Wednesday, July 18, 2012

My thoughts on Obesity as a future Social Worker


As a social worker, obesity needs to be thought of as a social issue and not just an individual disorder. Social justice is an important aspect to bring to this issue, which allows a systematic approach to be incorporated in understanding these problems that affect so many children. Attachment theory is an interesting place to start, but it has a weakness of being to narrow and only focusing on the individual and parent relationship. However, research shows that parents do affect children, but more emphasis needs to be placed on the environment and the systems surrounding the individual.
It is also important to teach people to take responsibility for their actions and develop healthy coping skills. This will help them deal with emotional issues related to self-esteem, stress, coping and social support throughout childhood. However, it is also important to address these issues from a cultural standpoint and understand how the environment influences the individual with negative body images. The public needs to be made aware of overweight and obesity issues that have become a global problem. This can help alleviate the isolation that tends to occur among individuals who are obese. Not addressing these issues will have severe consequences on a social, economic, and health standpoint.
These children and adolescents growing up will continue to deal with multiple health issues affecting the economy substantially. The need for action is imperative and governments and communities need to be made aware of these concerns. Preventative programs are a great place to start and it is imperative to help build social support, self-esteem and coping skills among children and adolescent’s. Teaching these individuals better ways to cope with problems will help them alleviate the need to develop unhealthy eating behaviors, which can develop into weight gain and obesity.     
Treatment must begin with empowering people across the globe and continue developing services and programs aimed at treating and preventing obesity. Helping alleviate the shame and guilt from families who suffer from obesity would be easier if social workers could establish a unity within this population. Group programs seem to be very beneficial method in the treatment of eating disorders, so it could be used to treat obesity. Being overweight or obese can become a child’s sense of identity, which is something social workers need to work on correcting. This could be helped through the group process with other members who are working on self-identity and self-esteem. However, a new approach and understanding of why these problems develop, would lead to better treatment outcomes. Understanding the root of why individuals become obese is imperative to treating the individual and the problem as a social issue.
Shira Heffernan
This picture is amazing to me and it really puts into perspective how accessible fast food is to families across the nation.

Tuesday, July 17, 2012

National and International Experts on Childhood Obesity

Contacts:

International Obesity Taskforce:
http://www.iaso.org/iotf/

This organization has a vision of reducing the obesity burden on a global level and elevating inequalities in children and adults through policy and environment changes. They focus on leadership, knowledge exchange, projects, training and advocacy. This is a research lead organization and have a focus of convincing world leaders that this is an epidemic, which requires action to be taken. Another concern of this organization is the marketing towards children in regard to food. The exposure of children to unhealthy foods and beverages has become a major focus of policy change (The StanMark project).

International association for the study of obesity. (2012, July). Marketing to children. Retrieved from http://www.iaso.org/policy/marketing-children/




An interesting video on a family who lost their child due to obesity:

Childhood Obesity: A call for parents to lose custody
http://abcnews.go.com/Health/childhood-obesity-call-parents-lose-custody/story?id=14068280#.UAWuYWj3DoB

Collaborate for Healthy Weight:
http://www.collaborateforhealthyweight.org/
This organization is a national initiative mobilizes public health professionals, primary care providers and leaders of community organizations to work together in improving methods to reverse the obesity epidemic.


Collaborate for healthy weight. (n.d.). Stronger partnerships. healthier futures. Retrieved from http://www.collaborateforhealthyweight.org/


National Initiative for Children's Healthcare Quality: The Obesity National Advisory Council
http://www.nichq.org/who_we_are/people/obesity_national_advisory_council.html


This is a group of national experts working together in improving childhood obesity. They come from diverse backgrounds and have a wide range of skills in order to help fight this epidemic. Their commitment is towards the prevention side of obesity through education and implementation. 


World Health Organization:
http://www.who.int/dietphysicalactivity/childhood/en/

This is an international organization that is working to prevent childhood obesity on a global scale and has a focus on noncommunicable diseases like diabetes and cardiovascular diseases at a younger age. They view childhood obesity as one the most serious pubic health problems of the 21st century and is continuing to increase at an disturbing rate. 
World health Organization. (2012). Childhood overweight and obesity. Retrieved from http://www.who.int/dietphysicalactivity/childhood/en/

Childhood Obesity: A Call for Parents to Lose Custody - ABC News

Childhood Obesity: A Call for Parents to Lose Custody - ABC News

Sunday, July 15, 2012

Does Breastfeeding Reduce the risk of Childhood Obesity?

Breastfeeding provides a number of benefits to infants and mothers (www.cdc.gov), benefits that include:
  • Boosting infant immune systems
  • Providing balanced nutrition for growing infants
  • Supports developmental growth
  • Promotes bonding and attachment between infants and mothers
  • Reduces the mother’s risks of breast and ovarian cancers.
  • Reduces the risks of childhood obesity
Some research suggests that breastfeeding acts as a protective factor against obesity and associated illnesses (Ryan, A. 2007).  One study examined breastfeeding rates among low-income children in Kansas (Procter and Holcomb, 2008).  The researches found that the protective factors of breastfeeding for infants of mothers with high pre-pregnancy body mass indexes (BMI) were "negated or offset" when coupled with formula feeding for 9 weeks or more (p.109).  Several studies (Bogen, Hanusa, and Whitaker, 2004) and (Grummer-Strawn, and Mei, 2004) indicated that the protective factors of breastfeeding were prevalent in non-Hispanic White children. While various studies present conflicting data on whether breastfeeding infants has a direct link to better weight outcomes in childhood, the overall consensus is that breastfeeding provides protective factors, but can be mitigated by other factors (i.e. maternal health, environmental, SES, etc.) and should not be considered as an independent factor for obesity prevention.  Providing breastfeeding support to new mothers improves the chances that they will successfully breastfeed for the recommended duration of at least one year. 


Percentage of US hospitals with recommended policies and practices to support breastfeeding,  2007 and 2009


SOURCE: CDC National Survey of Maternity Practices in Infant Nutrition and Care (mPINC)


Efforts to encourage mothers to breastfeed involve pre-, peri-, and post-natal education on proper infant nutrition, which has the added effect of creating a foundation for parental practices that emphasize the importance of healthy nutrition in early childhood. 


Bogen, D. L., Hanusa, B. H., and Whitaker, R. C. (2004) The Effect of Breast-Feeding with and without Formula Use on the Risk of Obesity at 4 Years of Age. Obesity Research, 12 (9), 1527-1535.

Grummer-Strawn, L. M., Mei, Z. (2004) Does Breastfeeding protect against pediatric overweight? Analysis of longitudinal Data from the Centers for Disease Control and Prevention Pediatric Nutriotion Surveillance System. Pediatrics, 113(2), e81-e86.

Centers for Disease Control and Prevention, Perrine, C. G., Shealy, K. R., Scanlon, K. S., Grummer-Strawn, L. M., Galuska, D. A., Dee, D. L., and Cohen, J. H. (2011). Vital Signs: Hospital Practices to Support Breastfeeding -- United States, 2007 and 2009. MMWR: Morbidity & Mortality Weekly Report, 60(30), 1020-1025.

Procter, S. B., and Holcomb, C. A. (2008). Breastfeeding duration and childhood overweight among low-income children in Kansas, 1998-2002. American Journal Of Public Health, 98(1), 106-110. doi:10.2105/AJPH.2006.101683

Ryan, A. (2007). Breastfeeding and the risk of childhood obesity. Collegium Antropologicum, 31(1), 19-28.


Related Links:




Friday, July 13, 2012

Research Being Done on Childhood Obesity

Some quick information:

Link to some great cites:

http://nccor.org/

http://www.nhlbi.nih.gov/meetings/workshops/child-obesity/index.htm

http://www.childobesity.com/CO_ProfJFK_Links.html

Here is a short video on how obesity is effecting the economy:


John Hopkins Bloomberg School of Public Health was awarded a large sum of money to address the issue of childhood obesity on a global scale. They created the Johns Hopkins Global Center on Childhood Obesity, which will "emphasize the integration of geospatial analysis with a systems science and transdisciplinary approach to childhood obesity, bringing together basic science, epidemiology, nutrition, medicine, engineering and environmental and social policy research, in an innovative way" (John Hopkins University, 2011). This center will involve investigators internationally and domestic to collaborate together in order to solve this growing epidemic. The National Collaborative on Childhood Obesity Research (NCCOR), CDC, The Robert Wood Johnson Foundation and the USDA are involved in this new initiative. They will focus on prevention, help create research and training opportunities to promote a new generation of researchers (John hopkins university, 2011).   


John Hopkins University. (2011, March 13). John hopkins global center on childhood obesity established. Retrieved from http://www.jhgcco.org/news_20111103.html




Key Facts and Questions:



  • Obesity result of biological, behavioral, social, environmental and economic factors
  • Research suggests that many factors interact including; individual factors, home influences, school factors and community factors.
  • Interventions have been analyzed in many settings including school, family, clinic, community and policy based ones.
  • Many of these studies have gotten mixed results
  • Majority of obesity prevention studies are school based
  • What is the comparative effectiveness of school-based interventions for the prevention of obesity or overweight children? (U.S. department of health and human services, 2011)
  • The above question will research on nutrition in school lunches, physical education, school curricula and vending machines availability of snacks.
  • What is the comparative effectiveness of home-based interventions for the prevention of obesity or overweight in children? (U.S. department of health and human services, 2011)
  • The above question will research nutrition and diet within the home, parenting styles and policy.



Agency for Healthcare Research and Quality. (2011, December 20). Childhood obesity prevention programs: A comparative effectiveness review and meta-analysis . Retrieved from http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=902

Monday, July 9, 2012

Organizations that fight obesity and account for cultural diversity

There are many organizations fighting to reduce childhood obesity by helping the children and parents learn about nutrition and exercise. Many of these programs have taken cultural differences into account regarding how to deal with childhood obesity.

The program We Can! Has started a program that is aimed to help Chinese families campaign against childhood obesity.
This program is empowering the chinese community to gain knowledge in areas like physical activity and healthy eating through cooking classes, smart snacking, healthy drinks and food tasting. They use a traditional Chinese family concept in order to reach this community and successfully teach them about nutrition and exercise.

http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/

U.S. Department of Health and Human Sciences. (2011, June 11). We can! ways to enhance children's activity & nutrition. Retrieved from http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/

HBO has begun a series called "The Weight of the Nation", which has done an excellent job looking at the obesity epidemic plaguing our society. If you have some extra time please take the time to view some of these videos.
http://theweightofthenation.hbo.com/
Here a trailer:

A list of other links to programs fighting childhood obesity:
www.catchinfo.org/

http://fueluptoplay60.com/RoadMap?gclid=COadmpiAjbECFQeznQodgTkw8A

http://www.letsmove.gov/


Saturday, July 7, 2012

Farm to School Programs


In response to the growing rates of childhood obesity, many school districts have developed Farm to School (F2S) and Garden-based Nutrition (GBN) programs to combat the dietary factors that contribute to obesity. The general goals of F2S and GBN are to provide children with fresh locally grown produce, while teaching them healthy eating habits and showing them where their food comes from.  F2S programs work to build partnerships between school districts, local farms, communities, and local economies. There are a variety of F2S programs nationwide; The National F2S Network estimates that there are 2,518 F2S programs in the U.S. involving 2,422 school districts (www.farmtoschool.org).                   
                        
The concept of providing food for school children came about during the 1940’s. In an effort to reduce food surpluses and combat malnutrition, the United States federal government created the National School Lunch Act in 1946 (Allen and Guthman, 2006).  The schools would provide children with lunch, and then be reimbursed by the U.S. Department of Agriculture (USDA). However, agricultural surpluses consisted of processed meat and cheese high in saturated fat and sodium; while trying to address the issue of feeding children, a new problem was created concerning the nutritional quality of the food (p. 404).  The dietary guidelines for school lunches were later revised during the 1980’s, but still contained high levels of fat and sodium beyond the recommended amounts (Roberts, 2002). The National School Lunch Program continues to provide school breakfast and lunch to children, which benefits children from low-income families the most via “free” or “reduced” priced lunch. 

South Carolina Farm to School Program




In 2010, President Obama signed the Healthy Hunger-Free Kids Act which authorizes funding and policy creation for several USDA child nutrition programs. The act allocates $5 million a year in grants that schools can apply for to develop farm to school programs (www.fns.usda.gov).  

More Information on Farm to School:







Allen, P., and Guthman, J., (2006). From “old school” to “farm-to-school”: Neoliberalization  from the ground up. Agriculture and Human values, 23: 401-415.

Centers for Disease Control and Prevention, (2011). Children's Food Environment State Indicator Report. Retrieved from  http://www.cdc.gov/obesity/downloads/PedNSSFactSheet.pdf

National Farm to School Network. (2012). Farm to School Chronology. Retrieved from http://www.farmtoschool.org/files/F2SChronology3.09.pdf

National Farm to School Network. (2012). Statistics. Retrieved from http://www.farmtoschool.org/index.php

Roberts, S. L. (2002). School food policy: Does the future call for new food policy or can the old  still hold true?. Drake  Journal of Agricultural Law 7(3): 588–615.


U. S. Department of Agriculture (2012).Implementation Plan: Healthy, Hunger-Free Kids Act of 2010
Child Nutrition Program Provisions. Retrieved from http://www.fns.usda.gov/cnd/Governance/Legislation/implementation_actions.pdf