Childhood Obesity Foundation

The mission of the Childhood Obesity Foundation is to identify, evaluate and promote best practices in healthy nutrition and physical activity to reduce the prevalence of childhood obesity.

Prevalence

Overweight and obese Canadian children aged 2-17 years

Shields, 2005

Prevalence of Overweight and Obesity

Effects of screen-time Canadian children (ages 6-11)

Shields,2005

21%

44%

36%

0

5

10

15

20

25

30

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40

<1 hour 1-2 hours 2+ hours

obeseoverweight

5-2-1-0 rule

5 or more fruits and vegetables a day

2 hours or less of screen time a day

1 hour or more of physical activity a day

0 sugar-sweetened beverages

Screen Time Reduction In Canada

Screen Time Definition

Problems with Screen Time

Recommendations Regarding Screen Time

Screen Time Data for Canadian C & Y

Screen Smart

Screen Smart Que

Screen Time Reduction Plan

What is Screen Time

Recreational

TV

Computer Games

Video Games

Internet

Social Media (facebook, twitter and texting)

Problems with screen time

Nearly all human behavior is learned

Learn by observing others and the resulting consequences (Social Cognitive Theory)

ST promotes a full range of behaviors, many undesirable (food marketing and glorify high risk behaviors)

Problems with screen time

Increased risk of overweight and obesity (PA and unhealthy food and drink)

Increased risk aggressive behavior

Increased risk mental health concerns

Increased risk of high risk sexual behavior

Increased risk of ADHD

Increased risk learning difficulties

Screen time recommendations

CPS: Max 2 hours screen time and no ST before 2 years

AAP: Max 2 hours, no ST before 2 years and no TV in the bedroom

COF: Max 2 hours per day, no ST before 2 years, no 2nd TV in the bedroom and watch TV 2gether

What is happening in canada?

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10

20

30

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80

90

100

Percent Watching < 2 Hours Computer

72

Mark, Pediatr Child Health, 2006

2001/2 WHO HBSAC

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10

20

30

40

50

60

70

80

90

100

Percent Watching < 2 Hours TV

41

Mark, Pediatr Child Health, 2006

2001/2 WHO HBSAC

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10

20

30

40

50

60

70

80

90

100

Percent Watching < 2 Hours Total Screen Time

18

Mark, Pediatr Child Health, 2006

14

2001/2 WHO HBSAC

Youth TV Viewing

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Third level Fourth level

Fifth level

(≥ 4 hours per day)

Young People’s Health in Context: HBSC. WHO, 2004

Youth Computer Use

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Fifth level

Young People’s Health in Context: HBSC. WHO, 2004

(≥ 3 hours per day)

More Canadian Data

2005/6 WHO HBSAC of 9,600 youth grades 6 - 10

Median daily ST for grades 6-8 students was 4.5 hours per day ( 30 % of waking hours)

Median daily ST for grades 9-10 students was 5.7 hours ( 38% of waking hours)

Screen Time and Risk Behaviour Gr 9-10

Carson, Preventative Med, 2011

RELATIVE RISK

2005/6 WHO HBSAC

Interactive program for children grades K-7

Social Cognitive Theory

The program is school-facilitated but focused on after school hours and the home

10 day program, 15 minutes per day in class

Aligns with provincial curriculum – math, PE, science and health career education

Goals:

Increase awareness among students and their families of how much time they spend in front of screens

Teach children to manage their screen time, choose recreational activities that support good health and reduce screen time to less than 2 hours per day (or maintain that level if already achieved)

Key Messages:

Childhood lifestyles persist into adulthood

Less screen time = better school performance

Our bodies are designed to move and as a result active people are healthier and happier

Screen time displaces PA, reading and socializing

Children eat what they watch and while they watch

It’s easy to make a difference and trade 30 minutes of screen time for other fun activities

Core Elements:

6 key messages with ST rec < 2 hours/day

Day 1 and 10 ST diary

One day Ultimate Screen Challenge (no ST for 24 hours) on day 4

Three day Trade 30

Goal setting for change post program (for 1 or 2 wks)

Letters to the parents – key messages

Grade Dependent Elements:

Grade 4 Passport - 10 days of class/home-based activities to raise awareness of total ST

Grade 5 charting and ST effect on body systems

Grade 6 media awareness of being marketing target

Grade 7 awareness of social media and effects

Evaluation

Formative – program development feedback

2010 Pilot Study – randomized comparison trial

Baseline evaluationSept – October

13 schools

Follow-up evaluationNov – Dec12 schools

Screen SmartOctober - November

Passport

Letter Home

•Knowledge, Attitudes, Behaviour•Demographics, Rules/Limits•Physical Activity and Screen time Survey•Accelerometry

•Knowledge, Attitudes, Behaviour•Demographics, Rules/Limits•Physical Activity and Screen time Survey•Accelerometry

Focus Group

3-4 weeks

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– Fourth levelo Fifth level

Pilot Study Preliminary Results

N=339, Grade 4 and 5

• Intervention = 195

• Comparison = 144

Key Findings ST vs Control*:

Questionnaires

Overall sedentary minutes didn’t

change

*Haven’t accounted powered or accounted for cluster

Short-term changes in knowledge and self-reported TV screen time.

Feedback

Teacher response to the resource varied across classroom ability level

Simplify the teacher resource

Add a school-wide ‘Power Down’ event (some schools prefer)

Prepare teachers that the introductory day takes longer

Simplify the graphing/charting activities

The children liked it and parent & child awareness up

Screen Smart contextualization in Québec

Francine Forget Marin Dt.P., MBA

Director - Health Promotion and Research

Heart and Stroke Foundation of Québec

Initiative for Screen Smart contextualization in Québec

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Screen Smart contextualization in Québec : Participation to CLASP project, an initiative

spearheaded by the Canadian Partnership Against Cancer and the Public Health Agency

Objective : implementing programs to promote healthier living and create healthier communities

Part of the Collaborative Action on Childhood Obesity group (one of the seven participating coalitions)

Screen Smart Contextualization and Implementation Outline in Québec

Organization of an expert committee to discuss Screen Smart contextualization in Québec (spring 2011)

Jacques Brodeur (EDUPAX executive), elementary school teachers, physical activity teachers, kinesiologist, education ministry consultant will all be invited

Adaptation of the program according to our curriculum (i.e. Québec Education Program and the Healthy Schools approach) and reality (e.g. creation of a new logo)

Official language translation (summer 2011)

Pilot project (early fall 2011) and program evaluation In approximately 10 classes throughout the province

of Québec

Diffusion of the program in January 2012

Thank you!

Do not hesitate to contact us for any questions regarding Screen Smart contextualization to

Québec:Francine Forget Marin, project leader:

francine.marin@fmcoeur.qc.caEmmanuelle Dumoulin, project manager:emmanuelle.dumoulin@fmcoeur.qc.ca

Screen time reduction plan for canada

Support FPT deliberations on restricting marketing to children (PHAC)

Lobby policy makers re restricting marketing at provincial and federal level

Disseminate Screen Smart to other provinces and territories

Broaden SS awareness modules to include preschool and daycare, middle school and high school

Obtaining Screen smart

www.childhoodobesityfoundation.ca

July 1, 2011