Health Survey Informing data driven school and community health policies and practices 2016 High School Report GRADES 9-12 Spring 2017 Funded by: MetroWest Health Foundation Submitted
More informationCore Competencies for Peer Workers in Behavioral Health Services
Core Competencies for Peer Workers in Behavioral Health Services Category I: Engages peers in collaborative and caring relationships This category of competencies emphasized peer workers' ability to initiate
More informationCopyright is owned by the Author of the thesis. Permission is given for a copy to be downloaded by an individual for the purpose of research and
Copyright is owned by the Author of the thesis. Permission is given for a copy to be downloaded by an individual for the purpose of research and private study only. The thesis may not be reproduced elsewhere
More informationHelp-seeking behaviour for emotional or behavioural problems. among Australian adolescents: the role of socio-demographic
Help-seeking behaviour for emotional or behavioural problems among Australian adolescents: the role of socio-demographic characteristics and mental health problems Kerry A. Ettridge Discipline of Paediatrics
More informationDisordered Eating and Psychological Well-Being in Overweight and Nonoverweight Adolescents: Secular Trends from 1999 to 2010
EMPIRICAL ARTICLE Disordered Eating and Psychological Well-Being in Overweight and Nonoverweight Adolescents: Secular Trends from 1999 to 2010 Katie Loth, PhD, MPH, RD 1,3 * Melanie Wall, PhD 2 Nicole
More informationBody Mass Index, Menarche, and Perception of Dieting Among Peripubertal Adolescent Females
Body Mass Index, Menarche, and Perception of Dieting Among Peripubertal Adolescent Females Suzanne Abraham 1 * and Jennifer A. O Dea 2 1 Department of Obstetrics and Gynecology, University of Sydney, Sydney,
More informationContent Area: Comprehensive Health Grade Level Expectations: Sixth Grade Standard: 2. Physical and Personal Wellness in Health
Colorado Academic Standards Comprehensive Health - Sixth Grade Content Area: Comprehensive Health Grade Level Expectations: Sixth Grade Standard: 2. Physical and Personal Wellness in Health Prepared Graduates:
More informationHEALTHY LIFESTYLE AND BLOOD PRESSURE
HEALTHY LIFESTYLE AND BLOOD PRESSURE Helping you to lower your blood pressure BLOOD PRESSURE UK About this booklet This is one of a series of booklets produced by Blood Pressure UK, to help people with
More informationWorld Health Organization Growth Standards. BC Training Module PowerPoint Speaking Notes
World Health Organization Growth Standards BC Training Module PowerPoint Speaking Notes May 30, 2011 British Columbia WHO Growth Chart Training June 2011 Page 1 PowerPoint Speaking Notes Slide 1 Title
More informationRunning head: PERSONAL HEALTH IMPROVEMENT PLAN 1
Running head: PERSONAL HEALTH IMPROVEMENT PLAN 1 Personal Health Assessment and Plan for Improvement Amy Bradley Ferris State University 2 Abstract The intention of this paper is to develop the author
More informationManage Diabetes with Small Changes
In This Issue: } Manage with Small Changes } The Role of Your Educator } Prediabetes: A Call to Action } Insulin and : Your Questions Answered Manage with Small Changes One man learns simple ways to keep
More informationAmelia & Leukemia. Written by Amy Robinson. Thesis Submitted in Partial Fulfillment of the. Requirements for a Degree in Writing
Amelia & Leukemia Written by Amy Robinson Thesis Submitted in Partial Fulfillment of the Requirements for a Degree in Writing Teaching of Writing Option May 1, 2012 Thesis Advisor: Professor Karen Vastola
More information+ Eating. Disorders. By: Rachel Jones & Anahi Rangel
Eating Disorders By: Rachel Jones & Anahi Rangel Quick Facts n In the United States, 20 million women and 10 million men suffer from a clinically significant eating disorder at some time in their life
More information5 Ways To Get Rid Of The Baby fat 1
5 Ways To Get Rid Of The Baby fat 1 5 Ways To Get Rid Of The Baby fat 2 5 Ways To Get Rid Of The Baby fat Copyright 2017 All rights are reserved. No part of this report may be reproduced or transmitted
More informationThe transition from independent living to residential care is a significant life event for many older adults
Sense of Belonging in the Transition to Residential Aged Care Matthew Condie and Rob Ranzijn University of South Australia National Conference of the Australian Association of Gerontology, Sydney NSW Nov
More informationHere are a few ideas to help you cope and get through this learning period:
Coping with Diabetes When you have diabetes you may feel unwell and have to deal with the fact that you have a life long disease. You also have to learn about taking care of yourself. You play an active
More informationHow to Increase Your Child s Preference and Intake of Fruits and Vegetables
How to Increase Your Child s Preference and Intake of Fruits and Vegetables Prepared by Brandi Rollins, MS, PhDc Author of Confessions of an East Coast Raw Vegan and Raw Foods on a Budget www.rawfoodsonabudget.com
More informationWeight management. Understanding the causes, prevention, assessment and management of obesity
An open learning programme for pharmacists and pharmacy technicians Weight management Understanding the causes, prevention, assessment and management of obesity Educational solutions for the NHS pharmacy
More informationHealthy Mind Healthy Weight
Healthy Mind Healthy Weight Taking Control of your eating Part 2:Techniques and Strategies 1 Aims of Sessions The 3 main steps to controlling your eating pattern: - Starting well - Self monitoring - Regular
More informationJust use the link above to register. Then start with the next slide.
To the Trainer: Thank you for using this presentation. Please let us know who you are, where you are presenting, and the number of people in the audience. By having this presentation registered, we can
More informationThe Handbook for Campus Threat Assessment and Management Teams. By Gene Deisinger, Ph.D. Marisa Randazzo, Ph.D. Daniel O Neil Jenna Savage SUMMARY
The Handbook for Campus Threat Assessment and Management Teams By Gene Deisinger, Ph.D. Marisa Randazzo, Ph.D. Daniel O Neil Jenna Savage Threat Assessment and Management Team SUMMARY Multidisciplinary
More informationBody image refers to a multi-component
R E S E A R C H P A P E R Association of Perceived Weight Status versus Body Mass Index on Adherence to Weight-modifying plan Among Iranian Children and Adolescents: The CASPIAN-IV Study # MARYAM BAHREYNIAN,
More informationNutrition & Physical Activity Profile Worksheets
Nutrition & Physical Activity Profile Worksheets In these worksheets you will consider nutrition-related and physical activity-related health indicators for your community. If you cannot find local-level
More informationRecords identified through database searching (n = 548): CINAHL (135), PubMed (39), Medline (190), ProQuest Nursing (39), PsyInFo (145)
Included Eligibility Screening Identification Figure S1: PRISMA 2009 flow diagram* Records identified through database searching (n = 548): CINAHL (135), PubMed (39), Medline (190), ProQuest Nursing (39),
More informationCopyright is owned by the Author of the thesis. Permission is given for a copy to be downloaded by an individual for the purpose of research and
Copyright is owned by the Author of the thesis. Permission is given for a copy to be downloaded by an individual for the purpose of research and private study only. The thesis may not be reproduced elsewhere
More informationThe aim of the present study is to see the effect of obesity and urban-rural
Journal Of Scientific Research in Allied Sciences ISSN NO. 2455-5800 Contents available at: www.jusres.com A STUDY OF AVOIDANT PERSONALITY DISORDER AMONG ADOLESCENT BOYS WITH RELATION TO GRADES OF BMI
More informationMyths About Health At Every Size
Myths About Health At Every Size Lisa Naylor, CYC and Lindsey Mazur, RD Health At Every Size is a registered trademark of the Association for Size Diversity and Health and used with permission. Health
More informationQuick Start Guide for Video Chapter 2: What Is Addiction?
Quick Start Guide for Video Chapter 2: What Is Addiction? Materials and Preparation Needed * Prepare to show the video on a TV or monitor. * Print the chapter 2 fact sheet, Addiction, for each client.
More informationName, Ph.D. Post-doctoral Fellow. Phone Website
Post-Doctoral Fellow Monell Chemical Senses Center 3500 Market Street Philadelphia, PA 19104 Phone Email Website EDUCATION: Ph.D. The Pennsylvania State University August 20XX Human Development and Family
More informationDIETARY AND EXERCISE PATTERNS
DIETARY AND EXERCISE PATTERNS Establishing healthy eating and physical exercise habits at an early age is important Both dietary and exercise patterns formed during childhood can carry into adulthood producing
More informationEveryday!!! Childhood Obesity
Childhood Obesity S O U T H W E S T C O M M U N I T Y H E A L T H C E N T E R S E A R C H P R O J E C T L A C Y B I R D S E Y E R N, B S N ( F N P S T U D E N T ) F A I R F I E L D U N I V E R S I T Y
More informationYou re Too Fat. Esther Lerman Freeman, Psy.D. Clinical Associate Professor Department of Psychiatry OHSU
You re Too Fat Esther Lerman Freeman, Psy.D. Clinical Associate Professor Department of Psychiatry OHSU Linda M Fishman, Ph.D. Insight Psychological Services, LLC Shilo George, MS Lush Kumtux Tumtum Consulting
More informationTennessee Taming the Diabetes Crisis: The Tennessee Journey to Better Health
Tennessee Taming the Diabetes Crisis: The Tennessee Journey to Better Health Susan R. Cooper MSN, RN Commissioner Tennessee Department of Health NCSL July 23,2009 Adult Diabetes Diabetes Prevalence, Tennessee
More informationMaking Connections: Early Detection Hearing and Intervention through the Medical Home Model Podcast Series
Making Connections: Early Detection Hearing and Intervention through the Medical Home Model Podcast Series Podcast 1: Shared Decision Making and Parents as Partners for Children who are Deaf or Hard of
More informationTopic 12-4 Balancing Calories and Energy Needs
Topic 12-4 Balancing Calories and Energy Needs In this topic, you will learn how to balance calories and energy needs, as well as Meeting energy needs Controlling your weight Eating disorders Balancing
More informationChildhood Obesity: A National Focus
Childhood Obesity: A National Focus Christopher Roller Director of Advocacy and State Health Alliances American Heart Association, Nevada Presentation to the WCHD Childhood Obesity Forum, September 15
More informationChildren, obesity and health: Recent trends The Social Issues Research Centre 2012
Children, obesity and health: Recent trends The Social Issues Research Centre 2012 The Social Issues Research Centre 28 St Clements Street, Oxford OX4 1AB +44 (0) 1865 262255 group@sirc.org Contents 1
More informationLose Weight. without dieting.
Lose Weight without dieting www.bronwendeklerk.com The Secret to Losing Weight Today I want to share a little secret with you. If you re reading this you have probably become despondent with dieting. Maybe
More informationChoosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Substance Use Risk 2: What Are My External Drug and Alcohol Triggers?
Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions Substance Use Risk 2: What Are My External Drug and Alcohol Triggers? This page intentionally left blank. What Are My External Drug and
More informationPrevalence of Overweight Among Anchorage Children: A Study of Anchorage School District Data:
Department of Health and Social Services Division of Public Health Section of Epidemiology Joel Gilbertson, Commissioner Richard Mandsager, MD, Director Beth Funk, MD, MPH, Editor 36 C Street, Suite 54,
More informationWhen 6 is Bigger Than 10: Unmasking Anorexia Through Externalisation. By Hugh Fox
This paper was originally published in The Narrative Forum When 6 is Bigger Than 10: Unmasking Anorexia Through Externalisation By Hugh Fox We were in my office and Bernie was telling me that she was very
More informationBattling Bullying in People with Autism
Battling Bullying in People with Autism Marisa H. Fisher, PhD, BCBA-D Department of Counseling, Educational Psychology, and Special Education Michigan State University fishermh@msu.edu Introductions Agenda
More informationBody Perception among At-Risk for Overweight and Overweight Adolescents and the
Body Perception among At-Risk for Overweight and Overweight Adolescents and the Relation to Certain Personal Characteristics and Health Lifestyle Behaviors An Undergraduate Research Thesis Presented in
More informationAssessing Child Growth Using Body Mass Index (BMI)- for- Age Growth Charts
Assessing Child Growth Using Body Mass Index (BMI)- for- Age Growth Charts Adapted by the State of California CHDP Nutri8on Subcommi;ee from materials developed by California Department of Health Care
More informationSpring Survey 2014 Report - ADULTS
RESPONDANTS Spring Survey 2014 Report - ADULTS Responses from the ADULTS section of our Spring Survey 2014 came from 108 (out of 668) participants who said they were born with a cleft and were over 18.
More informationTalking to someone who might be suicidal
Talking to someone who might be suicidal To some it s a tea bag. To others it s a lifeline... Support the Zero Suicide Alliance campaign. Help us tackle the stigma that stops so many from asking for help.
More informationPediatric Overweight and Obesity
Pediatric Overweight and Obesity Cambria Garell, MD Assistant Clinical Professor UCLA Fit for Healthy Weight Program Associate Program Director Pediatric Residency Program Mattel Children s Hospital UCLA
More information