Child measurement: Normal Overweight Obese

1. School Preventive Nutrition Education: Dine for Life and other curriculum classes Preventive Physical Activity: SPARKS and in-class Energizers Child measurement: Normal Overweight Obese Operation Frontline and grocery tours for families Walking groups with teachers and parents Weight loss program Safety Exercise Classes Fundraising Advocacy Family After-school programs Parent/Child family programs Mobile medical home clinics Consistentmessaging Year1: Feasibility Pilot at YE Smith Elementary School Mentors, trainers Environment Policy Community Evaluate and Revise Year2: 3 total 3 control Schools Year2: 4 total 3 intervention schools & previous school, YE Smith Evaluate and Revise Year3: 6 total 6 new control schools Year3: 10 total 3 new & 3 year 2 control become intervention schools plus 4 previous schools Evaluate and Revise Year4: 10 total 10 new control schools Year4: 19 total 3 new & 6 year 3 control become intervention schools plus 10 previous schools School Evaluate and Revise Year 5: 29 total Last 10 new plus 19 previous schools are all intervention schools Child measurement: Normal OverweightObese Operation Frontline and grocery tours for families Walking groups with teachers and parents Weight loss program Safety Exercise Classes Fundraising Advocacy Family After-school programs Parent/Child family programs Mobile medical home clinics Consistentmessaging Mentors, trainers Environment Policy Achieving Healthy Bodies for a Lifetime (AHL) Team Co-leads: David Reese, MBA, Chief Operating Officer, Inter-Faith Food Shuttle, William Yancey, Jr. MD, MHS, Duke Department of Medicine Project Manager: Jennifer McDuffie, PhD, General Internal Medicine, Durham VAMC AHL Theoretical Model: The Social Ecological Framework Goal of AHL: work with Durham partners to  identify predisposing, enabling, and reinforcing factors for obesity-related lifestyle behaviors,  assess policies, resources, and circumstances that help or hinder efforts to improve behaviors  develop plans, tailored to different communities, to improve measurable health outcomes related to obesity, especially in our children,  one community at a time! 5-year Time-line: Preventive Nutrition Education: Dine for Life and other curriculum classes Preventive Physical Activity: SPARKS and in-class Energizers Community This project was made possible by Grant Number 5UL1-RR024129-03 from the National Center for Research Resources (NCCR), a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research. Interrelationships between child, family, school and community.