MARJORIE MCCOLL PETTY: Texas and the nationis faced with an epidemic of obesity. In my Region VI countries, which are Arkansas, Louisiana, Oklahoma, New Mexico and Texas, the territory obesity paces for all age groupsare all near about 30 percentage. As we are all aware of, children who are overweightare more likely to develop diabetes and other chronic disease risk factors. So the stagnation and good food that causesat least 300,000 demises a year in the U.S. likewise, as Dr. Koh mentioned, is related todiseases that penalty the U.S. economy more than $ 147 billion every year. In Region VI, we have been working locallywith mayors and communities who are looking to improve the health of their communities.Three of these entities, including some ofthe tribal governments that we work with in this region, have received the CommunitiesPutting Prevention to Work grantees from CDC. The Jemez Pueblo in New Mexico is focusedon physical work and healthy picks for their constituency. The Cherokee Nation in Oklahoma has focusedon media strategies to promote healthful meat and beverage hand-pickeds. And one of the entities in Texas and San Antoniowas highlighted by the Restaurant Association freely altering their menu to be morehealthy for their community. Another lesson of some of the great leadershipin our communities includes Mayor Cluck of Arlington – thats in Texas who providesstudents with pedometers each summer and he challenges them to move their physical undertaking. When they return to school in the tumble, thekids with “the worlds largest” recorded steps are recognized for their efforts. They have also improved the menus in the schoolsto healthier choices and they are a Lets Move! metropolitan. In Little Rock, Arkansas the mayor hostedthe First Healthy Food and Active Living Summit thats working to address food deserts, improve be made available to full grocery store in the underserved neighborhoods and to eliminatehealth disparities among other things.It was my pleasure to host Secretary Sebeliusand she connected me for that event in Little Rock. And too, the city of Brownsville who is aLets Move! municipality procreated sauntering routes that have revitalized parts of their city. They hired local communities in the BiggestLoser competition, which was fun for the community and established an accolade earning farmers marketwhich promotes fresh induce with the use and engagement of local farmers and the useof SNAP, the Supplemental Nutrition Assistance Program funds. Eighty percent of Brownsville is either overweightor obese. The Brownsville school district has been engagedwith CATCH, which is the program that were going to hear about in a few minutes.The science of CATCH is demonstrating thatbehaviors such as physical inactivity and eating meat in high-pitched fatty can be challengedand converted. So its my pleasure right now to introduceto you Dr. Deanna Hoelscher whos the professor at the University of Texas School of PublicHealth and the Director of the Michael and Susan Dell Center for Healthy Living who willspeak in more detail about the CATCH program. CATCH stands for Coordinated Approach to ChildHealth and it is a coordinated school program that structures us-led coalition forces of mothers, professors, child nutrition professionals, academy staff and community partners to teach children and theirfamilies how to be health for a lifetime. So were pleased to have Dr. Deanna Hoelscherin Texas to help contribute this program. Dr. Hoelscher? DR.DEANNA HOELSCHER: I am pleased to be participatingin this wonderful webinar sequences. Today I would like to talk to you about aprogram on which I have worked during the past 20 years, the Coordinated Approach toChild Health or CATCH. CATCH is modeled after the CDCs coordinatedschool health model, which aims to promote physical undertaking and healthy food choicesthrough a coordinated effort in which a child is surrounded by consistent healthy messagesat school and at home. CATCH includes separate curricula for classroomteachers, child nutrition service employees, P.E.Teachers, institution administrators and familiesas seen in this slide. CATCH is coordinated by a program championat each school who unionizes a CATCH committee along with representatives from the otherschool components to implement the program along with support from territory rank disposal. Classroom curriculum components include behaviorallybased programme for each tier grade from Jump into Health for kindergartners to BreakingThrough Barriers for fifth position students. Cloths supporting the other componentsinclude act caskets for the P.E. professors, nutritional guidebooks for the cafeteria andtake home family tasks, as well as family fun nighttimes or state galas that fetching thefamilies to the schools to celebrate healthy living. CATCH began as the Child and Adolescent Trialfor Cardiovascular Health, which was a research study funded by the National Heart, Lung andBlood Institute of the National Institute of Health or NIH. CATCH was designed to extend the researchof the 1980 s in cardiovascular disease prevention in boy. The CATCH research project was unique in severalways. First, it consumed a rigorous experiment designinvolving a great number of academies, 96 class across the four sites you investigate on the delineate onthe slide.Secondly, the intervention included actionsat multiple degrees and ingredients over three years involving three separate grade levels. And lastly, CATCH was one of the first studiesto focus on children from ethnically diverse communities in California, Minnesota, Texasand Louisiana. The NIH research funds for development andtesting of CATCH were leveraged into a robust evidence-based curriculum that has been translatedfrom the bench to the trench. CATCH outcomes and implementation effortshave been continually evaluated and improved since its inception. This slide affords an overview of some ofthe major the effect of the CATCH main trial and a few follow up studies. During the primary contest, we found that the CATCHprogram resulted in reductions in total fat and saturated overweight content of school lunches, increased moderate to robust physical activity in the students during P.E. classifies and improvementsin self-reported eating and physical work behaviors of the students. A follow up study showed that these resultswere maintained through eighth evaluate without further intervention tries. A later replication study in El Paso, Texasat the University of Texas El Paso found that a decrease in child obesity and overweightprevalence in a chiefly Hispanic and low income population as a result of CATCH implementation.Building on these outcomes was experiment demonstratingthe cost effectiveness of CATCH, with one study reporting CATCH to be the most costeffective acces to prevent obesity in adolescent. Lastly, recent data from our studies indicatethat implementing CATCH with 60 minutes a day of physical activity in children can resultin significantly higher academic composes on the Stanford Math Assessment. I would like to take a little time now todiscuss the impact of CATCH in Texas where obesity paces in institution aged children arehigher than currently is located within the United Government as you can see in this graphic. Data from the School Physical Activity andNutrition or SPAN study, a surveillance study documenting child obesity charges in Texas atthe district and regional level is presented on this slip. When these data were associate myself with the territory, they became the catalyst for brand child and adolescent obesity as an immediate priorityfor intervention for state leaders ..

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