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Lecture 6

Lecture 6- Obesity and CHAMP.docx

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Health Sciences
Health Sciences 1001A/B
Shauna Burke

Obesity, Weight Management & CHAMP The Issue of Childhood Obesity  Canadian children have become progressively overweight and obese o 31.5% of 5-to-17-year old children are overweight (19.8%) or obese (11.7%)- compared to 15% in 1978  Linked to insulin resistance, type 2 diabetes, discrimination, and decrease social well- being (discrimination) o …”obesity is a hallmark of type 2 diabetes, with up to _____ of affected children either overweight or obese at diagnosis” (American Diabetes Association, 2000)  Tracks to adulthood  important to intervene during childhood because easier to change behavior o Obese children tend to become obese adults Community Partnerships  Candian Centre for Activity & Aging  YMCA of Western Ontario  Middlesex-London Health Unit  Children’s Hospital of Western Ontario  Family Service Thames Valley  Thames Valley Family Practice Research Network  London Anti-Bullying Coalition  Western Campus Community Police Service  Field Trip Partners  London Knights Hockey  CCH Secondary School  UWO Football  Superstore Cooking School Project Description  2 year pilot funded by The Lawson Foundation (Diabetes Funding Opportunity) o Find some preliminary data and take the data and develop a long term program Pilot means that they didn’t know what would happen o Can a program like this actually make a difference? General Purpose  To develop, implement, and assess the effectiveness of a 4-week lifestyle intervention for obese children ages (10-12) at risk for type 2 diabetes and their families o Need to be before puberty o Wanted to target the patterns as well Specific Objectives  Primary Objective: To increase physical activity during and following the intervention  To improve physiological and psychological outcomes as well as dietary patterns and self- efficacy  When the kids came they had very low confidence to participate in sports at school  Want to increase children's confidence and make them believe that they can play sports and can be active Participants  Year 1 (2008)- 15 children (8 females, 7 males) ages 8-14 o Took a long time for program to be approved ethically which is why they had to broaden the age range  Year 2 (2009)- 25 children (12 females, 7 males), ages 10-12 th  BMI 95 percentile for age and sex  Program for kids who were at risk for type 2 diabetes, didn’t actually have type 2 diabetes when they started Intervention  4 week group-based lifestyle intervention (August 2008 & 2009)  Monday-Friday 9am-4pm (children)  Saturday family sessions 10am-2pm (guardians)  Montly post-intervention support- “Booster Sessions”  Follow-up assessments- 6 and 12 months post-intervention  1 counselor: 2 children Intervention Components  Group-based physical activity for children o Group-based programs have show better results and allow for more successful lifestyle change because people stick with them longer  Group-based education sessions on nutrition, physical activity, and behavior modification o Modification includes self-monitoring and is positively related to behavior change  Weekly family training sessions for guardians  Post-intervention support for children and families  Got children to write things down because it is related to success Group-Based Intervention Humans are social beings and have a need to belong so these strategies were used to apply to the group as a stimulus for change:  Team building strategies: group names, logos, cheers, flags  Sacrifice behavior (older campers pairing with and helping younger ones) o Get the veterans to sacrifice something for the younger children  CHAMP Road Trip Across Ontario- team goal setting  Daily completion of “passports” with sections devoted to enhancing cohesion during program and social support after program ends  Group-based physical activity for children  Family goal-setting workshop, Fun goal setting for kids  Group-based educational sessions for children and families  Buddy system for children and family members  Post-intervention and group-based support for children and families  Always talking about how they can do this at home  Families were paired to help support one another Program Details  Children attended “CHAMP camp” for 4 weeks (9am-4pm)  Transportation (Murphy’s bus) was provided  Family members attended a total of 4 weekend family education sessions (10am-2pm)  Locations: Canadian Centre for Activity and Aging (CCAA) and the YMCA Central Branch  Weekly field trips (Spikes, Laser Quest, Fleetway, East Park)  Cost per family for 4-week program: $200 which included transportation, family memberships at YMCA, field trips, and t-shirts o Fee did not include lunch because they wanted families to be involved in making healthy food decisions  Program was not a boot camp or quick fix  Each day they said 3 things they did well and that they did out of their comfort zone  Parents learned about goal se
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