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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 [email protected] 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
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 [email protected] 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! [email protected] C: 909-‐747-‐5935
