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Reducing Obesity at Ottawa Hills High School

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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.

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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

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BEST PRACTICES REGARDING PRIMARY & SECONDARY PREVENTION PHYSICAL ACTIVITY DIET

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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.

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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.

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Implementing Interventions Obtaining permission for policy changes and interventions in Ottawa Hills High School. School principal and superintendent School board Township board Media sources

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Evaluation of Plan Outcome Measures E ducation P hysical activity D iet O besity rates

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MEASUREMENT OF SHORT TERM OUTCOMES Compare pre and post intervention Kidzworld quiz scores Presidents Challenge National Fitness Test

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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

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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.

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The End! References to follow

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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.

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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/

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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&reg=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/