CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy 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 PlanMission Statement: F.U.N. is a model program dedicated to

fitness, unity and nutrition in GarfieldVision: Garfield residents will have access to resources that

engage them in the adoption of healthy behaviorsGoals: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 3Mayors Wellness Campaign

http://www.iom.edu/report.asp

Childhood ObesityInstitute 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

CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy 4

Increasing Prevalence of Overweight Children

05

101520253035

1960 1980 2000

At Risk to be Overweight OverweightSource: U.S. Centers for Disease Control; Ogden, et al, JAMA, 2002

> 85th percentile for Body Mass Index> 95th percentile for Body Mass Index

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

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 Smaller (<5) versus Larger Families Single Parent or Older Parent Families Less Educated Parents Living in the Northeast > Midwest > South

> West Lower Socioeconomic Status 

African-Americans Hispanic-Americans (Latinos) Asian-Americans Native-Americans

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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 7Mayors Wellness Campaign

• New Jersey has the highest incidence in the nation in obesity among low-income kids aged 2-5 years. (F as in Fat, 2005)

• 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)

•

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 PartnersHackensackUniv Med

Cntr HARP

Bergen CAP

Robert Halsch, CEO

Mayor’s WellnessCampaign

GarfieldDOH

Darleen Reveille, RN

Ramapo College

A. Cristinii North HudsonCountyFQHC

William Paterson Univ

Dr. Starr Eaddy

Garfield MayorCalandriello& Council

Partnership for Comm Health

Jackie LueRaia,

City MgrThomas

Duch

HorizonInsurance

AmerigroupInsurance

UMDNJ Dr.Kathy

Burke

RAMS Camp

CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy 12Mayors 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

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• 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

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RAMS Camp

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

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Dr. Angela Cristini RAMS Camp Director

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RAMS Camp Boat Races

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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

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Thanks to . . .

Leaders’ Academy for Healthy Community Development

Mayor’s Wellness Campaign

Partnership for Community Health

League of Municipalities

City of Garfield

Horizon NJ Health

Ramapo College UMDNJ

Meadowlands Environmental Center

Bergen CAP

Hackensack Medical Center

Garfield Dept of Health

Garfield Board of Education

William Paterson University

North Hudson FQHC

NJ State Dept of Health & Senior Services

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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

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References1. 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.