of Childhood Overweight and Obesity Daniel W Jones
of Childhood Overweight and Obesity Daniel W. Jones, MD
Healthy Children…. . Healthy Adults
Our Challenge Photo licensed under CC by 2. 0
Obesity The Obesity Epidemic Is Recent in Onset
Obesity Prevalence: USA 1985
Obesity Prevalence: USA 2015
Obesity The Obesity Epidemic Is Global
Obesity • Obesity epidemic is global Photo licensed under CC by 2. 0
Obesity threatens to overtake hunger as #1 global health concern
Obesity The Obesity Epidemic Impacts Children
Obesity – Impacts Children Around the World Source: Mc. Kinsey Global Institute (2014).
Global Obesity - Girls Global obesity prevalence among girls. (2015). World Obesity Federation Interactive Obesity Atlas. Retrieved from https: //www. worldobesity. org/data/map/overview-adults
Global Obesity - Boys Global obesity prevalence among boys. (2015). World Obesity Federation Interactive Obesity Atlas. Retrieved from https: //www. worldobesity. org/data/map/overview-adults
Obesity Trends - USA Figure Legend: Percentage of U. S. Population that is Obese Anderson PM, Butcher KF. (2006). Childhood Obesity: Trends and Potential Causes.
Childhood Obesity Causes – Soft Drinks Figure Legend: Annual Regular (Non-Diet) Soft Drink Consumption Anderson PM, Butcher KF. (2006). Childhood Obesity: Trends and Potential Causes.
Childhood Obesity Causes - Television Figure Legend: Average Daily Minutes of TV Watching, All Viewers Anderson PM, Butcher KF. (2006). Childhood Obesity: Trends and Potential Causes.
Obesity • Childhood obesity is frightening because: It will drive the epidemic of CV disease Obesity – DM, Hypertension, Dyslipidemia –CVD It may drive the next wave of hepatic cirrhosis Treatment options are poor
Obesity-Related Health Issues in Mississippi: Diabetes Trust for America's Health and Robert Wood Johnson Foundation. The State of Obesity 2017 [PDF]. Washington, D. C. : 2017.
Diabetes Associated with Obesity
Age Adjusted Mortality Rates in the United States, 2000 -2014 Sidney S. et al. Recent trends in cardiovascular mortality in the United States and public health goals. JAMA Cardiol. 2016; 1(5): 594 -599.
Obesity • Fatty liver and cirrhosis follow obesity onset by 20 -30 years • 35 + 30 = 65 • 10 + 30 = 40
Weight loss is difficult to sustain even with diet and exercise Wadden et al. Int J Obes 1989; 13 (Suppl 2): 39.
Childhood Obesity – Is it Hopeless?
Childhood Obesity – Is it Hopeless? No!
Childhood Obesity Rates - Mississippi Retrieved from https: //www. rwjf. org/en/library/articles-and-news/2013/07/mississippi--signs-of-progress. html
How Did it Happen? School Based Programs Why Schools? • Population prevention strategy needed • Access to all children – socioeconomic status, ethnicity • Schools (Teachers) make good partners • Education and health linked
Childhood Obesity Rates by Ethnicity - USA Figure Legend: Childhood obesity rates (2011 -2014 data) Childhood obesity rates by race/ethnicity. (2016). Trust for America’s Health and the Robert Wood Johnson Foundation. Retrieved from https: //stateofobesity. org/childhood-obesity-trends/
From: Association of Educational Attainment With Lifetime Risk of Cardiovascular Disease: The Atherosclerosis Risk in Communities Study JAMA Intern Med. 2017; 177(8): 1165 -1172. doi: 10. 1001/jamainternmed. 2017. 1877 Figure Legend: Risk Estimates of Cardiovascular Disease From Age 45 to 85 Years According to Educational Attainment, 1987 Through 2013 Date of download: 8/21/2017 Copyright 2017 American Medical Association. All Rights Reserved.
The Bower Foundation Strategies • Policy • Center for Mississippi Health Policy • Commitment to non-partisan, objective approach • Core functions: policy analysis, information dissemination, sponsorship of health policy forums and other venues for dialogue • State Board of Education • Health Department • Legislature • Food in schools • Fryers baking ovens • Vending machines • Farm to school • Exercise in schools • Move to Learn
State Policies to Prevent Obesity: Early Childhood Education (ECE) Mississippi has regulations requiring licensed ECE programs to: • Allow or encourage onsite breastfeeding • Make drinking water available to children • Implement healthy eating policies • Provide meals and snacks that meet the dietary guidelines • Provide time for daily physical activity • Provide private breastfeeding space for mothers • Set limits for screen time in ECE setting State policies to prevent obesity: Mississippi. (2017). Trust for Americas Health and Robert Wood Johnson Foundation.
State Policies to Prevent Obesity: Schools • Required physical education at elementary, middle, and high school level • Minimum time requirement for elementary and middle school physical education • Safe routes to schools • Community access to school recreational facilities outside school hours • Farm to school (50% of MS schools participate in farm to school activities) State policies to prevent obesity: Mississippi. (2017). Trust for Americas Health and Robert Wood Johnson Foundation.
State Policies to Prevent Obesity: Community • Complete street policy: MS is among 33 states that have adopted policies to incorporate safe and convenient walking and biking into transportation planning as well as improve conditions and opportunities for walking and biking. • Preemption: local governments and school districts cannot override state law or regulations State policies to prevent obesity: Mississippi. (2017). Trust for Americas Health and Robert Wood Johnson Foundation.
School Nutrition • Farm to school • School lunch nutrition guidelines • Replaced fryers with baking ovens • Vending machines – no sugar based drinks
Bower Foundation
Move to Learn
Move to Learn • In classroom • 5 -10 minutes, 3 -5 sessions • Enhances concentration
Childhood Obesity – Is there Hope?
Childhood Obesity – Is there Hope? Yes!
Childhood Obesity “To understand the world, you must first understand a place like Mississippi. ” - William Faulkner
Childhood Obesity Rates - Mississippi Retrieved from https: //www. rwjf. org/en/library/articles-and-news/2013/07/mississippi--signs-of-progress. html
Healthy Children…. . Healthy Adults
Questions? . . . . Discussion
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