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Community Participatory Physical Activity Intervention Targets Children at High Risk for Obesity
TUESDAY, OCTOBER 28
POSTER SESSION: WELLNESS AND PUBLIC HEALTH Title: COMMUNITY BASED PARTICIPATORY RESEARCH (CBPR) IS CRUCIAL TO CREATING SUCCESSFUL COMMUNITY INTERVENTIONS Author(s): G. Rios, L. Montoya Soto, M. Graves, M. Walker; University of Southern California, Los Angeles, CA Learning Outcome: Recognize the importance of communitybased participatory research in creating and implementing community driven interventions. Text: In the twenty-first century obesity and diabetes are considered an epidemic, especially in low socio-economic communities, like East Los Angeles. The incidence of obesity is higher in East Los Angeles than the U.S. average; leading to an increased incidence of diabetes. Mortality rates related to diabetes are higher in this community than surrounding areas in Los Angeles County. Using CBPR to guide the research, the Keck Diabetes Prevention Initiative was developed to study what people want and need to help prevent obesity and diabetes. As part of a two-year research and planning process, a Community Advisory Board (CAB) was formed to lead in the identification of interventions. The CAB committed to meeting monthly to strategize possible interventions. A social ecological model was used to explain the research project and to guide discussion on contributors to and possible interventions for combating obesity and diabetes. The CAB guided the development of several programs and events from the interventions they identified. They believed the most impactful interventions would be nutrition education via supermarket tours, adult and teen nutrition classes, a diabetes health fair and a town hall. All interventions have been well attended and there are requests to continue them. Although the CAB members were nonacademic researchers, they were considered equal partners in devising and carrying out the interventions that would affect their community. CBPR can create strong partnerships between researchers and community members and because community driven interventions are tailored to fit the community, they are more likely to be successful.
Title: SOAR INTO SHAPE: A COMMUNITY BASED PROGRAM PROMOTING HEALTHY LIFESTYLE BEHAVIOR Author(s): L. Schuette, P. Barnes, C. Logan, L. Kelter; US Air Force, Elmendorf AFB, Anchorage, AK Learning Outcome: To describe a community based strategy that promotes healthy lifestyle behavior. Text: Approximately 59% of Elmendorf active duty Air Force members have a body mass index (BMI) greater than 25. Although BMI data was not available for beneficiaries, national sources reported Alaska was ranked as the 15th heaviest state. Members reported many stresses interfered with their health and well-being, including reduced sunlight, seasonal affected disorder, and “cabin fever”. For many people, the winter conditions of South central Alaska made it less desirable to engage in physical activity outdoors and increased their tendency to eat more. Active duty members and beneficiaries also expressed they wanted different and fun ways to exercise and to eat healthier. Soar into Shape was created to address negative physical and environmental concerns faced by the base population that hindered their ability to improve overall health status. Implemented February 2007, the eight-week health and wellness initiative encouraged members to participate in biweekly weigh-ins, wellness challenges, health and wellness classes, and record fruit/vegetables, fitness, and water consumption. Initial and final BMI, change in knowledge and practices, and a 3month electronic follow up assessment were used to track health outcomes and behavior change. By the end of the 8-week challenge, 343 individuals and 70 teams registered; 964.50 pounds were lost. Final BMI was 29.9, a 0.6 decrease from the start of the program moving the population from the obese to the overweight category. Over 90% of participants were satisfied with the initiative. A 25% increase was achieved in nutrition knowledge and motivation to change current lifestyle practices. Funding Disclosure: None
Funding Disclosure: Grant
Title: NUTRITIONAL PRACTICES AND DIETARY HABITS OF SCHOOL CHILDREN IN A NATIONAL YOUTH SPORTS PROGRAM Author(s): S. K. Hunt, R. Colvin Family and Consumer Sciences, Fort Valley State University, Fort Valley, GA Learning Outcome: Nutrition Education Classes Should Be Required for School Children Participating in a National Youth Sports Program. Text: School children need to learn the benefits of healthy food choices as well as the need to exercise. The objective of this research was to study the nutritional knowledge and to evaluate the dietary habits of 65 children, ages 9 to 16 years. The children were participants in a summer National Youth Sports Program (NYSP). They were recruited from a five county area in Middle Georgia. Even though the children were exposed to a variety of exercises, the program did not have lessons on nutrition education. Therefore, a nutrition education study was designed and administered. Based on the results of the study, the test scores were extremely low in nutritional knowledge and MyPyramid guide activities, Intakes of energy foods were high, fruits and vegetable selections were weekly and all types of concentrated sweet drinks were too high, especially, powdered drinks-artificially flavored and prepared by children. Forty percent or more of the children were from homes with one or more of the parents or grandparents suffered with one or more of the following diseases, diabetes, heart disease or cancer. A nutrition education program should be required for all summer National Youth Sports Programs. Funding Disclosure: None
Title: COMMUNITY PARTICIPATORY PHYSICAL ACTIVITY INTERVENTION TARGETS CHILDREN AT HIGH RISK FOR OBESITY Author(s): K. Yadrick,1 P. Threadgill,2 A. Williams,1 L. Crook,1 C. Connell,1 J. Zoellner,1 E. Strickland,1 M. Rowser,3 B. McCabe,4,5,6 D. Warren7; 1University of Southern Mississippi, Hattiesburg, MS, 2 Mississippi State University, Mississippi State, MS, 3University of Alabama, Tuscaloosa, MS, 4USDA Agricultural Research Service, Little Rock, AR, 5USDA, Agricultural Research Service, Little Rock, AR, 6Lower Mississippi Delta Nutrition Intervention Research Initiative, US Department of Agricultural, Agricultural Research Service, Little Rock, AR, 7Alcorn State University, Alcorn, MS Learning Outcome: Evaluate a community participatory approach to address obesity risk in children in a health disparity community. Text: This community participatory research evaluated the feasibility of a summer soccer and nutrition education program to increase physical activity (PA) in rural Mississippi Delta children at high risk of obesity and previously not exposed to soccer. Children aged 4-12 were recruited through school and community notices, and organized into teams coached and facilitated by 16 trained high school and college students from the target community. During the 8-wk program, children participated in 2-hr practices 4-6 days a week, 1-hr games 0-2 days each week, and a weekly nutrition education session. Of 107 children who enrolled, 101 completed baseline- and 81 (76%) completed post-assessments. Assessments included anthropometrics, PACER shuttle run (age 7⫹), and Middle School Youth Risk Behavior survey questions on eating and activity (age 9⫹). Children were majority African American (100%) males (67%), 9 and under (58%), of normal weight (53%), with overweight or obese parents (78%). At baseline, normal weight children consumed significantly fewer servings of fruit juice (4.5 vs 11.7) and more servings of fruit (11.3 vs 4.4) per week than overweight (BMI %ile ⬎85) children, but did not differ in vegetable, soda, or milk consumption or in level of PA. Anthropometrics, aerobic capacity, fruit and vegetable intake, and PA did not improve during this 8-week intervention. A high level of reach (equivalent to ⬃19% of elementary school enrollment) suggests the process of engaging this health disparity community in a summer PA program was successful; however, a longer duration program is needed to promote biological and behavior changes. Funding Disclosure: Supported by USDA, ARS Project #6251-53000004-00D
A-96 / September 2008 Suppl 3—Abstracts Volume 108 Number 9
POSTER SESSION: WELLNESS AND PUBLIC HEALTH Title: COMMUNITY BASED PARTICIPATORY RESEARCH (CBPR) IS CRUCIAL TO CREATING SUCCESSFUL COMMUNITY INTERVENTIONS Author(s): G. Rios, L. Montoya Soto, M. Graves, M. Walker; University of Southern California, Los Angeles, CA Learning Outcome: Recognize the importance of communitybased participatory research in creating and implementing community driven interventions. Text: In the twenty-first century obesity and diabetes are considered an epidemic, especially in low socio-economic communities, like East Los Angeles. The incidence of obesity is higher in East Los Angeles than the U.S. average; leading to an increased incidence of diabetes. Mortality rates related to diabetes are higher in this community than surrounding areas in Los Angeles County. Using CBPR to guide the research, the Keck Diabetes Prevention Initiative was developed to study what people want and need to help prevent obesity and diabetes. As part of a two-year research and planning process, a Community Advisory Board (CAB) was formed to lead in the identification of interventions. The CAB committed to meeting monthly to strategize possible interventions. A social ecological model was used to explain the research project and to guide discussion on contributors to and possible interventions for combating obesity and diabetes. The CAB guided the development of several programs and events from the interventions they identified. They believed the most impactful interventions would be nutrition education via supermarket tours, adult and teen nutrition classes, a diabetes health fair and a town hall. All interventions have been well attended and there are requests to continue them. Although the CAB members were nonacademic researchers, they were considered equal partners in devising and carrying out the interventions that would affect their community. CBPR can create strong partnerships between researchers and community members and because community driven interventions are tailored to fit the community, they are more likely to be successful.
Title: SOAR INTO SHAPE: A COMMUNITY BASED PROGRAM PROMOTING HEALTHY LIFESTYLE BEHAVIOR Author(s): L. Schuette, P. Barnes, C. Logan, L. Kelter; US Air Force, Elmendorf AFB, Anchorage, AK Learning Outcome: To describe a community based strategy that promotes healthy lifestyle behavior. Text: Approximately 59% of Elmendorf active duty Air Force members have a body mass index (BMI) greater than 25. Although BMI data was not available for beneficiaries, national sources reported Alaska was ranked as the 15th heaviest state. Members reported many stresses interfered with their health and well-being, including reduced sunlight, seasonal affected disorder, and “cabin fever”. For many people, the winter conditions of South central Alaska made it less desirable to engage in physical activity outdoors and increased their tendency to eat more. Active duty members and beneficiaries also expressed they wanted different and fun ways to exercise and to eat healthier. Soar into Shape was created to address negative physical and environmental concerns faced by the base population that hindered their ability to improve overall health status. Implemented February 2007, the eight-week health and wellness initiative encouraged members to participate in biweekly weigh-ins, wellness challenges, health and wellness classes, and record fruit/vegetables, fitness, and water consumption. Initial and final BMI, change in knowledge and practices, and a 3month electronic follow up assessment were used to track health outcomes and behavior change. By the end of the 8-week challenge, 343 individuals and 70 teams registered; 964.50 pounds were lost. Final BMI was 29.9, a 0.6 decrease from the start of the program moving the population from the obese to the overweight category. Over 90% of participants were satisfied with the initiative. A 25% increase was achieved in nutrition knowledge and motivation to change current lifestyle practices. Funding Disclosure: None
Funding Disclosure: Grant
Title: NUTRITIONAL PRACTICES AND DIETARY HABITS OF SCHOOL CHILDREN IN A NATIONAL YOUTH SPORTS PROGRAM Author(s): S. K. Hunt, R. Colvin Family and Consumer Sciences, Fort Valley State University, Fort Valley, GA Learning Outcome: Nutrition Education Classes Should Be Required for School Children Participating in a National Youth Sports Program. Text: School children need to learn the benefits of healthy food choices as well as the need to exercise. The objective of this research was to study the nutritional knowledge and to evaluate the dietary habits of 65 children, ages 9 to 16 years. The children were participants in a summer National Youth Sports Program (NYSP). They were recruited from a five county area in Middle Georgia. Even though the children were exposed to a variety of exercises, the program did not have lessons on nutrition education. Therefore, a nutrition education study was designed and administered. Based on the results of the study, the test scores were extremely low in nutritional knowledge and MyPyramid guide activities, Intakes of energy foods were high, fruits and vegetable selections were weekly and all types of concentrated sweet drinks were too high, especially, powdered drinks-artificially flavored and prepared by children. Forty percent or more of the children were from homes with one or more of the parents or grandparents suffered with one or more of the following diseases, diabetes, heart disease or cancer. A nutrition education program should be required for all summer National Youth Sports Programs. Funding Disclosure: None
Title: COMMUNITY PARTICIPATORY PHYSICAL ACTIVITY INTERVENTION TARGETS CHILDREN AT HIGH RISK FOR OBESITY Author(s): K. Yadrick,1 P. Threadgill,2 A. Williams,1 L. Crook,1 C. Connell,1 J. Zoellner,1 E. Strickland,1 M. Rowser,3 B. McCabe,4,5,6 D. Warren7; 1University of Southern Mississippi, Hattiesburg, MS, 2 Mississippi State University, Mississippi State, MS, 3University of Alabama, Tuscaloosa, MS, 4USDA Agricultural Research Service, Little Rock, AR, 5USDA, Agricultural Research Service, Little Rock, AR, 6Lower Mississippi Delta Nutrition Intervention Research Initiative, US Department of Agricultural, Agricultural Research Service, Little Rock, AR, 7Alcorn State University, Alcorn, MS Learning Outcome: Evaluate a community participatory approach to address obesity risk in children in a health disparity community. Text: This community participatory research evaluated the feasibility of a summer soccer and nutrition education program to increase physical activity (PA) in rural Mississippi Delta children at high risk of obesity and previously not exposed to soccer. Children aged 4-12 were recruited through school and community notices, and organized into teams coached and facilitated by 16 trained high school and college students from the target community. During the 8-wk program, children participated in 2-hr practices 4-6 days a week, 1-hr games 0-2 days each week, and a weekly nutrition education session. Of 107 children who enrolled, 101 completed baseline- and 81 (76%) completed post-assessments. Assessments included anthropometrics, PACER shuttle run (age 7⫹), and Middle School Youth Risk Behavior survey questions on eating and activity (age 9⫹). Children were majority African American (100%) males (67%), 9 and under (58%), of normal weight (53%), with overweight or obese parents (78%). At baseline, normal weight children consumed significantly fewer servings of fruit juice (4.5 vs 11.7) and more servings of fruit (11.3 vs 4.4) per week than overweight (BMI %ile ⬎85) children, but did not differ in vegetable, soda, or milk consumption or in level of PA. Anthropometrics, aerobic capacity, fruit and vegetable intake, and PA did not improve during this 8-week intervention. A high level of reach (equivalent to ⬃19% of elementary school enrollment) suggests the process of engaging this health disparity community in a summer PA program was successful; however, a longer duration program is needed to promote biological and behavior changes. Funding Disclosure: Supported by USDA, ARS Project #6251-53000004-00D
A-96 / September 2008 Suppl 3—Abstracts Volume 108 Number 9