Kids and Nature Activity.

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Kids and Nature Activity National Ecological Instruction Establishment in association with National Audubon Society and U.S. Fish and Untamed life Administration Kids and Nature Activity Objective: associate kids with nature for medical advantages
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Youngsters and Nature Initiative National Environmental Education Foundation in organization with National Audubon Society & U.S. Fish and Wildlife Service

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Children and Nature Initiative Goal: associate kids with nature for medical advantages Create Nature Champions: manufacture limit among pediatric medicinal services suppliers to be pioneers in recommending nature Refer families to a recreation center or nature focus inside financially, racially/ethnically, and socially various groups Partners National Audubon Society and U.S. Fish and Wildlife Service give dynamic nature programming

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Advisory Committee Janet Ady-U.S. Fish and Wildlife Service Sophie Balk, MD-Children’s Hospital at Montefiore Stephanie Chalupka, EdD, RN, PHCNS-BC, FAAOHN-Worcester State College Jean Sheerin Coffey, PhD, CPNP-Essex Pediatrics/University of Vermont; Representative, National Association of Pediatric Nurse Practitioners Mark Cucuzzella, MD-West Virginia University/Harpers Ferry Family Medicine Ruth Etzel, MD, PhD-George Washington University Joel Forman, MD-Mount Sinai Medical Center Catherine Karr, MD, PhD-University of Washington Dee Merriam, FASLA- Centers for Disease Control and Prevention Evelyn Montalvo Stanton, MD-Pediatric Pulmonary Medicine/University of Medicine and Dentistry of New Jersey; Representative, National Hispanic Medical Association

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Advisory Committee Deborah Pontius, RN, MSN, NCSN-Pershing County, NV School District; Representative, National Association of School Nurses Chuck Remington-National Audubon Society James Roberts, MD, MPH-Medical University of South Carolina; Representative, American Academy of Pediatrics Bonnie Rogers, DrPH, COHN-S, LNCC-University of North Carolina at Chapel Hill Safiya Samman-U.S. Woods Serviceâ â  James Subudhi-WE ACT for Environmental Justice Myrtis Sullivan, MD, MPH-Illinois Department of Human Services; Representative, National Medical Association Lois Wessel, CFNP-Association of Clinicians for the Underserved Nsedu Obot Witherspoon, MPH-Children’s Environmental Health Network

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Overview: Burden of Obesity and ADHD in Childhood

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Objectives Review the developing commonness of heftiness and related maladies Review the developing predominance of psychological wellness issue, for example, ADHD Understand the relationship of changing ways of life of US youngsters to this change Understand the effect of these constant conditions on grown-up illness load

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Obesity & Related Conditions Obesity 16.9% of kids ages 2-19 are stout (BMI ≥ 95%ile) 1 31.7% are overweight (BMI ≥ 85%ile) 1 Childhood corpulence predicts grown-up grimness 80% of corpulent youth get to be large grown-ups 2 Related conditions Type-2 diabetes, hypertension (HTN) Metabolic disorder 1 Ogden CL et al. JAMA 2010;303(3):242-249 . 2 Whitaker RC et al. NEJM 1997;337:869-73.

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Type 2 diabetes mellitus (DM) Formerly known as grown-up onset diabetes ~ 186,300 youngsters had Type I and Type II DM in 2007 1 3,700 kids determined to have Type II DM every year 1 CDC gauges: 1 in 3 kids conceived in 2000 will create DM if present stoutness patterns are not switched 2 Obesity-Related Diseases 1 CDC National diabetes reality sheet 2007 2 Narayan KN et al. JAMA 2003:290:1884-90.

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Obesity-Related Diseases Hypertension BMI <85 th % ile: 2.6% of youngsters with HTN BMI ≥95 th %ile: 10.7% with HTN 1 Cardiovascular infection High cholesterol levels, strange glucose resilience, and HTN in kids 2 Overweight teenagers are at expanded danger of coronary illness and early demise 3 1 Sorof J et al. Pediatrics 2004;113:475-82. 2 Dietz W. Pediatrics 1998;101:518–25. 3 Ludwig DS. NEJM 2007;357:2325–27.

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Asthma Overweight youngsters at expanded danger for creating asthma, other respiratory issues 1 , asthma hospitalizations 2 Possible connections in the middle of asthma and stationary ways of life, including absence of physical action and TV seeing 3,4 Other Medical Issues 1 Schachter LM. Thorax 2001;56:4-8. 2 Bender B et al. Pediatrics, 2007;120:805-13. 3 Rasmussen F. European Respiratory Journal 2000;16:866-70. 4 Sheriff An, et al. Thorax 2009;64:321-5.

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Other Medical Issues Vitamin D Deficiency 9% of US kids are vitamin D lacking 61% are inadequate 1 Physical action connected with vitamin D levels 2 Mental Health – ADHD/ADD Variable assessments, yet pervasiveness is expanding National Health Interview Survey gauges 9% of US kids with ADHD/ADD 3 Impairs school execution and socialization; may persevere into adulthood ¹ Kumar J, et al. Pediatrics 2009;124:e362-70 ² Ohta H, et al. J Bone Miner Metab 2009;27:682-8 ³ Pastor PN, et al. Basic Health Stat 2008;10:237

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Physical movement diminishes hazard for Coronary conduit infection, HTN Diabetes, osteoporosis, colon disease The US is moving to a stationary way of life Physical action in adulthood starts in adolescence 40% of grown-ups report NO recreation physical action ¹ Kids learn by watching their guardians Active versus Stationary Lifestyle ¹ Center for Health Statistics. Wellbeing, United States, 2007 with Chartbook on Trends in the Health of Americans. 2007.

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Nationwide move in physical action Active high schoolers get to be dynamic grown-ups In 2005, just 35% of HS understudies met prescribed level of physical action Growth in electronic media 21% played videogames >3 hours day by day 1 Average tyke watches 3 hours TV day by day 2 7.5 hours for every day went through with all types of e-media (TV, Internet, talks, amusements, and so on) 3 Obesity & Physical Activity ¹ CDC. Youth hazard conduct observation 2005. MMWR 2006;55:SS-5 ² AAP, Committee Public Ed. Pediatrics 2001;107:423-6 ³ Rideout VJ et al. Kaiser Family Foundation Report. 2010

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Growth in electronic media 32% of 2-7 year-olds & 65% of 8-18 year-olds have TVs in bedrooms⹠Time spent before TV or PC = time not spent being physically dynamic Estimated 25% loss of play time and half misfortune in unstructured outside activityⲠNo Child Left Behind 2001 Increased time for perusing and math But to the detriment of physical educationⳠObesity & Physical Activity ¹ Roberts DF et al. Henry J Kaiser Family Foundation Report, 1999. ² Juster FT et al. Changing Times of American Youth: 1981-2003. College of Michigan, 2004. ³ Dillon S. Schools slice back subjects to push perusing and math. New York Times March 26; 2006.

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Health Benefits of Nature & Outdoor Activity Part I: Physical Health

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Objectives Review the proof encompassing wellbeing and action levels of kids, especially as they relate to regular habitats Understand the advantages of open air play on children’s wellbeing and mental prosperity Understand the part that indigenous habitats have in enhancing open air physical action for kids

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Health Benefits of Nature Restorative/Therapeutic Increases physical action Reduces youth anxiety Coping device for ADD/ADHD Developmental advantages: Social, Cognitive, Emotional, Physical

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Time Outdoors & Physical Activity Time spent outside for the most part likens to expanded physical action 1 Study among 10-12 year olds 2 For consistently spent outside, physical action expanded by 27 minutes/week Prevalence of overweight was 27-41% lower among those investing more energy outside 1 Burdette HL, et al. Curve Pediatr Adol Med 2004;159:46-50. 2 Cleland V, et al. Int J Obesity 2008;32:1685-93.

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Nature & Physical Activity Canadian accentuation on “green school grounds” Diverse ecological features–trees, gardens, nature trails Survey of educators, folks, heads 70% concurred it expanded students’ light-direct movement half concurred it expanded vivacious action Grounds upheld more extensive mixed bag of play Dyment JE et al. Wellbeing Ed Res 2008;23:952-62

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Nature & Physical Activity Associations between solid weight & accessibility of > 1 of 13 particular parks inside of 1 km of home No relationship found in the middle of BMI and basically living almost a recreation center However, for kids who lived inside of 1 km of park with a play area, kids were 5 times more prone to have a sound weight Relatively little investigation of 108 kids may confine capacity to discover critical connections Potwarka LR, et al. J Community Health 2008;33:344-50

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Nature & Physical Activity Larger investigation of 8 parks in Los Angeles Parks in were transcendently African American or Hispanic neighborhoods Poverty range 13.8% to 47.3% 2000 people numbered in every park Vigorous action connected with games courts and play areas Proximity of living arrangement predicts park use and physical movement Those living < 1 mile away will probably utilize the recreation center and had 38% more practice sessions than those living more remote away Cohen DA, et al. Amer J Pub Health 2007;97:509-14

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2006 Policy Statement “Active sound living: avoidance of adolescence stoutness through expanded physical activity” Lifestyle-related physical movement rather than heart stimulating exercise connected to supported weight reduction Infants and little children ought to be permitted open air physical action and unstructured free play and investigation Parents ought to urge kids to play outside however much as could reasonably be expected American Academy of Pediatrics (AAP) AAP Council on Sports Medicine and Fitness and Council on School Health. Pediatrics 2006;117:1834-1842.

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Health Benefits of Nature and Outdoor Activity Part II: Mental Health

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Nature as a Restorative Mechanism Nature alone can impact recuperation from surgery Compared 23 coordinated sets of patients who experienced a cholecsytectomy Randomly alloted the post-surgery patients t

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