Obesity network
למי שהשתמש sibutramine במתבגרים עם השמנת יתר או מתבגרים שהשתמשו על דעת עצמם חשוב להתעדכן ולעדכן כי התרופה הוצאה משימוש ע"י חברת ABBOTT.
החשש הוא מ MI ו stroke
ראו את מאמרו של ד"ר ריזלר כבר מ 2006 לגבי התרומה לירידה במשקל
USPSTF Review on Pediatric Weight Management Interventions
להתייחסויות של חברי הקבוצה לחצו כאן | ינואר 2010
NEWSBLAST!
September/October 2009
Quality Improvement Tip of the Month:
NICHQ works to support health care professionals in improving children's nutrition and fitness. Try our recommended QI Concept this month to start using Quality Improvement in your practice!
QI Concept: “Spread”
Last month we recommended the implementation of measurement strategies to better tailor your improvements following results from evaluative data. The recommendation included setting highly specific and measurable goals that aligned well with your aim. This month, we discuss spread. If you were able to develop measurably successful methods for collecting BMI among your patients, for instance, it might be time to spread that method to other doctors in your hospital or clinic, or to other clinics in your region. Take steps to spread your innovation:
- Identify your aim—get specific on what plans you wish to spread and to whom. In particular, identify those improvements that have been most successful and which groups you will be spreading them to.
- Develop an informal script to aid in discussions with individuals/institutions on why and how to implement your innovative practice
- Track your progress. This will mobilize and incent individuals/institutions to implement your transformative and innovative practices
Spreading your great methods will ensure system-wide quality improvement.
See it in Action!
Check out how walking buses have spread from the communities in California all the way to Florida.
http://www.npr.org/templates/story/story.php?storyId=113039310
School and Community Based Improvements
The Spread of Walking School Buses (September 21)
http://www.npr.org/templates/story/story.php?storyId=113039310
An idea piloted in communities on the California coast is catching on in many other areas around the nation. Walking school buses, which began as a safe and healthy alternative to school buses are spreading to communities across the country interested in getting their communities active, saving money, and determining green solutions to mass transit. The iconic big yellow school bus is getting some competition from sneakers and sandals as a new way to get to class at Belcher Elementary in Largo, Fla. Kids and parents are teaming up in surrounding neighborhoods and walking to school together. The initiative aims to promote the healthier option of walking for both parents and children, while cutting down on vehicular traffic at the school.
How schools have used small tests of change to eliminate soda in schools (October 5)
http://www.washingtonpost.com/wp-dyn/content/article/2009/10/05/AR2009100501910.html
ATLANTA -- Fewer U.S. high schools and middle schools are selling candy and salty snacks to students, the federal government said in a report released Monday. The U.S. Centers for Disease Control and Prevention report was based on a survey of public schools in 34 states that compared results from 2006 to 2008. The study did not report the total number of schools that have changed. Instead, it looked at the proportion of schools in each state. It found that the median proportion of high schools and middle schools that sell the sugary or salty snacks dropped from 54 percent to 36 percent. The share of schools that sell soda and artificial fruit drinks dropped from 62 percent to 37 percent. The improvements were most dramatic in some Southern states. In Mississippi, the proportion selling soda dropped from 78 percent to 25 percent. In Tennessee, it dropped from 73 percent to 26 percent. Those two states also saw dramatic reductions in sales of candy and salty snacks. The report marked a continued effort by health officials to combat childhood obesity.
The Spread of the 5-4-3-2-1 programs (October 5)
http://www.chicagotribune.com/news/chi-ap-il-childhoodobesity,0,2959720.story
CHICAGO - A childhood obesity prevention program is launching a campaign to promote five healthy behaviors among Chicago residents. The campaign kicks off Monday night when Blue Cross and Blue Shield of Illinois, a campaign sponsor, writes "5-4-3-2-1 Go!" across its headquarters building in downtown Chicago. The slogan stands for five servings of fruits and vegetables, four servings of water, three servings of low-fat dairy products, two hours or less of screen time and one or more hours of physical activity. The campaign promotes those five daily behaviors for children and their families on billboards, posters and flyers. The Consortium to Lower Obesity in Chicago Children is based at Children's Memorial Hospital in Chicago.
Parenting and Food: Eat Your Peas. Or Don’t. Whatever.
http://www.nytimes.com/2009/08/30/weekinreview/30bruni.html?_r=1
Over recent years, worry about what and how much children eat has intensified, in part because of the regular references to childhood obesity as an epidemic. And right now, as children head back to school, where they graze beyond the gaze of parents, potentially dangerous eating habits are getting fresh attention. School cafeterias and vending areas have become ground zero in the battle against overweight and poorly nourished children; from coast to coast this fall, students will encounter fewer sugary soft drinks, fewer fried foods, class birthday parties without cupcakes and class bake sales with calorie-reduced brownies.
That may help. But it’s just one piece of a puzzle that health experts and concerned parents are still sorting out. Conflicting information about the fiercest culprits in child weight gain abounds. Beyond genes, which obviously play a fundamental role, is soda pop a major factor? What about too little sleep?
Making healthful eating fun for kids (September 2)
http://www.latimes.com/features/food/la-fo-kidfood2-2009sep02,0,2619200.story
For most American children, the equivalent taste memory will be grease-soaked chicken nuggets and French fries. Registered New York-based dietitian Elisa Zied understands this. Her own childhood memories are connected to fast food as a treat -- including her grandmother sneaking Whoppers with cheese to Zied while she was at sleep-away camp."You have to teach children from very early on to enjoy healthy food," says Zied, who changed her eating habits as an adult and has written several books about healthful eating for families. "Changing a culture is not an easy thing to do." But due in part to an alarming increase in childhood obesity, diabetes and other junk-food-related illnesses, healthful-food movements targeting kids are sprouting all over the United States. From kids' cooking classes to angry mothers demanding more healthful food in cafeterias to edible gardens at schools, more people are looking to improve their families' eating habits.
Spreading the Message through Advocacy
Paul Pierce's Campaign Fights Childhood Obesity (Sept. 24)
Sometimes, the best method for spreading an idea or initiation is through direct outreach and advocacy. Paul Pierce, Boston Celtics star, has become such an advocate through his The Truth on Health Campaign” It includes a Web-based club that encourages kids aged 10-14 to make a one-year pledge to eat healthy and participate in an hour of physical activity each day. Pierce announced his plans at the Clinton Global Initiative this week. The Web site will include monthly challenges, healthy recipes and rewards programs. Pierce says he wishes he had known more about proper nutrition growing up. He has seen from his nephews how children are less active than when he was a youth.
Child Health Week in Tennessee (October 1)
http://www.newschannel9.com/news/governor-985187-tennessee-bredesen.html
Governor Phil Bredesen and the Governor’s Office of Children’s Care Coordination have proclaimed October 5-11 Child Health Week in Tennessee. Child Health Day was first proclaimed as a national event in 1928 by President Calvin Coolidge and celebrates its 81st observance this October. Tennesseans are encouraged to put the health and well-being of children first during Child Health Week, which will place special emphasis on the issue of childhood obesity. There’s nothing more important than the health of our children,” said Bredesen. “Childhood obesity is a serious and growing problem in our state, but by working together, we can make a difference. I encourage Tennessee’s parents and adults to be good role models, make healthy food choices and support active lifestyles. Together we can secure a healthier future for all of Tennessee’s children.”This year’s theme “Healthy Youth, Healthy Future” is focused on childhood obesity, a serious and growing problem in Tennessee. Today, more than 40 percent of Tennessee’s youth are considered to be overweight or obese, according to a 2007 study conducted by the Tennessee Department of Education. A 2006 report by the Robert Wood Johnson Foundation ranked Tennessee fourth in the nation for the percent of 10- to 17-year-olds who are obese.
Michelle Obama brings green thumb, campaign against childhood obesity, to 'Sesame Street' (Sept. 30)
The numbers are frightening. Nearly 1 in 3 children, ages 2 to 19, are obese or overweight. Around the country, school districts scrapped for funds, have canceled recess. Kids being kids hit vending machines filled with fattening soft drinks, candy bars and snack foods.
So First Lady Michelle Obama is marking the 40th year of PBS' "Sesame Street" with an appearance on the Nov. 10 season-opening show geared at getting kids to grow -- and later eat -- vegetables."All these seeds need to grow are sun, soil and water," she says in the episode. "If you eat these healthy foods, you're going to grow up to be big and strong like me." Besides, she adds, "I know you're going to like these vegetables because, in addition to being healthy, they really taste great."
Child's body image can trigger eating disorder (October 2)
http://seattletimes.nwsource.com/html/living/2009990028_teenweight02.html#
Even as we face a childhood obesity epidemic, health experts warn that children are starving themselves more often — and younger than ever. On one end of the spectrum, the Centers for Disease Control and Prevention warns that over the past three decades, the obesity rate has more than doubled for children ages 2 to 5 and for adolescents ages 12 to 19, and has more than tripled for children ages 6 to 11. On the other end, more than 60 percent of elementary and middle school teachers say eating disorders are a problem in their schools, according to the National Association of Anorexia Nervosa and Associated Disorders (anad.org); the association also reports that the average age for the onset of anorexia is now 9 to 12, down from 13 to 17. Each epidemic has its own tangled roots, but both signal dangerously unhealthy body images. "They're both about finding a sense of control with food, either never stopping eating or really controlling your food intake," says Brian Alman, a clinical psychologist and author of several nutrition books, including "Keep It Off" (Plume). "Both are situations where kids feel out of control."
Policy Initiatives
The soda-tax solution (October 6)
http://www.latimes.com/news/opinion/la-oe-brownell6-2009oct06,0,4876212.story
The United States needs a healthcare sweet spot -- a way to raise revenue for needed programs now and a way to lower healthcare costs in the future. Taxes on sugar-sweetened beverages -- those with added sugar, high-fructose corn syrup or so-called fruit juice concentrates -- would answer that need, and California could be the test case that proves it once and for all. There is arresting logic to the numbers. There are already minor surcharges on soda in many states -- fractions of a cent per ounce in most cases. That's not enough. What's needed is a penny per ounce added to the cost of sugary beverages. That amount would raise about $150 billion nationally over the next 10 years; in California, it would raise $18 billion. At the same time, the reduced consumption of soft drinks produced by a penny-per-ounce national tax would have direct health benefits, estimated to be at least $50 billion over the decade. This $200 billion could make an enormous difference in addressing the nation's mounting healthcare costs.
What’s the return on fighting obesity? (September 24)
While recognition of childhood obesity is widespread, solutions to the problem are in surprisingly short supply. Having just closed one of the few pediatric obesity treatment programs in New England, I can identify one of the most cogent reasons for the shortage of such programs: ROI, or the return on investment demanded by health insurers. Our program, Great Moves, was co-founded with health care entrepreneur Stanley Goldstein in collaboration with Children’s Hospital. Families met once a week for five months. The kitchen in the center taught families how to cook. A gym attracted the children with Wii Fit, a version of Dance Dance Revolution, and a Sport Wall. Behavioral counseling was provided as were lessons on such issues as portion size, environmental cues that trigger inappropriate eating, and distinguishing between eating due to hunger vs. boredom.
Save the Date!
Annual Forum for Improving Children’s Healthcare and
Childhood Obesity Congress
March 8-11, 2010
Hyatt Regency Atlanta on Peachtree Street
Atlanta, Georgia
Find out more at www.nichq.org.