F itness U nity and N utrition
description
Transcript of F itness U nity and N utrition
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy 1
Fitness Unity and Nutrition
Garfield’s Childhood Obesity Intervention
Taskforce
Kathleen Burke PhD, RN
Starr Eddy PhD, CHES
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F.U.N. (Fitness, Unity and Nutrition) Garfield’s Childhood Obesity Intervention Taskforce
Overarching Strategic PlanMission Statement: F.U.N. is a model program dedicated to
fitness, unity and nutrition in GarfieldVision: Garfield residents will have access to resources that
engage them in the adoption of healthy behaviorsGoals:I. Improve the overall health and reduce obesity of Garfield
residents in their respective communities by: 1. Access to information and resources.Facilitate access to information and resources to enhance body
composition specifically for the “over-fat and under-fit” 2. Engage residents of Garfield in activities. Integrate the activities into the fabric of the community.
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http://www.iom.edu/report.asp
Childhood ObesityInstitute of Medicine Recommendations
State and Local Governments
• Expand and promote opportunities for physical activity in the community through changes to ordinances, capital improvement programs, and other planning practices.
• Work with communities to support partnerships and networks that expand collaborative efforts between public and private entities
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Increasing Prevalence of Overweight Children
05
101520253035
1960 1980 2000
At Risk to be Overweight OverweightSource: U.S. Centers for Disease Control; Ogden, et al, JAMA, 2002
> 85th percentile for Body Mass Index> 95th percentile for Body Mass Index
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Risk Factors for Childhood Obesity Table 4. Environmental and ethnographic risk factors for obesity in children
Socioeconomic Risk Factors for Obesity Ethnographic Risk Factors for Obesity
Urban versus Rural Dwelling Smaller (<5) versus Larger Families Single Parent or Older Parent Families Less Educated Parents Living in the Northeast > Midwest > South
> West Lower Socioeconomic Status
African-Americans Hispanic-Americans (Latinos) Asian-Americans Native-Americans
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Barriers to addressing obesity in minority children and adolescents.
• Environmental Barriers – To physical activity 2,3,5
• high neighborhood crime rates that discourage outdoor activities • dilapidated parks, and • reduced access to facilities
– To good nutrition 2,4,5
• more fast-food restaurants • few supermarkets that carry fresh produce • small grocery stores that sell high-fat, energy-dense foods • greater exposure to televised commercials for high-calorie, low-
nutrient food • Cultural Barriers5
• Those who do not maintain normal weight outnumber those who do; thus, overweight is often the community norm.
• Caloric restriction and leisure-time physical activity are not routine in minority communities.
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• New Jersey has the highest incidence in the nation in obesity among low-income kids aged 2-5 years. (F as in Fat, 2005)
• 59% of New Jerseyans are obese or overweight, 60% of adults, 10% of teens
• In NJ, the age groups most at risk are the 45-64 year olds at 26.3% and 28.7% obesity
(NJ DHSS7/2006)
•
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Development • Needs assessment
– Conducted by Rampo-UMDMJ Nursing students• Identified Needs
– Address environmental barriers– Provide culturally compatible fitness and nutrition
programs• Projects
• Safe Routes to School Project • RAMS Camp• FUN Walk
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Garfield Health Department
• Darleen Reveille, RN Public Health Nurse• Founder of Garfield Task Force on Obesity • Address core minimum standards of Public
Health• Coordinated the implementation of RAMS
Camp– Promoted program – Liaison with school nurses– Recruited participants – Coordinated transportation
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City of Garfield Leaders
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The PartnersHackensackUniv Med
Cntr HARP
Bergen CAP
Robert Halsch, CEO
Mayor’s WellnessCampaign
GarfieldDOH
Darleen Reveille, RN
Ramapo College
A. Cristinii North HudsonCountyFQHC
William Paterson Univ
Dr. Starr Eaddy
Garfield MayorCalandriello& Council
Partnership for Comm Health
Jackie LueRaia,
City MgrThomas
Duch
HorizonInsurance
AmerigroupInsurance
UMDNJ Dr.Kathy
Burke
RAMS Camp
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Objective: Provide municipal leaders with evidence based
tools, implementation plans, synergistic contacts and communication materials to engage citizens in programs that increase
activity and healthy nutrition
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FUN Activities
• Safe Routes to School• RAMS Camp• FUN Walk • Continued integration of RAMS Camp
activities in Garfield Middle School
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• The Meadowlands Environment Center was formed to increase awareness and enjoyment of our vital ecosystem. The New Jersey Meadowlands Commission and Ramapo College of New Jersey entered into a partnership in 2003, to develop a comprehensive environmental education program for schools and the general public.
• The Meadowlands Environment Center has hands on educational programs for grades K-12. Our experienced team of educators will introduce your students to a variety of topics while satisfying the NJCCCS. Through inquiry learning and cross-curricular activites, you and your students will experience the best of these unique wetlands.
Source: http://www.meadowlands.state.nj.us/ec/educators/index.cfm
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RAMS Camp
Educators• Educators and school
nurses• August event • Daily stipend• Fitness & Nutrition
Activities
Middle School Students
• Free of charge• Supervised
transportation • Planned activities • Fitness and nutrition
education and experiences
• Obesity prevention
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Dr. Angela Cristini RAMS Camp Director
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RAMS Camp Boat Races
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Future
• RAMS Camp - train the trainers Bergen County - YMCAs
• The Active Living Resource Center (ALRC) City SRTS, one of six cities (Atlanta, Brooklyn, Garfield, Hartford, Blue Island IL., Huntsville, AL) (National Center for Bicycling and walking)
• Walk to School survey data aggregated • Outcome Data for RAMS Camp being collected • Working with Mayors Wellness to continue with gap
assessments of communities across NJ • Creating Strategic Plan for FUN to create long term
sustainability of project
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Thanks to . . .
Leaders’ Academy for Healthy Community Development
Mayor’s Wellness Campaign
Partnership for Community Health
League of Municipalities
City of Garfield
Horizon NJ Health
Ramapo College UMDNJ
Meadowlands Environmental Center
Bergen CAP
Hackensack Medical Center
Garfield Dept of Health
Garfield Board of Education
William Paterson University
North Hudson FQHC
NJ State Dept of Health & Senior Services
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State Partners• League of Municipalities
– http://www.njslom.org/ • Mayor’s Wellness
www.mayorswellnesscampaign.org • Partnership for Community Health
– www.bergenpch.org • Ramapo College
– http://www.ramapo.edu/news/pressreleases/2003/12_03_2003.html• NJ State Department of Health and Senior
Services
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References1. Fitzgibbon ML, Stolley MR, Schiffer L, Van Horn L, KauferChristoffel K,
Dyer A.(2006). Hip-Hop to Health Jr. for Latino preschool children. Obesity (Silver Spring). Sep;14(9):1616-25.
2. Kumanyika S, Grier S. Targeting interventions for ethnic minority and low-income populations. Future Child. 2006 Spring;16(1):187-207.
3. Gordon-Larsen P, Nelson MC, Page P, Popkin BM. (2006) Inequality in the built environment underlies key health disparities in physical activity and obesity. Pediatrics. Feb;117(2):417-24.
4. Wang Y, Tussing L, Odoms-Young A, Braunschweig C, Flay B, Hedeker D, Hellison D. (2006). Obesity prevention in low socioeconomic status urban African-American adolescents: study design and preliminary findings of the HEALTH-KIDS Study. Eur J Clin Nutr. 2006 Jan;60(1):92-103.
5. Fitzgibbon ML, Stolley MR. (2004). Environmental changes may be needed for prevention of overweight in minority children. Pediatr Ann. 2004 Jan;33(1):45-9.