The Family Perspective "Being on the front lines"

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Slide # Title & Content
1 The Family Perspective "Being on the front lines"

Lisa Hark, PhD, RD
Director, Nutrition Education and Prevention Program
University of Pennsylvania School of Medicine
www.lisahark.com
2 Objectives/Questions

  • Why are more kids overweight now?
  • What is the role of the family?
  • What common themes did I encounter?
  • What lessons did I learn?
  • What are my hopes for the future?
3 Media Attention - Let's use it!

(image: photo of Newsweek magazine with "Fat for Life?" cover story)

4 OK, SO THERE IS A PROBLEM!

But why is this happening?
5 Factors Contributing To Weight Gain
  • Increase in calories, portion sizes, sweetened drinks/snacks, fast food and snack food, and TV, video and computer game time
  • Decrease in exercise, gym, recess, and consumption of Low-fat milk, fruits and vegetables

Source: Lisa Hark, PhD, RD

(image: diagram with "Unhealthy Lifestyle" in the center, surrounded by unhealthy behaviors noted above)

6 Calorie Balance Too High > Weight Gain Results

Source: Lisa Hark, PhD, RD

(image: diagram of a see-saw with Food Intake on one side outweighing Growing, Developing, Metabolizing and Exercising on the other side)

7 Media in the Bedroom

Percent of 8-18 year-olds with each medium in their bedroom:

  • Television - 68%
  • VCR/DVD player - 54%
  • Video game console - 49%
  • Cable/satellite TV - 37%
  • Computer - 31%
  • Premium cable channels - 20%
  • Internet access - 20%

Source: Kaiser Family Foundation, Generation M: Media in the Lives of 8-18 Year-Olds, March 2005: kff.org

(image: bar graph depicting what media kids aged 8-18 have in their bedrooms)

8 What is the role (and responsibility) of the family?
9 Front Line Themes

  • Huge consumption of sweets, drinks, snacks.
  • Kids eating what ever they wanted day and night.
  • Many diets low in vitamins and minerals.
  • Rotten teeth, poor sleep, lack of energy, HTN, pre-diabetes, excess weight, mood swings.
  • Highly sedentary lifestyles
    • TV and video games in most bedrooms
    • Kids vegging out for hours and hours
10 TV Rules: Parent's Role

Percent of all 8-18 year-olds who say they have:

  • TV rules that are enforced "most" of time - 20%
  • TV rules that are enforced some, a little or never - 26%
  • No rules about TV - 53%

Source: Kaiser Family Foundation, Generation M: Media in the Lives of 8-18 Year-Olds, March 2005: kff.org

(image: pie graph depicting how many children 8-18 have rules governing watching television)

11 Household Media Environment

Percent of 8-18 year-olds living in homes where:

  • TV is "usually" on during meals - 63%
  • TV not usually left on during meals - 36%


Source: Kaiser Family Foundation, Generation M: Media in the Lives of 8-18 Year-Olds, March 2005: kff.org

(image: pie graph depicting how many 8-18 year olds live in households where the TV is left on during meals)

12 Lessons Learned

  • Under reporting of TV and videogame use
  • Children are running the household
  • Parents want to take control but can't
  • Healthy lifestyle is a low priority when busy

13 So what can we do?
14 A Public Health Framework to Prevent and Control Overweight and Obesity

(image: diagram illustrating various social norms and values, sectors of influence, behavioral settings, and individual factors contributing to the prevention of overweight and obesity among children, adolescents, and adults")

15 Addressing the Problem

(image: five level pyramid diagram illustrating five categories/groups needed for addressing obesity, starting at the bottom level with the individual, followed by family, organizations, community, and public policy)

16 Creative packaging on healthy foods

(image: photo of creatively bottled spring water)

17 Character licensing primarily on healthy foods

(image: photo of carrots in SpongeBob Squarepants packaging, and photo of Bugs Bunny)

18 My Hope for the Future

  • Parents prioritize & discipline better-starting early.
  • Food industry creates more healthy foods for kids.
  • Advertising unhealthy foods to kids is prohibited.
  • Recess everyday and gym at least 1 x per week is mandated in ALL U.S. schools.
  • TV shows increase coverage of healthy lifestyles.

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