Lecture given by Ernie Medina, Jr., DrPH, on Aug. 17, 2011, for a grad class at Loma Linda Univ. School of Public Health. Professor: Serena Tonstadt, MD. Topic: getting kids to be more physically active.

1. Protecting kids from a most
deadly disease!
Ernie Medina, Jr., DrPH, CHFS
August 17, 2011

3. “Physical Activity
Evangelist”

4. Mission Inn Half Marathon, Nov. 14, 2010
Team Medina in action!

7. “Nooo! I
don’t want
to exercise!”

8. “I’d rather
stay here
in bed.”

11. Our kids’ lives are at stake!

12. Being a couch potato
can kill you!
(And it’s not the carbs…)

13. Worst risk factor?
Sedentarianism
Hypokine1c
Dz

14. Public release date: 22-Jul-2010
Contact: David Sampson
david.sampson@cancer.org
American Cancer Society
Study links more time spent sitting to higher risk of death
Risk found to be independent of physical activity level
A new study from American Cancer Society researchers finds it's not just how much
physical activity you get, but how much time you spend sitting that can affect your
risk of death. Researchers say
. They conclude that public health
messages should promote both being physically active and reducing time spent
sitting. The study appears early online in the American Journal of Epidemiology.
Article: "Leisure Time Spent Sitting in Relation to Total Mortality in a Prospective Cohort of US Adults." Alpa V. Patel, Leslie
Bernstein, Anusila Deka, Heather Spencer Feigelson, Peter T. Campbell, 5 Susan M. Gapstur, Graham A. Colditz, and
Michael J. Thun. Am J Epid Published online July 22, 2010 (DOI: 10.1093/aje/kwq155).
Link to abstract: http://aje.oxfordjournals.org/cgi/content/abstract/kwq155

15. Hans
Kraus,
MD
1960

16. May
!

17. Let’s move

18. Why
be
physically
ac1ve?

19. Benefits of PA well-known

20. Strong scientific evidence
• Lower risk of • Prevent weight gain
– Early death • Weight loss (with diet)
– CHD • Improved cardioresp. &
– CVD
muscular fitness
– DM2
• Prevention of falls
– Metabolic syndrome
– HTN • Reduced depression
– High lipids • Better cognitive fx in
– Colon & breast CA older adults
US
Dept
of
Health
&
Human
Services,
2008

21. Strong evidence in kids
• Improved cardioresp endurance &
muscular fitness
• Favorable body composition
• Improved bone health
• Improved cardiovascular & metabolic
health biomarkers
Moderate
evidence…
 Reduced
symptoms
of
anxiety
&
depression

22. Moderate to strong…
• Better functional health (older
adults)
• Reduced abdominal obesity
Moderate…
 Weight
maintenance
aLer
loss
 Lower
risk
of
hip
fracture
 Increased
bone
density
 Improved
sleep
quality
 Lower
risk
of
lung,
endometrial
CA

23. Know benefits, yet 56.5 % aren’t doing!
81.6% kids (81.8% of adults)
18.4 % kids did meet 60” daily
Hypokinetic disease is deadly!!!
Source: Healthy People 2020; National YRBS 1991-2009

25. October, 2008
Rear Admiral Penelope Royall
http://www.health.gov/paguidelines/

26. Rx for
physical
activity

27. Aerobic - Kids
60 minutes daily

28. Strength training - Kids
3 days per week

29. Builds muscle AND bone!

30. Do something!
Daily
10 minute blocks

31. Rx#2: Move more!

32. 10,000 steps a day!

33. “How can I get kids to
be physically active?”

34. http://www.childtrends.org
*Parents who do not exercise
*Overweight
*Spend a lot of time with electronic media
*Non-supportive neighborhood (safety, don’t know neighbors, etc)

35. Fears about PA

51. Fun!

62. • “Limit recreational screen time to less
than 2 hours a day.” (CDC, USDHHS, IOM, Amer.
Academy of Pediatrics, HP 2010)

63. RST
often
blamed!

64. Source: Ellen LaPointe
HopeLab | Vice President, Strategic Partnerships
www.hopelab.org

65. Hope Lab’s

67. Accelerometers

68. CES 2011

69. Shellie Pfohl
Exec. Dir.
Presidents Council on
Fitness, Sports, &
Nutrition
Ernie@MedPlayTech.com

70. Exergaming

73. Loma Linda University Drayson Center
XRtainment Zone
Special needs Athletic training
Senior physical, cognitive,
Rehab & social fitness

74. Criticism against exergaming
I support traditional…
Meeting people
where they are at

76. “I don’t like to exercise, but playing
here I get a great workout and it
doesn’t feel like exercising!”
Gunnar, age 12

77. Drayson Center’s XRtainment Zone

80. Cardio test – 5 min Jackie
Chan Run on Xavix
Grip test

81. Tanita TBF-300

83. 45 mins of nutrition
instruction:
Label reading
Food Choices (Nutripoints,
NuVal, Pyramid)
Physical activity
Portions
Eating out
Modifying recipes

84. 45-mins of exercise
Exergaming Rx –
circuit of games
Encourage the
parents to exercise
with their kids!

93. Project Impact Life
Energizebulls Exergame Fitness Center

94. TRAQ is a medically-based, health, fitness and performance enhancement resource now being
showcased at the Cleveland Clinic’s Western Medical Campus. TRAQ 3D offers both profitable
private-pay prevention and performance enhancement programs, as well as medically-reimbursable
clinical services.
http://www.traq3d.com/Healthcare/Healthcare.aspx

96. Next
genera*on
videogames
Sony’s
Move
Sept.
19,
2010
$99.00
Microso3’s
Kinect
Nov.,
2010,
$150

101. ?
?

103. We need more evidence-based research!

104. www.exergamesunlocked.org

105. http://exergamenetwork.blogspot.com/

106. http://exergaming.pbworks.com

107. http://tinyurl.com/g4hjournalPR

108. http://www.humanagames.com/

111.  monitoring
 Better use of resources
 Increased pt satisfaction
 Improved outcomes!
Starts here…

112. Digital & Videogame
Games for Health Healthcare

115. www.mobileAdventureWalks.com

116. Mobile Game
Watch Videos
Solve Clues
Answer Q’s
Earn Points
Next
Location!

118. How to Get Started
• Get notified when it’s
available, sign up for mailing
list at:
www.MobileAdventureWalks.com
• Get involved:
Email
Fun@MobileAdventureWalks.
com to find out how to create
your own Adventure Walk

119. Keep update on Facebook & Twitter

120. Man’s best friend…
…needs exercise, too!
Roxy
Davy

121. www.dogtra.com

122. Conducive
Enivronment:
Know your
local resources

124. hIp://*nyurl.com/BeAc*veDirectory;
hIp://*nyurl.com/BeAc*veMovie

125. hIp://PhysicalAc*vityEvangelist.blogspot.com/

126. The Physical Activity Evangelist’s
7 rules
for motivating yourself & kids to be
more active…

127. 1.
Walk
the
talk!

128. 2.
Do
as
a
family

129. 3. Provide appropriate environment

130. http://teamcyclefit.blogspot.com
http://www.tripsforkids.org

132. 4.
Schedule
it!
Summer
Keri
2 hrs 4 mins
Mission Inn Half Marathon, Nov. 14, 2010

133. 5. Play & have fun!

136. 6. Your
reason,
purpose

137. 7. Serve others, a cause

138. “I
need
YOU,
our
future
public
health
professionals,
to
help
me
fix
our
healthcare
system
by
geXng
kids
to
be
more
ac*ve!”

139. Thank you! Emedina@epiclp.com
C:
909-­‐747-­‐5935