Running head: PREVENTING CHILDHOOD OBESITY IN CONTRA COSTA COUNTY
Preventing Childhood Obesity in Contra Costa County
MPH 622: An ecological approach targeting child care centers
Arlette Hernandez
University of San Francisco
The aim of this policy proposal is to address the importance of creating an early intervention program to reduce childhood obesity. This prevention plan will be conducted within the cities of San Pablo and Richmond in Contra Costa County. It will focus on meeting the Healthy California 2020 goals of promoting health, adopting healthy eating habits, and maintaining a healthy body weight. This proposal will collaborate with local nutritionists and health educators to provide child care centers with the
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The adults in the child’s life influence what the child eats, and the opportunities they have to be active. The environment equally influences the risk of young children becoming overweight. The lack of safe play areas and access to fresh food stores, and high cost of nutritious snacks all influence the current childhood obesity rate in the United States (Nutrition and Weight Status, 2013).
Statement of Problem Obesity is the second leading preventable cause of disease and death in the United States. Being overweight and obese has become more prevalent and increased during the last three decades in both adults and children. Currently, 25 million children in the United States are obese or overweight (Babey, Wolstein, Diamant, Bloom, and Goldstein, 2011). The rise in childhood obesity and related health diseases are indicators of a decrease in life expectancy and increased individual and societal costs (Olshansky et al., 2005).
Being overweight and obese are associated with serious health risks for children. According to Crawford et al. (2013) one-sixth of all school-age obese children have developed an early onset of health problems compared to those within the healthy Body Mass Index (BMI) range. Children who are overweight and obese have an increased risk of developing cardiovascular disease due to high cholesterol and high blood pressure (Crawford et al., 2013). In addition, one-third of children will develop type-2 diabetes due to high-fasting insulin and various
It is no doubt that obesity exists worldwide, but it is a very prevalent issue in the US. This pandemic has certainly risen in focus in the past decade, with a rate of obese children that has quadrupled since the 1970s. Though this issue seems quite new, obesity exists in every generation, and the adults in the current generation are living with thirty-four percent of their fellow adults obese. This amount may seem high, and
Obesity is the second leading cause of death in the United States. Obesity often begin in childhood and is linked to many psychological problems such as asthma, diabetes and cardiovascular risk factors in childhood. Childhood obesity is related to increased mortality and morbidity in adulthood as many obese children grow up to become obese adults (Johnson, 2016). In the last 30 years, childhood obesity has more than doubled in children and quadrupled in adolescents. In the United States, the percentage of children aged six to eleven years who were obese seven percent in 1980 has increased to eighteen percent in 2012. In 2012, more than one third of children and adolescents were overweight or obese. Overweight is defined as having excess body weight for a particular height, whereas obesity is having excess body fat. Childhood obesity can lead both immediate and long term effects on health and well-being. Obese children are likely to have risk factors for cardiovascular disease such as high blood pressure and high cholesterol. A population based sample of five to seventeen year old shows 70% obese children have at least one risk factor for cardiovascular disease. Obese children and adolescents are at risk for bone and joint problems, sleep apnea, and social and psychological problems such as poor self-esteem and stigmatization. Children and adolescents who are obese are likely to be obese as adults and are at risk for adult health problems such as heart disease, stroke, type 2
Childhood obesity has become an epidemic in the United States in the past three decades. In 2012, roughly 17% or 12.5 million children and adolescents are overweight or obese” (“Childhood Obesity Facts,” 2014). According to the Centers of Disease Control and
In America childhood obesity statistics show that almost 60 percent of children are obese. This statistic continues to grow at an alarming rate. 70 percent of obese adolescence become obese adults. This means when these children grow into adults they will have more health problems than they already do and their quality of life will decrease. The amount of children who are obese between ages 6-11 years old has risen from 6.5 percent in 1980 to 19.6 percent, in 2008. In adolescents ages 12-19 years old the obesity rates risen from 5.0 percent in 1960 to 18.1 percent in 2008. Last year the United States government stated that obesity and type 2 diabetes have become a national epidemic.
Childhood onset overweight and obesity and its’ associated health consequences are quickly becoming major significant public health issues facing America today. Centers for Disease Control and Prevention (CDC) define overweight as a body mass index (BMI) between the 85th and 95th percentile while obese is defined as BMI above the 95th percentile for children of the same age and sex . The prevalence of overweight children, defined based on 2009 CDC’s National Center for Health Statistics data, has more than tripled in the past 30 years. Between 1980 and 2006, the incidence of overweight among children aged 6 to 11 years increased from 6.5% to 17.0% while overweight levels for adolescents aged 12 to 19 years increased from 5.0% to 17.6% .
Childhood obesity has increased dramatically over the last three decades, and conditions in many communities continue to act as barriers to healthy eating and adequate physical activity. Childhood obesity is a serious health problem that has adverse and potentially long-lasting consequences for individuals, families, and communities. Perhaps most shocking, life expectancy for today’s children may be shortened in the United States because of the impact of childhood obesity (Olshansky and Ludwig, 2005).
A drive down the road in any given American city and one can observe at least one reason that the United States is struggling with obesity. One would be hard pressed to find a community that is not teeming with fast food restaurants. However, it might surprise some that the obesity epidemic in our country has reached the most vulnerable population of all and they aren’t even capable of driving themselves to these bastions of unhealthy food. The childhood obesity level has reached 34% of children in the United States (SHUMEI, 2016).Obesity is caused by consistently consuming more calories than are needed for the level of physical activity one has on a daily basis. Although there are several indicators of obesity, the CDC and The American Academy of Pediatrics use the body mass index (BMI). Childhood obesity is defined as a BMI at or above the 95th percentile for children of the same age and sex (Perpich, 2011). Childhood obesity has been linked to an increase in Type 2 diabetes mellitus, asthma, hypertension, increased risk for cardiovascular disease and even affects children in psychosocial terms with low self-esteem and fewer friends than their non-obese contemporaries (Hispanic Health Care International, 2011). There are a variety of causes that work together for contributing to childhood obesity from the income level of the home to gender to even the location of the child’s home. Although there are many factors that can cause childhood obesity, we
Childhood obesity has now reached an epidemic in several parts of the United States. As a result, children now have a higher risk to have numerous chronic and acute medical problems. Several of the long-lasting medical problems a child might face as a result of obesity could eventually result in death. In addition to chronic medical problems, childhood obesity has severe psychosocial effects on an individual such as low self-esteem and depression. Childhood obesity is a serious problem that is caused by a numerous amount of factors that can eventually lead to severe health complications.
A child's learning ability and overall health can be affected by them being overweight. Some of the obese and overweight "...children are developing conditions and diseases that normally would be associated with adults, such as high blood pressure, elevated cholesterol, ...type 2 diabetes...occurrence of certain cancers, including colon cancer..." (Andrews 2). Along with these conditions and diseases many children are also faced with "...social discrimination" from their peers and the people around them (2). In schools "...overweight students showed 0.4 lower GPA and 11% lower national percentile reading scores... also [they] had significantly more detentions, poorer school attendance,
The health risks that overweight and/or obese children tend to face are type 2 diabetes, high blood pressure, asthma, and other illnesses. One article stated that “obese adults were more likely to have worse quality of life, poorer asthma control, and increased risk of asthma-related hospitalizations compared with their non-obese counterpart” (Quinto et al, 2011). This is also true for obese children. Children who are overweight and/or obese tend to have more doctor’s visits, prescribed medications, and may have trips to the hospital just like those who suffer from
There is a giant threat looming over the United States, a catastrophic event of epidemic proportions which is threatening to capsize the health care system and that epidemic is childhood obesity. The awareness of this epidemic as a national problem developed in 1999 with the Centers for Disease Control and Prevention’s (CDC’s) publication of a compilation of yearly state-based maps that indicated the increase in the levels of childhood obesity. There were earlier studies done by the CDC regarding this epidemic, but the maps gave physical proof of the dramatic increase for this pressing issue (Dietz, 2015).
Childhood obesity is a medical condition caused by extra fat in the body, which may lead to chronic conditions in the latter years of life (Mahmood, 2015). The condition has become much more prevalent in recent decades and has been acknowledged as a global epidemic that may affect them well into their adult life (Clus et al, 2014). Fortunately, prevention has been identified as the most effective strategy for combating obesity and research shows that the most effective prevention programs should be coordinated and comprehensive (Wright, 2013).
Obesity is a worldwide epidemic and serious chronic disease state that plagues all ages and races. Globally 1.7% of people are classified as obese, with body mass indexes (BMI) of 30 or higher (Sonnenberg, Matfin, & Reinhardt, 2007). According to Flegal, Carroll, Ogden, and Curtin (2010) 35% of men and 35.5% of women in the United States (U.S.) are obese. The prevalence of childhood obesity is steadily climbing each year with the ensuing repercussions of adult disease states now being diagnosed in children and teens (Ben-Sefer, Ben-Natan, & Ehrenfeld, 2010). Hence, the race for finding an answer to weight control has become a priority.
“Parental behavioral patterns concerning shopping, cooking, eating and exercise have an important influence on a child’s energy, balance and ultimately their weight” said diet specialist, Anne Collins (“Childhood Obesity Facts”). Childhood obesity has more than tripled since the 1980’s (“Childhood Obesity Facts”). Childhood obesity often leads to obesity as an adult which can put a person at greater risks dealing with the heart, diabetes, and many other obese related diseases. People want to blame the schools and today’s technology for childhood obesity, in reality, the responsibility lies in the hands of their parents.
Over the past two-decades obesity has risenn at an alarming rate globally and now is reaching epidemic proportions in the western and industrialized countries… USA. Obesity prevalence in the United states is among the highest globaly as its obesity rate is projected to climb from today’s 30-40% today to a shocking 70% in 20301 . In particular, childhood obesity exhibited the highest growth rate today, tripling the percentage of children over the past three decades CDC. Obese individuals have a higher risk of developing type two diabetes mellitus (T2DM), hypertension, dyslipidemia, cardiovascular disease (CVD), liver dysfunction, sub-fertility, psychological comorbidity3. The