HomeMy WebLinkAbout10/31/2005 - Regular Minutes - Senior Advisory Committee College Station Senior Advisory Committee
Regular Meeting
Monday, October 31, 2005
College Station Teen Center
1520 Rock Prairie Rd.
10:00am
Minutes
Members Present: Patricia Boughton, E.E. Burns, Rick Heaney, Dorothy Hernandez,
Laura Holmes, Edgar Jones, Robert Meyer, Neal Nutall, Raymond Reed, Colleen Risinger,
Yvonne Stevens, Doreen Todd and Joanna Yeager
Members Absent: Joyce Davis, Jack Hernandez, Joe LeCour and Haskell Monroe
Visitors: Patricia Cleere
Staff Present: Steve Beachy, Peter Lamont, Pam Springfield, Dana Albrecht and Marci
Rodgers
I. Call to order The meeting was called to order at 10:05am by Robert Meyer,
Chairman.
II. Hear visitors Patricia Cleere attended the meeting in order to learn more about
activities offered for seniors.
III. Approval of minutes from regular meeting on September 26, 2005 Ray Reed
made the motion that the minutes be approved. Patricia Boughton seconded the
motion. The motion passed. Robert Meyer asked the members of the committee to
introduce themselves to our new member, Dorothy Hernandez.
IV. Report, discussion, and possible action regarding Community Recreation
Centers — Dana Albrecht presented a power point presentation to the committee
with information from a conference she attended in Colorado on community
centers. She visited 20 centers ranging in size from 50,000 square feet to over
100,000 square feet. The centers visited were Multi Generational Centers that
allowed something for everyone and maximized tax dollars. Pictures shown gave
examples of indoor swimming facilities, exercise facilities and equipment, multi
purpose meeting rooms and classrooms, gymnasiums and art studio. Special
features included rock walls and day care centers along with outdoor facilities such
as a dog park and sport court that was fenced. Dana explained how the facilities
were utilized by all age groups and the benefits of partnerships. The conference
stressed the importance of using experienced professionals to design and construct
centers of this type. The committee expressed appreciation to Dana and Pam for
the presentation.
V. Report, discussion and possible action concerning public meetings for future
Senior Center The committee was presented with a draft report from the Senior
Center sub-committee with recommendations based on public meetings and citizen
input for a future senior center. Marci explained that several meetings with senior
organizations had taken place and the results calculated on the facilities, services
and activities seniors would like to see in a senior center. Attached to the report
were the results from the public meetings and other senior community
presentations. The report lists desired facilities and programs for a senior center
and location, size and cost estimates. Members were asked to make other
recommendations or suggestions. Ray Reed made the motion that the staff take the
information and format a report with the attachments for presentation to the Parks
and Recreation Board and develop a power point presentation as recommended by
Steve Beachy. Joanna Yeager seconded the motion. The motion passed. The
report will be presented to the Parks and Recreation Board on Tuesday, November
8, 2005 at 7:00pm at the Teen Center. Members from the Senior Advisory
Committee were encouraged to attend the Parks Board meeting.
VI. Senior Services Coordinator Report Marci invited the committee to attend the
Senior World Passport Program on the country of Ecuador scheduled for Tuesday,
November 1St at 10:00am at the Teen Center.
VII Next meeting and agenda items: Monday, November 28, 2005
VIII. Adjourn The Committee adjourned at 11:44am.
,
•
MAKING PARKS AND RECREATION A PRIORITY
Advocacy Update: Reducing Obesity Through Recreation
Park and recreation
agencies need
increased federal
funding to support RPA has a long history of
working with federal poli- ACTION ALERT
efforts to reduce cymakers to devise strate-
gies to prevent obesity and Help secure funding for these crucial
health problems. its resulting health copse- federal programs by contacting your
quences,and to help reverse the trend members of Congress to encourage
By Monica Hobbs Vinluan,J.D. toward inactivity in the U.S.We have them to,at a minimum,protect the
advocated for federal programs,devel-
oped
funding levels that are in the current
oped alternative approaches to combat pieces of legislation.To get the contact
ing obesity,and have helped to identify information for your congressional rep-
contributing environmental and social resentative and senator,visit www
factors that could lead to obesity.As the congress.org.
f. .
federal government continues to
ijrf develop new programs to combat obe- occurs outside of the school setting.
sity,NRPA will continue to seek part- Community sports and recreation pro-
/ kph.
nerships and alliances to further the grams can complement the efforts of
i` � governments efforts.NRPA supports schools by providing children opportu-
�_� federal anti-obesity programs that posi- nities to engage in the types and levels
411r ' '''l tively impact the environment and have of physical activity that may not be
the potential to improve the daily lives offered in school.
of Americans. Many federal policymakers recognize
While America is confronted with an the important role that public parks
obesity crisis that threatens our nation's and recreation agencies can—and do—
health,economy and future,it is impor- play in addressing the obesity epidemic;
tant that physical activity is seen as a however,NRPA will continue to edu-
viable strategy for disease prevention cate and guide policymakers toward the
and health promotion for all people. most appropriate strategies directed
Nearly 119 million adults,representing toward the most appropriate settings.
65 percent of the population,are cur- Federal policymakers have just begun
rently overweight or obese.About 15 to develop initiatives to combat obesity
percent of children are overweight,a and to promote the general popula-
condition that increases the risk of high tion's health and well-being.These tac-
cholesterol,high blood pressure and tics generally fall into one of three cate-
diabetes.Estimates for the direct and gories:
indirect costs of obesity range from
$51.5 to$78.5 billion per year. Public education campaigns targeted
Public parks and recreation facilities at individual behavior change
offer low-cost opportunities to all •The Centers for Disease Control and
Americans of every age,ability and Prevention(CDC)VERB Campaign
income level to increase their daily uses media outlets and community
amount of physical activity and thus events to encourage children to be
prevent chronic health conditions.Also, physically active.Despite achieving its
s most physical activity among children goal of increasing the amount of free-
1G PAR K S l� R E C R E A T I O N OCTOBER 2 0 0 5
Advocacy Update
time physical activity for targeted chil-
dren,the president decided to terminate
Binding for this program in his budget
request for next,ear.NRPA's advocacy
efforts to secure$70 million for this
program resulted in saving the program in the business community.NRPA has sent just a start toward the development
proU
been involved in these legislative pro- of a more comprehensive and effective
from termination,but only securing
posals and will continue to work to approach to the obesity crisis.
$11.2 million in funds from the House.
• Federal policymakers have made
make sure that public park and recre- A growing number of studies show
ation programs and facilities qualify that people in activity-friendly environ-
progress toward helping to provide
under the tax incentives. ments are more likely to be physically
healthy choices for Americans.Nutri-
tion resources provided by the federal active in their leisure time.Several ele
Developing community-based ments of the built environment can
government include the Dietary Guide-
active living incentives contribute to encouraging physical
lines for Americans and the newly
•The vast majority of federal legislation activity,including better access to facili-
revised Food Guide Pyramid.Proper
in Congress now focuses on initiatives ties,facility quality,safe places and
• food intake can be self-monitored by
to provide community-based grants or walkable neighborhoods.Park and
referring to the Nutrition Facts label,
incentives to encourage physical activ- recreation agencies need adequate pub-
an information system provided by the
ity.If enacted into law,the Childhood lic funding to update their facilities and
Food and Drug Administration. NRPA
Obesity Reduction Act(S.1324) ,the to situate their facilities in the neigh-
supported funding allocations for all of
Prevention of Childhood Obesity Act borhoods that they are attempting to
these federal programs and battled con-
gressional and executive branch efforts (S.799)and the Healthy Lifestyles and serve. In addition,agencies need to have
Prevention Act(S.1064) would award the funds in their budgets to provide
to reduce appropriations toward these
competitive grants to states to support lighted trails and parks and to employ
programs.
activities to implement childhood obe- park police.
sity prevention and control plans.The The indoor and outdoor facilities
Treatment of obesity-related diseases
Improved Nutrition and Physical Activ- managed by public parks and recreation
•The CDC's Division of Physical Nutri-
ity Act(S.1325) provides grants to pro- nationwide serve as an enormous asset
tion and Physical Activity has provided
vide health services for improved nutri- to engage more people in active recre-
funds for 23 states to implement a pro-
tion,increased physical activity and ational pursuits and healthy lifestyles.
gram to prevent obesity. Despite
obesity prevention.NRPA has been No other service provider has the
NRPAs advocacy efforts to obtain $70 working with the various sponsors of "physical plant"that park and recre-
million to fund this program,Congress
these bills to ensure that park and recre- ation systems have to improve health.
only allocated$49.9 million for this
ation agencies are eligible entities to Federal policymakers engage in the
program for next year.The National
receive the grants and to ensure that proper rhetoric to identify contributing
Institutes of Health (NIH) also con any grant recipients work with local factors of obesity,but they often fall
ducts obesity related research,and has and state park and recreation depart- short when it comes to actually funding
a budget of$440 million for 2005 to
ments to develop comprehensive plans programs that may have an impact on
guide scientific research in this area. to encourage physical activity. combating obesity.The federal govern-
N RPA advocated for additional funds
ment must recognize the crucial role
for NIH to conduct this important
Alternative Approaches that park and recreation agencies play
research,but Congress only appropri Recognizing the ineffectiveness of the in combating obesity and provide
ated level funding for this agency. traditional approach that solely focuses secure,sufficient and stable funding
•Congressional legislative proposals on individual responsibility,the legisla- for parks and recreation.
have been discussed to implement new ture's initiatives address the wider range
tax policies for employers and employ of contributing factors.Incentives to Monica Hobbs Vinluan is the senior pol-
ecs.Two such proposals,one for manufacturers,restrictions on chil- icy associate for health and wellness
employer-provided wellness programs dren's television advertising,more accu- issues for NRPA's Division of Public Pol-
and one to enable employees to expense rate food labels and planned communi- icy.She has more than six years of legisla-
the costs of fitness programs on their ties with an emphasis on green space tive and policy advocacy experience,
Flexible Spending Accounts,have the are all beginning to be discussed at the working on various health promotion
potential to start implementing changes federal level.All of these tactics repre- issues.
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Recreation Role
In 2004, Columbus and Franklin
County Metro Parks became a partner in
the Commit To Be Fit program. With
more than 130 miles of scenic trails for
walking, biking and jogging, one of
Ohio's largest metropolitan park systems
was a natural it in a program designed to
provide free,healthy and easy options for
people wanting to make simple lifestyle
changes or people already exercising.
Miry .I[
TO
It 1
With limited funds for promotion 111
and advertising, the Commit To Be Fit
program was a perfect venue for Metro
Parks to inform residents about all the
healthy opportunities available through-
out the parks.
While people have always used the
parks for walking and jogging, Metro
Parks had not marketed to exercise
enthusiasts and those looking to begin an
exercise regime. The Commit To Be part-
nership has greatly expanded our out-
reach efforts and brought people to our
14 parks who were not aware of all the
amenities available.
Buying media time in a major televi-
sion market is costly. The park system is
primarily funded by a 10-year property
tax levy passed by the voters of Franklin
County, and keeping citizens informed
about the programs, facilities and ser-
vices at the 14 Metro Parks is always a
priority.
Metro Parks'cost for the Commit To
Be Fit partnership with WBNS-10TV is
$100,000.The actual value of all the pro-
duction and airing of promotional spots
on television about the parks, along with
jointly sponsored special events and
related print, radio and Web stories easi-
ly exceeds $500,000 in value.
As a partner in the Commit To Be .4. „
Fit program, Metro Parks gets video pro-
duction capabilities for spots from the
television station and much-valued
prime airtime.
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The television station has a dedicated Metro Parks is also featured as a one-mile hikes have proved quite popu-
Web site for the Commit to Be Fit pro- sponsor in a number of Central Ohio lar and self-affirming for the participants.
gram that links to Metro Parks' Web site. events ranging from the Columbus Half After hearing the television promo-
For talent we typically use Andrea Marathon, the junior Achievement tion about the first hike that urged any-
Cambern,who has the highest overall rat- Dodge Ball Tournainent and an array of one to come out and walk a mile or what-
ing among the three television station marathons, bicycle outings and health ever he or she could realistically walk,
anchors in the Central Ohio viewing area. screenings. Tanya Biesecker decided to give it a try
We often have Cambern and John In 2004, the Commit To Be Fit pro- She arrived with her cane and
O'Meara,Metro Parks'executive director, gram launched the 10-week fall Healthy watched all the hikers set off on the trail.
or a park ranger appear in spots high- Hikes Series at ten Metro Parks. targeting She finally got up and walked a short dis-
lighting various health and fitness venues people who have not done a lot of exer- lance down the path with one of the park
available in our parks. cising. Led by Metro Parks' rangers, the rangers behind her before turning back.
She had been discouraged from pur-
, " ''. ,• • , .' '" suing physical activity by her doctors
w <10,.' "ax) A ' .,,4,, and family. Each week she came to the
x "" , ''''''W t. .'` �. hikes and made it a little further along
4, 'P
` . ��,.� the trail. B}' the end of summer she was
".. �.r 41 . . w ' completing the two- to three-mile hikes
'"k' ,� �� «e ' ,, through hills and other terrain. Now her
•
,, '
.. k' ` . ' y t; blood pressure is down and she's off her
" -° +.' ,-"- ,,,� + ,.." 4 ,, medication.
*+».fl l *firf, Y } :'The rangers were always behind
'S'..,''''';'"''
' , .- est' ' .. .
''. me on the trail and encouraged me to
���z. :,,,,.--,;,,t, `t` " r ,. a continue no matter how Which time I
' r' J ..
, ,. . Vit"zlk took,"Biesecker said. "Next year I will be
r"4 ' , - ` i . b ' ,* back to encourage folks similar to me
}
` '-, '�' 11#7,r,,,,,,X,
, ' ': 4 1' r "t'' x 'J who don't think they can do it and I will
it, �� � ," `'� continue coming to the Metro Parks.'
~. At., ,.- .. Biesecl�er�is just one of many stories
- '
W d
" ' `_.� that have been recorded as part of the`" ;c Commit To Be Fit program. If you decide
t
P to doasimilarprogram, findcompelling 4' & + - +,hJ '
t
` "" " 14::
stories like this and make sure the 're
"', `' °ori :,' ' - highlighted in your community through
-, i- t ,.,",` 1 .. -i.,,;;,,ie:. i s -' ' 4 local media.
" i "�° ; i. -' This past summer, Metro Parks and
` i:: . * ¢ k k r ' d , ~,' , .r -, \f. .r 10TV, in partnershipwith several local
_ •
, parks and recreation departments,began
'i'`�; x'.. ?` r.Aw � '' f the Commit To Be Fit Kids Club targeting
,' it -` A youth ages 5 to 14.
, p " ,ax This free program is designed to
°::A -''' ,:',"?7'"1'i '� t".
..: educate and energize kids about exercise,
�� � healthy eating and working toward a
--''',..1.''',-'7';'''-'4-47-'-'' '-,-.-A7.., .� 'C' r ., I. healthy lifestyle while having fun.
i" More than 1,300 youth attended the
ti �" kickoff festivities at the Columbus Crew
Soccer Stadium. Crew soccer players
., �. ,.,.''w^ ti
w "" r along with Ohio State University football
" players were on hand for a day of games,
• y exercise and education. Throughout the
. summer, events were held at. several
0-'m `h . .. . „,,,,,,-,14—, neighborhood parks and recreation cen-
w „ .. „ , * ., `' leis and area Metro Parks.
+ A major pizza chain,Donatos,is also
- �,.y a Commit To Be Fit partner. This gets a
. ,,,..,,. : �'�. 4IPr ^`. few surprises from participants in some
86 PARRS&REC BUSINESS 1 October 2005 i www.parksandrecbusiness.com
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of our walks and runs. But part of the rat- OriF
Ings for being one of the top fattest cities
looked was number of fast food restau
rants and pizza parlors, of which
Columbus has a higher proportion than ''.
similar size cities.
fA
ii ,
i t 11 '
Mit ,'
But the reality, according to
Cambern, is, "A partnership with a pizza
business makes all the sense in the
world, because nobody is going to give
up their pizza."
Donatos began marketing a no-
dough pizza and a low-carp tortilla sub
as part of the program. A contest was
held throughout Central Ohio to design
a healthy pizza that the company will
soon begin selling.
The results of Commit To Be Fit
have begun to pay off. Several months
ago when Men's Fitness put out its 2005
Fattest Cities list, and Columbus had
dropped from number five to 16.
Central Ohioans cheered and most
local media outlets covered the story.
Commit To Be Fit was art integral part in
heightening citizens awareness of just.
how fat and unfit. Columbus was. More
importantly, it was a pivotal tool in gal-
vanizing local residents, governmental
agencies and businesses to cooperatively
take steps toward a healthier lifestyle.
"While we are pleased that
Columbus is longer be in the top ten list
of fattest cities, our ultimate goal is to
rank in the top ten list of healthiest Ami
cities," said John O'Meara, Metro Parks' For c
executive director. "And with one of the term
best park systems in the country I know With
we can do it by getting folks out and
about in the Metro Parks." P&RB is we
Peg Hanley is the public relations manager
for Metro Parks. (800)
www
5
•
Childhood Obesity
Can be prevented
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The Habits of a �Q O,� ry
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Class 3 Obesity in the U.S.
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50 1 2529.9 • Class 3 =BMI>40 or
30-34.9 100 lbs over ideal
weight
e --f'` 3s 39.9 • 2-fold higher risk of
1
mortality than BMI 30
• High need for bariatric
,990 1992 1994 1998 199,5 2L6 surgery
• Black females 6.0%
Prevalence increased 3-fold
in only a decade Freedman,JAMA 2002:288:1758
Medical Consequences of
Obesity
• Psychosocial • Medical
• Cardiovascular — Polycystic ovary disease
— Lipidemia — Gall bladder disease
— Diabetes — Osteoarthritis
mellitus — Cancer
— Hypertension • Pregnancy and the
— Respiratory postpartum
— Cardiac • Mortality
Diseases that begin in childhood amplify morbidity
2
Prevalence of Diabetes in U.S.-
1990 to 2001
11,0i1
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Iso .4%0 4%6% 61,-.411 °1/44°1/411 '1°1/4E3'(DC- 1'0 '4'413 4%.% 044%111 swim. .iosoraiyal
• •
Life-years lost from diabetes
in the u.s.
• If diagnosed at age 40 years
— White male: 11 yrs female: 13.5 yrs
— Hispanic male: 11.5 yrs female: 12.4 yrs
— Black male: 13 yrs female: 17 yrs
• If diagnosed at age 10 years
— White male: 16.5 yrs female: 18 yrs
— Hispanic male: 19 yrs female: 16 yrs
— Black male: 22 yrs female: 23 yrs
National Health Interview Survey Narayan,JAMA 2003;290:1884
3
Children grow up
In 3 environments
HOME
--"14 COMMUNITY
SCHOOL
The Energy Equation
is being violated
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almost from birth
4
Energy-dense
Nutrient-Poor
Foods
• Tip of the Food Pyramid: fats, oils, sugars
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Energy-Dense, i
Nutrient-Poor Foods -1
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Children & Teens: NHANES III " ,, 1,
• EDNP foods = >30% of daily energy
• Total daily calories increased
• Energy from carbohydrates increased
• Energy from fat increased
• Displacement: Protein,fiber, vitamins,
folate, calcium, magnesium, iron, zinc fall
with increasing EDNP foods
Kant Arch Ped Adol Med 2003; 157:789
5
Population Average intakes
❑Actual intakes 12000 kcal
Recommended intakes/2000 kcal
Added Sugars
Total Fat
0 5 10 15 20 25 30 35
% of Energy
New Labelling for Fats
Excellent Source of Folic Add 'r
Anfertcan tart
As$oatedon
banmr{optes+sto2
Nutrition Facts
Sarvag Sae MO
C Under 4•a%cup I20g)
Servings Per Container About 9
Children Under 4-About 14
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P.OP*". . ° I
aTotal Fats
110 150} 70'
,'.
Calories hom Fat 15 20, 10 Saturated Fats Bad Fats
xa.,>
i,)TotalFei2g. 3% a%j 1g Trans Fats
Saturated Fat Og 0% 3% Og
Trans edF .
QPolyunsaturated Fats Good Fats
Monounsaturated Fat O,5g
iv\«� 6% 1% 0,02 Monounsaturated Fats ft E
Spbun 210mg_ 9% 12%i 140mg
Potassium 2t5mg_ 6% 12% 130mg
Tob1t
Carbohminsta22g T% 6%I 159
Dietary F3re3g 11% 11%1 29
5--- Jr
Fibertg _.._ 9.9
S ?9
Other Carbohydrate 113g 129
Protein 3g 2g
6
Food Supply
Added Sugars 1970 - 1996
Ei Honey,edible syrups
tsp/(person -d) Com sweeteners
ao Cane and beet sugar
35
30
25
2105
10 Suggested upper daily consumption limit(12 tsp/d)
0
1970 72 74 76 78 80 82 84 86 88 90 92 94 96
Year
Food Sources of Added Sugar
Food Ranking %Added Sugars Cumulative%
IJ
-5vel,
Carbonated soft drinks 1 33.2 33.2
Fruit drinks 2 9.8 42.9
Candy 3 5.3 48.3
Cakes, 4 4.9 53.2
Ice cream,ice milk 5 4.4 57.6
Cereal and brans,ready to eat 6 4.3 61.9
Sugar,honey 7 4.2 66.1
Cookies,brownies,granola bars 8 4.1 70.2
Syrups,toppings 9 3.6 73.9
Coffee/tea with added sugar 10 3.2 77.1
Breads,yeast type 11 2.4 79.5
Donuts 12 2.3 81.8
7
UWre o o
xL SET
tromuP
What Infants & Toddlers Drink
All 100% Fruit Soft Water
milks juice drinks drinks
4-6 mo 100 % 21.3 % 1.6 % 0.1 % 33.7 %
7-8 100 45.6 7.1 1.1 56.1
9-11 99.7 55.3 12.4 1.7 66.9
12-14 98.2 56.2 29.1 4.5 72.2
15-18 94.2 57.8 38.6 11.2 74.0
19-24 93.4 61.6 4f.6 J.9 77.0
kinner et a12004, 104:s45
l% tc-1\iNV°
44, i?e,3tk, Rak,AGsi. •1/4/f8
Desserts and Sweets
Any Baby Cakes, Candy
Dessert Desserts pastries,
cookies
4-6 mos 10.4 % 4.2 % 4.3 % 0.0
7-8 45.8 17.7 27.0 1.1 %
9-11 61.1 17.0 40.9 3.2
12-14 78.8 6.0 50.5 10.2
c,03- 15-18 88.8 2.3 60.2 15.2
(2;414"r
19-24 90.5 0.0 61.6 20.0
Fox et al JADA,Jan 2004
Cereals
Infants & Toddlers
Any Infant Non- Sweet Cereal
Grain Cereal Sweet Cereal Bars
4-6 mo 65.8 % 64.8 % 0.5 % 0.0 % 0.0 %
7-8 91.5 81.2 17.0 1.8 1.1
9-11 97.5 63.8 37.0 9.0 3.4
12-14 97.8 23.9 44.5 17.7 9.8
15-18 98.6 9.2 40.6 26.4 10.0
19-24 99.2 3.1 31.9 22.7
FoxLertIADA,Jan 2004
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Vegetables Should be Our
First Priority
• Nearly 1/4 of babies • Potatoes
never consume vegs - 4-6 mos 3.6%
as a discrete food - 7-8 mos 12.4%
from 0-24 months - 9-11 mos 24.1%
— 12-14 mos 33.2%
Green Vegetables - 15-18 mos 42.0%
i\-°\r rte_ ' are consumed by less — 19-24 mos 40.6%
than 10% of toddlers
Yellow vegetables By 24 mos 25% of
g toddlers consume
:)''''
, 1). \ lmost disappear fried potatoes
� Only 14%at 18 mos
(' Fox et al,J Am Diet Assoc 2004:104:s22
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110141.40,dek) C'
The Family Factor in
Childhood Obesity
• The Family Contribution
• Genes 1; .
• Eating habits k
• Activity habits
10
Influences are Cumulative --
and Competing
Peers
Faith Culture
Pre-
School School
Neighborhood Community
TV&Media
Caregivers (especially mother)
Birth 2 4 6 8 10 12 14 16 18
Year of Age
The 12 Well-Child Visits
"ro8
-II
• s 444-
4151.,
TA
41.1
First prevent bad habits at home...
I -
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11
Energy Intake
Infants and Toddlers
• Energy intake • Type of feeding
exceeds EER - Breast <EER
(estimated energy - BF/ formula =EER
requirement) - Formula >ERR
- 4-6 mo = 10%
- 7-11 mo= 23%
- 12-24 mo 31% Solids add to energy
intakes, especially
with formulas
Teaching Parents to Parent
mis
r✓-_
• Offer many new foods and textures
{ • Don't bias the baby
• Never use food as reward or bribe
Aim to
Develop • Offer variety:
Self- - New food types and textures
feeding - Veggies &fruits at every meal
Skills - Aim for food experiences
12
Parents Should Know This
• Infants innately prefer
sweet and salty.
• Infants may reject bitter x
and sour 1
• Infants tend to resist
new foods (they're neophobic)
{
• Birch,Appetite 1987;9:171;Oliveria,Amer J Clin Nutr 1992,56:593
So. . .
s r ;
• More than 10 exposures _ y
are needed to establish
a new food
• Children like and eat
what is familiar \ '
• Parental eating habits "` u
influence the baby's choices at this age,
especially mother's
Bireh, 4ppetite 1987;9:171
ptiveri i,Amer 7 Cm Nutr 1992,56:593
13
1'1441.,
Parental Controls t
Usually Backfire
• Limiting "bad"(palatable)
foods encourages consumption
and raises desire and future intake
• Mixed message: Forbidden
foods are "bad"except on
special occasions when they are a reward
= Categorical thinking: "good"and "bad"foods is
common and wrong.
L Birch et al
Eating is a Social Occasion
• Modeling and social context
are strong influences 14—
on a child
• Preschool children who ,
observe peers eat more
"disliked"foods. 111111L14)
• How do Mexican parents get
acceptance of spicy chili-flavors in their toddler?
• Watching parents induces toddlers to try new
foods.
Birch&Fisher,Perfiatrics 1998,101:539
14
The Parent's Role
,n8-
ftt i $the parent'" resp.. .nsibility to
er t e child` ealth 'l variety Q.
1 o,4, d d a supportive eati .
* * environment... iz. K�
H
The Child's Role
I
"...and it's
'''''l
�
� r� the child's responsibility
'� To decide
1 when and how much
' � �� to eat.),•L J Y„, 46-
r"y4 f 1.
Salter,T Am Diet Assoc.1986;16:355
15
Children are Overfed
But Undernourished
We Children
Consuming
Less Than Daily
Recommended
intake
90-
80- Calcium
Folate
70- Energy(hal)
Magnesium
• I• Vitamin A
60r•
50• /"
/" Vitamin C
Zinc
40- /" Iron
r
30- ` j /",� Fhosphom s
10- 1
..............
0 t
6-11 Mo. 1 Yr. 1-4 Yrs. 548 Yrs. 9-14 Yrs. 15-19 Yrs.
Data compiled by John Lasekan,Ross Labs N.
from NHANES 1999-2000 and the Continuing Food Survey 199496,1998
�______________.---- �-` )
(213:(
(s t
G a
' s)., ,
Children's Eating Patterns
Change with Age (CATCH)
• 291 kids in grades: 3rd 5th 8th
• Skip breakfast: 1% 6% 15%
• Ate any vegetable: 56% 50% 41%
• Ate any fruit: 64% 56% 37%
• Drank milk: 99% 98% 90%
• Drank fruit juice: 44% 47% 32%
• Drank soda: 21% 31% 57%
Lytle et al, Am J Health Pro 2000; 14:222
16
7 12‘A
C
i ,4 fo,..‘:,' '
L Portion Distortion
■
-:,-;%„..-
2
t' �K ..ma} .. F mi.
■ ti
x
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.p.. : r� s�� y- + $l ��'{ ly4
17
Y 1s.' a.'. rY5
!:'' r it
il
"fir
A Soft Drink Habit
-04..,
,y,
ApA
_. � �, � - An average of 2 cans per day `'
'l''
�'� for teens (300 calories and �- - `' ''
20 tspns of sugar)
- '1:i Ast,,‘,-,.
vuc
a
'',,t:' ''-
,
2/3 of"vegetable"servings in the II.S. are potato
18
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Schools are a
Child's Second "Home"
• 55 million students in U.S. schools
• 35-40% of daily energy consumed at school
• School Breakfast and National School
Lunch Programs (USDA)
• Competitive foods: a la carte, vended foods,
and school stores
• "Open" lunches — home and fast-food
French,Am J Pub Health 2003;93:1161
19
.... ___-..
Nutritional Contributions of
School Breakfast Program
• Greater energy/ day
• Vit C
• Phosphorus =
• Calcium
• Magnesium
• Riboflavin
• Fiber
Yet many children and teens skip breakfast
Eating a School Lunch
Promotes Better Nutrition
• Consume twice the servings of fruits and
vegetables.
• Higher intake of milk A:6
and dairy.
• Larger amounts of meat `=
• Greater amount of grains.
• More vitamins and minerals
NSLP impact holds true for lunch and for
24-hour intake.
USDA Food and Nutrition Report No.CN-OI-CDI
20
Top 10 High School Vended Foods
School is a learning
lab — model the ideal • Juice drinks 88%
• Soda 81%
7 ' `- • Fruit juice 77%
�- -- • Candy bars 60%
1�' Cookies 58%
il
t,1 s ,`r . ' • Candy 56%
Pi:, �� . }� `',f �S • Cheese puffs 54%
x 4' I zr, h • Chips 54%
' ---- Snack mix 40%
I
41
FE Sport drinks35%
p
Story et al, DADA 1996; 96:123 • Zk 6%
II iN7 1)1C) ' AW
ic'1 c ntif
rfflMJiO u
\IThê \
c 1-c o co
21
Snackwise
• Our objective was to create a
simple method to assess the
nutrient density and nutritional
value of snack foods consumed
by those 5 years and older
Kristina Houser, RD,Borden Center, Children's Hospital
Parameters for SnackwiseTM
Nutrient Parameters Points
Energy >250 -1
<250 +1
Fat >10% -1
Sat >15% -1
Protein > 5g +2
Sugar >20 g -1
Fiber > 3g +2
Vit A > 10% +1
Vit C > 10% +1
Iron > 10% +1
Calcium > 10% +2
22
SnackwiseTM vs Dietitians
points
1. AA
V Least nutritious
8 0 Moderately nutritious
A A Most nutritious
6 A A AA
A
4 mp AA A
A 0
2 0 ID O mO 0 0 00 0
0 0 00 00
Wil V W7 v w
V V
-2 V V Vg9:V
■ V
-4 V W
1 2 3 4 5
Dietitian Ratings
Assessment of Vended Foods
Food Serving Size Points Category
(oz)
M&Ms,Plain 1.69 -2 1
M&Ms,Peanuts 1.74 -2 1
Reese's Peanut Butter Cups 1.50 -1 1
Snicker's bar 2.00 -2 1
Cheeto's 1.12 -1 1
Doritos 1.00 0 1
Famous Amos chocolate chip cookies 2.00 -3 1
York peppermint pattie 1.40 1 2
Lays,baked 1.12 2 2
Pretzels 1.12 2 2
Granola bar,oats and honey 1.50 2 2
Crackers,Goldfish® 1.07 2 2
Peanuts,honey roasted 1.00 2 2
Chex Mix,traditional 1.75 4 3
Chex, milk and cereal bar 1.40 9 3
Morning mix,fruit and nut 1.15 6 3
1 Least nutritious,2 Moderately nutritious,3 Most nutritious
23
Even Small Alterations in
Daily Energy Balance
Closing the energy gap by only
100 kcal/day — the equivalent of
8 oz of sweetened soft drink --
Drops 36,500 kcal / year
which equals
10 lbs in weight
Hill, Science 2003, 299:853
, xc«
.....0\ r _ ,
9 lite
i t a - - r '' 1
X01
,
Soft :
DrinkpG
Contracts {'
in )' Y
Schools -A
...are a concern for
the American Academy of Pediatrics
24
Sweetened Drinks
What are the Concerns?
• Excess added sugars in a nutrient-poor form
• Extra calories per day
• Displacement of nutrient-rich alternatives
• Dental damage
School Health Policies and
Programs Study (SHPP.S)
• Surveyed 51 state education agencies, 523 school
districts, 841 school food service, and 927 schools
• School Districts:
— 33% allowed advertising in buildings
— 50% with soft drink contract and 80%of those given a
share of sales
— Student access to vended drinks
• 58% elementary, 83% middle, 93% high schools
• 70% had access during lunch, despite USDA rules
Wechsler et al,J Sch Health 2001;357:505
25
What Kids Drink Makes a
Difference
6-13 yr olds consuming
>12 oz of sweet drinks/day
0.4 ' over 4-8 weeks
;,,, $
,j
‘;'. Less milk(122-147 g per day)
f
1.4
C)
c t r:,:t ,.....,
• 4•P.,47' .4
Lower protein, calcium,
magnesium, phosphorus,vat A
Increased energy intake
by 190 kcal
Mrdjenovic,J Pediatr 2003:142:604
1.1 kg more weight gain
Television Time is Excessive
AAP recommends no TV until 2 yrs, 1-2 hrs/day for kids
• 2-7 yr olds > 2.5 hrs/ day TV, games
CzosolvotOtiSa.--
• 8-18 yr olds > 4.5 hrs/ day
• Over 25% of kids waking hours is TV
• > 4 hrs/ clay tied with fatness and BMI
• African-American and Hispanics and those
of lower socio-economic means, even more
Robinson,Ped Chn N Amer 2001 48.1017;
Anderson,JAMA 1998 279:938
26
•
TV Ads, Food & Obesity
• TV time correlates with more snacks, fats, and
soda but less fruits and veggies
• TV commercials influence preschooler's food
preferences and requests to parents
• Weekdays 17-18%, weekend 26% of total daily
calories consumed during TV by 3rd-5th graders
• TV time correlates with type 2 diabetes in adults
� ' t °' Y . 5k-' � �
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� • ��ch oo l 2� � � rs
• d igh school grad has seen#
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.,,o z a m +ter y3y ewiti '`� k itp � 's f k �
e smv ��� q� � { res 9 .? h m ,
27
Not Just Physical Education
Physical Fitness
\ • Fitness activities daily
1 k Ae_ • Active recess
ac. ., A. • Physical Education
P ,4 • After-school programs
4 .
• Intramural programs
i ; ;� • Community/School
In 3-4thgrade PE the average recreation programs
on weekends and in
time spent in continuous
movement was 2 minutes summer
The Neighborhood
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