Protecting kids from a most deadly disease!

Ernie Medina, Jr., DrPH, CHFS

August 17, 2011

“Physical Activity Evangelist”

Mission Inn Half Marathon, Nov. 14, 2010

Team Medina in action!

“Nooo! I don’t want to exercise!”

“I’d rather stay here in bed.”

Our kids’ lives are at stake!

Being a couch potato can kill you!

(And it’s not the carbs…)

Worst risk factor?

Sedentarianism  Hypokine1c  Dz  

Public release date: 22-Jul-2010

Contact: David Sampson david.sampson@cancer.org American Cancer Society

Study links more time spent sitting to higher risk of death

Risk found to be independent of physical activity level A new study from American Cancer Society researchers finds it's not just how much physical activity you get, but how much time you spend sitting that can affect your risk of death. Researchers say

. They conclude that public health messages should promote both being physically active and reducing time spent sitting. The study appears early online in the American Journal of Epidemiology.

Article: "Leisure Time Spent Sitting in Relation to Total Mortality in a Prospective Cohort of US Adults." Alpa V. Patel, Leslie Bernstein, Anusila Deka, Heather Spencer Feigelson, Peter T. Campbell, 5 Susan M. Gapstur, Graham A. Colditz, and Michael J. Thun. Am J Epid Published online July 22, 2010 (DOI: 10.1093/aje/kwq155).

Link to abstract: http://aje.oxfordjournals.org/cgi/content/abstract/kwq155

Hans  Kraus,  MD  1960  

May!

Let’s move

Why  be  physically  ac1ve?  

Benefits of PA well-known

Strong scientific evidence •  Lower risk of

–  Early death –  CHD –  CVD –  DM2 –  Metabolic syndrome –  HTN –  High lipids –  Colon & breast CA

•  Prevent weight gain •  Weight loss (with diet) •  Improved cardioresp. &

muscular fitness •  Prevention of falls •  Reduced depression •  Better cognitive fx in

older adults

US  Dept  of  Health  &  Human  Services,  2008  

Strong evidence in kids •  Improved cardioresp endurance &

muscular fitness •  Favorable body composition •  Improved bone health •  Improved cardiovascular & metabolic

health biomarkers

Moderate  evidence…   Reduced  symptoms  of  anxiety  &  depression  

Moderate to strong… •  Better functional health (older

adults) •  Reduced abdominal obesity

Moderate…   Weight  maintenance  aLer  loss  

 Lower  risk  of  hip  fracture   Increased  bone  density   Improved  sleep  quality  

 Lower  risk  of  lung,  endometrial  CA  

Know benefits, yet 56.5 % aren’t doing!

Source: Healthy People 2020; National YRBS 1991-2009

81.6% kids (81.8% of adults)

Hypokinetic disease is deadly!!!

18.4 % kids did meet 60” daily

http://www.health.gov/paguidelines/

Rear Admiral Penelope Royall

October, 2008

Rx for physical

activity

Aerobic - Kids 60 minutes daily

Strength training - Kids 3 days per week

Builds muscle AND bone!

Do something! Daily 10 minute blocks

Rx#2: Move more!

10,000 steps a day!

“How can I get kids to be physically active?”

http://www.childtrends.org

*Parents who do not exercise *Overweight *Spend a lot of time with electronic media *Non-supportive neighborhood (safety, don’t know neighbors, etc)

Fears about PA

Fun!

•  “Limit recreational screen time to less than 2 hours a day.” (CDC, USDHHS, IOM, Amer. Academy of Pediatrics, HP 2010)

RST often

blamed!

Source: Ellen LaPointe HopeLab | Vice President, Strategic Partnerships

www.hopelab.org

Hope Lab’s

Accelerometers

CES 2011

Shellie Pfohl Exec. Dir. Presidents Council on Fitness, Sports, & Nutrition

Ernie@MedPlayTech.com

Exergaming

Special needs

Rehab

Athletic training

Senior physical, cognitive, & social fitness

Loma Linda University Drayson Center XRtainment Zone

Criticism against exergaming I support traditional…

Meeting people where they are at

“I don’t like to exercise, but playing here I get a great workout and it doesn’t feel like exercising!”

Gunnar, age 12

Drayson Center’s XRtainment Zone

Cardio test – 5 min Jackie Chan Run on Xavix

Grip test

Tanita TBF-300

45 mins of nutrition instruction:

Label reading Food Choices (Nutripoints, NuVal, Pyramid) Physical activity Portions Eating out Modifying recipes

45-mins of exercise Exergaming Rx – circuit of games

Encourage the parents to exercise with their kids!

Project Impact Life

Energizebulls Exergame Fitness Center

TRAQ is a medically-based, health, fitness and performance enhancement resource now being showcased at the Cleveland Clinic’s Western Medical Campus. TRAQ 3D offers both profitable private-pay prevention and performance enhancement programs, as well as medically-reimbursable clinical services.

http://www.traq3d.com/Healthcare/Healthcare.aspx

Next  genera*on  videogames  

Microso3’s  Kinect  Nov.,  2010,  $150  

Sony’s  Move  Sept.  19,  2010  $99.00  

?

?

We need more evidence-based research!

www.exergamesunlocked.org

http://exergamenetwork.blogspot.com/

http://exergaming.pbworks.com

http://tinyurl.com/g4hjournalPR

http://www.humanagames.com/

PA input device

monitoring

 Better use of resources  Increased pt satisfaction  Improved outcomes!

Starts here…

Digital & Videogame

Games for Health Healthcare

www.mobileAdventureWalks.com  

Watch Videos Solve Clues Answer Q’s Earn Points

Next Location!

Mobile Game

How to Get Started •  Get notified when it’s

available, sign up for mailing list at: www.MobileAdventureWalks.com

•  Get involved: Email Fun@MobileAdventureWalks.com to find out how to create your own Adventure Walk

Keep update on Facebook & Twitter

Man’s best friend… …needs exercise, too!

Roxy Davy

www.dogtra.com

Conducive Enivronment:

Know your local resources

hIp://*nyurl.com/BeAc*veDirectory;  hIp://*nyurl.com/BeAc*veMovie  

hIp://PhysicalAc*vityEvangelist.blogspot.com/  

The Physical Activity Evangelist’s 7 rules

for motivating yourself & kids to be more active…

1.  Walk  the  talk!  

2.  Do  as  a  family  

3. Provide appropriate environment

http://teamcyclefit.blogspot.com

http://www.tripsforkids.org

Keri  Summer  

Mission Inn Half Marathon, Nov. 14, 2010

2 hrs 4 mins

4.  Schedule  it!  

5. Play & have fun!

6. Your reason, purpose

7. Serve others, a cause

“I  need  YOU,  our  future  public  health  professionals,  

to  help  me  fix  our  healthcare  system  by  geXng  kids  to  be  more  

ac*ve!”  

Thank you! Emedina@epiclp.com  C:  909-­‐747-­‐5935