Childhood Obesity PowerPoint
Childhood Obesity PowerPoint
Childhood Obesity PowerPoint
Definition, prevalence, and trends Causes and other contributing factors Risks psychological and physical Costs to individual, healthcare institutions, and society Obstacles to shifting the paradigm Recommendations for effecting change Motivational Interviewing
Overview
Use of Body Mass Index (BMI) Overweight 85th percentile Obese 95th percentile
Definition of obesity
Increase in obesity from 1976-2000 No trend from 2000-2008 17% of children aged 2-19 were considered obese in 2008 5.5% were obese in 1976
At the basic level, obesity occurs when more calories are consumed than are used Susceptibility to obesity Genetic characteristics havent changed in last 3 decades, but prevalence among school-aged children has tripled during that time
Genetics
Fast food, family restaurants, and portion sizes Less physically active than before More time in front of the TV or playing video games
Behavioral Patterns
Home, childcare, school, and community influence Childrens habits reflect parents habits Lack of playgrounds/parks, bike paths, sidewalks, pools
Environmental Factors
Still a negative stigma Targets of social discrimination Disrespected and bullied by peers Lead to low self-esteem and depression
Psychological risks
May be unable to perform simple tasks Glucose intolerance, fatty liver, hypertension, high blood pressure, asthma, sleep apnea, orthopedic complications, polycystic ovary syndrome Type 2 diabetes increasingly common
Physical risks
Costs
individual, healthcare institutions/insurance companies, society
$147 billion/year for obesity medical costs $1,400 higher each year for obese vs. healthy-weight individuals Immobile patients may spend up to $1,500 on a bariatric wheelchair (compared to $150-$330 for regular) Possible reduced lifespan
Individual costs
More diseases associated with obesity Insurance companies may raise premiums Retrofitting rooms for bariatric patients
Toilets Wider wheelchairs Bigger/adjustable beds Motors to assist nurses & prevent injury Larger waiting room chairs New MRI machines (70cm diameter vs. 60cm)
Face complications of epidemic together May not feel need to change if everyone is obese Healthcare/insurance obstacles cost may be directed toward general public through increased taxes and higher insurance premiums
Societal costs
Do not wish to/afraid of change Do not recognize need for change/cultural differences Bad habits are not easily broken Takes time & dedication to achieve results Fast food is easier and cheaper Limited access to healthful foods Making excusing is easier than taking action
Educate children about risk factors Focus on healthy lifestyle, not weight loss Limit TV and video games Limit fast food and sweetened beverages Encourage physical activity Have family dinners at the table, not in front of the TV
Parents
More time spent educating about wellness School nurses Gym & health classes
Use time to promote wellness and increase awareness Speak with parents about willingness/ability to change Motivational Interviewing
Motivational Interviewing
and the transtheoretical model
Patient-centered interaction Explore and resolve ambivalence about change Build rapport with patient and family Collaborate with patient, empowerment Use empathy and encouragement Evoke intrinsic motivation, required for lasting change
MI technique
Six stages
Precontemplation Contemplation Preparation Action Maintenance Termination
Transtheoretical model
Used if providers have inadequate time Multifaceted approach Collaboration of healthcare team: primary care physicians, nurse practitioners, dieticians, exercise physiologists, psychologists, and social workers
Case Management
Conclusions
and future directions
Anderson, S. (2010, February 8). Childhood obesity: It's not the amount of TV, it's the number of junk food commercials. Retrieved December 3, 2010, from UCLA Newsroom: http://newsroom.ucla.edu/
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References