Children and Teens Break-Out Session
The conference is set up with 3 presentation per break-out group. For the morning, I'm attending the Children and Teens focus area, hosted by Pam Shaw.
First off is a presentation on Farm to Preschool. As we're aware, obesity is an issue even with young children. With 60% of children under 5 in some kind of childcare (which frankly seems a little low), many children are eating meals at childcare. The program teaches food and environmental literacy while increasing access to in-season fresh fruits and vegetables. This is a national program, but it seems kind of a loose model. For instance, they had to do a national survey to know who all was doing it. Occidental College is one of the leads. This presentation is a bit confusing; it hasn't quite explained what the program is, other than somehow local food coming to childcare settings. OK, it looks like it includes children doing food preparation, gardening and science labs. They also hold field trips to farmers' markets with the parents, which help families feel more comfortable there, combatting the notion that the markets are too expensive.
Next up is "Eat Healthy, Stay Active." It's a "tri-level" intervention to improve nutrition and physical activity for parents, staff and children in the Lennox School District Head Start. First off, apparently low health literacy leads to poor health outcomes. They created a culturally competent (cultural-specific foods, etc) curriculum on obesity/diabetes awareness, nutrition and physical health, with an emphasis on how to do it on low income. Little kids are going home and complaining about the large portion sizes and tell their dads not to drink beer. They evaluated the program with a pre- and post- survey. There was a big difference in what they say they do, which I guess shows at least an increase in health literacy. Parents had a significant decrease in BMI. The kids and staff too, though less significant.
Finally, we have "Resident Training on Obesity Prevention and Management" from the UCLA Department of Pediatrics. About a third of US kids are overweight or obese, higher in certain communities. Physicians have limited skills in preventing and managing pediatric obesity. So, Fit for LA trained UCLA residents at Venice Family Clinic, by building motivational interviewing skills and doing quality improvement projects. The Venice Family Clinic patients were also given access to an obesity clinic at UCLA with telemedicine. The residents' knowledge and skills increased (as measured by survey). 60% of the patients experienced decreased or stabilized BMI and hypertension 6 and 12 mo out. They're developing a control group mechanism for next year. One questioner brings up how little time is available at the doctor visit. The speaker agrees; she's heard the same complaint. However, running down the laundry list ensures that nothing will change. Rather, the doctor should concentrate on what's most feasible and important.
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