A nd N eighbors D efeat O besity Addressing Childhood Obesity One Neighborhood at a Time Beverly J Gor EdD RD LD Postdoctoral Fellow Niiobli Armah IV Program Coordinator University of Texas MD Anderson Cancer Center ID: 1048346
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1. CAN DO HoustonChildren And Neighbors Defeat ObesityAddressing Childhood Obesity One Neighborhood at a TimeBeverly J. Gor, EdD, RD, LD, Postdoctoral FellowNiiobli Armah IV, Program CoordinatorUniversity of Texas M.D. Anderson Cancer CenterDepartment of Health Disparities ResearchCenter for Health Equity and Evaluation ResearchHealthy Kids, Healthy Communities Program Director
2. The Problem: Childhood Obesity19% are overweight (BMI>85% to <95%)27% of fourth graders are obese (BMI>95%)2 million Houston residents: 49% Anglo, 37% Hispanic, 25% African American, 5% AsianMinority communities greater risk of childhood obesity, heart disease, stroke, asthma, type 2 diabetes, depression, cancerMore fast food restaurantsOnly 6 acres of park/1000 residentsApproximately 30% uninsured
3. Why we should care: Cost$3.3 Billion“Counting Costs and Calories: Measuring the Cost of Obesity to Texas Employers,” Susan Combs, Texas Comptroller, March, 2007 Obesity costs Texas businesses
4. Why we should care: Children
5. What is CAN DO Houston? Holistic community-based program to prevent and diminish childhood obesityTarget group is children 0 – 12 years of age and their caregiversRecognition that our mission will require a multi-dimensional approachPrograms are delivered in schools, after-school, worksites, community centers, recreation parks, faith community, and home environmentsPhysical activity, nutrition and healthy minds
6. How it all beganMission: To prevent and diminish childhood obesity in Houston and surrounding communities through physical activity, nutrition, and healthy minds by enabling the broadest collaboration of individuals, institutions, and organizations.
7. Board of Directors, 2011Chair: Dr. Lovell Jones, UTMDACCImmediate Past Chair: Christine Mei, Coca Cola Minute MaidSecretary: Dr. Nancy Murray, Retired, UTSPHTreasurer: Bill Baun, UTMDACCMember: Doug Earle, First Colony Civic AssnMember: Juan Gonzalez, HISD Principal2 Board Member Vacancies
8. CAN DO Houston is About Mobilizing & Coordinating Existing ResourcesCoca Cola Minute Maid FoodsHouston Area Dietetic AssociationBaylor College of Medicine/Children’s Nutrition Research CenterCity of Houston Health & Human ServicesCity of Houston Parks & RecreationHouston Independent School DistrictWICM.D. Anderson Center for Health Equity & Evaluation UT School of Public HealthChildren at RiskHouston Police DepartmentMETRORecipe for SuccessTexans TogetherGateway to CareChannel 8 KUHTCollaborative for ChildrenAnd others……
9. Previous solution: Diet books and pedometers
10. 10Achieve physicalactivity recommendations/Meet dietaryguidelinesCommunity BarriersTraditional ApproachTraditional Health Promotion Previous solution: Only individual responsibility
11. Community BarriersActiveLiving/HealthyEatingCommunity Design Approach Better solution: Individual in healthier environment
12. SUNNYSIDEMAGNOLIAPARKINDEPENDENCE HEIGHTSFIFTH WARDNORTHSIDECAN DO HoustonMagnolia ParkBriscoe ElementaryMason ParkSunnysideYoung ElementarySunnyside ParkNorthsideLyons ElementarySPARK ParkFifth WardBruce ElementarySwiney ParkIndependenceHeightsBurrus ElementaryInd Hts Park
13. Magnolia Park/Lawndale Wayside21,302 residents: 96% Hispanic31% earn < poverty level<50% employedBriscoe ElementaryMason Park
14. Environments that support sedentary behavior
15. Briscoe After School Soccer Leagues
16. After school bus transportation to Mason Park
17. Briscoe Fitness Explosion: 9/10/09CAN DO Houston volunteerrecruiting interested parents UH students quiz Briscoe students on nutrition questions
18. Briscoe Fitness Explosion: 9/10/09 ZUMBA!
19. SunnysideOne of the oldest African American communities in Houston18,629 residents: 94% African American38% earn < poverty level<50% employedYoung ElementarySunnyside Park
20. Environments that support poor diet
21. Environments that support healthy eating
22. Sunnyside Nutrition Carnival
23. Cooking classes for parents at Wilmington Apartment Complex
24. Northside Village (Near Northside)29,923: 78% Hispanic/Latino45% earn < poverty level34% employed, 7% unemployed, 31% retired, 18% homemakers, 12% unableLyons ElementarySpark Park
25. Better quality of life
26. Cooking classes for parents
27. School Garden at Lyons Elementary
28. Community Garden
29. Other Activities at LyonsRenovation of their SPARK ParkCreation of a Wellness Room for school staff, students and community members
30. Early Life ExperiencePhysical Inactivity Easier Said than Done…HealthActiveLivingHealthyEatingIncomeWorkHousingCommunityRace and EthnicityEconomic StatusEducation
31. Future DirectionsMagnolia: expanding garden, aerobic classes for parents, increasing use of existing PASunnyside: leadership and advocacy skills for residents, food co-ops, produce in convenience storesNorthside: leadership & advocacy skills for residents, greenhouse, including special needs kidsFifth Ward: providing PA at Bruce elementary, healthy lifestyle classes for parents officials to implement a comprehensive plan for joint use policiesIndependence Heights: community assessments, meetings with stakeholdersFor all communities: Evaluation with stakeholdersSupport for community gardens/farmers markets, physical activityTechnical assistance to partner organizationsMeeting with elected officials to discuss joint use policies
32. How to support CAN DO HoustonBecome a CAN DO Houston partnerIdentify funding: assist with fundraising, grant writingVolunteer with CAN DO HoustonTechnical assistance: public relations, research, meeting with stakeholdersIdentify resources: excess produce, PA equipment, “give-aways”
33. Questions?THANK YOU!