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Published on January 14, 2009

Author: aSGuest10489

Source: authorstream.com

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Building Bridges: Collaboration to Promote Physical Activity : Building Bridges: Collaboration to Promote Physical Activity Bob Lutz, MD MPH University of Arizona February 07, 2004 "Alone we can do so little; together we can do so much." Helen Keller : "Alone we can do so little; together we can do so much." Helen Keller Economics & Healthcare : Economics & Healthcare Per capita health care spending in the US: $1.6 trillion (~$5440/person); ~14% of GDP (47%> than Switzerland) 34 states have cut public health insurance programs (i.e., Medicaid, CHIPS) affecting 1.6 million Americans, almost half of whom are children States face a collective budget deficit of $40-50 billion for 2004 Keys to Creative Collaboration : Keys to Creative Collaboration Listening and suspension of judgment Commonality of aims/goals Diversity of experience & expertise Emphasis on strengths & assets No barriers = No defenses The Sad Facts : The Sad Facts ~64% of American adults are overweight or obese 33% of US women/ 28% of US men are obese Obesity rates higher with lower SES, African-Americans, Hispanics, Native Americans, Pacific Islanders Increases risk for many medical conditions Overweight & Obesity-adult : Overweight & Obesity-adult The Sad Facts : The Sad Facts >30% of children & adolescents are “at risk” for overweight or obesity >15% of children and adolescents are at/above the 95% for weight Rates are highest in boys, lower SES, African-Americans, Mexican-Americans, Native Americans (>21%) Increases risk for many medical conditions Youth Overweight & Obesity : Youth Overweight & Obesity Youth Overweight & Obesity : Youth Overweight & Obesity The Sad Facts : The Sad Facts Obese parents increase the risk 3 fold increase if 1 obese parent 10 fold increase if 2 obese parents 33% of pre-school children; 50% of school-aged children & 80% adolescents who are obese become obese adults “The major barrier to physical activity is the age in which we live.” : “The major barrier to physical activity is the age in which we live.” U.S. Surgeon General, 1996 Physical Inactivity : Physical Inactivity ~90% of trips made by car 23% 1 mile or less 17% 2 miles or less Americans average more than 40 miles of driving/day The number of children who walk &/or bicycle to school has dropped from 66% to 13% (1966-2001) Children ages 5-14 average 3.5 automobile trips per day Almost 10% of car-related trips are school-related Physical Inactivity : Physical Inactivity Ages 2-17, the average child watches 4.5 hours of television per day Children who watch television 4 hours or more a day are more likely to be overweight than those who watch less The average American adult also spends 4 hours a day in front of the tube: hardly a good example! Youth Physical Activity/Inactivity : Youth Physical Activity/Inactivity HP 2010 recommends daily PE with minimum of 50% spent in MVPA “Accumulate at least 60 minutes, and up to several hours, of age appropriate physical activity on all, or most days of the week” Youth achieve >60 min/day of lo-intensity PA & ~30 min/day of MVPA (Epstein et al) 3rd graders received ~25 min/week of MVPA in school settings (NICHHD) Slide 22: Percentage of Schools that Require Physical Education, by Grade US Surgeon General’s Report on Physical Activity and Health-1996 : US Surgeon General’s Report on Physical Activity and Health-1996 Most Americans can improve their health and quality of life by achieving a moderate amount of physical activity on most, if not all, days of the week Additional health benefits can be gained through greater amounts of physical activity (longer duration or of more vigorous intensity) Slide 26: School-based physical education-Recommended (strong evidence) Creation/enhanced access to places for PA-Recommended (strong evidence) Community-wide campaigns-Recommended (strong evidence) Resources & Recommendations : Resources & Recommendations Families who model and support participation in enjoyable physical activity School programs —including quality, daily physical education; recess; and extracurricular activities After-school care programs Youth sports and recreation programs Activity friendly communities Media campaigns that help motivate young people to be physically active Resources & Recommendations : Resources & Recommendations Schools are a key setting “Public health approaches should extend beyond health and physical education to include school policy, the school physical and social environments, and links between schools and families and communities.” Resources & Recommendations : Resources & Recommendations Quality daily physical education Provide daily recess periods for elementary school students Provide extracurricular physical activity programs Encourage the use of school facilities for physical activity programs Resources & Recommendations : Resources & Recommendations Accumulate at least 60 minutes, and up to several hours, of age appropriate physical activity on all, or most days of the week Several bouts of physical activity lasting 15 minutes or more each day Daily participation in a variety of age-appropriate physical activities Extended periods (periods of two hours or more) of inactivity are discouraged for children Collaborations-partners : Collaborations-partners Researchers Practitioners (teachers/instructors/coaches) School administrators Policy makers/Legislators Parents *Students Health care providers Collaborations-data : Collaborations-data Need for data to provide linkages between the research lab and the classroom/field SPARK, CATCH, PATHWAYS Data demonstrating a linkage between PE, health-related parameters and academic performance Standards (e.g. fitness?) National Standards for PE : National Standards for PE Demonstrates responsible personal & social behavior in PA settings Demonstrates understanding & respect for diversity in PA settings Understands that PA can provide enjoyment, challenge, self-expression and social interaction National Standards for PE : National Standards for PE Competency in movement Movement concepts and principles to the learning & development of motor skills Exhibits a physically active lifestyle Achieves & maintains a health-enhancing level of physical fitness CDE Physical Fitness & SAT 9-2001 : CDE Physical Fitness & SAT 9-2001 CDE Physical Fitness & SAT 9-2001 : CDE Physical Fitness & SAT 9-2001 CDE Physical Fitness & SAT 9-2001 : CDE Physical Fitness & SAT 9-2001 NASPE survey results-parents : NASPE survey results-parents 99% want children to be physically fit 95% believe regular PA helps academically; 91% believe PE doesn’t interfere with academics 81% want mandatory DAILY PE 78% believe that children should be tested on physical fitness 64% believe that PE helps children become healthy and active adults NASPE survey results-parents : NASPE survey results-parents >50% chose lack of physical activity or sedentary activities as the most important cause for the rise of childhood obesity 46% chose eating habits as the main cause for childhood obesity 76% believe that more PE could help control/prevent childhood obesity NASPE survey results-students : NASPE survey results-students 95% like PE 92% believe they should receive quality daily PE 71% believe PE supports academics 54% state that PE helps prepare them to be healthy & active adults Mens sano in corpore sanoA sound mind in a sound body : Mens sano in corpore sanoA sound mind in a sound body “Be the change you want to see in the world.” : “Be the change you want to see in the world.” Gandhi

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