Thursday, January 19, 2012

Family Fitness

Family Fitness
J. Zweifel

Incorporating the family is a great way to get fit! 

The American Heart Association and the American College of Sports Medicine recommend that adults ages 18-65 get a minimum of moderate-intensity aerobic activity for 30 minutes, 5 days each week or 20 minutes of vigorous-intensity 3 days each week (Haskell et. al 2007).  Even though these numbers might seem a bit overwhelming, working fitness into the family’s routine can be easier than it sounds.  According to the CDC (2011), children are recommended to get 60 minutes of physical activity a day, so playing together can help fulfill everybody’s recommendations.  Not sure where to come up with extra time?  Try turning off the TV an hour earlier.  Though it may mean missing a favorite show, it could also mean more quality family time and more time for fitness.  The American Academy of Pediatrics recommends that children limit television  time to no more than 2 hours per day (Pediatrics 2001), so trade sitting around for an hour after dinner for walking, jogging, climbing stairs, jumping rope, riding bikes, or dancing.  Everyone is also recommended to engage in muscle strengthening exercises at least twice a week.  This doesn’t have to mean hitting the weight room.  Families can have push up or sit up contests, head to the playground and swing on the monkey bars, go swimming or play tennis together to work in the muscle strengthening component (CDC, 2011).  If the adults of a family start to incorporate healthier habits, this can have a very positive influence on the children in the family.
 
Remember: Fitness is fun and fulfilling as a family!

Centers for Disease Control & Prevention. (2011, November 9). How much physical activity do children need?  In Physical Activity for Everyone. Retrieved January 19, 2012, from http://www.cdc.gov/physicalactivity/everyone/guidelines/children.html

Centers for Disease Control & Prevention. (2011, March 30). Aerobic, muscle- and bone-strengthening: What counts?  InPhysical Activity for Everyone. Retrieved January 19, 2012, from http://www.cdc.gov/physicalactivity/everyone/guidelines/what_counts.html

Children, adolescents, and television. (2001, February). Pediatrics107(2), 423-426.

Haskell, W. L., Lee, I., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., & Macera, C. A. (2007, August). Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Medicine & Science in Sports and Exercise39(8), 1423-1434.

Wednesday, January 18, 2012


Smoke-Free/Tobacco-Free Living-Benefits for family, kids, community
Imagine waking up every morning and you cannot start or function without a puff of a cigarette.  Even though it is harmful, the addiction is too strong, and it seems impossible to quit or to even reduce the amount of cigarettes or packs consumed.  Cigarette smoking takes over 443,000 lives each year in the United States, and that number continues to rise (Center for Disease Control and Prevention, 2012).  To emphasize how detrimental tobacco use is, it causes more deaths annually than “deaths from human immunodeficiency virus (HIV), illegal drug use, alcohol use, motor vehicle injuries, suicides, and murders combined,” (Center for Disease Control and Prevention, 2012).  By the year 2030, due to the current tobacco use status, it will have caused more than 8 trillion deaths (Center for Disease Control and Prevention, 2012).
Knox County has a population size of 3,981 as of 2009.   The health department is located in Edina, the community center and one of the bigger cities in the county.  Edina’s population is 1,110 with a -10.0% population change since 2000 (Onboard Informatics, 2003-2011).  According to the Knox County Health Department, in 2009, a smoking cessation class was not offered (“Knox county health,”2009).  Studies have shown that as of 2007, 22.03% of Knox County residents do smoke (Missouri Department of Health and Senior Services, 2007). Missouri Department of Health and Senior Services (MICA) have estimates on the number of deaths attributable to smoking which are “based on smokers’ increase likelihood of dying of various disease,” (Missouri Department of Health and Senior Services, 2007).
In the United States, coronary heart disease is the leading cause of death, and smoking is a major factor (Center for Disease Control and Prevention, 2012).  For a smoker, the disease is 2 to 4 times more likely to occur (Center for Disease Control and Prevention, 2012).  Tobacco use causes 90% of lung cancer deaths in men and 80% in women and 90% of deaths from chronic lung disease for both genders (Center for Disease Control and Prevention, 2012).  In addition to harming the individual who is smoking, they are also harming their spouse, children and others around them in the community.  This is referred to as secondhand smoke and can cause the same diseases as it would the smoker (Meakem, 2012).  Children who live with a parent or parents that smoke are more likely to develop ear infections, asthma, colds, and bronchitis than children living in a tobacco-free home (Meakem, 2012).  As for the community, smoking can also trigger children in outdoor and public places to become ill or to be influenced by adults who smoke (Meakem, 2012).  In a 2009 Missouri Youth Risk Behavior Survey of high school students, 46% tried smoking, 19% smoked cigarettes on at least 1 day during the 30 days before the survey was given, 7% smoked cigarettes on 20 or more days during the 30 days before the survey, 5% smoked cigarettes on school property during the 30 days before the survey and 47% did not try to quit smoking cigarettes (National Center for Chronic Disease Prevention and Health Promotion, 2009).  From this survey, the Center for Disease Control (CDC) offered solutions that many communities could consider.  The solutions for this are to have better health education, more family and community involvement, and to enforce healthier school environments (National Center for Chronic Disease Prevention and Health Promotion, 2009). 
There are many benefits of not smoking, first off is the cost of tobacco use. Smoking costs the United States billions of dollars ($193), including the health care expenses (Center for Disease Control and Prevention, 2012).  As for secondhand smoke, this costs the United States more than $10 billion which includes health care expenses, morbidity and mortality (Center for Disease Control and Prevention, 2012). 
Another benefit of not smoking is that you are not harming every organ in your body.  It is a leading cause of cancer including that of the lungs, esophagus, larynx, mouth, throat, pancreas, stomach and cervix which also is the main cause of death in individuals (National Cancer Institute, 2012).  Also, for the nonsmoking adults and children around you, you are not harming their organs.  Secondhand smoke can increase a nonsmoker’s risk of heart disease by 25 to 30 percent (National Cancer Institute, 2012).  Quitting or not even beginning smoking can change the course of this disease and prolong a more healthy life. Another benefit of not smoking is your blood pressure and heart rate will remain normal, as a smokers heart rate and blood pressure are more likely to be high (National Cancer Institute, 2012).  Nonsmokers benefit, again, because they will have normal circulation, less phlegm production and they will most likely not wheeze and cough as a smoker would (National Cancer Institute, 2012).  These ailments make daily tasks, such as, walking upstairs, playing with your children, working out, etc, rather difficult.
                                                                             References
Centers for Disease Control and Prevention. (2012, January 10). Smoking and tobacco use: Health effects of cigarette smoking. Retrieved from http://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/
Knox county health department. (2009, October 31). Retrieved from http://health.mo.gov/profiles/CountyInfo/CpiKnox.html\
Missouri Department of Health & Senior Services, D. T. M. (2007). Tobacco use & tobacco cessation for knox-scotland-clark county: Adults. Retrieved from http://health.mo.gov/data/mica/CLS_Compare/header.php?cnty=103&profile_type=3&chkBox=C
Meakem, C. (2012, January 16). Resolve to quit smoking. Strauss News. Retrieved from Missouri Department of Health & Senior Services, D. T. M. (2007). Tobacco use & tobacco cessation for knox-scotland-clark county: Adults. Retrieved from http://health.mo.gov/data/mica/CLS_Compare/header.php?cnty=103&profile_type=3&chkBox=C
National Cancer Institute. (2012, January 12). Harms of smoking and health benefits of quitting. Retrieved from http://www.cancer.gov/cancertopics/factsheet/Tobacco/cessation
National Center for Chronic Disease Prevention and Health Promotion. (2009). Tobacco use and missouri students. Retrieved from http://www.cdc.gov/healthyyouth/yrbs/pdf/tobacco/mo_tobacco_combo.pdf
Onboard Informatics. (2003-2011). Edina, missouri. Retrieved from http://www.city-data.com/city/Edina-Missouri.html


 Community Health Programs for Youth
Katie Stark

The need for an established health and physical education program directed toward the youth in Knox County is more urgent now than ever before. According to the latest Youth Risk Behavior Survey, an astonishing high of 28.8% of Missouri children are now overweight or obese. A surprising percentage of children surveyed had not eaten fruits and vegetables in recorded history, recorded an intake frequency of sweetened beverage such as soda far above healthy, and participated in dangerous dieting tactics ("High school yrbs," 2009). As overweight or obese children tend to remain overweight or obese in adulthood, this data reveals a significant dangerous trend toward heart disease, diabetes, cancer, and other chronic diseases. Currently, 32% of Knox County adults are obese, with another 38% being overweight, and this number will only increase with the influx of overweight children ("Health & preventative," 2009).

Present risk factors in Missouri youth appear to continue tirelessly and include the following:
    • 32.4% of Missouri children watch three or more hours of TV a day
    • 22.9% use computers for reasons unrelated to school work more than three hours a day
    • 55.6% of Missouri children report not attending physical education classes in an average week
    • High rates of unintentional injury precursors (bicycle helmet usage, seat belts, driving/riding under influences, etc.)
    • Significant mental health issues (depression, bullying, weapon usage, etc)
    • Tobacco and alcohol use
    • High rates of unprotected sex at young ages
      ("High school yrbs," 2009)
Examples of communities developing community health programs have been studied and many successful programs have been discovered , including the following:
    • Community Initiatives Fund (CIF) in Saskatchewan, Canada, with its Physical Activity Program, Gambling Prevention Program, and Aboriginal Sport and Recreation Program
    • Oak Parks, Illinois, community center with various exercise classes and mental health services and support groups for those living with specific diseases
    • The Lockwood School District in Montana with a drug and alcohol awareness program for high school students and their parents

The Knox County Community Center, newly erected this year in Edina, has dedicated itself toward the intervention in the decline of youth health in Knox County. Education classes will be available concerning nutritional health, sexual health, substance abuse, sleep awareness and many other diverse topics along with a facility for safe recreation, from organized sports and lessons to use of workout equipment for all members. In order for the KCCC to be successful in this intervention, the staff asks for Knox County resident's help in raising both funds and awareness.

References
Drake, K. (2012). Community committed to health of its youth. Billings Gazette, Retrieved from http://billingsgazette.com/news/opinion/mailbag/community-committed-to-health-of-its-  youth/article_92cc28a7-b1cd-535f-a3fb-eb2283ed66ee.html
Johnson, M. (2012). Community initiatives fund program help residents build vibrant communities. Sasknewsnow, Retrieved from http://www.sasknewsnow.com/section/2012- 01-14/article-2864437/Community-Initiatives-Fund-program-help-residents-build- vibrant-communities/1
MICA, (2008). Child health profile for Knox residents. Retrieved from Missouri Government website: http://health.mo.gov/data/mica/ASPsChildHealth/Main.php?cnty=103
MICA: County Level Study 2003-2007 Comparison, MICA. (2009). Health & preventative practices for Knox-Scotland-Clark county adults. Retrieved from U.S. Government website: http://health.mo.gov/data/mica/CLS_Compare/header.php?cnty=103&p
Youth Risk Behavior Survey, Centers for Disease Control and Prevention. (2009). High school yrbs Missouri 2009 results. Retrieved from U.S. Government website: http://apps.nccd.cdc.gov/youthonline/App/Results.aspx?LID=MO
(2012). Oak park and river forest community calendar initiatives fund program help residents build vibrant communities. OakLeaves, Retrieved from http://oakpark.suntimes.com/lifestyles/9997817-423/oak-park-and-river-forest- community-calendar.html