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Arkansas Obesity Scientific and Research Symposium. December 11, 2013 UAMS Jackson T. Stephens Spine Institute. Judith L. Weber, PhD, RD Associate Professor , UAMS Department of Pediatrics Co-Director, ACHRI Childhood Obesity Prevention Research Program. Move more.
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Arkansas Obesity Scientific and Research Symposium December 11, 2013 UAMS Jackson T. Stephens Spine Institute Judith L. Weber, PhD, RD Associate Professor, UAMS Department of Pediatrics Co-Director, ACHRI Childhood Obesity Prevention Research Program
Move more Choose ancestors wisely Eat less Thank You and Input
Community-Based Focus Mission Addressing childhood obesity through a coordinated community-based approach targeting modifiable individual risk behaviors, environmental risk factors, and state and national risk reduction policies. Our approach is focused on food systems and sustainable agriculture strategies.
Individual Risk Behaviors Dietary Intake • Increase fruits and vegetables: • Access • Amount and variety • Decrease foods high in fats and added sugars
Individual Risk Behaviors Physical Activity • Increase physical activity: • Number of minutes spent in light, moderate, and vigorous activity • Types of physical activity: • Increase number of minutes spent in cardiovascular, bone strengthening, and muscle strengthening activity
Environmental Risk Factors Neighborhood Food Density • Number of fast food and “eat-in” restaurants within prescribed radius of schools, homes • Number of grocery stores, convenience stores, “big box” stores within prescribed radius of schools, homes • Other food accessibility factors: - Presence of food pantries - Presence of farmer’s markets, cooperatives - Other food sources within prescribed area
Environmental Risk Factors Built Environment • Presence of sidewalks, bike lanes within prescribed radius of schools, homes • Number of parks, recreational facilities within prescribed radius of schools, homes • Distances between homes and schools; bussing • Other built environment factors: - Availability of school facilities (e.g. gym, playing fields, tracks, basketball courts) - Availability of public programs
National and State Policies National Legislation - School Meals • Healthy, Hunger-Free Kids Act of 2010 - School Breakfast Program - National School Lunch Program • Child Nutrition and WIC Reauthorization Act of 2004 - Fresh Fruit and Vegetable Program • USDA Farm to School Grant Program National Legislation - Related • FDA Food Safety Modernization Act of 2011/2013 - Standards for Produce Safety
National and State Policies State Legislation – Child Health • Act 1220 of 2003 - Create Child Health Advisory Committee (CHAC) - Annual Body Mass Index Measurements (BMI) • Acts 201/317/719 of 2007 - Amend membership, powers and duties of CHAC - Change periodicity of annual BMI measurements - Increase instruction time; decrease PE requirements
Research Portfolio • USDA Agricultural Research Service: Delta Garden Study • USDA National Institute of Food and Agriculture: Arkansas Grow Healthy Study • Commission for National and Volunteer Services (AmeriCorps)/National Civilian Community Core (NCCC): Arkansas GardenCorps • Other Studies/Programs/Funders: MEDIC, FoodCorps, Banking on School Gardens (Bank of America)
Overall Goals • Increase amount and variety of FV intake • Increase amount and types of PA • Maintain/decrease BMI, body fat • Improve academic achievement • Reduce social risk behaviors • Improve school-farmer connections • Increase economic development
Strategies • Institutional Collaborations (T1-T4 translation) • Community Partnerships • Student and Service Learning Programs • Rigorous Research Agenda • Educational Programs • Outreach Efforts • Faculty and Staff Development • Program Building: Center • Media and Marketing • Technology
Leadership • Sponsoring state conferences in collaboration with key community partners: “Making Your Garden Grow” • Developing RFAs for building new school and community gardens: 3 new awards released in April • Selected as State Lead Agency for National Farm to School Program • Establishing state school garden network • Created state wide outreach program: Arkansas GardenCorps • Created state wide student internship program • Establishing the Obesity Prevention Center