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Childhood Obesity: Injuries, PA Recs, & Behavior Change

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Kim Kato

on 11 November 2015

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Transcript of Childhood Obesity: Injuries, PA Recs, & Behavior Change

Childhood Obesity: Injuries, PA Recs, & Behavior Change
Missouri & Childhood Obesity
Obese Definition = Youth (2-19 yrs) BMI 95th percentile
Missouri Youth (10-17 yrs) = 28% overweight or obese
Nationally - 1 in 3 children are overweight or obese
Obese Preschoolers (2-5yrs) are 5X more likely to be obese adults
Missouri Preschoolers = 12.9% obese (low income)
Childhood obesity costs nationally = $14 billion/annually
Obese School Aged Children = higher rates of absenteeism & poorer academic performance
Diabetes - Cancer - Heart Disease - Disability - Quality of Life
Injuries & Obesity
Research review: 1. weight status & MSC injuries in children 2. do overweight/obese children have higher risk for MSC injuries vs. normal weight children (n=39)
Significant association between being overweight and having MSC pain
Being overweight/obese was significantly associated with acute MSC
Moderate quality of evidence to support association between overweight/obese MSC pain (lower back pain)
Evidence that injuries in football season increase for children who are overweight
Child Physical Activity Recommendations
Toddler: 30 minutes planned PA & 60 minutes free play
Preschooler: 60 minutes planned PA & 60 minutes free play
School age (5-17 years): 1 hour of moderate to intense PA; 15-min bouts; include muscle & bone strength exercises 3X/week
If inactive child, gradually increase physical activity
Focus on strength training activities
Youth over age of 2 years - limit TV/computer/video games to 1-2 hours/day
Activity should be normal part of day - walk to school/bus, ride bikes, play on playground, etc.
Injury Recovery & Obesity
Time to recovery within overweight/obese youth who have suffered specific types of injury.
Canadian Health Behaviour in School-Aged Children: 6-10 grades (n=2831)
Overweight and obese youth = increased recovery time for severe medical trauma
Overweight and obese youth with combined injury (broken bone and sprain/strain) had increased injury recovery length
Program Director, PhD/MS Health Education & Promotion, MS Clinical Research Administration, & MS Health Informatics

Behavior Change Strategies for Weight Loss
Take Home and Apply Message
Walden University
Program Director, PhD/MS HEP, MS CLRA, & MS HI
Email: kim.kato@waldenu.edu

Thank you for your time...
Missouri Children Services Commission (April 2015). Critical to the health of our children: Missouri's actiosn for addressing childhood obesity. Retrieved from http://extension.missouri.edu/mocan/OC2015/ChildhoodObesityReportCSC.pdf
Do obese children have more injuries during PA than non-obese children?
Paulis, W.D, Silva, S., Koes, B.W., and Van Middelkoop, M. (2014). Overweight and obesity are associated with musculoskeletal complaints as early as childhood: a systematic review. Obesity Reviews, 15, 52-67.
Warsh, J., Janssen, I. and Pickett, W. (2011). Do overweight and obese youth take longer to recover from injury?
International Journal of Injury Control and Safety Promotion, 18(2), 143-149.
Sports-Related Youth Injuries
Sprains & strains = ankle sprain
Growth plate injuries
Stress fractures
Heat-related illnesses
Fogg's Behavior Model
Community + School Component
Built Environment
Goal Setting
Social Support
Motivational Interviewing
No behavior happens without a trigger
Information doesn't always lead to action
Good plan/process doesn't make change hard
Bleich, S., Segal, J., Wu, Y., Wilson, R., & Wang, Y. (2013). Systematic review of community-based childhood obesity prevention studies. Pediatrics, 132(1), 201-210.
Fogg, B.J. (2015). What causes behavior change. Retrieved from http://www.behaviormodel.org/
Fogg, B.J. (2015). What causes behavior change. Retrieved from http://www.behaviormodel.org/
Imagine will-power doesn't exist
Seek tiny successes one after another
Ignore environment/change context
Focus on action not avoidance
Blame failure on lack of motivation
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