Posts Tagged ‘childhood obesity’


Q & A with Healthy Kids Challenge- Part 2

Wednesday, February 3rd, 2010

The U.S. Surgeon General and First Lady are challenging our nation to eat healthy and get more physical activity. With all of this talk about physical activity, our partner organization Healthy Kids Challenge had a few questions for us, and we thought we’d post the answers here for our SPARK family as well.


Q: I hear about physical education and physical activity during the school day, are they the same?

A: No, they are not synonymous. “Physical Education” (PE) refers to a structured class taught by a Physical Education Specialist or Classroom Teacher (in instances where there are few or no PE Specialists) designed to address specific physical education standards (see below). Daily Physical education is recommended by many organizations, but is not required. There are minimum amounts of PE required by law in most states. “Physical activity” (PA) during the school day can include any structured or unstructured activities involving physical movement. This may include Physical Education class, recess, before and after-school programs, activity breaks in the classroom, jog-a-thons, dances, field events, etc. that take place at school before, during, and after the school day. SPARK encourages a combination of both quality physical education and physical activity opportunities through out the school day and week. We also have seen the importance of having a certified physical education specialist work as the champion for both PE and PA within their school community.

National Physical Education Standards from the National Association of Sport and Physical Education (NASPE)

  • Standard 1: Demonstrates competency in motor skills and movement patterns needed to perform a variety of physical activities.
  • Standard 2: Demonstrates understanding of movement concepts, principles, strategies, and tactics as they apply to the learning and performance of physical activities.
  • Standard 3: Participates regularly in physical activity.
  • Standard 4: Achieves and maintains a health-enhancing level of physical fitness.
  • Standard 5: Exhibits responsible personal and social behavior that respects self and others in physical activity settings.
  • Standard 6: Values physical activity for health, enjoyment, challenge, self-expression, and/or social interaction.

Q: I would like to incorporate some physical activity into my classroom during breaks or free time, but I am at a loss! Could you give me a few ideas to use for my 5th graders?

A: Sure! There are so many things you could do with 5th graders to get them moving in the classroom throughout the day! SPARK divides these types of limited space activities into 3 categories – SPARK Space Savers, SPARK Plugs, and SPARK Anchors.

“SPARK Space Savers” are activities from the SPARK PE curriculum that can be adapted for limited space to keep students active during inclement weather or when the usual activity area is unavailable.

SPARK Space Saver Sample #1: Centipede Bucket Brigade (Click Here)

SPARK Space Saver Sample #2: Limited Space Circuit (Click Here)

SPARK Space Saver Sample #3: Grab the Apple (Click Here)

“SPARK Plugs” are used to quickly energize your students throughout the day. When students are not engaged, their brains will likely tune out within 10 minutes. Use these to promote readiness for learning, create excitement and overcome the effects of fatigue.

SPARK Plug Sample #1: Around the World (Click Here)

SPARK Plug Sample #2: Hand Pat Relay (Click Here)

SPARK Plug Sample #3: Odds and Evens (Click Here)

“SPARK Anchors” use movement to help “anchor” learning. Integrating other subjects with movement can be accomplished with minimal effort and maximum benefit. Use these samples as a guide to assist in creating additional support teaching the whole child, mind and body.

SPARK Anchor Sample #1: Odd Hops and Even Jumps (Click Here)

SPARK Anchor Sample #2: Sentence Detectives (Click Here)

Q: My child isn’t really very athletic. What is a good way to help him enjoy being active?

A: It is important to acknowledge that athletics and physical activity are not the same thing. Athletes are usually gifted with traits such as speed, agility, endurance, etc. needed to succeed in a specific sport or sports and choose to pursue that sport in a competitive forum. The rest of us non-athletes enjoy participating in all sorts of physical activities suited toward our tastes and physical attributes. These are usually done for reasons other than competition such as health, making friends, feeling good, losing weight, or just pure enjoyment among many. First thing to do is find out what your son enjoys. Is it hiking? Swimming? Dancing? Jumping on a trampoline? Bike riding? Jumping rope? Whatever it is, that is what he should be doing. To increase enjoyment during any activity, have your son play his favorite music or invite a friend to join him. Providing your son with support and encouragement will go a long way to promoting a lifetime of physical activity.

Q: Is warm-up and cool-down really necessary with exercise?

A: The safe answer is “Yes.” However, if your students have just come from recess or some other type of physical activity, your warm-up has probably been taken care of. The purpose of a warm-up is to increase blood flow to the muscles, tendons, and ligaments so they are ready for vigorous activity. This blood flow helps the body by making it more “elastic” and less likely to tear when overstretched or pushed too far too fast. If you don’t have much time for PE, have your students walk/jog to your activity area to warm them up during transition. As far as cool-down, it is not so much necessary as it is a great opportunity. During this time students can work on increasing flexibility through stretching exercises as well as bringing the body back to pre-activity levels to move back into the classroom. It is also the perfect time to have students demonstrate understanding of movement concepts, principles, strategies, and tactics as they apply to the performance of physical activities done in the lesson (NASPE Standard 2).

Q: What are some good motivational tools to help fit physical activity into each day?

A: Everyone has different motivations for staying physically active, although we hope that most of those motivations are centered on personal wellness. In a school setting it is important to know that research has shown a number of benefits for including more physical activity and physical education into students’ schedules. At a minimum – more minutes for PE & PA has not been shown to decrease testing performance, and many studies suggest that students are better prepared for testing and learning after physical activity. Further, new brain research shows that aerobic conditioning is very beneficial to brain development and performance. Both California and Texas have shown a direct relationship between performance on fitness tests and academic achievement test. We’re not suggesting that Test Scores should be the primary motivation for keeping children active throughout the day. However, in most schools where we have worked – academic achievement is the still the primary indicator of a school’s success. Our core belief is that staying active and physically fit can keep students mentally and emotionally balanced as well. We strive to educate the entire child for a life of success, productivity and happiness. A life free from many of the burdens brought about by diseases caused by sedentary lifestyles.

Let us know what you think of these question and answers! If your school needs to develop a healthier environment, together, SPARK and HKC offer an “Ignite a Healthy Environment” Program (Click here for more info).

A New Role for the First Lady

Monday, February 1st, 2010

A New Role for the First Lady

Did you watch the recent State of the Union address? During his talk, the President made a point of introducing the First Lady and announcing her as a leader in a new national campaign to combat childhood obesity. Perfect fit for Michelle, with her great arms and all!

While George W. Bush was one of the most fit President’s ever (did you know his vital signs were similar to that of an Olympic athlete?) the First Couple stays consistent with their workouts (or so we’re told). Kudos to them. You have to think they have pretty busy schedules — so the old, “I don’t have the time to exercise” excuse is disproven once again.

A recent article in the San Diego Union alluded to the fact that Michelle is taking her newfound commitment to countering childhood obesity seriously, and for her, it’s personal. She said their family pediatrician warned her to monitor Sacha and Malia’s activity levels and what they’re eating. In reaction to this Michelle commented, “In my eyes, I thought my children were perfect. I didn’t see the changes.”

She said her physician kept a close eye on African-American children and “warned that he was concerned something could be off-balance.” Obama admitted that parents often recognize that kids in general don’t eat right and aren’t exercising enough, but “we always think that only happens to someone else’s kids, and I was in that position.”

Let’s hope in the weeks and months ahead, we see a genuine effort to support the dissemination of evidence-based physical education and physical activity programs, proper nutrition/healthy eating, behavior and environmental change strategies, and certainly if you want to bring your arms around the entire issue and galvanize the stakeholders — Coordinated School Health can do that.

Won’t you consider writing a letter to the White House and the First Lady, congratulating and thanking her for taking up this worthy cause? And if you do, please encourage her to support programs that have been proven to work and last. In these days of tight budgets, it’s especially important that every penny is invested wisely.

Every journey begins with a first step. Thanks to the President and First Lady, we’re on our way!

-Paul Rosengard

Q&A with Healthy Kids Challenge

Thursday, January 14th, 2010

January is finally here, and with it comes the usual list of well-intentioned New Years resolutions. For many of you, that means attempting to eat more nutritiously and live a healthier life, and here at SPARK we’re no different. But what about our students? Do we really believe they’re making the same healthy commitments? And if not, how can we ensure we create a healthier 2010 for them as well?

Well, we thought we’d enlist the help of our partner organization, Healthy Kids Challenge (HKC), to get some advice and answers on this topic.


Q: What evidence is out there to show why it is important to teach/promote healthy nutrition?

A: Many studies show a strong link between nutrition, physical activity, and academic success. A report from Action for Healthy Kids titled The Learning Connection is an excellent resource. (Get this version of the report as a powerpoint presentation and share it with others!) The link is just what you’d expect: Students who are well-nourished perform better, and students who are not well-nourished have weaker academic performance and score lower on standardized tests.

For example, we know research has shown increased participation in school breakfast programs is associated with increased academic test scores. In fact, eating breakfast is so important all year (not just right before testing times) that it is one of our 6 core healthy behaviors for which we’ve developed a theme, Breakfast GO Power!, and lessons/ideas for everyday fun learning.

Q: If I ask parents to bring in a healthy snack, what would be some recommendations of what they could provide?

A: First, I’d have you define for parents what is considered a “healthy snack.” Then list some healthy choices as examples. Consider getting the kids’ input – they will be more likely to eat if they’ve helped choose what is offered.

Healthy Snack How-To:

  • Choose snacks low in added fat and sugar – Think about More or Less! All foods fit when you choose MORE fruits and veggies and LESS sugary and high fat foods.
  • Recognize a healthy portion size – Check serving size on the label, and amounts of fat and sugar per serving: items should contain no more than 5 grams of fat or sugar per serving. Measure a serving to check it out!
  • Be aware of hunger levels –Are there distractions such as TV or videos while the kids will be eating? It’s easier for people of any age to keep from overeating if you eliminate distractions. Adding a little bit of protein to your snack will help kids stay full and focused.

HKC Top 10 Healthy Snack Choices
½ cup fresh fruit – with low-fat yogurt dip
½ cup vegetables – with low-fat dressing dip
5 whole grain crackers – with salsa or bean dip
1 cup whole grain cereal – with 8 oz. skim milk
3 cups popcorn – with 1 oz. nuts (10 almonds or 15 peanuts)
1 oz. low-fat cheese – with 1 thin slice lean meat and whole grain roll
8 oz. fat-free flavored yogurt – with cut-up fresh fruit added
1/3 cup low-fat cottage cheese – with pineapple chunks
1 oz. nuts (10 almonds or 15 peanuts) – with ¼ cup raisins
1 Tbsp peanut butter – with celery sticks

Q: Why is it important to eat more fruits & vegetables?

A: Less than 25% of school children (grades 9-12) and adults eat the recommended servings of fruits and veggies a day. (CDC, Risk Behavior Surveillance Survey, 2007). Obesity levels are lowest among those who have high intakes of fruits and veggies.

Eating more fruits and vegetables will ensure you get a great variety of vitamins, minerals, and fiber needed for good health. Fruits and veggies are also the only source of phytochemicals, which give them their vibrant colors, and give us special protection against diseases.

For a simple send-home activity click here and explore the “For Parents” section of our Fit and Fun Families Toolkit.

Q: Which is healthier, a burger or a salad, and why?

A: Well, it depends. We really need to look closer at serving sizes and what you might have added to them before eating them.

The burger will have more protein, but it will also have extra calories and saturated fat. Is your burger larger than ¼ lb? Does it have cheese or bacon? All of these add more calories and fat. But I put lettuce and tomato and onions on it, you say? Those healthy fixins don’t amount to even one serving of vegetables – think again.

The salad will be loaded with antioxidants, vitamins, and minerals, but did you also “load” it with your favorite dressing? What about cheese, bacon bits, or croutons? If you add all these toppings, you’ve added not only calories and saturated fat, but salt as well.

Fix your salad right, or order it right, and you’ll be making the healthier choice. Get your choice of dressing on the side, and dip your fork in it before getting a bite of salad. You’ll eat less and still enjoy the flavor. Add vegetables as toppings instead of the other high-calorie choices. In this case, the salad is the healthier choice with less saturated fat and fewer calories than a quarter-pound burger. The burger, by the way, has the same amount of saturated fat as a third of a cup of ranch dressing.

Q: What is the difference between all the different types of fat (saturated, unsaturated, trans fat)?

A:
1. All fats and oils are a mixture of saturated fat and unsaturated fats.
2. Solid fats contain more saturated fats and/or trans fats than oils.
3. Oils contain more unsaturated fats, such as monounsaturated and polyunsaturated fats.

Solid Fats = more saturated and/or trans fats:
Solid fats are fats that are solid at room temperature. Some solid fats are butter, stick margarine, and shortening. Foods high in solid fats include many cheeses, creams, ice creams, ground beef, bacon, and poultry skin. Trans fats can be found in many cakes, cookies, crackers, margarines, and microwave popcorns. Foods containing partially-hydrogenated vegetable oils usually contain trans fats.

Oils = more unsaturated fats:
Oils are fats that are liquid at room temperature, high in monounsaturated and polyunsaturated fats, and low in saturated fats. Some common oils are canola oil, corn oil, and olive oil. Foods that are mainly oil include mayonnaise, salad dressings, and soft (tub or squeeze) margarine with no trans fats.

Choose Oils
Saturated fats and trans fats tend to raise LDL “bad” cholesterol levels in the blood, which in turn increases the risk for heart disease. To lower risk for heart disease, cut back on foods containing saturated fats and trans fats.

Most of the fats you eat should be polyunsaturated (PUFA) or monounsaturated (MUFA) fats. Fish, nut, and vegetable oils are the major source of MUFAs and PUFAs in the diet. These oils do not raise LDL “bad” cholesterol levels in the blood. PUFAs contain some fatty acids that are necessary for health—called “essential fatty acids.” In addition, oils are the major source of vitamin E in typical American diets.

For more information, visit www.mypyramid.gov.

Q: What does vitamin A do for you?

A: Vitamin A is essential for healthy eyes, healthy skin, and keeping your immune system strong. It is an essential nutrient, meaning your body cannot create it, so you must get it from your diet. Dark green and orange veggies have the highest vitamin A content. Choose these: broccoli, spinach, collard greens, mango, carrots, sweet potatoes, and pumpkin.

Q: Why are some people allergic to nuts?

A: First you need to understand some allergy basics. I have an excellent resource to recommend for the answer you need, which is KidsHealth.org. According to them, “ An allergic reaction happens when someone’s immune system mistakenly believes that something harmless, such as a tree nut or peanut, is actually harmful. The immune system responds by creating specific antibodies to proteins in that food.” The following link will explain allergies, and also go into nut allergies in particular. If you need more information, let me know!
Click Here.

Q: When purchasing bread, what should you look for?

A:

  • Whole Grains on the ingredient list.
    • The key word is “whole”. It must say “whole wheat flour”, for example. Words such as “enriched wheat flour” and just “wheat flour” indicate it is NOT whole grain.
    • The first ingredient listed is present in the largest amount. If the first ingredient doesn’t have the word “whole” included, then it is not truly a whole grain bread. The front of the package may claim “made with whole grains”, but read the ingredient list carefully!
  • Calories, serving size, and fiber on the nutrition label.
    • Is a serving 1 slice of bread or 2 slices? You can get whole grain breads that range from 70 calories per serving up to almost 200 calories per serving. Read carefully and know what you are getting in a serving!
    • 2-3 grams of fiber per serving is a healthier choice. Just be sure to check what the serving size is. 3 grams of fiber per slice is much different than 3 grams per 2 slices! Eating more fiber aids digestion and helps you feel full longer.

Q: How much sugar is in a can of soda?

A: There are 10 tsp of sugar or 40 grams in a 12-oz can of soda. Help kids do a Drink Think using our free downloadable activity pages.

A Job Worth Doing

Monday, November 23rd, 2009

A Job Worth Doing

By Dr. James Sallis

Does anyone ever ask you why you work in the physical activity or physical education field? If so, or if you wonder whether this hard work is worth it, consider these facts:


  • Physical inactivity accounts for almost 200,000 U.S. deaths annually (Danaei et al., 2009). It is ranked fourth behind smoking (450,000 deaths), high blood pressure (300,000), and overweight/obesity (200,000 deaths). Of course, physical activity helps people quit smoking, control high blood pressure, and prevent obesity.
  • The World Health Organization (2004) estimates 2 million deaths per year from physical inactivity internationally, making it the 7th leading cause of death.A Job Worth Doing
  • The 1996 Surgeon General’s Report, Physical Activity and Health, identified physical inactivity as a risk factor for early death, cardiovascular diseases, several cancers, Type 2 diabetes, mental health problems, reduced quality of life, osteoporosis, and several other diseases (U.S. Department of Health and Human Services, 1996).
  • The Centers for Disease Control and Prevention estimates at least $76 billion in health care costs annually from physical inactivity (Pratt et al., 2000).
  • Based on recent data from objective monitoring using accelerometers, fewer than 50% of elementary children, 10% of adolescents, and 5% of adults are meeting current physical activity guidelines (Troiano et al., 2007). Thus, the vast majority of the American population is at risk of early death, multiple diseases, reduced quality of life, and higher health care costs due to physical inactivity.
  • The Surgeon General’s 2001 Call to Action on obesity (U.S. Department of Health and Human Services, 20001) and the Institute of Medicine’s 2005 report on Preventing Childhood Obesity (Koplan et al., 2004) identified increased physical activity as essential for reversing the obesity epidemic.
  • The Department of Health and Human Services released the first official government physical activity guidelines in 2008 (Physical Activity Guidelines Advisory Committee, 2008).
  • In the 13 years since the 1996 Surgeon General’s Report, about 2.6 million Americans have died because of insufficient progress in increasing physical activity (13 years X 200,000 deaths per year).

Are you now more convinced than ever that promoting physical activity is a very high priority? Don’t you think everyone should place a high value on physical activity? So do I, but unfortunately, not everyone values physical activity. This includes many of the groups responsible for improving health in the United States.

I want to call your attention to the October 2009 issue of Preventive Medicine. It contains a series of short commentaries that explain why more emphasis needs to be placed on promoting physical activity and what changes are needed to be successful. This issue grew out of a startling revelation. The National Institutes of Health published a list of 214 research topics for which it tracks funding. The list included every disease you ever heard of, enzymes you have not heard of, and a wide range of health behaviors, including diet, smoking, alcohol abuse, and violence. Everything important to health—except physical activity. It later became clear that NIH tracks 360 research topics, and physical activity was not on that list either—despite the fact that NIH has spent hundreds of millions of dollars over several decades on physical activity research.

Of course, this news was upsetting to physical activity professionals. How could the world’s leading health research organization not care enough to track spending on one of the leading health issues? The editor of Preventive Medicine decided the NIH situation was a symptom of a larger problem of physical activity being undervalued in every part of the health field. As just one example, every state, city, and county health department has many nutritionists, but most state health departments only have one physical activity specialist, and that person may be a nutritionist working on physical activity part-time. The journal is freely available online, and the short commentaries are easy to read:

http://www.elsevier.com/wps/find/journaldescription.cws_home/622934/description
http://www.activelivingresearch.org/resourcesearch/journalspecialissues

A Job Worth DoingAs Toni Yancey and I ask in our introductory editorial, will physical activity be Rodney Dangerfield who never gets any respect, or Cinderella who is just waiting in the shadows until she gets her chance to become belle of the ball? The answer depends on us. One of the reasons physical activity is undervalued is that physical activity professionals and enthusiasts are too nice—and too quiet. We do not advocate well enough for what we believe in.

I hereby challenge you to take action to advocate for increased attention, resources, and funding for physical activity or physical education. Raise your voice for something that will make a difference. Here are some of my suggestions for improvements to demand and argue for, but I know you can identify many more needs.

  • A PE Coordinator in your school district or County Department of Education to promote improvements in PE.
  • In secondary schools, more resources for PE and intramurals that benefit many, rather than for interscholastic sports that benefit a few.A Job Worth Doing
  • Open school grounds for community use during non-school hours.
  • Hire a qualified physical activity specialist in your local health department who can promote physical activity, including supporting improved school PE.
  • Write to local government leaders about where new parks or park renovations are needed.
  • Testify at local planning commission meetings to educate them about the necessity to design new developments and transportation projects that support physical activity for transportation and recreation.
  • Help write a Safe Routes to School grant proposal for your school.
  • Make sure all neighborhoods in your area have sidewalks.
  • Advocate for more and safer facilities for bicycling, like bike paths separated from traffic.
  • Join the new Physical Activity Special Interest Group of the American Public Health Association.

Surely you can find a physical activity cause to adopt. Get educated about it. Be bold and speak up to the people who make decisions. We know the deadly consequences of inactivity, so we all have a responsibility to work for a more active America. Keep us informed about what you do. Email SPARK your good ideas for advocacy, success stories, and frustrations.

I’m including references in this entry.

  1. American Public Health Association, 2008. Policy Statement 20079. Building a Public Health Infrastructure for Physical Activity Promotion. http://www.apha.org/advocacy/policy/policysearch/default.htm?id=1358
  2. Danaei, G., Ding, E.L., Mozaffarian, D., Taylor, B., Rehm, J., Murray, C.J.L., Ezzati, M., 2009. The preventable causes of death in the United States: Comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Med 6(4), e1000058.
  3. Koplan, J.P., Liverman, C.T., Kraak, V.I., eds, 2005. Preventing Childhood Obesity: Health in the Balance. Washington, DC: National Academies Press.
  4. Physical Activity Guidelines Advisory Committee, 2008. Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC, U.S. Department of Health and Human Services.
  5. Pratt, M., Macera, C.A., Wang, G., 2000. Higher direct medical costs associated with physical inactivity. Physician Sports Med, 28, 63-70.
    Troiano, R.P., Berrigan, D., Dodd, K.W., Masse, L.C., Tilert, T., McDowell, M., 2007. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc 40, 181-188.
    U.S. Department of Health and Human Services, 1996. Physical Activity and Health: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion.
  6. U.S. Department of Health and Human Services, 2000. Healthy People 2010. Conference ed. Washington, DC: U.S. Department of Health and Human Services.
  7. U.S. Department of Health and Human Services, 2001. The Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service.
  8. World Health Organization, 2004. Global Strategy On Diet, Physical Activity And Health. Geneva: WHO. www.who.int/gb/ebwha/pdf_files/WHA57/A57_R17-en.pdf
  9. Yancey, A.K., guest editor. Theme issue: Forum on Physical Activity Research and Funding. Prev Med. October 2009, volume 49, issue 4.

Jim Sallis
www.drjamessallis.sdsu.edu