1. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy1 Fitness Unity and Nutrition Garfield’s Childhood Obesity Intervention Taskforce Kathleen Burke PhD, RN Starr Eddy PhD, CHES

2. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy2 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.

3. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy3 Mayors Wellness Campaign http://www.iom.edu/report.asp 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

4. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy4 Increasing Prevalence of Overweight Children Source: U.S. Centers for Disease Control; Ogden, et al, JAMA, 2002 > 85th percentile for Body Mass Index > 95th percentile for Body Mass Index

5. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy5 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

6. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy6 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 Barriers 5 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.

7. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy7 Mayors 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)

8. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy8 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

9. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy9 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

10. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy10 City of Garfield Leaders

11. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy11 The Partners RAMS Camp UMDNJ Dr.Kathy Burke Amerigroup Insurance Horizon Insurance City Mgr Thomas Duch Partnership for Comm Health Jackie LueRaia, Garfield Mayor Calandriello & Council William Paterson Univ Dr. Starr Eaddy North Hudson County FQHC Ramapo College A. Cristinii Garfield DOH Darleen Reveille, RN Mayor’s Wellness Campaign Bergen CAP Robert Halsch, CEO Hackensack Univ Med Cntr HARP

12. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy12 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

13. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy13 FUN Activities Safe Routes to School RAMS Camp FUN Walk Continued integration of RAMS Camp activities in Garfield Middle School

14. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy14 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.cfmhttp://www.meadowlands.state.nj.us/ec/educators/index.cfm

15. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy15 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

16. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy16 Dr. Angela Cristini RAMS Camp Director

17. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy17 RAMS Camp Boat Races

18. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy18 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

19. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy19 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

20. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy20 State Partners League of Municipalities –http://www.njslom.org/http://www.njslom.org/ Mayor’s Wellness www.mayorswellnesscampaign.org www.mayorswellnesscampaign.org Partnership for Community Health –www.bergenpch.orgwww.bergenpch.org Ramapo College –http://www.ramapo.edu/news/pressreleases/2003 /12_03_2003.htmlhttp://www.ramapo.edu/news/pressreleases/2003 /12_03_2003.html NJ State Department of Health and Senior Services

21. CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy21 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.