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The One Step Ahead (OSA) Program, part of the Boston Children's Hospital Primary Care Center at Boston Children's Hospital, is an obesity prevention and management program that teaches children and adults how to develop healthful lifestyle habits. We help families learn how to make physical activity and healthy food choices part of their lives.
OSA is for children and teens, ages 3 to 13 years old, who receive primary care at the Children's Hospital Primary Care Center.
Our multidisciplinary team consists of:
Visit the Meet the Team page to learn more about our providers.
The team provides families with an individualized, culturally-appropriate plan focused on helping families become more active and eat healthier foods.
The plan includes information on making healthy food choices, tips on healthy recipes and nutritious snack ideas. It also shows how important it is to make physical activity a part of your child's daily routine.
We also will help you and your child find specific physical activities and food resources right in your own community.
We will provide your child with a comprehensive medical assessment and ongoing support for your entire family.
At your OSA visits, we will
Medical problems are common in children and adolescents who are overweight or obese. Learning healthy eating and exercise habits early can prevent children from developing cardiovascular disease, Type 2 Diabetes, asthma and poor self-esteem.
Parents/caregivers who are educated and empowered to make lifestyle changes can have a great impact on their children's development of healthy lifestyle habits as well as positive self-image.
Having easy access to outside support services for your child can help them succeed in developing healthy lifestyle habits.
From OSA, children and families will get:
Increase in childhood obesity in the past 25 years: 2.3-to-3.3 fold
Estimated increase, in the past 20 years, in the prevalence of childhood diabetes: 10-fold
Increase in per capita consumption of soft drinks, 1950s to today: 500%
Amount that one additional soft drink per day increases a child's risk for obesity: 60%
Percentage of school districts that have contracts with soft-drink companies, allowing them to sell soft drinks on school premises: 50%
Number of food ads viewed by the average child each year: 10,000
Percentage of these that advertise fast food, soft drinks, candy, or sugared cereals: 95%
Estimated annual amount spent on food advertising aimed at U.S. children: $10 billion
Budget for the "Five a Day" program, a federal educational program to increase fruit and vegetable consumption: $1.1 million
Ratio of the entire federal budget for nutrition education, compared with the advertising costs for Altoids mints: 1/5
Increase in risk for childhood obesity per hour of daily television viewing: 12%
Decrease in risk for childhood obesity per hour of exercise: 10%
Average charge for coronary by-pass surgery: $60,853
Estimated average cost of three one-hour sessions with a dietitian at an obesity clinic: $180
Annual direct costs of obesity to the American economy: $70 billion
Dream Magazine, Winter 2004, published by Boston Children's Hospital. All rights reserved.
The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”