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 PediatricsKaiser 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
Childhood Obesity In Los Angeles County
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
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?
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
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
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
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
Kaiser Permanente West Los Angeles Medical Center
Public Affairs Department
(323) 857-4496
Contact Information