# Presentation: 216762

## Building Healthy Communities...

*One participant at a time!*

## SENECA NATION OF INDIANS

- SDPI Competitive Grant Program
***Diabetes Prevention Program***

## Intensive phase

- Participant(s) attend a classroom type setting.
- Must complete the Lifestyle Balance Classes during a 16-24 week time frame.
- Must also meet with their lifestyle coach (DPP RN Case Manager) monthly.
- Stay within their fat budget and keep a written log (blue book).
- Exercise a minimum of 150 minutes/week.
- Incentives given frequently.

## Lifestyle Balance Classes (LBC’s)-Intensive phase of project (16-24 weeks)

- Cattaraugus site (32 active participants)
- Currently finishing group # 7 (9 participants).
- Will begin group #8 in August 2008.
**Hoping to recruit 20 participants.**
**	**

- Allegany site (44 active participants)
- Currently finishing group #9 (9 participants)
- Will begin group #10 in August 2008.
**Hoping to recruit  14 participants.**

## Aftercore

- Meet monthly in a group setting.
- 1:1 if unable to make group.
- Topics focus on:
- Nutrition
- Physical Activity
- Motivational change

## Community Based Activities

- Walking programs
- Aerobics classes
- Including water aerobics
- Tai Chi classes
- Cooking classes
- “Veggie Bucks” program
- “Native Soles” program

## Overall (Allegany site)

- Allegany site (44 active participants)
- Total weight loss of 416.4 lbs.
- 9.46 % average weight loss
- 75% lost an average of 12.6 lbs.
- 25% did not maintain weight loss.

## Success!!!

- “The only place success comes before work is in the dictionary”
- -Vince Lombardi

## Participant 007 (Baseline and Year 2 Annual results)

|  | Baseline | Year 2 | Percent Change |
| --- | --- | --- | --- |
| Weight (lbs.) | 187 | 158.2 | -15.4% |
| BMI | 31 | 26.4 | -14.8% |
| Waist (inches) | 43.5 | 36 | -17.2% |
| Waist to Hip Ratio | Data not available | 0.90 | Not available |
| Systolic Blood Pressure (mm Hg) | 110 | 120 | 9.1% |
| Diastolic Blood Pressure (mm Hg) | 78 | 70 | -10.3% |

## Baseline and Year 2 Annual results (participant 0070)

|  | Before | After | Percent Change |
| --- | --- | --- | --- |
| LDL (mg/dl) | 140 | 155 | 10.7% |
| HDL (mg/dl)
 | 53 | 58 | 9.4% |
| Triglycerides (mg/dl)
 | 160 | 113 | 29.4 |
| Total Cholesterol (mg/dl) | 242 | 225 | -7.0% |
| Fasting Blood Glucose (mg/dl)
 | 103 | 107 | 3.9%
 |

## How goals were met:

- Physical Activity
- Daily walks
- averages14,000 steps/day.
- Included into daily routine
- Aerobics classes
- Ball and band classes

- Nutrition
- Began using the blue books/food diary method.
- Uses her “favorite” plate
- Helps her maintain portion sizes.

## Significant Personal Impact

- Increased self-confidence.
- Improved body image.
- Less pain in joints.
- Role model in family and community.
- Lifestyle changes helped *ENTIRE* family.

*“**They now eat healthy, low-fat meals along side her and are now stealing her healthy low fat snacks!  My 8 year-old granddaughter is now reading food labels when choosing foods for herself.”*
- 					-Participant 0070

## Summary

- A challenging learning experience.
- Very rewarding and beneficial program to be able to offer to the community.
- Dedicated staff of health care professionals.
- Would do it all over again!

- “Wisdom comes to us lesson by lesson”
- -Unknown