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OBESITY Community Health Promotion Presentation
California State University, San Marcos
School of Nursing
Health Promotion and Patient Education Strategies
Dr. Melissa Rouse PhD, RN CNS-BC, NEA-BC
October 12, 2013
Obesity is the most serious public health concerns of our time (Faguy, 2016)
1 in 3 children & adolescents are overweight or obese (Let’s move)
Childhood obesity can lead to: shorter life spans, heart disease, adult obesity, type 2 diabetes, hypertension, stroke, some cancers, osteoarthritis, hormone imbalances
Nutrition and weight status is a goal of the Healthy People 20/20
High prevalence of obesity in Birmingham, Alabama
Birmingham, Alabama schools serves typical southern cuisine and no physical education
Learning Needs Assessment
A student questionnaire:
Time watching TV
Amount of sleep
# of sodas or fruit juice/day
Knowledge of proper nutrition
# of snacks eaten/day
Health Promotion Model
Primary goal to empower individuals and communities to improve quality of life.
Model designed for planning health education programs
PRECEDE requires educational diagnosis before intervention plan
PROCEED accounts for environmental, social, behavioral, ecological, and educational variables that affect health
Health and health challenges are determined by multiple factors
Efforts to change health habits need to be multidimensional and participatory
Health Promotion/Health Education Plan
Goal: To decease adolescent obesity at Birmingham High School
Increase physical activity by 60 minutes/day 5 days a week, decrease screen time per day, school provides safe places & times to exercise
Use ChooseMyPlate.gov to eat balanced meals from all 5 food groups, eat 5 servings of fruit & veggies/day.
Understand BMI and calorie counts appropriate for age and height.
Research and/or Other Evidence
Obesity in children and adolescents: Health Effects and Imaging Implications
The associations of perceived neighborhood disorder and physical activity among African Americans
Effectiveness of nutrition education on fast food choices in adolescents
The Social Environment of Schools and Adolescent Nutrition: Associations Between the School Nutrition Climate and Adolescents
After 2 months students will complete another questionnaire to assess their progress.
Students will answer questions assessing understanding of ChooseMyPlate.gov
How many fruits and vegetables they ate a day
Amount of exercise per week, amount of screen time per day, and amount of sleep.
Self reflection questions to evaluate their feelings on health, body image, and positive changes.
Reassess & measure school wide Body Mass Index
Making changes takes teamwork
Decreasing obesity in Birmingham High School is not going to happen overnight
It takes involvement from the schools, parents, community, and students
With the right education, healthier food, and a little sweat it can be achieved
Allen, K., Taylor, J., & Kuiper, R. (2007). Effectiveness of nutrition education on fast food choices in adolescents. Journal Of School Nursing (Allen Press Publishing Services Inc.), 23(6), 337-341 5p. doi:10.1177/10598405070230060601
Clark, C. C., & Paraska, K. K. (2014). Health Promotion for Nurses. Burlington, MA: Jones & Bartlett Learning.
Cvjetan, B., Utter, J., Robinson, E., & Denny, S. (2014). The Social Environment of Schools and Adolescent Nutrition: Associations Between the School Nutrition Climate and Adolescents' Eating Behaviors and Body Mass Index. Journal Of School Health, 84(10), 677-682 6p. doi:10.1111/josh.12197
Dulin-Keita, A., Thind, H. K., Affuso, O., & Baskin, M. L. (2013, January). The associations of perceived neighborhood disorder and physical activity with obesity among African American adolescents. BMC Public Health, 13(440), 1-10. http://dx.doi.org/10.1186/1471-2458-13-440
Erfle, S. E., & Gamble, A. (2015, January). Effects of Daily Physical Education and Physical Fitness and Weight Status in Middle School Adolescents. Journal of School Health, 85, 27-35.
Faguy, K. (2016, January). Obesity in children and adolescents: Health Effects and Imaging Implications. Radiologic Technology, 87, 279-302.
Larson, P. D. (2016). Lubkin’s Chronic Illness: Impact and Intervention (9th ed.). Burlington, MA: Jone & Bartlett Learning.
Let’s Move. (2016). www.letsmove.gov obese (Let’s move)
Erfle, S. E., & Gamble, A. (2015, January). Effects of Daily Physical Education and Physical Fitness and