WHO- 474 African American females (out of 1271 total students)
in 9 th -12 th grade WHAT-are at increased risk of obesity
WHEN-during high-school career, grades 9-12 WHERE -at Ottawa Hills
High School, Kent County Public School District WHY/PROBLEM-
Obesity related to decreased activity levels, increased caloric
intake of non-nutritious foods, and knowledge deficits relating to
healthy lifestyle formation In adolescent females at Ottawa Hills
Public School, as evidenced by a comparison of Kent County
adolescent obesity statistics and national averages.
Slide 4
IDENTIFIED POPULATION OTTAWA HILLS HIGH SCHOOL AFRICAN AMERICAN
75% MALE:FEMALE RATIO 50.8: 49.2 REDUCED RATE & FREE LUNCH
PROGRAM 57% PARTICIPANTS MICHIGAN HIGH SCHOOL AVERAGES AFRICAN
AMERICAN 20% MALE:FEMALE RATIO 51.6:48.4 REDUCED RATE & FREE
LUNCH PROGRAM 31% PARTICIPANTS
Slide 5
BEST PRACTICES REGARDING PRIMARY & SECONDARY PREVENTION
PHYSICAL ACTIVITY DIET
Slide 6
INTERVENTIONS Initiate the following programs at the Ottawa
Hills High School NEW MOVES- program combining physical activity
with health promotion education for female adolescents.
http://bcove.me/uhxiy1co http://bcove.me/uhxiy1co
Slide 7
The Michigan Nutrition, Physical Activity, and Obesity
Prevention (NPAO) Program- create a partnership with the NPAO
program to help prevent and control obesity through healthful
eating and physical activity initiatives. PROGRAMS AVAILIBLE
THROUGH PARTNERSHIP MICHIGAN STEPS UP ENHANCE FITNESS PROJECT FRESH
REACH SAFE ROUTES TO SCHOOL VISTA MARIA INTERVENTIONS Initiate the
following programs at the Ottawa Hills High School
Slide 8
Follow the Michigan Department of Education Recommendations for
all Foods and Beverages Available in Michigan Schools INTERVENTIONS
Initiate the following programs at the Ottawa Hills High
School
Slide 9
Geopolitical Community Comparisons New Moves New Moves original
community St. Paul, Minnesota school district 19.8% individuals
below poverty level (10.5% for Ottawa Hills zip code) 14.2 %
families below poverty level (7.6% for Ottawa Hills) 13.2% African
American (20.5% for Ottawa Hills ) Benefits for Ottawa Hills: was
originally implemented in poorer neighborhoods Difficulties for
Ottawa Hills original implementation had fewer African
Americans
Slide 10
The Michigan Nutrition, Physical Activity and Obesity
Prevention (NPAO) Program Prevent obesity through healthful eating
and physical activity Uses social-ecological model to look at all
levels of influence Michigan wide initiatives Building Healthy
Communities Healthy Kids, Healthy Michigan Michigan Steps Up
Benefits for Ottawa Hills: safe walking locations farmers market
information Difficulties for Ottawa Hills less interactive targets
all races and ages
Slide 11
Michigan Department of Education Dietary Guidelines E ncourage
NN utrient rich foods FF ruits and vegetables FF iber and whole
grains LL ean protein LL ow-fat dairy LL ow-sodium D ecrease AA
dded sugar RR efined carbohydrates ff at B enefits for Ottawa Hills
EE ncourages healthy eating DD ecreases temptation in diet D
ifficulties for Ottawa Hills N ot all African American females
receive discounted lunch
Slide 12
Socio-Economics of the Group and Implications O ttawa Hills
located in zip code 49506 11 0.5% individuals below poverty 77.6%
families below poverty 11 7% of households make less than $20,000
per year 22 0.5% of population is African American K ent County
neighborhood disparities AA ffects levels of perception about
problem RR esources may not be allocated properly
Slide 13
Evidence Based Practice and Obese Teens New Moves Evidence
Based Practice School-based group-randomized controlled design 356
girls, six intervention and six control high schools 75%
racial/ethnic minorities 46% were overweight or obese Most teens
received free or reduced lunch Developed using the Social Cognitive
Theory and the Transtheoretical Model
Slide 14
New Moves Measures Outcome Measures Increase physical activity
Decrease sedentary activity Dietary intake eat healthier foods;
fruits and vegetables Eating patterns decrease binge eating and
missed meals Unhealthy control behaviors - fasting and diet pills
Body/self image increase levels of body satisfaction Decrease
percentage of body fat or BMI
Slide 15
EBP on New Moves for Obese Teens Intervention Group All girls
physical education classes Girls pages Parent Outreach Lunch Bunch
Individual Counseling Sessions Control Group All girls physical
education classes
Slide 16
Community Interest Communities, similar to families, have their
own patterned interaction among individuals, families, groups, and
organizations (Maurer, 2009) Promote a shared interest for
education to adolescents and parents Encourage group meetings to
offer support Provide supportive publications and educational
tools
Slide 17
NPAO: Target Goals Interventions: - Physical activity -
Increase intake of fruits and vegetables - Decrease intake of
sugar-sweetened drinks - Decrease the intake of high-energy-dense
food - Decrease Television Viewing
Slide 18
Local Resources: Are They Enough? Family: Support from family
Planned mealtimes Less television/computer time Schools: Healthy
Kids, Healthy Michigan (HKHM) Safe Routes to School (SRTS) Shaping
Positive Lifestyles and Attitudes through School Health (SPLASH)
Nutrition Standards Community: Local health and community
coalitions policies and environmental changes Faith based
organizations Michigans Healthy Communities Program Healthy
Communities project Michigan Nutrition Network Local Advisory
Network Complete Streets Policy Initiative
Slide 19
Community Interest Kent County offers health promotion services
and resources to organizations that are available state wide,
nationally, and locally. Ottawa Hills High School also offers
support to health services in their school website. These sites
offer: Specific organizations purpose and goals Upcoming Events and
meetings Media Promotions Publications and Educational
materials
Slide 20
Community Involvement The Kent County School Health Program
(KCCSHP) Using Healthy School Action Tool (HSAT) Three years of
direct support for action planning, implementation, and evaluation.
Provides resources supportive to the importance of healthy eating
and physical activity.
Slide 21
Community Involvement How to get Ottawa Hill High School
students involved: Set up school assembly to promote health Send
home publications and intervention options to parents Advertise
adolescent health on popular media sources.
Slide 22
Implementing Interventions Obtaining permission for policy
changes and interventions in Ottawa Hills High School. School
principal and superintendent School board Township board Media
sources
Slide 23
Evaluation of Plan Outcome Measures E ducation P hysical
activity D iet O besity rates
Slide 24
MEASUREMENT OF SHORT TERM OUTCOMES Compare pre and post
intervention Kidzworld quiz scores Presidents Challenge National
Fitness Test
Slide 25
National Fitness Test Measures five areas of fitness Curl ups
One mile run V-sit reach Pull ups Shuttle run Award Benchmarks
Presidential Physical Fitness Award National Physical Fitness Award
Participant Physical Fitness Award Link to test
http://www.presidentschallenge.org/challenge/physical/index.shtml
http://www.presidentschallenge.org/challenge/physical/index.shtml
Slide 26
Evaluation of Plan Measurement of long term outcomes Obesity
rates among high school girls at Ottawa Hills High School Ottawa
Hills High School obesity rates compared to national average.
Slide 27
The End! References to follow
Slide 28
References Centers for Disease Control, (2101).Childhood
Obesity. Retrieved from:http://www.cdc.gov/HealthyYouth/obesity/
Guo,S. S., Roche, A. F., Chumlea, W. C., Gardner, J. D., &
Siervogel, R. M. (1994). The predictive value of childhood body
mass index values for overweight at age 35 y. American Journal of
Clinical Nutrition, 59, 810-819. Maurer, F. A., & Smith, C.M.
(2009). Community/Public health nursing practice: Health for
families and populations. St. Louis, MO: Saunders Elsevier. Pender,
N., Murdaugh, C., & Parsons, M. A. (2011). Health Promotion in
Nursing Practice. Upper Saddle River, New Jersey: Pearson
Education, Inc. Michigan Department of Community Health MDCH.
(2011). Nutrition, Physical Activity, and Obesity Prevention.
Retrieved July 2, 2011 from
http://www.michigan.gov/mdch/0,1607,7-132-2940_2955_2959_52710---,00.html.
New Moves. (2009). An alternative physical education program just
for girls. Retrieved July 5, 2011 from
http://www.newmovesonline.com/whatis.html Neumark-Sztainer D,
Flattum CF, Story M, Feldman S, Petrich CA.(2008). Dietary
approaches to healthy weight management for adolescents: The New
Moves Model. Adolescent Medicine: State of the Art
Reviews.;19:421430. Neumark-Sztainer, D. R., Friend, S. E.,
Flattum, C.F., Hannan, P.J., Story, M. T., Bauer, K.W., Feldman,
S.B., Petrich, C. A. (2010). New moves-preventing weight-related
problems in adolescent girls a group-randomized study. American
Journal of Preventive Medicine, 39(5), 421-432.
Slide 29
Patchwork Nation/PBS News hour. (2011) Obesity rate in Michigan
counties. Retrieved from:
http://www.pbs.org/newshour/interactive/patchworknation/stats/health/obesity-rate/mi/
Presidents Challenge. (2011). Choose a Challenge: physical fitness
test. Received July 5, 2011, from
http://www.presidentschallenge.org/challenge/physical/index.shtml
School Tree(2011), Ottowa Hills High School,
http://michigan.schooltree.org/public/Ottawa-Hills-High-043005.html
Sokolow, A. (1988) Grassroots Governments and the People They
Serve. National Association of Towns and Townships. Retrieved from:
from: http://www.eric.ed.gov/PDFS/ED317345.pdf State of Michigan,
Michigan Healthy Eating and Physical Activity Program, (2010),
Preventing obesity and reducing chronic disease. Retrieved online
July 4, 2011 from http://www.michigan.gov/documents/mdch/Michigan_H
ealthyEating_and_Physical_Activity_Implementation_Pl
an_and_Partnership_Plan__2008-2009_281531_7.pdf U.S. Census Bureau.
(2000). American Fact Finder (49506). Retrieved July 1, 2011 from
http://factfinder.census.gov/servlet/QTTable?_bm=y&-geo_id=86000US49506&-qr_name=DEC_2000_SF3_U_QTP32&-
ds_name=DEC_2000_SF3_U United.States. Census Bureau. (2000).
American Fact Finder (Kent County). Retrieved July 1, 2011 from
http://factfinder.census.gov/servlet/QTTable?_bm=y&-geo_id=05000US26081&-qr_name=DEC_2000_SF3_U_QTP32&-
ds_name=DEC_2000_SF3_U&-redoLog=false United States Department
of Health and Human Services, (2011) retrieved from:
http://www.healthypeople.gov/data/2010prog/focus22/ United States
&United States Department of Agriculture. (2005). Dietary
guidelines for Americans 2005. Retrieved July 3, 2011 from:
http://www.healthierus.gov/dietaryguidelines/
Slide 30
United States Census Bureau. (2000). American Fact Finder (St.
Paul, MN). Retrieved July 1, 2011 from
http://factfinder.census.gov/servlet/ACSSAFFFacts?_event=ChangeGeoContext&geo_id=16000US2758000&_geoContext=&_street=&_c
ounty=St.+Paul%2C+Minnesota&_cityTown=St.+Paul%2C+Minnesota&_state=&_zip=&_lang=en&_sse=on&ActiveGeoDiv=&_useEV
=&pctxt=fph&pgsl=010&_submenuId=factsheet_1&ds_name=ACS_2009_5YR_SAFF&_ci_nbr=null&qr_name=null®=null%3Anull
&_keyword=&_industry= United States Department of Health
and Human Services (2004). Progress review: Physical activity and
fitness. Retrieved July 3, 2011 from
http://www.healthypeople.gov/data/2010prog/focus22/ United States
&United States Department of Agriculture. (2005). Dietary
guidelines for Americans 2005. Retrieved July 3, 2011 from:
http://www.healthierus.gov/dietaryguidelines/