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BUILDING THE MOVEMENT TO REVERSE OBESITY IN SOUTH CAROLINA
Carole Garner MPH, RD,LD
Team Leader Engagement and Coordination,Robert Wood Johnson Foundation Center to Prevent Childhood Obesity
April 14, 2010
Groundwork
STATE OF ARKANSAS
The Impact of Obesity:Economics, Health, Prevention & Treatment
2000
Presented byObesity Task Force
Robert Wood Johnson Foundation Center to Prevent Childhood Obesity
Leadership provided by the Arkansas Center for Health Improvement
in strategic partnership with PolicyLink
Goals of the RWJF Center
• Reduce the prevalence of overweight and obesity among children in the U.S.
• Decrease disparities in childhood obesity– Communities of color– Impoverished areas– Disproportionately affected regions
• Create systemic, sustainable changes
RWJF Strategies/Programs
ADVOCACY
EVIDENCE
ACTION
Food Marketing & Youth Project (Yale Univ Rudd Ctr)
Healthy Eating Research
Salud America!
Healthy Kids, Healthy Communities
Healthy Schools Program (Alliance for a Healthier Generation)
New Jersey Partnership for Healthy Kids
Safe Routes to School National Partnership: State Network Project
Pioneering Healthier Communities: YMCA of the USA
Active Living Research
African American Collaborative Obesity Research Network (AACORN)
Bridging the Gap
Communities Creating Healthy Environments
Faith-Based Advocacy: Galvanizing Communities to End Childhood Obesity
Leadership for Healthy Communities
Mobilizing Health Care Professionals as Community Leaders in the Fight Against Childhood Obesity
National Policy and Legal Analysis Network to Prevent Childhood Obesity
Campaign for Healthy Kids (Save the Children)
RWJF Center to Prevent Childhood Obesity
Energy Balance Framework of the RWJF Center
• Increasing children’s consumption of healthy foods and beverages and decreasing consumption of unhealthy alternatives
• Increasing physical activity
• Building awareness and support
Factors Linked to Creating Energy Imbalance
• Food Environment
• Built Environment– Transportation– Parks– Safety
• Education and the School Setting
• Health Care
Policy Priorities for Energy Balance
• Federal
• State
• Local
Federal Policy Opportunities
• Child Nutrition and WIC Reauthorization
Federal Policy Opportunities
• K–12 Education
Federal Policy Opportunities
• Transportation
Federal Policy Opportunities
• Federal Trade Commission and Food Marketing
Federal Policy Opportunities
• Health Care• Other Opportunities
State and Local Opportunities
• Institute of Medicine– Local Government Actions to Prevent Childhood
Obesity– 58 action steps / 12 prioritized strategies
• Centers for Disease Control and Prevention– Recommended Community Strategies and
Measurements to Prevent Obesity (7/09)– 24 Recommendations and assessments
• Leadership for Healthy Communities– Action Strategies Toolkit for local policy-makers (5/09)– 31 policy options and resources
HIGHLIGHTS OF KEY LOCAL STRATEGIES TO ADDRESS CHILDHOOD OBESITY
16
• http://www.reversechildhoodobesity.org/webfm_send/115
IOM & CDC Recommended Strategies
Healthy Eating• Incentives to attract supermarkets in
underserved neighborhoods• Discourage consumption of sugar-
sweetened beverages and improve access to fresh drinking water
• Improve access to healthy foods from farms
IOM & CDC Recommended Strategies
• Improve and increase availability of affordable healthier food and beverage choices in public service venues including public schools
• Menu labeling
IOM & CDC Recommended Strategies
Physical Activity• Joint use agreements• Increase opportunities for physical activity
in preschool, school, afterschool and child-care programs
• Improve safety and security of streets and park use, especially in higher-crime neighborhoods
IOM & CDC Recommended Strategies
• Develop safe and secure walking environments including safe routes to schools
Social Marketing• Media campaigns to promote healthy
eating and active living
Resources
Communities Putting Prevention to Work: MAPPS Products
25
26
Location of Alliance for a Healthier Generation Healthy Schools Program by Type of Site and Location of Robert Wood Johnson Foundation Funded Grantees
“Juntas Podemos [Together We Can]: Empowering Latinas To Shape Policy To Prevent Childhood Obesity”
• Juntas Podemos - researchers, community leaders and Latino families – Effective policy recommendations regarding physical activity in
Latino children from West Columbia– Use Photovoice to collect data from Latina mothers and
community stakeholders, document and analyze the issues. Interviews and focus groups from the community and local schools to document their perspective
– Develop recommendations regarding physical activity among children and disseminated to policy-makers at many different levels.
• Dr. Myriam E. Torres, University of South Carolina Research Foundation
28
Greenville
• Activate Greenville, a partnership anchored by the YMCA, will focus on school-related initiatives.– Safe Routes to School – Healthy snack program
• And on neighborhood-based initiatives.– trails and green spaces for physical activity
• In three communities: Berea, Nicholtown and Sterling.
• Eleanor Dunlap, Director
Spartanburg County
• Advocate “connectivity” to parks and healthy food outlets in four at-risk communities: the city’s predominantly African-American northwest neighborhoods, where nearly all students qualify for free or reduced-price school lunch programs, and the majority-White rural communities of Boiling Springs, Pacolet and Woodruff
• Initiatives such as farmers-markets; Hub Cycle, bicycle lending program expansion; initiating Safe Routes to School; formation of a Food Policy Council
• Laura Ringo, Director
Campaign for Healthy Kids
• Farm to School Act in partnership with Eat Smart, Move More SC
• March Advocacy Day
New Opportunities
• National Association of County & City Health Officials
• National Association of State Boards of Education
• National Conference of State Legislatures
Potential Partners
• National Association for the Education of Young Children
• National Community Development Association
• American Planning Association• Points of Light Institute Youth
HandsOn Network
South Carolina Programs & Projects
• Eat Smart, Move More… SC• Walterboro farmer's market• Color Me Healthy• South Carolina Institute for Childhood
Obesity and Related Disorders• Coordinated School Health• Legislation
– Students Health and Fitness Act of 2005– Act 269 of 2006 protects a woman's right to
breastfeed in public– Bicycle Safety
Conclusion
• Reversing the epidemic
• Targeting those most at risk – Low-income, rural, children
of color• Building a legacy of
healthy communities
Contact information
www.reversechildhoodobesity.orgcarole@reversechildhoodobesity.org