Fighting Childhood Obesity Ann Arbor Project Healthy Schools: A CommunityUniversity Collaborative Je

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Fighting Childhood ObesityAnn Arbor Project
Healthy SchoolsA Community-University
CollaborativeJean DuRussel-Weston, RN,
MPHjdurusse_at_umich.edu734-975-3047
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Project Healthy Schools Coalition
UM CVC
UM Mott Childrens Hospital
UM Health System
M-Fit
UM Public Health
UM Nursing
A2 Community Foundation
Harvard Drug Group
Students, Families, Teachers
Borders Group
Coca Cola
SE Michigan Community Foundation
SI Company
Community Leaders
Washtenaw County Health
NuStep
WECAN!
School Board
Hands on Museum
Pfizer
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What is Project Healthy Schools?

• A school-based program for 6th graders
  designed to increase physical activity and
  healthier food choicesto begin now and last a
  lifetime!

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Program Components

• Hands-On Activities
• Fitness Assemblies
• Incentive Program
• Cafeteria Changes
• Outcome Measures

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We have 5 GOALS
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Goal 1 Eat more fruits and vegetables
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Goal 2

• Make Better Beverage Choices

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• Goal 3
• Perform at least 150 minutes of physical activity
  each week

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• Goal 4
• Eat less fast and fatty food

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• Goal 5
• Spend less mindless time in front of the TV and
  computer

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Measuring Health Outcomes

• Physiological Changes
• Health Screening
• Behavior Changes
• Health Questionnaire
• Online Blog

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Health Screening

• Complete non-fasting lipid profile (total
  cholesterol, HDL/LDL, triglycerides, glucose)
• Blood pressure
• BMI
• 3 Minute step test

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What Have We Found?

• Risk Marker Frequency
• Overweight gt85 32.0 (92)
• Obese gt 95 5.0 (13)
• Systolic BP 124 mmHg 8.4 (24)
• Total Cholesterol 200 7.3 (21)
• HDL Cholesterol lt 35 5.4 (12)
• At Risk 40 (116)
• One or More of BMI, SBP, TC, LDL, HDL, Glucose
• N 292
• Data from 2005-06 Three Schools

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2005-06 Baseline and Follow-up Data at 3 Schools
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Behavior Change

• The post program implementation data supported
  positive changes in 25 of the indicators on the
  survey.
• Food Service Director Reported 10 increase in
  fruit and vegetable purchases

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Yesterday how many times did you eat fruit?
Measuring Behavior Change
P 0.004
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Cafeteria Changes/Expanded Choices
Eliminated
Changed
Offered

• 2 for 1 Hot Dogs
• Double Cheeseburgers
• Candy in lunch line
• High fat meat pizza
• Pop Tarts
• Donuts
• Pastries
• Cookies
• Candy in Stores

• White flour bread/whole wheat bread
• Fried chips/Baked chips
• Coca-cola soda/Dasani water
• Slushy machine/100 Juices
• Reduced pepperoni on pizza

• Salad/Fruit bar
• Carrots/ranch dip
• Yogurt
• Celery/peanut butter
• Whole grain products
• Fresh fruit when available
• More Milk Choices
• Hard boiled eggs

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Never doubt that a small group of thoughtful,
committed people can change the world. Indeed, it
is the only thing that ever has.
- Mead