Prevention and Treatment Approaches to Childhood Obesity

Prevention and Treatment Approaches to Childhood Obesity

http://chlnkc.org/current-projects/ http://chlnkc.org/our-members/

Research Dr. John Thyfaultmetabolism translational science related to obesity through work of our members Basic Science Translation to humans Translation to patients Translation to practice Translation to community Dr. Jordan Carlsonschools Defining mechanisms, targets, lead molecules New methods of diagnosis, treatment, prevention Controlled studies leading to effective care Delivery of recommended and timely care to the right patient True benefit to society 3 Dr. Amanda Bruce- reward Dr. Robin Shook- appetite

Treatment Serve children ages 2-21 years Multidisciplinary clinic and group based formats Groups offered in English and Spanish Zoom to Health for 2-9 year olds; BMI > 85 th %ile PHIT Kids for 9-17 year olds; BMI > 95 th %ile

Treatment Multi-disciplinary WM clinics: MD/NP, RDN, OT, Ex Phys, SW, Psych, sub-specialists Intensive services available Special Needs Weight Management Metabolic and Bariatric Surgery Clinics For youth requiring a higher intensity of services

Advocacy Center co-led state subcommittee on Childhood Obesity to develop recommendations for childhood obesity treatment and prevention 5 recommendations: 1. & 2. prevention recs (childcare, schools)

Advocacy 3. Treatment recommendation - cover evidence-based multicomponent childhood obesity treatment in 2018 Family-based Behavioral Treatment (FBT) and Medical Nutrition Therapy (MNT) 4. Centers of Excellence for treatment/prevention recommendation 5. Oversight commission recommendation Physical Activity Nutrition Behavior Change 26+ hours of contact http://extension.missouri.edu/mocan/oc2015/childhoodobesityreportcsc.pdf

Community Vision: Children enjoy optimal growth and development in the KC area, where active living and healthy eating are supported for all. MISSION: Prevent and reduce childhood obesity through community collaboration.

Background & Framework USDHHS- National Initiative for Children s Healthcare Quality Funded by ACA Evidence-based Multi-sector Primary Care Public Health Community Learning Collaborative Two Rounds

Healthy Lifestyle Initiative Framework WORKING TOGETHER TO PROMOTE HEALTHY LIFESTYLES AND HEALTHY WEIGHT FOR ALL.

MAPPS for Change Elements of MAPPS M- Consistent message (12345 Fit-Tastic!). A- Consistent assessment of weight status and behaviors. P- Customized healthy lifestyle plan for all. P- Policies & practices that create environments that support healthy eating and active living. S- Statistics & story telling to demonstrate progress.

Healthy Lifestyle Initiative Framework in Primary Care

Outcomes Message posters in exam rooms Assessment embedded into EMR Plan order embedded into EMR Materials available in clinic with goal section Track prevalence rates Allows opportunity to drill down to behaviors and location (mapping)

Prevalence of meeting recommendation (%) Prevalence of meeting healthy lifestyle recommendations in CM patients Overall N=24,256 (%) Physical activity Yes 20283 (84.2%) No 3792 (15.8%) Screen time Yes 14603 (60.8%) No 9407 (39.2%) Milk Yes 6546 (27.2%) No 17560 (72.8%) Water consumption Yes 12370 (51.2%) No 11798 (48.8%) Fruit and vegetable consumption Yes 2447 (10.1%) No 21674 (89.9%) 100 90 80 70 60 50 40 30 Physical activity Age 2-5 Age 6-11 Age 12-18 Black males White males Hispanic males Black females Hispanic females White females

15 Overweight & Obesity Rates in KC Metro - 2015

Healthy Lifestyle Initiative Framework in WIC

Outcomes new stop added to the TMC Healthy Harvest Mobile About 150 families receive $5 coupons with fruit and vegetable prescriptions 1 new WIC clinic, co-located at Children's Mercy Primary Care clinics (more than 17,000 well-child checks annually) 30 primary care providers trained in WIC services and referral 5 new coalition members engaged in promoting the project and healthy behaviors building on the community messaging campaign

Healthy Lifestyle Initiative Framework in Missouri

Missouri Department of Health & Senior Services MCH Services District Nurse Consultant Regions Atchison Holt Nodaway Andrew Worth Gentry DeKalb Harrison Daviess Mercer Grundy Putnam Sullivan Linn Schuyler Adair Macon Scotland Knox Shelby Clark Lewis Marion 10 health departments have submitted MAPPS for Change action plan Buchanan Platte Clinton Clay Caldwell Ray Livingston Carroll Chariton Randolph Monroe Ralls Pike Audrain Kansas City Independence Joplin Jackson Cass Bates Vernon Barton Jasper Lafayette Johnson Henry St. Clair Cedar Dade Saline Pettis Benton Hickory Polk Greene Dallas Howard Cooper Morgan Camden Webster Moniteau Laclede Boone Miller Wright Cole Pulaski Callaway Osage Maries Texas Phelps Montgomery Gasconade Dent Warren Crawford Shannon Lincoln Franklin St. Charles Washington Reynolds Iron St. Louis Jefferson St. Francois Madison Wayne Ste. Genevieve Bollinger St. Louis City Perry Cape Girardeau Scott Newton McDonald Lawrence Barry Stone Christian Taney Douglas Ozark Howell Oregon Carter Ripley Butler Stoddard New Madrid Mississippi Dunklin Pemiscot

Outcomes 11 statewide staff trained 60 additional health dept staff trained Educational materials available statewide 10 county health departments have MAPPS for Change action plans Consistent messaging across state through MODHSS

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Questions? Contact information: Shelly Summar, MSEd, RD, LD ssummar@cmh.edu 816-234-9227 Thank you!