Trim Kids: A Community Collaboration

1. Trim Kids: A Community Collaboration Ron Askland, Children�s Center at Mercy Amy Liechti, Riverfront YMCA Linda Plummer, Blank Children�s Hospital

2. Trim Kids: Session Overview Local History Trim Kids National Program Using Trim Kids program on local level

3. Trim Kids: Local History Statistics from Des Moines Public elementary schools 1989 - present Height, Weight, BMI, % obese, % at risk Anecdotal evidence from hospital

4. Trim Kids: Local History PEP Grant Spring 2003 Statistics from Des Moines Public Middle Schools Through Physical Education program

5. Trim Kids: Local History Mid-Iowa Health Foundation Grant Fall 2003 3 Des Moines Elementary Schools �Shapedown� �Just For Kids�

6. Trim Kids: Local History BASICS grant Fall 2004 Federal Funding 24 Des Moines Elementary Schools Focus on nutrition

7. Trim Kids: Local History Midwest Dairy Association grant Summer 2004 �3-A-Day Trim Kids� Collaboration between Children�s Center at Mercy and Blank Children�s Hospital Pilot program, with hope of replication First session began September 2004

8. Trim Kids: Local History Healthy Polk 2010 Workgroup September-October 2004 Three meetings Gathering of entities doing work with Childhood Obesity �Activate America� represented by Vernon Delpesce from YMCA of Des Moines

9. Trim Kids: Local History Mid-Iowa Health Foundation Grant January 2005 �Trim Kids at the Y� Collaboration between Riverfront YMCA, Children�s Center at Mercy and Blank Children�s Hospital

10. Trim Kids: National Program THE AUTHORS Melinda S. Sothern, Ph.D., M.Ed., C.E.P., is the director of the Louisiana State University Prevention of childhood Obesity Laboratory & also serves as the director of the Pediatric Obesity Clinical Research Section & an associate professor of research at the LSU Health Sciences Center in New Orleans. The results of her research have been widely published in many scientific journals. T. Kristian von Almen, Ph.D., is an adjunct assistant clinical professor in pediatrics at LSUHSC and a child development specialist with the Family Advocacy Care and Education Services program of Children�s Hospital in New Orleans. Heidi Schumacher, R.D., L.D.N., C.D.E., is the chief clinical dietitian at Children�s Hospital in New Orleans, where she has practiced infant, pediatric, and adolescent nutrition since 1988.

11. Trim Kids: National Program For 15 years, the Committed to Kids Pediatric Weight-Management Program at LSU Health Sciences Center in New Orleans has conducted studies on childhood obesity & learned how to break the cycle of overweight & related problems in children.

12. Trim Kids: National Program In the writing of the book Trim Kids, the authors have made their approach for preventing & treating the disease of obesity available for the first time outside a clinical setting.

13. Trim Kids: National Program Trim Kids Provides Easy-to-follow 12-week program Practical tools to help parents break the cycle of childhood weight problems Shopping Lists Easy recipes Three-pronged approach Nutrition Physical Activity Behavior Change

14. Trim Kids: National Program Sample Schedule May 7, 2005 Intro Introduction Trim Kids Adventure May 14, 2005 Week 1 READY, SET, GO! May 21, 2005 Week 2 Eating Meals and Snacks the TRIM KIDS Way May 28, 2005 Week 3 Solving Problems Family Style June 4, 2005 Week 4 Monitoring Your Momentum Hy-Vee visit on fruits & veggies June 11, 2005 Week 5 Body Basics June 18, 2005 Week 6 Esteem Builders June 25, 2005 Week 7 Success Over Stress July 2, 2005 Fourth of July weekend Optional meeting for games & fun July 9, 2005 Week 8 Keeping It All Together July 16, 2005 Week 9 Emotional Pitfalls July 23, 2005 Week 10 Taking Vacations and Dining Out July 30, 2005 Week 11 Fun Facts and Relapse Prevention August 6, 2005 Week 12 Reassessing, Recommitting, and Forging the Future Celebrations

15. Trim Kids: National Program Each session includes 4 sections: Section 1: Time to Stop & Think Section 2: Time to Get Active Aerobic, strength, & flexibility Section 3: Time to Dine Weekly menu, tips, & recipes Section 4: Time to Sum Up

16. Trim Kids: National Program Desired Outcomes of Trim Kids Healthier weight (decreased BMI) Increased activity levels Aerobic Strength Flexibility Family involvement in making healthier snack and meal choices

17. Trim Kids: National Program What do we do when the 12-week program ends? Trim Kids recommends that the program be closely followed for one year Allows for good habits to be developed and sustained Participants may re-enroll for subsequent sessions

18. Trim Kids: National Program Websites www.trim-kids.com www.committed-to-kids.com

19. Trim Kids: Local Collaboration Pilot Program: 3-A-Day Trim Kids Grant funding from Midwest Dairy Association Recruitment - physician�s offices, school nurses Began September 15, 2004

20. Trim Kids: Local Collaboration Pilot Program Sponsors Midwest Dairy Association Children�s Center at Mercy Blank Children�s Hospital Pilot Program Partners Hy Vee Anderson Erickson Dairy T-Galaxy Spindustry

21. Trim Kids: Local Collaboration Pilot Program structure 12 weeks 2.5 hours weekly weigh in breakout activities nutritious snack guest speakers field trips

22. Trim Kids: Local Collaboration Pilot Program statistics 29 registered, 24 finished Age range 7 - 17 9 male, 15 female BMI > 95%, all reduced Total weight loss 198.6 lbs. Total waist inches lost 92

23. Trim Kids: Local Collaboration Second Program: Trim Kids at the Y Grant funding from Mid-Iowa Health Foundation, Activate America Recruitment from waiting list Began January 15, 2005

24. Trim Kids: Local Collaboration Trim Kids at the Y Sponsors Riverfront YMCA Children�s Center at Mercy Blank Children�s Hospital Trim Kids at the Y Partners Hy Vee Spindustry T-Galaxy Anderson Erickson

25. Trim Kids: Local Collaboration Trim Kids at the Y Structure 12 weeks 1.5 hour sessions weekly weigh in breakout activities nutritious snack guest speakers field trips ISU research

26. Trim Kids: Local Collaboration Trim Kids at the Y Statistics 28 registered, 24 still attending 11 male, 17 female Age range 7 - 18 13 continuing from pilot program BMI all but 2 > 97% Weight loss as of March 12 - 105.5 lbs. Inches lost as of March 12 - 42 (16 kids)

27. Trim Kids: Local Collaboration Keys to success Parent involvement Collaboration Planning committee Willingness to revisit Increasing collaborative efforts Coordinator

28. Trim Kids: Local Collaboration For the future. . . Increase number of sessions Vary session days and times Offer different levels Add Parent Coordinator Seek additional grant funding Put together �how to� materials

29. Trim Kids: A Final Word Trim Kids is not about weight loss. . . it is about healthy lifestyle. By helping families instill good nutrition and activity habits now, we can improve the health of our communities for generations to come.

30. Trim Kids: Website www.trimkidsia.com

31. Trim Kids: Contacts Amy Liechti - Riverfront YMCA amy.liechti@dmymca.org Ron Askland - Children�s Center at Mercy raskland@mercydesmoines.org Linda Plummer - Blank Children�s Hospital plummelg@ihs.org

32. Trim Kids: Questions???