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Published on January 12, 2009

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North American Society for Pediatric Exercise Medicine (NASPEM)2004 Biennial Meeting : North American Society for Pediatric Exercise Medicine (NASPEM)2004 Biennial Meeting St. Andrews-by-the-Sea, NB August 11-15th, 2004 Pediatric Exercise Medicine for Communities, Classrooms, and Clinics Objectives of this presentation: : Objectives of this presentation: Raise awareness of NASPEM, and the student opportunities that it offers Highlight the importance of NASPEM’s commitment to pediatric exercise science research Bring specific learnings from the 2004 conference back to the Dal community (key highlights) Help foster enthusiasm & ongoing commitment for continued research in the area of pediatric exercise science What is NASPEM? : What is NASPEM? Mission to promote exercise science, physical activity and fitness in the health and medical care of children and adolescents Quarterly NASPEM journal – Pediatric Exercise Medicine - dedicated exclusively to pediatric and exercise medicine issues What were the objectives of the NASPEM Conference? : What were the objectives of the NASPEM Conference? Opportunity to share and discuss research advances Forum for pediatric exercise scientists to network Non-threatening opportunity for student growth and learning Provide increased public awareness about issues Context of 2004 NASPEM Conference : Context of 2004 NASPEM Conference Childhood obesity is becoming increasing prevalent around the world– “epidemic” proportions Increasing rate of childhood obesity will have devastating effect on the health of the next generation Held in Atlantic Canada, where we have one of the highest rates of childhood obesity/ inactivity in the world! NASPEM Student Opportunities : NASPEM Student Opportunities Commitment to student growth and learning Opportunity to attend NASPEM meetings (2004 through CIHR funding support) Student Research Grant Program- $500-$1000 grants available ( Key Highlight #1 Evidence base for children’s physical activity guidelines : Key Highlight #1 Evidence base for children’s physical activity guidelines How are Children’s Physical Activity Guidelines developed? How much? How often? Childhood PA Adult PA Childhood Health Adult Health Slide 8: Although link between adult physical activity and health outcomes is supported, similar link between children and health outcomes not as well defined (Dr. Jos Twist & Dr. Neil Armstrong) Difficulty with measurement of physical activity in children (validity of subjective measures; controlling for maturation) Adverse health effects take time to develop; not immediately evident in children Longitudinal studies required to determine: (1) link between children’s physical activity (inactivity) and adverse health outcomes in adulthood; (2)link between PA in childhood and PA in adulthood Slide 9: Canada’s physical activity guidelines highlighted as unique to others around the world (Dr. Mark Tremblay) Any increase in physical activity is a good thing; no “ceiling effect” for children already active Keep in mind that Canada’s Physical Activity guidelines are not evidence-based, or “threshold –based” No defined threshold, difficult for researchers attempting to classify children as active/ inactive Key Highlight # 2 Role of lifestyle in obesity “epidemic” : Key Highlight # 2 Role of lifestyle in obesity “epidemic” What is the cause of obesity – lack of physical activity or dietary indiscretion? Undeniable link between physical activity and obesity Obesity “epidemic” due to shift in lifestyle Slide 11: The obesity “lifestyle” problem (Dr. Roy Shephard) “We have become lazy dogs” “We should buy a dog or pretend we have one” Less exercise due to more cars & school buses, more TV & computer games Urbanization & urban sprawl (grocery stores, schools, etc. not within walking distance) Loss of family meals, increase in intake of fast food Slide 12: Obesity “epidemic” will be devastating for future health of our population & will have devastating effect on our healthcare system Increase in Type II diabetes in young adolescents (usually only seen in adults!!) Increase in hyperlipidemia & hypertension High childhood obesity associated with atherosclerotic lesions (how early does heart disease begin??) Low self-efficacy, low self-esteem, psychosocial problems Key Highlight # 3 Lessons learned from landmark longitudinal studies : Key Highlight # 3 Lessons learned from landmark longitudinal studies Several key longitudinal studies were highlighted: Saskatchewan Growth Study, Dr. Don Bailey Trois-Rivieres Physical Education Study, Dr. Francois Trudeau Amsterdam Growth Study, Dr. Han Kemper Slide 14: Increased importance and need for longitudinal research into children’s obesity Does trend of obesity continue into adulthood? How does childhood obesity impact future health outcomes? Impact of childhood physical activity on adult activity levels? Slide 15: Longitudinal studies require long-term commitment and dedication of researchers; Difficulty with keeping same employees for consistency of measurement, methodological rigor, etc. Confounding factors in longitudinal studies Time of measurement effect Cohort effect Detect test or learning (i.e. EE reported) Drop-out effect Some final thoughts… : Some final thoughts… Change in “State of Change” may impress granting agencies but does not change health! (Dr. Roy Shephard) Proactive approach to childhood obesity required Multi-disciplinary, team approach required between all sectors and stakeholders In summary : In summary Increased importance and need for research, networking between exercise science professionals, and increased public awareness of obesity/ physical activity trends & NEED FOR CHANGE! Check NASPEM website for future student opportunities ( Thanks to NASPEM and CIHR for offering student support to attend 2004 conference. : Thanks to NASPEM and CIHR for offering student support to attend 2004 conference.

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