LHI Webinar: Nutrition, Physical Activity, and Obesity (Part 2 of 5)

MARJORIE MCCOLL PETTY: Texas and the nationis faced with an epidemic of obesity. In my Region VI nations, which are Arkansas, Louisiana, Oklahoma, New Mexico and Texas, the district obesity frequencies for all age groupsare all near about 30 percentage. As we are all aware of, children who are overweightare more likely to develop diabetes and other chronic disease determining factor. So the lethargy and poverty-stricken food that causesat least 300,000 deaths a year in the U.S. also, as Dr. Koh mentioned, is related todiseases that payment the U.S. economy more than $ 147 billion every year. In Region VI, we have been working locallywith mayors and communities who are looking to improve the health of their communities.Three of these entities, including some ofthe tribal governments that we work with in this region, have received the CommunitiesPutting Prevention to Work grantees from CDC. The Jemez Pueblo in New Mexico is focusedon physical work and healthy preferences for their constituency. The Cherokee Nation in Oklahoma has focusedon media strategies to promote healthful food and beverage selections. And one of the entities in Texas and San Antoniowas highlighted by the Restaurant Association voluntarily converting their menus to be morehealthy for their community. Another example of some of the great leadershipin our communities includes Mayor Cluck of Arlington thats in Texas who providesstudents with pedometers every summer and he challenges them to move their physical work. When they return to school in the die, thekids with “the worlds largest” recorded steps are recognized for their efforts. They have also improved the menus in the schoolsto healthier selects and they are a Lets Move! city.In Little Rock, Arkansas the mayor hostedthe First Healthy Food and Active Living Summit thats working to address food deserts, improve access to full grocery stores in the underserved neighborhoods and to eliminatehealth disparities among other things. It was my pleasure to host Secretary Sebeliusand she affiliated me for that affair in Little Rock. And likewise, the city of Brownsville who is aLets Move! municipal developed sauntering moves that have regenerated parts of their city. They engaged the community in the BiggestLoser competition, which was fun for the community and developed an give earning farmers marketwhich promotes fresh create with the use and engagement of local farmers and the useof SNAP, the Supplemental Nutrition Assistance Program funds.Eighty percent of Brownsville is either overweightor obese. The Brownsville school district has been engagedwith CATCH, which is the program that were going to hear about in a few minutes. The science of CATCH is demonstrating thatbehaviors such as physical stagnation and devouring menus in high-pitched overweight can be challengedand changed. So its my pleasure right now to introduceto you Dr. Deanna Hoelscher whos the prof at the University of Texas School of PublicHealth and the Director of the Michael and Susan Dell Center for Healthy Living who willspeak in more detail about the CATCH program. CATCH stands for Coordinated Approach to ChildHealth and it is a coordinated school program that builds an alliance of parents, teachers, child nutrition professionals, school staff and community partners to teach children and theirfamilies how to be healthy for a lifetime.So were pleased to have Dr. Deanna Hoelscherin Texas to help conduct this programme. Dr. Hoelscher? DR. DEANNA HOELSCHER: I am pleased to be participatingin this wonderful webinar series. Today I would like to talk to you about aprogram on which I have worked during the past 20 years, the Coordinated Approach toChild Health or CATCH. CATCH is modeled after the CDCs coordinatedschool health model, which aims to promote physical pleasure and healthy food choicesthrough a coordinated effort in which a child is surrounded by consistent health messagesat institution and at home. CATCH includes separate planneds for classroomteachers, child nutrition service employees, P.E. teachers, institution administrators and familiesas seen in this slide. CATCH is coordinated by a program championat each school who organizes a CATCH committee along with representatives from the otherschool components to implement the program along with support from neighborhood degree administration. Classroom curriculum constituents include behaviorallybased curriculum for each score statu from Jump into Health for kindergartners to BreakingThrough Barriers for fifth position students.Materials supporting the other componentsinclude activity chests for the P.E. coaches, nutritional guidebooks for the cafeteria andtake home family pleasures, as well as lineage enjoyable nights or state carnivals that making thefamilies to the schools to celebrate healthy living. CATCH began as the Child and Adolescent Trialfor Cardiovascular Health, which was a research study funded by the National Heart, Lung andBlood Institute of the National Association of Health or NIH. CATCH was designed to extend the researchof the 1980 s in cardiovascular disease prevention in boy. The CATCH research project was distinct in severalways. First, it used a meticulous study designinvolving a large number of class, 96 academies across the four sites you visualize on the delineate onthe slide. Secondly, the involvement included actionsat several degrees and constituents over three years involving three separate grade levels. And ultimately, CATCH was one of the first studiesto focus on children from ethnically diverse communities in California, Minnesota, Texasand Louisiana. The NIH research funds for development andtesting of CATCH were leveraged into a robust evidencebased platform that has been translatedfrom the bench to the trench.CATCH outcomes and implementation effortshave been continually evaluated and improved since its inception. This slip provides an overview of some ofthe major the effect of the CATCH main trial and a few follow up studies. During the primary trial, we found that the CATCHprogram resulted in reductions in total fat and saturated fat content of school lunches, increased moderate to vigorous physical activity in the students during P.E. world-class and improvementsin selfreported eating and physical pleasure behaviors of the students.A follow up study showed that these resultswere maintained through eighth gradation without further intervention endeavors. A later replication study in El Paso, Texasat the University of Texas El Paso found that a reduction in child obesity and overweightprevalence in a chiefly Hispanic and low income population as a result of CATCH implementation. Building on these outcomes was research demonstratingthe cost effectiveness of CATCH, with one study reporting CATCH to be the most costeffective method to prevent obesity in teenager. Lastly, recent data from our studies indicatethat implementing CATCH with 60 minutes per day of physical activity in children can resultin significantly higher academic tallies on the Stanford Math Assessment. I would like to take a little time now todiscuss the impact of CATCH in Texas where obesity proportions in academy aged children arehigher than currently is located within the United Commonwealth as you can see in this graphic.Data from the School Physical Activity andNutrition or SPAN study, a surveillance study substantiating child obesity paces in Texas atthe commonwealth and regional level is presented on this slip. When these data were shared with the mood, they became the catalyst for distinguish child and adolescent obesity as an immediate priorityfor intervention for state leaders ..

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