Wednesday, October 30, 2019

Welcome to the 2019-20 Robinson Wellness E-News! 

You can check here for all school health and wellness committee activities, 
announcements and updates!    ~Christie Camizzi, BSN, RN


1. Does Fitness and Body Weight in Adolescents Predict Later-Life Disability?
2. Sugary Drinks and the Rise of Metabolic Syndrome
3. Germ Control
4. Staying Home During Illness

************New & Events***********

Does Fitness and Body Weight in Adolescents Predict 

Later-Life Disability?

Posted in
Thursday, Sep 12, 2019

Can too much fat and too little fitness in teens lead to disability down the road?

It’s no secret that the combination of obesity and a sedentary lifestyle are wreaking havoc on our health. Americans of all ages from childhood to adulthood are suffering because of a lack of physical activity and poor nutrition. 
For kids and teens, the problem has long-reaching effects. Adolescents already get inadequate amounts of physical activity from too much screen time (i.e. social media, video games, and binge-watching TV), driving everywhere, and optional or non-existent P.E. classes in schools. Add to that a never-ending exposure to fast food and it is no wonder why obesity rates among young people are at an all-time high.

This current situation gives rise to an interesting and important question:

Does fitness and body weight status during adolescence have any association with the risk of disability later in life? 

A recent study reported results on over 1 million Swedish male adolescents between the ages of 16 and 19, who were conscripted into the military between 1972 and 1994. Researchers measured their body mass index (BMI)* and cardiorespiratory fitness level (CRF)* at baseline and followed up an average of 28 years later to see if they were receiving disability pensions. 

The results were as follows:

  • Adolescents in the bottom 10% of fitness were four times more likely to be on disability later in life than those in the top 10% of fitness. 
  • Those with a BMI greater than 35 were 2.5 times more likely to receive a disability pension later in life when compared to a “normal” BMI (18.5-24.9 kg/m2).
  • Within each of the six BMI categories, those who were in the High fitness group were substantially less likely to receive a disability pension later in life compared to those who were Low fitness group.
The results indicate that the BMI and CRF status of male adolescents is strongly associated with their future risk of disability. The results also support the position of the American Heart Association that CRF should be considered a clinical vital sign.

The study highlights what we already know - we must prioritize fitness and physical activity to improve the health of our children. The cost of their health comes at great cost to us all.  

*BMI was categorized as:

  • Underweight (<18.5 kg/m2)
  • Normal Weight (18.5 - 24.9 kg/m2)
  • Overweight (25 - 29.9 kg/m2)
  • Class 1 Obese (30 - 34.9 kg/m2)
  • Class 2 Obese (35 - 39.9 kg/m2)
  • Class 3 Obese (>40 kg/m2)
*CRF was classified as:
  • Low (bottom 20%)
  • Moderate (20 - 80%)
  • High (top 20%)  


Henriksson, P., Henriksson, H., Tynelius, P., Beglind, D., Lof, M., Lee, IM, Shiroma, E., Ortega, F. (2019). Fitness and Body Mass Index during Adolescence and Disability Later in Life. Annals of Internal Medicine, doi:10.7326/M18-1861.

Taken from the Cooper Institute

Sugary drinks and the rise of metabolic syndrome
Are sugary drinks to blame for metabolic syndrome?

Are sugary drinks to blame for the rise of metabolic syndrome in children? It’s common knowledge to not let your children snack on candy all day, but many parents forget to consider that the most common culprit of hidden sugar is those sugary drinks.
Despite our best efforts, childhood obesity rates continue to rise due to lack of physical activity and poor nutrition. Obesity usually brings on a host of corresponding health-related problems, such as type 2 diabetes and metabolic syndrome. The onset of these two conditions among children has increased significantly over the last two decades and sugar-loaded drinks such as sodas, sports drinks and fruit-flavored beverages* may be largely to blame.

The Risks of Metabolic Syndrome

Metabolic syndrome among children is a global health concern that will likely persist into adulthood if neglected. Specifically, metabolic syndrome is the presence of a cluster of risk factors, such as:
  • insulin resistance (body’s inability to regulate blood sugar)
  • high blood pressure
  • obesity
  • low high-density lipoprotein (HDL) cholesterol (also known as the “good” cholesterol)
  • increased triglycerides (free fatty acids in the blood).
The presence of metabolic syndrome greatly increases the risk of developing type 2 diabetes, cardiovascular disease, and kidney disease. While genetics may be partially to blame, often times the problem stems from environmental and lifestyle factors.

The Impact of Sugary Drinks and Fitness

Are sugary drinks to blame for the rise of metabolic syndrome?

In a study from the National Health and Nutrition Examination Survey (NHANES), researchers examined lifestyle factors such as the intake of sugar-sweetened beverages and physical activity levels to see how it affected the risk of metabolic syndrome in adolescents.
The results showed that increased intake of sugary drinks clearly had a negative impact, including:
  • ↑ increased insulin resistance (indicating that the body is having trouble regulating blood sugar)
  • ↑ increased systolic blood pressure (top number of the blood pressure reading)
  • ↑ increased waist circumference
  • ↑ increased body mass index (BMI)
  • ↓ reduced “good” HDL cholesterol
Alternatively, higher levels of physical activity clearly lead to overall improvements, such as:
  • ↓ increased insulin resistance
  • ↓ increased LDL cholesterol (low-density lipoprotein, aka “bad” cholesterol)
  • ↓ reduced triglycerides (free fatty acids in the blood)
  • ↑ increased “good” HDL cholesterol
The positive benefits were even more profound when high physical activity levels were combined with a reduced intake of sugar-sweetened drinks. The findings clearly indicate that to prevent metabolic syndrome in children and adolescents, we must increase their physical activity levels while reducing their sugar consumption.

What Can We Do?

The study is just another stone in the pillar of truth about childhood obesity. If we want our children to be healthy, we have to make sure they get enough physical activity and follow a healthy diet. Children and adolescents should get at least 60 minutes of physical activity each day, according to the Physical Activity Guidelines for Americans. We must also limit their intake of sugar-loaded drinks while making sure they get enough water to stay hydrated. Helping kids get active and get healthy is the key to reducing metabolic syndrome so they can live Well. Into the Future.
*100% fruit juice is not considered a sugar-sweetened beverage because it does not contain added sugar and is recognized by the American Dietary Guidelines and the American Academy of Pediatrics as a healthy alternative source of fruit.  However, servings should be limited to 4 to 6 ounces per day for young children and 8 to 12 ounces per day for children 7 and up.


Bremer, A.A., Auinger, P., & Byrd, R.S., (2009). Relationship between insulin-resistance-associated metabolic parameters and anthropometric measurement with sugar-sweetened beverage intake and physical activity levels in US adolescents. JAMA: Archives of Pediatric and Adolescent Medicine, 163(4), 328 – 335.

Written by Andjelka Pavlovic, PhD


Germ Control

Happy Fall, Razorbacks!  Just a reminder that it is a great idea to have your child immunized against the flu virus. Once simple vaccine goes a long way to help keep your child healthy throughout the fall and winter months.  Also, remind your child at home to wash hands frequently and I will also reinforce those habits here at school.  We can't keep all illness away from school but we can all do our part to minimize the impact germs make on our student population as a whole. 


Staying Home During Illness

I know that students and parents feel a lot of pressure to keep their kids at school due to class demands and work schedules; however, remember the Plano ISD policies about keeping your student at home.  Following these guidelines protects ALL staff and students.  This includes:

a)Temperature of 100 ° or more. Student must be fever free for 24 hours, without medication, before re-entry
b) Pain and/or swelling at angle of jaw
c) Undetermined rash over any part of the body
d) Undiagnosed scaly patches on the body or scalp
e) Nausea, vomiting, or diarrhea. Student must be symptom free for 24 hours, without medication, before re-entry
f) Red, draining eyes
g) Intense itching with signs and symptoms of secondary infection
h) Open draining lesions that cannot be covered and contained
i) Jaundice
j) Persons who exhibit these or other signs of communicable disease as outlined by local health authorities in the presence of a specific disease alert.

Thank you for reading!

Christie Camizzi, RN

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