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Community Assessment of students within Grand Rapids Public High School

Community Assessment of students within Grand Rapids Public High School. Ashley Bridges, Nicole Chambers, Lynda Chase, Jim Harrington, Sheila Lucas, Denise Lyon, Rebekkah McConnell, Dana Sartorius. Overview. There is a growing concern in the U.S. about the health and obesity rate of children

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Community Assessment of students within Grand Rapids Public High School

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  1. Community Assessment of students within Grand Rapids Public High School Ashley Bridges, Nicole Chambers, Lynda Chase, Jim Harrington, Sheila Lucas, Denise Lyon, Rebekkah McConnell, Dana Sartorius

  2. Overview • There is a growing concern in the U.S. about the health and obesity rate of children • According to the data shown on the Michigan Department of Community Health (MDCH, 2011.), there has been a trend of increased obesity rates in adolescents (grades 9-12) over the past 10 years.

  3. Overview • We know that obesity can lead to many health problems such as: • Cardiovascular disease • Diabetes • Stroke • Cancers

  4. Problem Statement • Risk for Nutrition Imbalance; More than body requirements • Related to: • Excessive intake relative to metabolic body needs • Lack of nutritional knowledge needs, and/or appropriate preparation • Poor dietary habits – psychosocial factors • Sedentary lifestyle – Socioeconomic status • Secondary to: • Increased rates of obesity, diabetes, hypertension, cancer • As Evidenced by: • Weight 20% over ideal for height and frame • Reported or observed dysfunctional eating patterns • Eating in response to external cues such as time of day or social situations

  5. Intervention – Dietary and Exercise logs • Incorporate a dietary and exercise log into classroom setting through a health education or physical education class in high school (grades 9-12) • Use free web based programs such as My fitness pal or Fit day – students with smart phones can download theses apps for free or just use the web based form

  6. Intervention Outcome • Weight loss/gain would be monitored weekly by the student using the online format chosen. • Comparisons would be made using the information logged at the beginning of the semester and at the completion of the semester regarding amount of nutritious and empty calories consumed and a comparison of activities completed.

  7. Barriers to nutrition and exercise log intervention • Students may log inaccurate amounts of food consumed or exercise completed to get “better grade” or because of embarrassment • Students may feel like recording weight, even in private logs, may be intrusion of privacy • Some students may require specialized diets or approval from a physician before starting a exercise or “diet program” • Possible permission from parents for students to enroll in this class or just incorporating it into already approved curriculum (i.e.- physical education or health awareness class)

  8. Intervention- Teach Students (grades 9-12) About Portion Size and Proper Nutrition • Incorporate proper potion sizes in health education classes. • Have students develop a nutritional plan including portion sizes and a food log that is presented to peers • Introduce students to websites and mobile phone apps to assist students with proper portion control and food logs.

  9. Websites such as Choosemyplate.gov and MyPyramid.gov discuss what correct portion sizes are and how much of fruits, grains, vegetables, protein and dairy should be included in your diet.

  10. Intervention Outcomes • Students will demonstrate knowledge of basic nutrition and portion size. As evidence by grades, demonstration of appropriate portions size and nutritional choices. • Incorporate new knowledge into everyday life. As evidence by healthy eating habits and healthy weight

  11. Barriers to Teaching Students (9-12 grade) About Portion Size and Proper Nutrition • Permission from Grand Rapids School District would be needed to incorporate this into the health class curriculum. • Peers may not actively participate in presentations • Students my choose not to do the assignment • Semesters for health class is 18 weeks long and is taken once during 9-12 grade.

  12. Intervention- Nutritional Knowledge • Create a daily log of food choices using the food pyramid as a guide • Provide access to computers daily in health or physical education class to access nutritional information

  13. Intervention Outcome • Demonstrate appropriate serving size through hands on demonstration in health or physical education class • Outcomes would be measured by comparing logs throughout the semester • Students able to verbalize at least two new healthy foods they have tried and liked this semester • Students able to demonstrate one food source of calcium, iron, whole grain, fruit and vegetable

  14. Barriers to nutritional knowledge intervention • Students may not complete the log accurately • Students may refuse to change their behaviors by not trying new foods • Some students may have allergies or other health conditions (i.e.- diabetes) that prevent them from making changes to their food choices

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