Clinical & Community Collaboration to Combat Obesity Cindy Wolff, PhD, MPA, RD N

Clinical & Community Collaboration to Combat Obesity Cindy Wolff, PhD, MPA, RD N www.phwiki.com

Clinical & Community Collaboration to Combat Obesity Cindy Wolff, PhD, MPA, RD N

Vogelstein, Fred, Contributing Editor has reference to this Academic Journal, PHwiki organized this Journal Clinical & Community Collaboration to Combat Obesity Cindy Wolff, PhD, MPA, RD Nutrition in addition to Food Sciences, CSUC OPT as long as Fit Kids Director Clinical & Community Collaboration to Combat Obesity Cindy Wolff, PhD, MPA, RD Carol Lams MA, RD Director Outreach Coordinator Faye Johnson, EdD, RD Michele Buran Awareness Campaign Director Exercise Physiologist Kristin Gruneisen, MS, RD Regina Munster, MS Clinical Dietitian Nutritionist The obesity problem in the US is gaining attention

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Obesity is Changing Human Shape 1980: Male – 73 kg (162 ); Female – 62 kg (136 ) 2000: Male – 82 kg (180 ); Female – 69 kg (152 ) >33% of US Adults Are Obese In 1983, only 15% were obese. 80%! Are Now Overweight We are not only fat, but we are getting fatter fast: 1983: 58% were overweight 1990: 64% 1995: 71% 2002: 80%

Meet Generation Xcess School-Age Children In 2000, 26% were either: Obese (11%) or Overweight (15%) When today’s 50 year olds were 10, only 4% of kids were overweight vs 26% today. Rate of Overweight (% Obesity) in Low-Income Butte County Children PedNSS data as long as years 1995, 1996, 1998, & 1999 were used to calculate mean rates.

Butte County PedNSS Data Ages 5-9 yrs. CA Fitnessgram Results, 2001

Butte County WIC Study N = 131 mothers in addition to preschoolers 45% of moms had some college (or more) Half of mothers of overweight children indicated that their children were normal weight Overweight among preschoolers was associated with more frequent fast food

Gridley Schools Data (n=554) Mean age = 9 yrs > 85% BMI- as long as -age = 52% > 95% BMI- as long as -age = 30% Double the national average

“Acanthosis Nigricans” signals high insulin levels & can help identify persons who run the risk of developing diabetes Acanthosis Nigricans 12% are positive as long as acanthosis 1 out of 8 kids 22% if >85% BMI- as long as -age 36% if > 95% BMI- as long as -age >90% of these kids are Hispanic MNT as long as Aganthosis Nigricans Dietitians can conduct 2 evaluations in addition to 4 intervention sessions with the child in addition to family under CPT code 701.2 “Acquired Acanthosis Nigricans”

Genetics vs. Environment The Pima Example The 4th Law of Thermodynamics or Life Isn’t Fair The Theory Dietary Intake – Energy Expenditure = Energy Stores Including Adipose Tissue The Truth (Dietary Intake x Genetic Modifier) – (Energy Expenditure x Genetic Modifier) = Energy Stores Including Adipose Tissue

Vogelstein, Fred Wired Magazine Contributing Editor www.phwiki.com

FAST FOOD: An Attractive Nuisance Americans spend more money on fast food than they do on: higher education, computers & software, or new cars And more on fast food than on movies, books, magazines, newspapers, videos in addition to recorded music – combined. July 28, 2002 Cali as long as nia’s Official Drive-Through Day!!! Jack in the Box lobbied heavily as long as this state declaration. Gov Davis agreed With 24 hr service at drive-throughs, there’s no time that fast food is out of reach. Healthy People 2010 The Leading Health Indicators are: 1. Physical Activity 2. Overweight & Obesity 3. Tobacco Use 4. Substance Abuse 5. Responsible Sexual Behavior 6. Mental Health 7. Injury in addition to Violence 8. Environmental Quality 9. Immunization 10. Access to Health Care

Childhood Obesity The Problem Considering childhood obesity is a new concept Little to no mention in textbooks Physicians don’t always address the issue Why address the issue if there is no effective treatment CA Obesity Prevention Initiative survey results: 90% of medical directors indicated a need as long as provider resources, e.g. a toolkit & training as long as obesity prevention & treatment 100% reported a need as long as patient resources as long as teens & children – Jan. 2003 OPT as long as Fit Kids: A Community Network Approach to Child Obesity Cindy Wolff, PhD, MPA, RD Carol Lams MA, RD Director Outreach Coordinator Faye Johnson, EdD, RD Michele Buran Awareness Campaign Director Exercise Physiologist Kristin Gruneisen, MS, RD Regina Munster, MS Clinical Dietitian Nutritionist

OPT Community Partners Butte County Head Start Nutrition & Food Sciences, CSUC Butte County WIC Butte County Dept. of Public Health UC Coop. Extension Pediatric Health Practitioners Valley Oaks Children Services American Cancer Society OPT as long as Fit Kids: Overweight Prevention & Treatment

Vogelstein, Fred Contributing Editor

Vogelstein, Fred is from United States and they belong to Wired Magazine and they are from  San Francisco, United States got related to this Particular Journal. and Vogelstein, Fred deal with the subjects like Computers; Information Technology Industry

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This Particular Journal got reviewed and rated by St Margaret School of Nursing and short form of this particular Institution is PA and gave this Journal an Excellent Rating.