LHI Webinar: Nutrition, Physical Activity, and Obesity (Part 2 of 5)

Uploaded by ODPHP on 10.09.2012

MARJORIE MCCOLL PETTY: Texas and the nation is faced with an epidemic of obesity. In my
Region VI states, which are Arkansas, Louisiana, Oklahoma, New Mexico and Texas, the state
obesity rates for all age groups are all near about 30 percent. As we all know, children
who are overweight are more likely to develop diabetes and other chronic disease risk factors.
So the inactivity and poor diet that causes at least 300,000 deaths a year in the U.S.
also, as Dr. Koh mentioned, is related to diseases that cost the U.S. economy more than
$147 billion every year.
In Region VI, we have been working locally with mayors and communities who are looking
to improve the health of their communities. Three of these entities, including some of
the tribal governments that we work with in this region, have received the Communities
Putting Prevention to Work grantees from CDC. The Jemez Pueblo in New Mexico is focused
on physical activity and healthy choices for their constituency.
The Cherokee Nation in Oklahoma has focused on media strategies to promote healthy food
and beverage choices. And one of the entities in Texas and San Antonio was highlighted by
the Restaurant Association voluntarily changing their menus to be more healthy for their community.
Another example of some of the great leadership in our communities includes Mayor Cluck of
Arlington - that’s in Texas – who provides students with pedometers each summer and he
challenges them to track their physical activity.
When they return to school in the fall, the kids with the most recorded steps are recognized
for their efforts. They have also improved the menus in the schools to healthier choices
and they are a Let’s Move! city. In Little Rock, Arkansas the mayor hosted the First
Healthy Food and Active Living Summit that’s working to address food deserts, improve access
to full grocery stores in the underserved neighborhoods and to eliminate health disparities
among other things.
It was my pleasure to host Secretary Sebelius and she joined me for that event in Little
Rock. And also, the city of Brownsville who is a Let’s Move! city created walking paths
that have revitalized parts of their city. They engaged the community in the Biggest
Loser competition, which was fun for the community and created an award winning farmer’s market
which promotes fresh produce with the use and engagement of local farmers and the use
of SNAP, the Supplemental Nutrition Assistance Program funds.
Eighty percent of Brownsville is either overweight or obese. The Brownsville school district
has been engaged with CATCH, which is the program that we’re going to hear about in
a few minutes. The science of CATCH is demonstrating that behaviors such as physical inactivity
and eating foods in high fat can be challenged and changed.
So it’s my pleasure right now to introduce to you Dr. Deanna Hoelscher who’s the professor
at the University of Texas School of Public Health and the Director of the Michael and
Susan Dell Center for Healthy Living who will speak in more detail about the CATCH program.
CATCH stands for Coordinated Approach to Child Health and it is a coordinated school program
that builds an alliance of parents, teachers, child nutrition experts, school staff and
community partners to teach children and their families how to be healthy for a lifetime.
So we’re pleased to have Dr. Deanna Hoelscher in Texas to help lead this program. Dr. Hoelscher?
DR. DEANNA HOELSCHER: I am pleased to be participating in this wonderful webinar series. Today I
would like to talk to you about a program on which I have worked during the past 20
years, the Coordinated Approach to Child Health or CATCH. CATCH is modeled after the CDC’s
coordinated school health model, which seeks to promote physical activity and healthy food
choices through a coordinated effort in which a child is surrounded by consistent healthy
messages at school and at home.
CATCH includes separate programs for classroom teachers, child nutrition service employees,
P.E. teachers, school administrators and families as seen in this slide. CATCH is coordinated
by a program champion at each school who organizes a CATCH committee along with representatives
from the other school components to implement the program along with support from district
level administration. Classroom curriculum components include behaviorally based curricula
for each grade level from Jump into Health for kindergartners to Breaking Through Barriers
for fifth grade students.
Materials supporting the other components include activity boxes for the P.E. teachers,
nutritional guidebooks for the cafeteria and take home family activities, as well as family
fun nights or health fairs that bring the families to the schools to celebrate healthy
living. CATCH began as the Child and Adolescent Trial for Cardiovascular Health, which was
a research study funded by the National Heart, Lung and Blood Institute of the National Institutes
of Health or NIH.
CATCH was designed to extend the research of the 1980s in cardiovascular disease prevention
in youth. The CATCH research project was unique in several ways. First, it used a rigorous
research design involving a large number of schools, 96 schools across the four sites
you see on the map on the slide. Secondly, the intervention included actions at multiple
levels and components over three years involving three separate grade levels.
And finally, CATCH was one of the first studies to focus on children from ethnically diverse
communities in California, Minnesota, Texas and Louisiana. The NIH research funds for
development and testing of CATCH were leveraged into a robust evidence-based program that
has been translated from the bench to the trench. CATCH outcomes and implementation
efforts have been continually evaluated and improved since its inception.
This slide provides an overview of some of the major outcomes of the CATCH main trial
and a few follow up studies. During the main trial, we found that the CATCH program resulted
in reductions in total fat and saturated fat content of school lunches, increased moderate
to vigorous physical activity in the students during P.E. classes and improvements in self-reported
eating and physical activity behaviors of the students. A follow up study showed that
these results were maintained through eighth grade without further intervention efforts.
A later replication study in El Paso, Texas at the University of Texas El Paso found that
a reduction in child obesity and overweight prevalence in a mostly Hispanic and low income
population as a result of CATCH implementation. Building on these outcomes was research demonstrating
the cost effectiveness of CATCH, with one study reporting CATCH to be the most cost
effective way to prevent obesity in youth.
Finally, recent data from our studies indicate that implementing CATCH with 60 minutes a
day of physical activity in children can result in significantly higher academic scores on
the Stanford Math Assessment. I would like to take a little time now to discuss the impact
of CATCH in Texas where obesity rates in school aged children are higher than currently found
in the United States as you can see in this graphic. Data from the School Physical Activity
and Nutrition or SPAN study, a surveillance study documenting child obesity rates in Texas
at the state and regional level is presented on this slide.
When these data were shared with the state, they became the catalyst for marking child
and adolescent obesity as an immediate priority for intervention for state leaders.