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Slide 2 Childhood Obesity By: Charles Dietrich & Jessica Ruthig Slide 3 After this presentation, the learner will: -Be able to identify risk factors for childhood and adolescent obesity related to nursing -Be able to identify potential complications related to childhood and adolescent obesity -Be able to identify healthy eating plans for children and adolescents -Explain strategies nurses can make to prevent or reduce childhood obesity Seminar Objectives Slide 4 Introduction Childhood obesity is an epidemic that is causing many health problems for children and adolescents. One third of children and adolescents were overweight in 2012 in the United States (Center for Disease Control (CDC), 2014). Most of the health problems associated with being overweight and obese will follow children and adolescents into adulthood (CDC, 2014). How is Childhood and adolescent obesity relevant to nursing: Slide 5 Environmental Factors that lead to Childhood Obesity - Difficult subject to talk about - Parent or Legal Guardians as food source - Convenience - Time Management - Cost and Location Assessment of HealthCare Environment (Klett, 2013) Slide 6 Environmental Factors that help reduce/prevent Childhood Obesity National School Meal Programs Limited Vending Machine options School Nurse and Health Clinics Primary Care Visits Parks/Gyms Assessment of HealthCare Environment Slide 7 Childhood Obesity Overweight Environment Fast foods, soda pop, not enough fruits/veggies, Portion Sizes Inactivity, video games, no where safe to play Genetics Prader Willi syndrome, Bardet-Biedl syndrome Parents Hormonal: low thyroid, medications Root Cause Analysis Slide 8 Complications of childhood obesity 1.High blood pressure 2.High cholesterol 3.Type 2 diabetes 4.Breathing problems 5.Joint problems 6.Fatty liver disease 7.Gastro-esophageal reflux 8.Psychological stress (Complications of Childhood Obesity, 2015) Slide 9 It can be difficult for children to make healthy food choices and get enough physical activity when they are exposed to environments in Schools Media Daycare Environment Interferences & Implications Slide 10 Discuss healthy habits Support a healthy lifestyle Obesity prevention and treatment strategies Promote healthful food choices and increased physical activity Direct funding toward (Obesity Society,2014). Interferences and Implications Slide 11 Consequences If children are overweight, obesity in adulthood is likely to be more severe. Obese children are more likely to become obese adults. Adult obesity is associated with a number of serious health conditions including heart disease, diabetes, and some cancers. Approximately one in every three children are overweight or obese. Being overweight or obese has many different risk factors as well as causes (Staff 2013). of Childhood Obesity Slide 12 Recommendations Educate Trusting relationships Advocate for children Eat Smart Slide 13 Conclusions Childhood obesity has significant health problems and health care costs Interventions can decrease obesity rates 3 key areas of improving nursing care for obese children 1.) Educating 2.) Advocating 3.) Partnering Slide 14 Bardet Biedl Syndrome. (2015). Genetics Home Reference. Retrieved from http://ghr.nlm.nih.gov/condition/bardet-biedl-syndrome Blake, C.E., Fisher, J.O., Ganter, C., Younginer, N., Orloski, A., Blaine, R.E.,... Davison, K.K. (2015). A qualitative study of parents perceptions and use of portion size strategies for preschool childrens snacks. Appetite, 88, 17-23. doi:10.1016/j.appet.2014.11.005 Brownell, K. (2004). Fast food and obesity in children. Pediatrics, 113(1 Part 1), 132. Center for Disease Control and Prevention. (2014). Competitive Foods in School. Retrieved from http://www.cdc.gov/healthyyouth/nutrition/standards.htm Complication of Childhood Obesity. (2015). Retrieved from http://health.wikinut.com/img/1kwk50hqn7m8_n6j/Complications-of-Childhood-Obesity Duke. (2014, April). Over a Lifetime, Childhood Obesity Costs $19,000 Per Child. In Duke Global Health Institute. Retrieved June 11, 2015, from http://globalhealth.duke.edu/media/news/over- lifetime-childhood-obesity-costs-19000-child Frederick, C., Snellman, K., & Putnam, R. (2013, January). In Increasing socioeconomic disparities in adolescent obesity. Retrieved June 13, 2015, from http://www.pnas.org/content/111/4/1338 Jones, T. (2010). Fighting Childhood Obesity: Taking a stand to control the epidemic one child at a time. ANA Issue Brief, 1-3. Retrieved from http://www.nursingworld.org/MainMenuCategories Policy-Advocacy/Positions-and-Resolutions/Issue-Briefs/Childhood-Obesity.pdf Klett, S. (2013). Obesity In America. Retrieved from http://getfitivity.tumblr.com/post/27131376071/obesity-in-america References Slide 15 Nutrition Standards for School Meals. (2015). Retrieved from http://schoolnutrition.org/AboutSchoolMeals/SchoolNutritionStandards/ Obesity Society. (2014, May). In Childhood Overweight. Retrieved June 13, 2015, from http://www.obesity.org/resources-for/childhood-overweight.htm Prader-Willis Syndrome. (2014). Mayo Clinic. Retrieved from http://www.mayoclinic.org/diseases-conditions/prader-willi-syndrome/basics/causes/con- 20028982 SAGUIL, A., & Stephens, M. (2012, July). Interventions to Prevent Childhood Obesity. In American Family Physician. Retrieved June 13, 2015, from http://www.aafp.org/afp/2012/0701/p30.html Sealy, Y. (2010). Parents' perceptions of food availability: implications for childhood obesity. Social Work In Health Care, 49(6), 565-580. doi:10.1080/00981381003635353 Snethen J., Treisman R., Buseh A., Kelber S.(2014). Exploring Future Nurses Attitudes and Beliefs Related to Childhood Overweight. J Nurs Educ. 53(9 Suppl) S101-S105. doi: 10.3928/01484834-20140806-03 Wang, Y., Wu, Y., Wilson, R., Bleich, S., Cheskin, L., Showell, N., & Fawole, O. (2013, June). In Childhood Obesity Prevention Programs: Comparative Effectiveness Review and Meta- Analysis. Retrieved June 13, 2015, from http://0- www.ncbi.nlm.nih.gov.libcat.ferris.edu/pubmed/?term=Childhood+Obesity+Prevention+P rograms%3A+Comparative+Effectiveness+Review+and+Meta-Analysis References