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Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of...

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Growing Healthy Kids Growing Healthy Kids in Kentucky in Kentucky
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Page 1: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Growing Healthy Kids Growing Healthy Kids in Kentuckyin Kentucky

Page 2: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition

Page 3: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Kentucky Cooperative Kentucky Cooperative Extension ServiceExtension Service

offices in all 120 Kentucky counties

Agriculture & Natural Resources

Family & Consumer Sciences

4H & Youth Development

Page 4: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

The Clover Cat Way to Wellness-fall 2001 pilot test with 400 Clark County students-fall 2002 training for Kentucky Extension Agents-designed for use in classroom or 4-H Club-correlates to KERA core content & objectives-CATSkills:

-Choose Healthy Foods-Activate Your Life-Take Time to Be Well

Page 5: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Our Growing ConcernsOur Growing Concerns

Obesity in adults

Overweight children – Why are children gaining

weight?

Community action plans

Page 6: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Obesity* Trends Among U.S. Adults BRFSS, 1991, 1995 and 2000

(*BMI 30, or ~ 30 lbs overweight for 5’4” person)1991 1995

2000

Source: Mokdad A H, et al. JAMA 1999;282:16, 2001;286:10.

No Data <10% 10%-14% 15-19% 20%

Page 7: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

How do we define How do we define overweight children?overweight children?

Body mass index (BMI) is the most widely used approach to defining overweight in children. BMI assesses weight by using height and weight.

Overweight = children at or above the 95th percentile of BMI by sex and age

At risk of being overweight = children between the 85th and 94th percentile of BMI

Page 8: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Should we be Should we be concerned about concerned about

overweight children?overweight children?From 1980 to 1999

Overweight children rose from 7% to 13%

Overweight teenagers almost tripled from 5% to 14%

Page 9: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Consequences of Consequences of Childhood OverweightChildhood Overweight

May last into adulthood

Increased risk for high blood pressure, diabetes, high blood lipids, asthma, joint problems, and sleeping disorders

Low self-esteem and poor body image

Page 10: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Comparison of Kentucky’s Comparison of Kentucky’s overweight children to the overweight children to the

U.S?U.S?

0

2

4

6

8

10

12

1419

95

1996

1997

1998

1999

2000

% c

hildre

n ov

erwei

ght

Kentucky

U.S.

Page 11: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Risk Factors for Risk Factors for OverweightOverweight

Skipping meals Eating high fat/high sugar “snack” foods Drinking sweetened beverages such as

soft drinks Eating large, infrequent meals Constant snacking Eating fast food frequently Increased TV watching Decreased physical activity

Page 12: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Why are children gaining Why are children gaining weight? weight?

Affordable/high-calorie foods Accessibility of food Lack of physical activity Limited access to

opportunities for activity

Page 13: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Model for InfluenceModel for InfluencePublic Policy

Institutes/Organizations

Community

Interpersonal

Individual

Page 14: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Community ActionCommunity Action

Create a community which promotes physical activity

Make healthy foods more accessible

Have increased access to gyms, playgrounds, and walking trials

Page 15: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Civic LeadersCivic Leaders

Work with city planners and engineers to plan for sidewalks and bicycle paths

Designate a place and promote a farmer’s market

Increase the access for the use of public facilities

Create a community coalition to address childhood overweight in your area

Page 16: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Community Health Community Health EducatorsEducators

Go to the schools and talk with students and teachers on ways to combat childhood overweight

Have signs posted in your waiting and exam rooms promoting weight loss benefits and ways to increase physical activity

Page 17: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Site-Based CouncilsSite-Based Councils Set policies for what can and cannot be sold

in schools Reevaluate the contracts between your

district and soft drink industries Require schools to have daily physical

activity Schools should have the equipment and

supervision for children to meet physical activity needs

Assess school’s eating & activity environment and make changes accordingly

Page 18: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

School AdministratorsSchool Administrators Promote healthier eating and physical

activity in your school Have a Health Educator, Registered

Dietitian, County Extension Agent or School Foodservice Director come to your faculty/staff meetings to bring unity on this issue

Give students healthier options in the vending machines

Page 19: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

Foodservice DirectorsFoodservice Directors

Make healthy food options appealing

Provide low-fat, low-calorie, and low-sugar food items

Reduce access to high-fat, high-calorie, high-sugar foods, and excessive portion sizes

Plan school menu with a group of parents and teachers

Page 20: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

TeachersTeachers Have some form of movement in the

health curriculum For bake sales/class parties, have

parents bring healthy snacks Do not reward students with food or

punish students by taking away recess Raise awareness to students and staff

on the benefits of physical activity Have a health educator speak to

students on ways to be more active

Page 21: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

ParentsParents Limit TV, movies, video and computer

games for children to 1-2 hours per day Encourage child to be involved in organized

sports, 4-H programs, outdoor activities, active playtime at home

Enjoy regular exercise with the entire family Assign active chores to all family members Contact your school/school board know that

you are concerned about food and physical activity at school

Page 22: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

ParentsParents Buy healthier snacks (like fruit and

vegetables) Be a healthy role model for your children Buy only 100% fruit juice Eat meals together at the dinner table Avoid watching TV during mealtimes Limit fast food eating to no more than

once per week Avoid using food as a reward or using the

lack of food as a punishment

Page 23: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

ChildrenChildren Try eating low-fat, low-sugar snacks Eat more fruits and vegetables Record what you eat for 2-3 days and

compare it to the Food Guide Pyramid Be active for at least 60 minutes a

day

Page 24: Growing Healthy Kids in Kentucky. Janet Tietyen, Ph.D., R.D., L.D. Assistant Professor, U of Kentucky Extension Specialist in Food & Nutrition.

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