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• Dont Weight To Lose Kids
• Program Design

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Childhood Obesity Background

• The CDC findings
• -80 of overweight children 10-15 y/o become
  obese adults by age 25
• -Obesity in 611 y/o has climbed from 6.5 to
  17.0 in past two decades adolescent rate has
  tripled

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Adolescent Obesity Background

• 65 do not meet recommended level of physical
  activity
• 46 do not attend physical education classes
• 35 watched television 3 or more hrs/day

2007 national Youth Risk Behavior Survey
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Health Risks Associated with Childhood
Adolescent Obesity

• Type 2 diabetes mellitus
• Metabolic syndrome
• Polycystic ovarian syndrome
• Hypertension
• Neruological
• Advanced Maturation

• Cardiovascular Disease
• Dyslipidemia
• Pulmonary
• Gastrointestinal
• Orthopedic
• Psychosocial
• Renal

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Motivation for Change

• Academic Performance
• School performance test scores decrease in
  overweight children.
• Inadequate consumption of nutrients affects
  cognitive function and has been linked to
  shortened attention span, irritability and
  fatigue.
• Daily physical activity can lead to increased
  test scores, particularly in math enhances
  thinking ability and reduces disruptive
  behavior
• Good News Better food More activity Better
  grades!
• Krukowski et al., Int J Pediatr Obese, 2009
• Shephard, RJ, Pediatric Exercise Science,
  2001
• Economic Incentive
• Increased financial burden among obese population
  due to increased drug costs and outpatient
  visits.
• Good News loose weight cut costs!
• Transande L et al., Obesity, 2009

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Environmental/Lifestyle Changes

• Less healthy diets
• High fat foods
• Take out fast food
• High fat snacks
• Liquid Calories
• Non-citrus juice increased by 300 in young
  children
• More unhealthy foods
• Super-Sized

• Less physical activity
• Less PE in schools
• Less participation in afterschool sports
• 20 of US 8-16 yr, have 2 or fewer bouts of
  rigorous activity/wk
• More physical inactivity
• More television time
• 25 of US kids watch gt4 hrs/day
• More computer time

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Strategies for Obesity Prevention

• Behavioral Family-Based Programs
• Epstein, et al 10 year follow up data available
• Positive effects for Children Young Adolescents
• Diet Exercise more effective than exercise
  alone
• Parents as Exclusive Agents of Change
• Golan et al Parents as agents of change in
  childhood obesity
• Non-Dieting Approach
• Improve self-esteem and attitude toward
  eating/food

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Behavioral Strategies

• Exercise a family affair
• Family walks, interactive games, activities
• Decrease Inactivity
• turn off TV, video games, computer games
  (lt2hrs/day)
• Self monitoring
• Food records/activity log
• Modification of eating habits
• Not in front of TV, food exploration
• Reinforcement and rewards
• Enhance self-esteem
• Dealing with family/parenting communication

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Overview of the Program

• Program is designed to be run for 6 weeks
• Will take place each Saturday 1030a-Noon
• Targeted sessions for parents and children
• Parents nutrition and exercise education for
  yourselves and your family.
• Children nutritional and physical education.
• (your input is needed)

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Overall Goal of the Program

• Encourage children to think holistically about
  how lifestyle behaviors are directly related to
  health and wellness.
• Offer a long-term community/family based approach
  to learning about the importance of increased
  physical activity and proper nutrition in
  combating childhood obesity.

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DWTL Design Overview

• DWTL is community-based 6-week program designed
  to combat obesity in the New Orleans area
  through
• Nutritional Education
• Physical Education
• Increasing Physical Activity

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DWTL Design

• Nutritional Education- comprehensive education
  and counseling for whole families in meal
  planning, healthy nutrition, and overall
  wellness.

School Health Policies and Programs Study CDC
2006
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DWTL Design

• Health/Physical Education- education focused on
  understanding how healthy behaviors are
  interrelated and how to integrate physical
  activity into their lives .

SHPPS CDC 2006
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DWTL Design

• Increasing weekly physical activity- limiting TV
  and other sedentary behaviors, providing a
  setting for exercise and physical activity, and
  giving practical take home assignments.

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• Informational presentation to Church
• Presentation to take place after Church service
  2-3 weeks before kickoff date.
• Promote purpose and the goals of the program
• Family recruitment
• Distribute Parish family needs assessment
• Explain how healthy activity increases test
  scores, less hospital bills.

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Week 1

• Upon arrival, after parents and children
  separate
• Parents will begin orientation and baseline
  measurements including body compositions.
• Children will begin orientation and then baseline
  assessments will be made.
• Resource handouts will be provided for the
  participants.

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Week 1Children

• 1st Half (45min.)
• Program orientation
• The design of the program explaining exactly what
  will be done and what is expected of the
  participants will be presented.
• Surveys
• Retrieving information from the participants in
  order to better understand the effect of the
  program.
• Have kids track amount of time spent on screen,
  and then GIVE them a replacement for that.
• (tv viewing, hours spent outside, educational
  assessment, reported physical activity)
• Waist-to-Hip measurements and initial body comp
  readings
• Private screenings with the aid of professional
  medical personnel.
• Dr. Dise - training for medical measurements of
  the participants

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Week 1Children

• 2nd Half (45min.)
• Fun Physical Activity of the Week
• (your input is needed!)

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Weeks 2-6 (Kids)

• 1st Half Nutrition (45min)
• Education Group Activity

• 2nd Half Exercise (45min)
• Group Physical Activity

• Week 2 Energy In vs Energy Out
• Food consumed compared to exercise needed
• Week 3 Get Off Your Tail!
• Eliminating Screen Time
• Week 4 Types of Exercise
• Cardio vs Resistance
• Week 5 Benefits of Exercise
• Creating a balanced playtime schedule
• Week 6 You Can Do It!
• Pending Famous Guest Speaker

• Week 2 Nutrients My Pyramid
• Pyramid construction
• Week 3 Whole vs. Processed
• Food Organization
• Week 4 Dietary Guidelines
• Creating balanced meals
• Week 5 Healthy Choices
• Food label dissection
• Week 6 Advertising Eating Healthy
• Magazine cut-out

Body Comps will be measured during 1st Half
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Example of Prizes for Interactive Learning

• Prizes will be age appropriate
• Toys
• Games
• Sports equipment
• Music

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Adult Classes

• DWTL adult classes will be run in accordance with
  previous sessions stressing family efforts.
• Each class will be uniquely focused to address
  all topics with relation to the family unit and
  active health planning for all members
• Body composition assessment weeks will take place
  on the 1st, 3rd, and 6th session.

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Intended Lecturers

• Dr. Harlan week 2
• Dr. Hebert week 4
• Dr. Dise week 6

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Final Note

• At the end of the program, we will have a Family
  Field Day.
• Family Field Day will be a day of fun filled
  family activities such as Father-Son 3-Legged
  Race, Tug-of-War, and the Sack Race.
• Prizes will be provided for All Participants.
• (input needed. Promote dwtl)

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• Appendix A
• Aerobic Activities
• jump rope, jumping jacks, squat-thrusts, running
  in place, stretching, running, hopping, skipping,
  walking, jumping rope, swimming, dancing are all
  examples of aerobic activities)
• basketball, kickball, dodgeball capture the flag,
  and soccer(or other team sports)
• walk-a-thon (for prizes.)

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• Appendix B
• Muscle/Bone Training
• push-ups, sit-ups, pull-ups, and stretching (or
  other pre-existing muscle training activities.)
• (Muscle-strengthening activities can be
  unstructured and part of play, such as playing on
  playground equipment, climbing trees, and playing
  tug-of-war. Bone strengthening activities are
  acts that produce a force on the bones that
  promotes bone growth and strength. This force is
  commonly produced by impact with the ground.)
• Students will also be encouraged to walk to
  school if possible and safe. (this was mentioned
  Healthy People 2010)