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Catching them young - Addressing prevention through school health initiatives

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Transcript of Catching them young - Addressing prevention through school health initiatives

Catching them young - Addressing prevention through school health initiatives "The most common figure of the poor, (...) is the skeletal child with a swollen belly that the media reports when famine spreads in a country. This image is not false, but it is not the only (...)".

(Salama & Destremau, 1999). 1974-1975
2,9%
1,8% 2008-2009
16,6%
11,8% 1989
4,1%
2,4% Childhood Obesity
has epidemic proportions
In Brazil, according to Household Budget Survey, in 20 years, obesity more than tripled among children aged 5-9 years. My special THANKS to ADJ team and to WDF that gave us the opportunity to contribute in preventing childhood obesity in Brazil
projeto@adj.org.br
www.adj.org.br Main causes of childhood obesity:
inadequate eating habits
+ energy intake
&
energy expenditure Nowadays, there is an apparent paradox: OBESITY
&
POVERTY FAMILY
effective participation to change eating habits and encourage continuous physical activity What could be done to prevent childhood obesity?
SCHOOLS

prevention through school health initiatives A joint effort involving IMBALANCE AUTHORITIES public policy to prevent obesity broad, integrated and focused on behaviors and its relation with the welfare




PROJECT OUTLINE: PERIOD: 2 1/2 year (October 2009 - August 2012)

FOCUS: primary prevention focus based on a nutritional/physical activity tuition modality

TARGET: pupils aged 6 to 18 years

LOCAL: public schools located in socio-economic demanding settings in greater São Paulo city and 13 nearby cities. PROJECT TEAM: Endocrinologist
Nutritionists
Physical Educator
Manager
Technicians PROJECT ACTIVITIES: 2- Q&A ("quiz") where the nutritionist encourage interaction and dialogue while constantly attempting to confirm the absorption of the information among the children. 1- Sessions according to age with a power point presentation with rather simple images and messages about diet and nutrition 3- Physical Activity among the children and teachers 4- Distribution of educational material:
a pamphlet about nutrition and physical activity
a water bottle with both food guide pyramid and physical activity pyramid
nutritional booklets to
teachers 5- BMIs measured and registered PROJECT OUTCOMES: 87schools visited in 14 cities at São Paulo
45,237 students reached A random
sample of 15% (6.589 students) of total participating students had their BMI calculated and registered Prevalence of 16% overweight and 14% obese Overweight Obese Boys Girls 16% 17% 13% 15% According to gender: Overweight Obese 6-9 10-12 57% 36% 32% 47% According to age: 13-15 16-18 Total Total Measured = 6589
Total Male Measured = 3354 = 51%
Total Female Measured = 3235 = 49% Total Overweight = 1048 = 16%
Total Obese = 929 = 14% 16% 1% 16% 9% 2% 14% NEXT STEPS: continue health education and promotion through expansion of the current initiative to a larger area Primary
Prevention: Clinic Base Setting:
intervention in a sample detected obese Overweight 5-9y LESSONS LEARNED: Obesity concerns all citizens responsible and concerned with the healthy survival of humanity. It is important increasing accessibility to healthcare and promotes anticipatory care as a factor in health promotion and disease prevention. The interventions in this area should be multidisciplinary and therefore also passing by the education which should adopt educative and informative measures as promoting food programs in schools.

Our timely and isolated action to raise awareness in schools was definitely not enough to change our target's behavior. The participation of parents and opinion makers in similar programs is also crucial to changing eating habits. Nevertheless, we can say that we contributed to plant a seed in more than 45,000 children/adolescents in a 2 ½ year trajectory at schools. If 10% of the seed planted germinate, we will have 4,500 individuals living better and replicating best examples of healthy eating. Boys: Girls: inadequate level of physical activity
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