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Creating Environments That Promote Healthy Choices

Creating Environments That Promote Healthy Choices. Dr. Ivan Barrow, Assistant Chief of Pediatrics Kaiser Permanente West Los Angeles Medical Center. Some Children are More Likely to be Overweight. 25. 23.7. 23.6. 23.4. 19.5. 20. 15. 12.7. 11.8. 11.1. % Overweight. 10.1. 10. 8.4.

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Creating Environments That Promote Healthy Choices

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  1. Creating Environments That Promote Healthy Choices Dr. Ivan Barrow, Assistant Chief of PediatricsKaiser Permanente West Los Angeles Medical Center

  2. Some Children are More Likely to be Overweight 25 23.7 23.6 23.4 19.5 20 15 12.7 11.8 11.1 % Overweight 10.1 10 8.4 5 0 2-5 Yr 6-11 Yr 12-19 Yr White Non-Hispanic Black Non-Hispanic Mexican American % Overweight Kids & Teens in 2000 • Teenagers • Black, Mexican American, American Indian, Alaskan Native • Children of overweight parents NHANES 1999-2000 JAMA 2002;288:1728-1732

  3. Childhood Obesity In Los Angeles County

  4. Do Overweight Children Grow Up to be Overweight Adults? % Overweight Children who Become Obese Adults 100 90 80 80 70 60 50 Percentage 50 35 40 30 20 10 10 0 Infants Preschool Adolescent School Age The older the overweight child is, the more likely he/she will continue to be overweight as an adult. 8 out of 10 overweight teens will continue to be overweight as adults. Preventive Medicine 1993; Vol. 22:pp. 167-177 Arch Pediatr Adolesc Med Vol. 158 May 2004 pp. 449-452

  5. What Health Problems are Related to Being Overweight? • Type 2 diabetes • Heart disease • Hypertension • Asthma • Sleep apnea • Depression and low self-esteem Pediatrics Vol. 112 No. 2 August 2003 pp. 424-430

  6. Behaviors Related to Children Becoming 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

  7. Our Approach to Overweight and Obesity MEDICAL OFFICE VISIT INTERVENTIONS · BMI Screening · Physician Counseling WEIGHT MANAGEMENT · Patient Education Materials INTERVENTIONS · Referral and Follow-Up · Individual Counseling · Group Programs · Intensive Programs · Internet Resources ENVIRONMENTAL CHANGES · School Programs · Work Site Programs · Community Programs · Legislation & Partnerships

  8. 5-2-1-0 Messaging Pediatric Medical Office Visits • 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

  9. 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

  10. Kaiser Permanente West Los Angeles Medical Center Public Affairs Department (323) 857-4496 Public-Affairs-WestLA@kp.org Contact Information

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