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					     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   1
 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   2
           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



Mayors Wellness Campaignon Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
           CBC- Braintrust                                                         3
  Increasing Prevalence of Overweight Children


         35
         30
         25
         20
         15
         10
           5
           0
                          1960                          1980                           2000
                             At Risk to be Overweight                       Overweight
Source: U.S. Centers for Disease Control; Ogden, et
                                                                     > 85th percentile for Body Mass Index
al, JAMA, 2002                                                       > 95th percentile for Body Mass Index
                     CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy                 4
           Risk Factors for Childhood Obesity
Table 4. Environmental and ethnographic risk factors for obesity in children


    Socioeconomic Risk Factors for Obesity                      Ethnographic Risk Factors for
                                                                           Obesity


   Urban versus Rural Dwelling                                 African-Americans
   Smaller (<5) versus Larger Families                         Hispanic-Americans (Latinos)
   Single Parent or Older Parent Families                      Asian-Americans
   Less Educated Parents                                       Native-Americans
   Living in the Northeast > Midwest > South
    > West
   Lower Socioeconomic Status




                CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy                 5
    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   6
                                                • 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)




Mayors Wellness Campaignon Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
           CBC- Braintrust                                                           7
                          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   8
        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   9
  City of Garfield Leaders




CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy   10
                      Hackensack
                                        UMDNJ
                                        Dr.Kathy
                                                                                      The Partners
                       Univ Med          Burke           Amerigroup
                         Cntr                             Insurance
                        HARP

       Bergen
         CAP                                                            Horizon
       Robert                                                          Insurance
     Halsch, CEO




 Mayor’s                                                                         City Mgr
Wellness                                                                         Thomas
Campaign                                 RAMS                                     Duch
                                         Camp


  Garfield
                                                                          Partnership for
    DOH
                                                                           Comm Health
  Darleen
                                                                          Jackie LueRaia,
 Reveille, RN



             Ramapo                                             Garfield Mayor
             College                                             Calandriello
            A. Cristinii                                          & Council
                                North
                                                   William
                               Hudson
                                                Paterson Univ
                               County
                                                  Dr. Starr
                                FQHC
                                                    Eaddy




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




Mayors Wellness Campaignon Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
           CBC- Braintrust                                                12
                       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   13
• 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   14
                            RAMS Camp

Educators                                       Middle School
• Educators and school                            Students
  nurses                                        • Free of charge
• August event                                  • Supervised
• Daily stipend                                   transportation
• Fitness & Nutrition                           • Planned activities
  Activities
                                                • Fitness and nutrition
                                                  education and
                                                  experiences
                                                • Obesity prevention

        CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy   15
        Dr. Angela Cristini
       RAMS Camp Director




CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy   16
  RAMS Camp Boat Races




CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy   17
                                     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   18
Thanks to . . .                                                                North Hudson FQHC
                                                                  Hackensack Medical Center
Mayor’s Wellness Campaign
                                                                      Garfield Dept of Health
 Meadowlands Environmental Center
                                                                               City of Garfield
Partnership for Community Health                                                Ramapo College
                                                                                UMDNJ
NJ State Dept of Health & Senior Services
                                                                               Garfield
 Leaders’ Academy for Healthy                                                  Board of Education
 Community Development                                               League of Municipalities
 Horizon NJ Health
                                                                William Paterson University
  Bergen CAP

             CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy                  19
                         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   20
                                References
1. 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.
2. Kumanyika S, Grier S. Targeting interventions for ethnic minority and
   low-income populations. Future Child. 2006 Spring;16(1):187-207.
3. 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.
4. 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.
5. 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   21

				
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