Other Important CBPR Aspects Recognize & highlight community assets & strengths – View community...
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Transcript of Other Important CBPR Aspects Recognize & highlight community assets & strengths – View community...
Other Important CBPR Aspects
• Recognize & highlight community assets & strengths – View community members as advisers & experts
• Provide real service to communities by addressing the community's needs
• Build & maintain respecting, trusting relationships within/across the community. – Develop relationships with opinion leaders in the
community
Agency for Healthcare Research and Quality, 2003
CBPR IN BROWNSVILLE, TEXAS
CULTURAL RESPONSES TO OBESITY CULTURAL RESPONSES TO OBESITY (WELLNESS)(WELLNESS)
Children BORN TODAY HAVE A LOWER LIFE EXPECTANCY THAN THEIR PARENTS
• 1 in 3 will develop diabetes
• 3/5 if African American
• ½ if Hispanic
• > ½ if Native American
Portrait of an Overweight Child
Toxic Environment• Availability & affordability of high fat/high
carbohydrate food (fast food, soft drinks)
• Large portion sizes
• Marketing to children
• Fewer family meals
• TV, computers, video games
• Safety issue
• Decrease in physical educationSchwartz MB & Brownell KD, 2007
Dollars spent on U.S. food advertising in 2005
• Food, beverages, candy $7,313,200,000
• Restaurants & fast food $5,061,000,000
Advertising Age, 2006
Mixed messages
Obesity is caused by long-term positive energy balance
FatStores
~ 600 calories per day
Obesity Interventions• Current strategies are not containing the “diabesity”
(sedentary) epidemic
• Need to shift away from clinical view of obesity as personal disorder requiring medical Rx
• Understanding, measuring, & altering the “obesogenic” environment is critical
• Society has a key role in sharing with individuals the high “costs” of a healthy lifestyle change (maintenance)
A framework for obesity prevention
The Truth About TV (True or False)
• The average child watches about one hour of TV a day.TRUE or FALSE
• By the age of eighteen, the average child has seen about two-thousand murders on TV.
TRUE or FALSE• Children who watch three or more hours of TV a day are
more likely to be overweight than children who watch less than two hours a day.
TRUE or FALSE• Children who have a TV in their bedrooms are more likely to
be overweight.TRUE or FALSE
What is Screen-Time?
• Time spent in front of a screen:– TV (videos or DVDs)
– Computer (surfing the Internet, emailing, playing games)
– Handheld (instant messaging, playing games)
American Academy of Pediatricians Guidelines for Children’s Media Use
• No TV viewing for children < 2 years old
• No more 2 hours/day for older children
• Monitor programming
Over Exposed
• Average of 5½ hours a day using media
• Preschoolers (< 6 years old)– Time with screen media
– Playing outside
The Role of Media in Childhood Obesity, 2004
TV Viewing & Behavior Problems
• Healthy Steps for Young Children
• Age 2.5 & 5.5– 20% watched 2+ hrs– Behavioral problems
• 41% kids had a TV in their bedroom– Poor sleep
Mistry et al., Pediatrics, 2007
TV Advertisements & Kids
• 40,000 ads a year on TV
• Elaborate advertising campaigns– Candy– Soda– Snacks
Illustration:: Cathy Wilcox
The Role of Media in Childhood Obesity, 2004
TV Watching & Over Eating
• 24 children 3-5 years old– High socioeconomic
status
• > 1.5 hours of TV daily ate more while watching TV
Francis & Birch, J Am Diet Assoc, 2006
Credit iStock
What To Do about the TV?
• Set family goal to reduce screen-time
• “No eating while watching TV” rule
• Remove the TV from child’s bedroom
• Reward family with fun - EXERCISE
Physical Activity• Reduces the risk for many
diseases
• Helps control weight
• Strengthens muscles, bones, & joints
• Reduces feelings of depression & anxiety
www.cdc.gov
Physical Activity & Academic Achievement
• Healthier students do better in school
• Students who do better on achievement tests tend to be more physically fit than peers
• Exercise alleviates stress & anxiety, improves asthma, boosts self-esteem – FACTORS that influence school attendance & performance
Vail, Am School Board J, 2006; Grissom, 2004