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Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics...

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Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center
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Page 1: Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center.

Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of PediatricsKaiser Permanente West Los Angeles Medical Center

Page 2: Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center.

Some Children are More Likely to be Overweight

% Overweight Kids & Teens in 2000

NHANES 1999-2000 JAMA 2002;288:1728-1732

10.18.4

11.1 11.8

19.5

23.7

12.7

23.6 23.4

0

5

10

15

20

25

2-5 Yr 6-11 Yr 12-19 Yr

White Non-Hispanic Black Non-Hispanic Mexican American

% O

verw

eig

ht

Teenagers

Black, Mexican American, American Indian, Alaskan Native

Children of overweight parents

Page 3: Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center.

Childhood Obesity In Los Angeles County

Page 4: Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center.

The older the overweightchild is, the more likelyhe/she will continue to beoverweight as an adult.

8 out of 10 overweightteens will continue to beoverweight as adults.

Preventive Medicine 1993; Vol. 22:pp. 167-177 Arch Pediatr Adolesc Med Vol. 158 May 2004 pp. 449-452

Do Overweight Children Grow Up to be Overweight Adults?

% Overweight Childrenwho Become Obese Adults

10

35

50

80

0102030405060708090100

Per

cen

tag

e

Infa

nts

Presc

hool

School A

ge

Adolesc

ent

Page 5: Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center.

Type 2 diabetes Heart disease Hypertension Asthma Sleep apnea Depression and

low self-esteem

Pediatrics Vol. 112 No. 2 August 2003 pp. 424-430

What Health Problems are Related to Being Overweight?

Page 6: Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center.

Not enough physical activity

Too much screen time TV, computer, video games

Not enough milk, dairy, fruits and vegetables

Too many sweetened drinks

Too much fast food

Skipping meals

Position Paper - Prevention of Childhood Overweight What Should Be Done? Center for Weight and Health - U.C. Berkeley 10/02

Behaviors Related to Children Becoming Overweight

Page 7: Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center.

Our Approach to Overweight and Obesity

MEDICAL OFFICE VISITINTERVENTIONS

BMI Screening

Physician Counseling

Patient Education Materials

Referral and Follow-Up

WEIGHT MANAGEMENTINTERVENTIONS

Individual Counseling

Group Programs

Intensive Programs

Internet ResourcesENVIRONMENTAL

CHANGES

School Programs

Work Site Programs

Community Programs

Legislation & Partnerships

Page 8: Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center.

BMI as a vital sign is now the KP standard of care, as well as a HEDIS requirement.

Counseling for Physical Activity, Nutrition, and Screen Time

5-2-1-0 Messaging

Pediatric Medical Office Visits

Page 9: Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center.

HEAL Cities

Los Angeles County Department of Public Health

The Weight of the Nation documentary series and campaign A nationwide campaign launched by Kaiser Permanente, HBO, the Institute of Medicine, the Centers for Disease Control and Prevention, the National Institutes of Health, and the Michael & Susan Dell Foundation

theweightofthenation.hbo.com

Community Partnerships

Page 10: Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center.

Kaiser Permanente West Los Angeles Medical Center

Public Affairs Department

(323) 857-4496

[email protected]

Contact Information


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