Family Fitness Challenge - Student Fitness Challenge

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1 Family Fitness Challenge - Student Fitness Challenge COMMUNITY - BASE D OBESITY INTERVENTION PROGRAM MOVES INTO ELEMENTARY SCHOOLS J N E L L E R U S C E T T I, P A L Y N N H U N T L O N G, E D. D. S T E V E E L L I O T T, P H. D. S U E C O M B S, P H. D. T A M L Y N S H I E L D S

2 Fitness Challenge Goal of 8 week program is to target 7 behaviors associated with a healthy weight with specific challenges Physical activity Daily meals Consumption of fruits and vegetables At-home dinners Sweetened beverages Sleep Screen time

3

4 Challenge Sheet

5 Challenge Points by Class

6 What is the Student Fitness Challenge?

7 Personal Interest in Obesity, Prevention, Intervention

8 BMI and Growth Charts Green/Yellow/Red Zone Green: Healthy weight (below 85%tile) Yellow: Overweight (85 th -95 th %tile) Red: Obese (above 95%tile) GREEN ZONE: Body fat levels likely to pose little risk RED ZONE: Body fat levels are high and pose increased risk

9 Growth Charts

10 BMI

11 Get Moving

12 Role of the Pedometer Allows for tracking of steps; keep log showing gradual increase in steps Family-friendly competition Create a trip idea with the steps Allows parents to assess their child s movement Can use pedometers to earn media time

13 Pedometers

14 Let s Move in Class

15 Change Patterns of Meals -Distracted eating: 30-50% more calories consumed when meals eaten w/ media on -FAST FOOD NATION! Encourage home cooking with offering easy, healthy recipes -Switching from large dinner plates, to small -Eat breakfast

16

17 Children in America Are Not Getting Their Produce WHO found it took a minimum of 5 servings of fresh produce/day to see health benefits (best to aim for 9) Less than 1% of US teens achieve this goal according to American Heart Association

18 Nutrition -Eat at least one serving of produce at each meal -The ORDER food is eaten matters; offer produce first -Tap into the high-density, low-calorie; nutrient dense foods -Introduce kids to smoothies

19 Portion Size

20 The Snack-Attack Studies show the increase in snacking in children is a big contributor to the child obesity epidemic

21 Rethink Your Drink Liquid calories often exceed daily calories needed Juices may have as much sugar as soda Too much milk has been linked to weight problems Brain does not register fullness from liquid calories Encourage more water - infuse with sliced fruit

22 Go, Slow, Whoa

23 Go, Slow, Whoa

24 Sleep Studies show correlation between short sleeping hours and weight problems in youth On average, children in the US are getting 1-2 hours less sleep at night than recommended

25 Screen Time Media has been implicated as contributing to the child obesity epidemic

26 Sleep and Screen Time

27 United States Media Trends According to US government, children age 2-17 spend on average 7.5 hours in front of screen What is the recommended screen time for children?

28 BUT DOES IT WORK?!!!!

29 Family Fitness Challenge Outcomes From the time of the pilot program in January 2012 through February 2013, there was a significant reduction in BMI of children from the beginning of the program to the end (p<.0001).

30 WH Family Fit Challenge: Child BMI Kids Kids Initial BMI End BMI

31 WH Family Fit Challenge: Adult BMI Adults Adults Initial BMI End BMI

32 A Child from First Family Fitness Challenge

33 Same Child 12 Months Later

34 After the success of the pilot Family Fitness Challenge, a proposal was given to the New Hanover County public school system Moving to the Schools

35 Making Headlines

36 Making Headlines, cont d

37 Second Grade 2 Schools Statistically significant drop in the body mass index when comparing students' initial BMI measurements with BMI 8 weeks later.

38 4 th Graders Carolina Beach Elementary Normal 13% Overweight Obese 20% 67%

39 4 th Graders at Sunset Park Elementary Normal 33% Overweight Obese 58% 9%

40 Change in BMI for 2 nd and 4 th Grades nd grade 4th grade Measurement 1 Measurement 2

41 Change in BMI 4 th grade: Sustainable Rechecked End of Year Boys Girls Measurement 1 Measurement 2 Measurement 3

42 Teacher / Student Response to Program

43 This experience both in the community and in the schools - builds an evidence base for the development of successful childhood obesity intervention/prevention programs which directly relates with the local, state, and national initiatives for reducing the percentages of overweight and obese children and adolescents and promoting healthy growth and development.

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