Deteriorating situation in schools in relation to healthy lifestyles among students

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Deteriorating situation in schools in relation to
healthy lifestyles among students

• Dr Mariam AL Matroushi
• Director of school health- MOH, UAE

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Todays children will be the first generation in
memory to have a shorter life span than their
parents (Sir John Krebs, chairman of United
Kingdoms Food Standards Agency).
Industry priorities versus the wellbeing of
children and adult
Global strategies to prevent childhood obesity
forging a societal plan that works
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• Why lifestyles?
• Do we have a deterioration?
• How do we compare our self to others?
• What are our health out comes compared
• to others?
• Conclusion

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•    Dangers to health
•     Living things
•      Nonliving substances
• Natural events
•   Man made environmental factors
•    Heredity
• These factors alone are not enough to cause
  disease or injury . People stay healthy or become
  ill, often as a result of their own action or
  behavior.( life style)
• 5 elements determines behavior - rational
• ( knowledge) ,emotional, practical (personal
  skills) , interpersonal (interacting with
  others),and situation (environment).

Socio-ecological Model of Health Promotion
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Why school health program

• service a very large population ( 23)
• In their critical life period
• Students spend long time in the schools
• could face many problems and pressures from their
  gathering in the school environment (infectious
  diseases)
• Relation between health and education
• People establish their health related habits in
  young age in adulthood it is difficult to change
  unhealthy behaviors and habits.
• Healthy lifestyles (eating habits) in childhood
  and adolescence promote optimal childhood health
  , growth, and intellectual development prevent
  immediate health problems , and may prevent long
  term health problems
• Through schools you can influence parents and all
  present and future community

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The management process

• The management process
• situation analysis
• acquiring information,
• formulating objectives,
• definition of population ,
• assessment of needs , demands and resources
• setting priorities,
• formulation of plans
• implementing your plans,
• evaluation and continuous improvements.

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School children health services monitoring

• Monitoring the health indicators and priority
  health risk behaviors that contribute to the
  leading causes of death , disability and social
  problems among youth and adults.
• School health policies and programs study (SHPPS)
• Youth risk behavior survey (YRBS)
• Global school based health survey (GSHS)
• in UAE 2005
• Global Youth tobacco survey (GYTS)
• in UAE 2002 2005

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of health problems in UAE adults
Sr self reported

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Global school based student health survey UAE 2005
-15790 students from grades 7 to 10 in 194
governmental and private schools in U.A.E . -67
of the students who participated were (13-15)
years old
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• Nutritional deficiencies
• 3.3 in SH screening program 2006-2007
• Iron deficiency anemia
• 4.6 in 1st ,5th and 9th grades.
• 9.9 in first graders (SHR 2006-2007)
• 9.7 in first graders Abu Dhabi ( 2002)
• 3.24 in sharjah ( Dr Abdulsalam et al ) 98/99
• 3.9 in Dubai (Dr Wasfi et al) 2004
• Dental caries 89.6 (Dr Wasfi et al) 2004
• Hypertension 2.3 (Dr Wasfi et al) 2004 , 4.5 m
  and 5.6 f in Sharjah primary students ( Dr. H.
  Fares et al 2002)
• Diabetes 1.92/1000 (0.192) ( Dr Yasser et al
  2002)
• 0.15- 0.21 from school health statistics(
  2000-2006).

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School childrendata from the analysis of the
comprehensive screening of school children in the
first , fifth and ninth grades
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503 diabetics in schools 9.5 type 2
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Study done in Rasalkaima on students older than
10 years old body mass index more than 85 and
have one the risk factors or sings of insulin
resistance , family history or Asian origin
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• UAE
• gov. school canteens on 2005
• - most of the canteen sold foods are sandwiches
  like cheese and zatar and falafel. potato chips
• - Sweets and chocolates are available in 75.5 of
  our gov. schools
• -vegetables are only available in 8.8 and fruits
  in 11.6 and milk in 19.7. Juice are 30
  concentration mostly

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Childhood overweight and obesity, that are now
affecting 10 of the world's children, may, in
many developing country populations, have a
particularly serious effect, because of the
fundamental biological effects with early
malnutrition amplifying the effects of later
excess weight gain. Thus these "epigenetic"
effects engender a special susceptibility to
abdominal obesity with its serious consequences,
and make the population doubly sensitive to
developing diabetes and other chronic diseases.
Therefore factors which promote excess energy
intake or inactivity in the developing world's
children may have an even more serious impact on
health than that already seen in North America
and Europe.
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• Thrifty Gene Hypothesis. This is a genetic
  adaptation which would enhance survival in
  individuals living in an environment of frequent
  famine. In times of plenty this genetic
  background could become detrimental, leading to
  increased free fatty acids and  intra myocellular
  lipid with insulin resistance.

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o
Figure 6. Varying causes of phenotypic variation.
Derived from Rao.32
NCEP ATP III clinical criteria for the metabolic
syndrome.
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• Barriers include
• lack of strict legislation or strong standards
  and guidelines
• Weakness in the curriculum/ instruction on
  nutrition ,
• physical activity and life skills or media
  literacy
• No Time for physical activity or cooking
  meals
• Money Extra value meals are often a better
  bargain than healthy meal
• An environment built to serve automobiles
  rather than people.
• Good advertisement and marketing
• Easy access to junk food.
• Lack of fresh fruits and vegetables available
  in all communities.
• lack of place and Safety of children playing
  outside.
• Reduction of physical education class time and
  recess time in schools.
• Belief that school canteen money revenue is
  necessary.
• Popularity of video games, television, and
  computers, leading to excessive non-purposeful
  time.
• Weather, environment and culture limit outdoor
  sports.
• Use of machines for transportation , house hold
  work , etc
• Need Collaboration, Stakeholders, and Partnerships

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• To conclude
• Current lifestyles and risk taking behaviors
  are toxic to our population health
• We need
• Periodic surveillance system to monitor trends
• More of Quality research and provide evidence
  based information
• Task force to develop a comprehensive
  multisectoral, national strategy, policies ,
  action plan and resources are needed to modify
  and reduce all risk factors for non communicable
  diseases.( adress marketing, media and
  advertising, environmental factors and urban
  planning , schools canteens and education,
  taxation, labeling and information etc )
• WHO Global strategy on diet physical activity and
  health
• Strengthen and establish public health programs
• Strengthen intra and intersectoral collaboration
  and partnerships

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Alone we cant do any thing
All of us apart can make some difference
But all of us together can make a big difference

• Thank you