American Academy of Family Physicians

Printer-friendly version

Share this on AAFP Connection

Share this page

Combating Childhood Obesity Focus of Residency Project Grants

By Matt Brown

Gordon Zubrod, M.D., w/kids during
Family physician Gordon Zubrod, M.D., of York, Pa., smiles with some of the youngsters who participated in the York Hospital Family Medicine Residency's "Get Fit! Have Fun!" AIM-HI community outreach program in 2012.
The AAFP's Americans In Motion-Healthy Interventions (AIM-HI) initiative is now accepting applications (17-page PDF file; About PDFs) for the second round of its Childhood Obesity Project for Residency Programs.
According to Janet Ann McAndrews, M.P.H., C.H.E.S., manager of the AAFP public health program, the Academy plans to award 10-18 grants of between $10,000 and $30,000 to family medicine residency programs around the country to help each develop a one-year, family-centered community project designed to reduce childhood obesity and promote fitness.

McAndrews said a primary focus for this second of year of the project, which is being funded through a $250,000 grant from the MetLife Foundation, will be to more robustly monitor participants' clinical and behavioral outcomes to help determine levels of success in each community outreach program.

IOM Report Offers Strategies to Advance Fitness, Health Science in Youth

Recommendations contained in the Institute of Medicine's (IOM) September 2012 "Fitness Measures and Health Outcomes in Youth" report could make new population-based data available that would allow school systems to evaluate and target students who would most benefit from fitness interventions. That's according to a recent editorial (extract) in JAMA Pediatrics by Russell Pate, Ph.D., chair of the committee that developed the IOM report, and report committee member Stephen Daniels, M.D., Ph.D.

Among the report's recommendations are a number of strategies for advancing the science on the relationship between fitness measures and health in youth, including conducting
  • studies on the associations between health and components of fitness in youth;
  • longitudinal studies to determine how health markers related to fitness track from youth to adulthood; and
  • a mix of randomized controlled trials and studies to identify the relationships between changes in cardiorespiratory fitness and subsequent changes in health risk factors in youth.
"The report draws attention to the fact that we have not been monitoring fitness in the population of children and adolescents during an era in which physical activity has declined and obesity rates have skyrocketed," the authors wrote. "Without literally stating it, the report makes a key point: The fitness of our youth is a critical concern, and it is time for us to do a better job of monitoring it in the U.S. population."
To that end, a number of residency programs from the original 2012 group will be included among the 2013 grantees to gauge how well they do in the long term in expanding the program, integrating it into the community, and measuring its success in terms of reducing childhood obesity and promoting healthy lifestyle modifications.

"We had several programs that exceeded their goals last year," McAndrews said. "So we want to see how it works going forward."

AIM-HI offers physicians a number of resources to help patients follow a healthy lifestyle, including three primary tools:
  • a fitness inventory, which gauges patients' confidence about their fitness and their readiness to change;
  • a food and activity journal, which helps patients track healthy eating, physical activity and emotional well-being lifestyle behaviors; and
  • a fitness prescription pad, through which the patient and the physician establish mutually agreed-on goals that are assessed periodically.
Preliminary results from a research project conducted by the AAFP National Research Network indicate that AIM-HI can help patients increase their physical activity, make healthier choices, lose weight and maintain those lifestyle changes.

In addition to the positive impact the AIM-HI program seeks to have on the community each participating residency program serves, it also is intended to make a difference among the residents themselves, said McAndrews.

"This (AIM-HI grant) is not just money to help curb childhood obesity, but a way to educate these residents so they are able to learn how to serve as role models for healthy living," she said. "When they go into these communities, we want them to be able to tell people, 'I have a fitness prescription too, and this is how I make it work with my busy schedule.'"

Applications may be e-mailed to Jacklyn Cremer through the submission deadline of May 31. Awardees will be notified in August.
"The report draws attention to the fact that we have not been monitoring fitness in the population of children and adolescents during an era in which physical activity has declined and obesity rates have skyrocketed," the authors wrote. "Without literally stating it, the report makes a key point: The fitness of our youth is a critical concern, and it is time for us to do a better job of monitoring it in the U.S. population."

Share this on AAFP Connection

Search AAFP News Now

 

Health of the Public

Remain Vigiliant for Novel Coronavirus, Says CDC

DTaP Remains in Short Supply This Summer

Though Waning, H7N9 Still Poses Pandemic Potential

AUA Says No to Routine PSA Screening

AAFP Criticizes Appeal of Plan B One-Step Ruling

AAFP to Hospitals: Stop Early Elective Deliveries

AAFP, USPSTF Differ Somewhat on HIV Screening Guidance

Zoledronic Acid Confers Both Pros, Cons

ACP Issues Guidance on PSA Screening

Abbott Recalls FreeStyle InsuLinx Blood Glucose Meter

Discuss Drug Options With Women at Risk for Breast Cancer

Shingles Vaccine Effective, But Uptake Is Low

Evidence Lacking to Make Oral Cancer Screening Recommendation

Two External Guidelines Get Qualified AAFP Endorsement

USPSTF Recommends BRCA Testing for High-risk Women

Primary Care, Public Health Look for Ways to Integrate

Malfunction Prompts Glucose Meter Recall

Evidence Lacking on PAD Screening, Says USPSTF

Azithromycin Poses Arrhythmia Risk, Says FDA

Vets With PTSD Often Prescribed Inappropriate Meds

AIM-HI Offers Grants to Combat Childhood Obesity

USPSTF Says No to Low-dose Vitamin D, Calcium to Prevent Fractures

PCV13, HibMenCY Vaccine Changes Approved by ACIP

AAFP, Other Groups Release More Choosing Wisely Lists

National Office Champions Tobacco Cessation Project Successful

USPSTF Issues Draft Statement on Glaucoma Screening

Study Examines Overuse, Inappropriate Use of Health Services

Apply to Become an AAFP Vaccine Science Fellow

Study Looks to Reduce PSA Screening Risks

AAP Issues New Clinical Guidance on Type 2 Diabetes

CDC: Adult Vaccination Rates Still Too Low

Pertussis Outbreaks Declining, but Immunization Still Key

2013 Immunization Schedules Include Several Changes

FDA Warns of Liver Injury Risk With Samsca Use

FDA Approves First Recombinant Trivalent Influenza Vaccine

AAFP, USPSTF: Screen Women of Childbearing Age for Partner Violence

Breast Cancer Screening in Older Women Costly, Likely Ineffective

CDC Gives Flu Update, Urges Continued Vaccination

Aerobic Exercise Beats Resistance Training for Weight Control