Fitness Unity and Nutrition

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Fitness Unity and Nutrition

• Garfields Childhood Obesity Intervention
  Taskforce
• Kathleen Burke PhD, RN
• Starr Eddy PhD, CHES

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F.U.N. (Fitness, Unity and Nutrition) Garfields
Childhood Obesity Intervention Taskforce

• Overarching Strategic Plan
• Mission Statement F.U.N. is a model program
  dedicated to fitness, unity and nutrition in
  Garfield
• Vision Garfield residents will have access to
  resources that engage them in the adoption of
  healthy behaviors
• Goals
• 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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Childhood Obesity Institute 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

http//www.iom.edu/report.asp
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Increasing Prevalence of Overweight Children
gt 85th percentile for Body Mass Index gt 95th
percentile for Body Mass Index
Source U.S. Centers for Disease Control Ogden,
et al, JAMA, 2002
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Risk Factors for Childhood Obesity
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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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• 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)

• New Jersey has the highest incidence in the
  nation in obesity among low-income kids aged 2-5
  years. (F as in Fat, 2005)

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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 Partners
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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/educ
ators/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 . . .
North Hudson FQHC
Hackensack Medical Center
Mayors Wellness Campaign
Garfield Dept of Health
Meadowlands Environmental Center
City of Garfield
Ramapo College UMDNJ
Partnership for Community Health
NJ State Dept of Health Senior Services
Garfield Board of Education
Leaders Academy for Healthy Community
Development
League of Municipalities
Horizon NJ Health
William Paterson University
Bergen CAP
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State Partners

• League of Municipalities
• http//www.njslom.org/
• Mayors Wellness www.mayorswellnesscampaign.org
• Partnership for Community Health
• www.bergenpch.org
• Ramapo College
• http//www.ramapo.edu/news/pressreleases/2003/12_0
  3_2003.html
• NJ State Department of Health and Senior Services

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References

• 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). Sep14(9)1616-25.
• Kumanyika S, Grier S. Targeting interventions for
  ethnic minority and low-income populations.
  Future Child. 2006 Spring16(1)187-207.
• 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.
  Feb117(2)417-24.
• 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 Jan60(1)92-103.
• Fitzgibbon ML, Stolley MR. (2004). Environmental
  changes may be needed for prevention of
  overweight in minority children. Pediatr Ann.
  2004 Jan33(1)45-9.