Download - Presentation 4 jessica_collins
Childhood Obesity: A Reversible Epidemic
Wietzman SymposiumJune 10, 2010
Jessica CollinsDirector, Special Initiatives
Why are you here today?
One third of our nation’s children have threatened healthy futures due to obesity.
The rates of childhood obesity have tripled since 1980.
We spend $150 billion every year to treat obesity-related conditions, and that number is growing.
This is the first generation of American children whose life expectancy may be shorter than their parents.
Text adapted from Let’s Move!
Support the movement to transform two systems.
Systems that will enhance the lives of future generations!
Production Processing Packaging
Distribution Retailing
The Food System: Farm to TableThe potato story
Marketing
FARM
TABLE
The Built Environment -Transportation System
What activity happens where
How we move
Access to opportunities and choices (activity, food, and healthcare)
Community character
There is NO Magic Pill•Each community has different strengths and resources
•Social change is slow and very dependent on health/strength of relationships
•Focus on interventions that have:–Designated leadership–Build on existing platforms–Flexibility and Strategic Alignment–Sustainability potential
Two Communities Respond
We Changed the EnvironmentsWe Enhanced the Systems
We Nurtured Local Leadership
We decreased BMI-z score in high risk, vulnerable children ages 6-9 years old in
nine months.
Somerville, MA• ~ 78,000 pop• 4.1 square miles
• 3% open space
• 83% traffic cut- thru
• Heart disease / lung cancer leading cause of death
Social Fabric•Gentrification & increasing immigrant population•Community coalition rich • Few $ resources •65% of students eligible for free/reduced meals•50+ reported languages spoken at home
WHAT: An environmental intervention to prevent childhood obesity
WHO: 1st – 3rd grade children in Somerville, MA and two controls
WHERE: Homes, before, during, and after school programs, and the community
GOALS: 1) Create opportunities for children to expend an additional 125 kcal/day
over baseline to achieve energy balance
2) Create sustainable infrastructure that encourages physical activity and healthy eating
Early MorningEnvironment
During School Environment
Afternoon Environment
At HomeSafe Routes to School Maps
Walking to School (-30 kcals)Healthier Home Breakfast
Fiber, Sugar, FatAppropriate Portion Sizes
Before School ProgramHealthier School Breakfast
Fiber, Sugar, FatAppropriate Portion SizesIncreased Fresh Fruits Breakfast Coordinator
Reinforcing Environments
Home Environment (~15 kcal)Parent Newsletter w/ couponsGrowth Reports Screen TimePromotional Gifts
Community EnvironmentCommunity “Champions”Restaurant ParticipationPediatrician Training & SupportCommunity TV AppearancesEthnic Group OutreachCommunity PA Resource GuideCommunity Events
At homeSafe Routes to School Maps Walking Home (-30 kcals)Healthy Home Snack Fiber, Sugar, Fat
After School ProgramCurriculum:
Cooking LessonsPhysical Activity (-30 kcals)Nutrition EducationProfessional Development
Classroom Micro UnitsPhysical Activity (- 25 kcals) 5 days/wk (10 min)Nutrition & Physical Activity Education 1 day/wk (30 min)
Healthier Fundraising Alternatives
Professional DevelopmentTeachersAdministratorsFood Service StaffPE Teachers
Physical Activity Equipment for Recess Physical Activity (- 25 kcals)
Healthier School LunchFiber, Sugar, Fat
Increased Fresh Fruits & VegetablesAppropriate Portion SizesImproved Presentation and AtmosphereSocial Marketing in CafeteriaAlternative “Healthier” A La Carte ItemsNew Food Service Equipment
Food Service - Menu and a la carte changes
- Professional skills development
- Taste tests
- Social Marketing
HEAT Club: In School Curriculum-All 90 1-3rd grade teachers were trained
-Created opportuniteis for physical activity
-Changed PreK-12 Curricula Standards for the District
HEAT Club: After School Curriculum - Piloted with 6 programs; 14 after school programs by the end - Professional Development- School Gardens- Cooking and Nutrition Education- Physical Activity for life
Wellness Policy: a team effort
Parental acceptance/understanding Economic health of school Leadership of principals
Built Environment
Family Outreach Child’s Health Report Card sent home (4 languages) Newsletters every other month (basic reading) TV Turnoff Week (sensitivity to working parents) School Events (making everyone feel welcome)
Community Leaders are key!
2004 - 2010
Partner with targeted CBOsEthnic CelebrationsFBOsTailor around their issues
Restaurant Campaign
•F/Vs as side dish
•Signage
•Smaller portion size options
•Low-fat dairy
Family Responses to SUS – Spring ‘04
• “I really appreciate the emphasis on nutrition and healthy lifestyles it brings to my, kids, the schools, and the city. It makes it easier as a parent when these values are shared and made public.”
• “I’ve stopped watching TV and limited my home computer use and ate better foods to set a good example. I took my kids walking more and walked with them to school everyday.”
Community Results Engaged 90 teachers in 100% of 1-3 grade classrooms (N=81)
Participated/conducted 100 community events Held 4 parent forums for non-English speakers Trained 50 medical professionals Increased walking to school by 5% Recruited 21 restaurants Reached 811 families through 9 parent newsletters, Reached 353 partners through 6 community newsletters Reached over 20,000 through a monthly media piece (11 mos) Recruited all 14 after-school programs Developed community-wide policies to promote and sustain change
(Wellness Policy, Pedestrian Safety) Helped bring in an additional $1.5 million
Efforts live on through
PEPEnhance physical activities for
4th - 8th Grades during and afterschool environment
Schools, ICH, Tufts, BG,EPH, YMCA, SPC
HEBDUnion Sq. farmers market
To increase healthy eating opportunitiesfor low income families
FMFM, MAPS, USMS, CHA, CIty
Growing HealthySchool Garden initiative
To increase healthy eating for families inSomerville
GWS, FMFM, ICH, SPS
Fire DepartmentPhysical activity and
nutrition initiative
Tufts, City
Shape Up CoordinatorCitywide health
promotion campaign
City, Tufts
WIC ProgramTo provide nutrition education andawareness to low income families
CHA
Shape of Somerville 5KOne day family fitness fair hospital
initiative
HH, CHA, Tufts, LB, R, City
Healthy Mind Healthy BodyTo educate Portuguese speakingcommunity on physical activity &
nutrition
MAPS
Greenline Community ForumEnsure the extension of Greenline & community path through
Somerville
STEP, SCC, BC, MVT,City, ESNC, WB,LSA, USMS,
FCP, Tufts
ALBDAddresses walking promotion, policyand the extension of the community
path, traffic safety, and land utilization
City, GWS, WB, CHA, MAPS, FCP, BC
Safe StartTraffic safety
City, Tufts, CHA, SPD
SHAPE UP SOMERVILLE TASKFORCESHAPE UP SOMERVILLE TASKFORCE
Vision: A comprehensive, collaborative, functioning coalition . . . to create a healthy sustainable Springfield with regard to physical activity and healthy eating.
•Transform the local food system
•Prioritize Bike and Pedestrian access
•Champion Health Equity Policies
Live Well Springfield Eat Smart. Stay Fit. Stakeholders:TFB; The Food Bank of Western MA
CCMS: Concerned Citizens of Mason Square
DTA: Department of Transitional Assistance
PHC: Partners for a Healthier Community
City: Parks and Recreation; Planning
CoC: Chamber of Commerce
LB: Local Businesses
NC: Neighborhood Councils
MLKJr.: Martin Luther King Community Center
EEC: Early Education and Care Orgs
YMCA
NNCC: New North Citizen’s Council
HS: Head Start
SQ: Square One
ECC: Early Childhood Center
SECEP: Springfield Early Childhood Education Partnership
DEEC: MA Dept of Early Education and Care
SPCA: Springfield Partners for Community Action
GG: Giggle Gardens
NOFA: North East Organic Farm Association
MHC: Mount Holyoke College
NCCJ: National Council Community & Justice
UROC: Undoing Racism Organizing Committ
MSHTF: Mason Square Health Taskforce
NECC: North End Campus Committee
NEON: North End Outreach Network
MIT: MA Institute of Technology
FB: Faith Based Institutes
BHS: Baystate Health Systems
DHHS: Dpt of Health and Human Services
R2TC: Rails to Trails Conservancy
PVPC: Pioneer Valley Planning Commission
CM: Community Member
CC: Catholic Charities
AHA: American Heart Association
Target: Hunger initiative in Mason Square – food stamps; farmers market; intergenerational meals; advocacy
TFB; CCMS; DTA; PHC; City; LB; CoC; NC; MLKCC
Farm to Preschool and Families: cooperative buying local produce
TFB; YMCA, NNCC; HS; ECC; SO; SECEP; DEEC; PHC;
Springfield Food Access initiative providing mini-grant funding and “learning circle” for community based work to enhance food access at neighborhood level
TFB; # of mini-grantees
Gardening the Community youth based initiative cultivating community gardens
NOFA; MHC; GTC
SNAP initiative increasing access to food stamp program
TFB; DTA; PHC; City; CC
Mason Square Food Justice Project building capacity at neighborhood level to “undoing racism” with specific focus on access to food
TFB; SPCA; UROC; PHC; MSHTF; Dunbar; NCCJ; NC; MLKCC; Holy Trinity Church
North End Food Access: Mapping identifying food sources and gaps; community garden
NNCC; MIT; NECC; NEON
LWS is the convening umbrella for all community initiatives specifically working on access to healthy eating and/or physical activity through community based, cross sector collaborations, convened by PHC.
Grow Fit/LAUNCH preschool initiative training in classroom curriculum; food service; physical activity
SO; SPCA; GG; ECC
FIT+ neighborhood level diabetes prevention project in North End, South End, Mason Square for communities of color
PHC; BHS; NC; FB;
Faith Based Health Alliance project organizing congregation based health education programs through training lay health educators
SPCA; AHA; FB; PHC
River Walk Way grassroots body advocating for upgrades and maintenance on the 3 mile riverfront walk/bike trail
CM; City; BHF; PVPC;
McKnight Neighborhood Trail Neighborhood council doing feasibility study of potential ½ mile trail through McKnight neighborhood
NC; City (PD)
Complete Streets planning group for citywide zoning policy to promote mixed transit
CM: City (PD; P&R); R2TC; PHC; PVPC
South End Revitalization Project infrastructure upgrades and economic development
City; NC; CM; LB
Springfield Food Policy Council –special body at the Mayoral level guiding decisions on food policy for the city
Access to foodAccess to p.a.Both
MA in Motion: Wellness Leadership Council assessment of City leadership/environment/policy in healthy eating/physical activity/tobacco/chronic disease
ACHIEVE
YMCA
Farm To Preschool & Families
Existing network of early education and care organizations
Policy umbrella of MA DEEC
Network of providers already convened
Leadership of Food Service Directors
Catalyst for other institutions to support the system
Farm of the Pioneer Valley, Chester, MA
Pilot Results•$12,000 generated for farmer•32% cost savings for produce for EEOCs•Increased student nutrient consumption (fiber and vitamin A)•Number of EEOCs involved doubled -10•Over 80 EEOC staff trained in 3 professional development trainings
Just like they do for seatbelts, smoking and recycling… This Next Generation Will Ask….
Which farmer provided the fresh fruits and vegetables offered to me at preschool or school?
Why was this street built with out a sidewalk? Why can’t I have gym everyday at school it helps me
learn? Why isn’t there a bike rack at my school?
Join the Movement!