Proposal on Funding for Kinesiologists to Prescribe Exercise for Obese Children

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Introduction

Obesity is the second leading cause of preventable death worldwide 1

In Canada, 13% of children between the ages of 5-17 are obese with another 20% overweight 1

Obesity is responsible for an increased risk of developing chronic diseases such as cardiovascular, gastrointestinal, and respiratory disturbances 3
Due to factors such as socioeconomic status, and physical, and emotional health.
Registered Kinesiologists can influence change by prescribing exercise.

Recommendation

It is recommended that the Government of Ontario provide additional funding to Registered Kinesiologists in a family health clinic, specifically working alongside obese children.

These children are referred to exercise programs to help educate, prevent, treat, and manage chronic disease and improve their quality of life. (1.11, 1.12, 1.2, 1.4)

Evidence Amount of sedentary behavior relates to increased obesity risk 4

7% of Canadian youth met the recommended 60 minutes of Moderate to Vigorous activity per day 4
Children who exercised for 55 minutes/day were found to be at lower risk for obesity 3

The Canadian Government spends between $4.6 billion and $7.1 billion on obesity annually at 1

Individuals with obesity require more time with healthcare professionals and healthcare costs increase. Kinesiologists can be a cheaper alternative for family health clinics.
With aerobic exercise programs, patients can reduce and prevent the severity of obesity, eat healthier, and can lose weight 2
Referral programs right after family clinic appointments can help enrollment 2

Implications (Cons & Inaction)

A Kinesiologist is a newer health profession and not as common for rehabilitation

Some Family Health Clinics may not hire a kinesiologist. A nutritionist might be more advantageous to support obesity. It is more cost-effective to hire a Kinesiologist rather than a physiotherapist.

As the population rises in a technological era obesity in children will only increase

The increase in obesity will increase the prevalence of chronic diseases 3
In Canada, there are 23 children obesity management plans 2
·With more Kinesiologists available there will be more current management and can provide Ontario’s youth with more assistance.

References

Canada, Parliament, Senate. Standing Senate Committee on Social Affairs, Science and Technology. (2016). Report on obesity in Canada: a whole-of-society approach for a healthier Canada.
Kuhle, S., Doucette, R., Piccinini-Vallis, H., & Kirk, S. F. L. (2015). Successful childhood obesity management in primary care in Canada: What are the odds? Peerj, 3, e1327. doi:10.7717/peerj.1327
Peirson, L., et al. (2015) Treatment of Overweight and Obesity in Children and Youth: A Systematic Review and Meta-Analysis. CMAJ Open, 3(1), 35-46. doi:10.9778/cmajo.20140047.
Colley, R. C., Carson, V., Garriguet, D., Janssen, I., Roberts, C., & Tremblay, M. S. (2017). Physical activity of Canadian children and youth, 2007 to 2015. Statistics Canada, 28(10), 8-16.
Childhood obesity. (n.d.) Retrieved September 20, 2019, from https://www.canada.ca/en/public-health/services/childhood-obesity/childhood- obesity.html