F itness U nity and N utrition

1. Fitness Unity and Nutrition Garfield’s Childhood Obesity Intervention Taskforce Kathleen Burke PhD, RN Starr Eddy PhD, CHES CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

2. F.U.N. (Fitness, Unity and Nutrition) Garfield’s Childhood Obesity Intervention Taskforce Overarching Strategic Plan Mission Statement: F.U.N. is a model program dedicated to fitness, unity and nutrition in Garfield Vision: Garfield residents will have access to resources that engage them in the adoption of healthy behaviors Goals: I. Improve the overall health and reduce obesity of Garfield residents in their respective communities by: 1. Access to information and resources. Facilitate access to information and resources to enhance body composition specifically for the “over-fat and under-fit” 2. Engage residents of Garfield in activities. Integrate the activities into the fabric of the community. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

3. Mayors Wellness Campaign Childhood Obesity Institute of Medicine Recommendations • State and Local Governments • Expand and promote opportunities for physical activity in the community through changes to ordinances, capital improvement programs, and other planning practices. • Work with communities to support partnerships and networks that expand collaborative efforts between public and private entities http://www.iom.edu/report.asp CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

4. Increasing Prevalence of Overweight Children > 85th percentile for Body Mass Index > 95th percentile for Body Mass Index Source: U.S. Centers for Disease Control; Ogden, et al, JAMA, 2002 CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

5. Risk Factors for Childhood Obesity CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

6. Barriers to addressing obesity in minority children and adolescents. • Environmental Barriers • To physical activity 2,3,5 • high neighborhood crime rates that discourage outdoor activities • dilapidated parks, and • reduced access to facilities • To good nutrition 2,4,5 • more fast-food restaurants • few supermarkets that carry fresh produce • small grocery stores that sell high-fat, energy-dense foods • greater exposure to televised commercials for high-calorie, low-nutrient food • Cultural Barriers5 • Those who do not maintain normal weight outnumber those who do; thus, overweight is often the community norm. • Caloric restriction and leisure-time physical activity are not routine in minority communities. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

7. Mayors Wellness Campaign • 59% of New Jerseyans are obese or overweight, 60% of adults, 10% of teens • In NJ, the age groups most at risk are the 45-64 year olds at 26.3% and 28.7% obesity • (NJ DHSS7/2006) • New Jersey has the highest incidence in the nation in obesity among low-income kids aged 2-5 years. (F as in Fat, 2005) CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

8. Development • Needs assessment • Conducted by Rampo-UMDMJ Nursing students • Identified Needs • Address environmental barriers • Provide culturally compatible fitness and nutrition programs • Projects • Safe Routes to School Project • RAMS Camp • FUN Walk CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

9. Garfield Health Department • Darleen Reveille, RN Public Health Nurse • Founder of Garfield Task Force on Obesity • Address core minimum standards of Public Health • Coordinated the implementation of RAMS Camp • Promoted program • Liaison with school nurses • Recruited participants • Coordinated transportation CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

10. City of Garfield Leaders CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

11. The Partners CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

12. Mayors Wellness Campaign Objective: Provide municipal leaders with evidence based tools, implementation plans, synergistic contacts and communication materials to engage citizens in programs that increase activity and healthy nutrition CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

13. FUN Activities • Safe Routes to School • RAMS Camp • FUN Walk • Continued integration of RAMS Camp activities in Garfield Middle School CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

14. The Meadowlands Environment Center was formed to increase awareness and enjoyment of our vital ecosystem. The New Jersey Meadowlands Commission and Ramapo College of New Jersey entered into a partnership in 2003, to develop a comprehensive environmental education program for schools and the general public. • The Meadowlands Environment Center has hands on educational programs for grades K-12. Our experienced team of educators will introduce your students to a variety of topics while satisfying the NJCCCS. Through inquiry learning  and cross-curricular activites, you and your students will experience the best of these unique wetlands. Source: http://www.meadowlands.state.nj.us/ec/educators/index.cfm CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

15. Educators Educators and school nurses August event Daily stipend Fitness & Nutrition Activities Middle School Students Free of charge Supervised transportation Planned activities Fitness and nutrition education and experiences Obesity prevention RAMS Camp CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

16. Dr. Angela Cristini RAMS Camp Director CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

17. RAMS Camp Boat Races CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

18. Future • RAMS Camp - train the trainers Bergen County - YMCAs • The Active Living Resource Center (ALRC) City SRTS, one of six cities (Atlanta, Brooklyn, Garfield, Hartford, Blue Island IL., Huntsville, AL) (National Center for Bicycling and walking) • Walk to School survey data aggregated • Outcome Data for RAMS Camp being collected • Working with Mayors Wellness to continue with gap assessments of communities across NJ • Creating Strategic Plan for FUN to create long term sustainability of project CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

19. Thanks to . . . North Hudson FQHC Hackensack Medical Center Mayor’s Wellness Campaign Garfield Dept of Health Meadowlands Environmental Center City of Garfield Ramapo College UMDNJ Partnership for Community Health NJ State Dept of Health & Senior Services Garfield Board of Education Leaders’ Academy for Healthy Community Development League of Municipalities Horizon NJ Health William Paterson University Bergen CAP CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

20. State Partners • League of Municipalities • http://www.njslom.org/ • Mayor’s Wellness www.mayorswellnesscampaign.org • Partnership for Community Health • www.bergenpch.org • Ramapo College • http://www.ramapo.edu/news/pressreleases/2003/12_03_2003.html • NJ State Department of Health and Senior Services CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy

21. References • Fitzgibbon ML, Stolley MR, Schiffer L, Van Horn L, KauferChristoffel K, Dyer A.(2006). Hip-Hop to Health Jr. for Latino preschool children. Obesity (Silver Spring). Sep;14(9):1616-25. • Kumanyika S, Grier S. Targeting interventions for ethnic minority and low-income populations. Future Child. 2006 Spring;16(1):187-207. • Gordon-Larsen P, Nelson MC, Page P, Popkin BM. (2006) Inequality in the built environment underlies key health disparities in physical activity and obesity. Pediatrics. Feb;117(2):417-24. • Wang Y, Tussing L, Odoms-Young A, Braunschweig C, Flay B, Hedeker D, Hellison D. (2006). Obesity prevention in low socioeconomic status urban African-American adolescents: study design and preliminary findings of the HEALTH-KIDS Study. Eur J Clin Nutr. 2006 Jan;60(1):92-103. • Fitzgibbon ML, Stolley MR. (2004). Environmental changes may be needed for prevention of overweight in minority children. Pediatr Ann. 2004 Jan;33(1):45-9. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy