# Presentation: 029526

## Fighting Childhood Obesity...Ann Arbor Project Healthy Schools:A Community-University CollaborativeJean DuRussel-Weston, RN, MPHjdurusse@umich.edu734-975-3047

***Fighting Childhood Obesity...*****Ann Arbor Project Healthy Schools:****A Community-University Collaborative**Jean DuRussel-Weston, RN, MPH_[jdurusse@umich.edu](mailto:jdurusse@umich.edu)_734-975-3047

**Notes:**
This year, 292 students participated in the health screening. Healthy Schools is currently in 5 Ann Arbor Middle Schools. 

## Project Healthy Schools Coalition

**UM CVC**

**UM Public**
**Health**

**UM Mott**
**Children’s Hospital**

**UM Health**
**System**

**Coca Cola**

**Community**
**Leaders**

**School Board**

**NuStep**

**UM Nursing**

**Borders Group**

**Washtenaw**
**County Health**

**Students, Families,**
**Teachers**

**M-Fit**

**Pfizer**

**A****2**** Community**
**Foundation**

**SE Michigan**
**Community Foundation**

**Harvard Drug**
**Group**

**SI Company**

**Hands’ on Museum**

**Project Healthy Schools Coalition**

**WECAN!**

**Notes:**
How can we use the vast resources of UM and Ann Arbor to make a difference in the childhood obesity problem

## What is Project Healthy Schools?

-    **A school-based program for 6th graders designed to increase physical activity and healthier food choices...to begin now and last a lifetime! **

## Program Components

-  Hands-On Activities
-  Fitness Assemblies
-  Incentive Program
-  Cafeteria Changes
-  Outcome Measures

## We have 5 GOALS

## Eat more fruits and vegetables

**Eat more fruits and vegetables**

**Notes:**
Healthier Options became available in the Cafeterias.  All healthy options were labeled with bright ‘Choice’ cards. 

## Goal #2

- Make Better Beverage Choices

**Notes:**
Students show off their healthy snack and beverage choices.

## Goal #3
Perform at least 150 minutes of physical activity each week

- Perform at least 150 minutes of physical activity each week

**Notes:**
Students try to balance in the “Tree Pose” at the fitness assembly

## Goal #4
Eat less fast and fatty food

- Eat less fast and fatty food

**Notes:**
The teachers join in on the fun!

## Goal #5
Spend less mindless time in front of the TV and computer

- Spend less _mindless_ time in front of the TV and computer

**Notes:**
Students receive autographs from their favorite U of M athletes!

## Physiological Changes
Health Screening
 Behavior Changes
Health Questionnaire
Online Blog

- Health Screening
-  **Behavior Changes**
- Health Questionnaire
- Online Blog

**Measuring Health Outcomes**

## Health Screening

- Complete non-fasting lipid profile (total cholesterol, HDL/LDL, triglycerides, glucose)
- Blood pressure
- BMI
- 3 Minute step test

## Risk Marker	                          Frequency
Overweight >85%	 32.0% (92)
Obese > 95%	5.0% (13)
Systolic BP ≥ 124 mmHg	8.4% (24)
Total Cholesterol ≥ 200	7.3% (21)
HDL Cholesterol < 35	5.4% (12)

“At Risk” – 	40% (116)
One or More of BMI, SBP, TC, LDL, HDL, Glucose	
N= 292 
*Data from 2005-06 Three Schools

- Overweight >85%	 32.0% (92)
- Obese > 95%	5.0% (13)
- Systolic BP ≥ 124 mmHg	8.4% (24)
- Total Cholesterol ≥ 200	7.3% (21)
- HDL Cholesterol < 35	5.4% (12)
**“****At Risk” – ****	****40% (116)**
**One or More of BMI, SBP, TC, LDL, HDL, Glucose****	**
**N= 292**_** **_
_***Data from 2005-06 Three Schools**_

**What Have We Found?**

## 2005-06 Baseline and Follow-up Data at 3 Schools

| Variables | n | Baseline | Follow up | P value |
| --- | --- | --- | --- | --- |
| BMI | 274 | 19.5 ± 3.5 | 19.9 ± 3.5 |   0.00 |
| Mean Systolic BP | 273 | 109.1 ± 12.5 | 107.9 ± 11.4 |   0.11 |
| Mean Diastolic BP | 273 | 63.6 ± 8.7 | 62.3 ± 7.8 |   0.01 |
| Cholesterol | 213 | 168.8 ± 26.4 | 154.4 ± 26.6 |   0.00 |
| HDL | 214 |   55.6 ± 12.5 |   50.1 ± 12.4 |   0.00 |
| LDL | 172 |   86.3 ± 24.6 |   82.8 ± 22.6 | 0.1 |
| Triglycerides | 214 | 142.5 ± 92.3 | 109.4 ± 66.7 |   0.00 |
| Random Glucose | 212 |   96.0 ± 13.0 |   92.7 ± 15.2 |   0.08 |
| Resting Heart Rate | 274 |   79.6 ± 10.4 |   79.3 ± 10.3 |   0.64 |
| Recovery Heart Rate | 263 | 103.5 ± 15.9 | 104.7 ± 16.8 |   0.20 |

**2005-06 Baseline and Follow-up Data at 3 Schools**

## Behavior Change

- The post program implementation data supported positive changes in 25% of the indicators on the survey.
- Food Service Director Reported 10% increase in fruit and vegetable purchases

## Yesterday how many times did you eat fruit?

- P = 0.004

**Measuring Behavior Change**

**Notes:**
This slide illustrates that more students report eating fruit more frequently post program intervention.  

## 2 for 1 Hot Dogs
Double Cheeseburgers
Candy in lunch line
High fat meat pizza
Pop Tarts
Donuts
Pastries
Cookies
Candy in Stores

- Double Cheeseburgers
- Candy in lunch line
- High fat meat pizza
- Pop Tarts
- Donuts
- Pastries
- Cookies
- Candy in Stores

- _Eliminated_

- White flour bread/whole wheat bread
- Fried chips/Baked chips
- Coca-cola soda/Dasani water
- Slushy machine/100% Juices
- Reduced pepperoni on pizza

- _Changed_

- Salad/Fruit bar
- Carrots/ranch dip
- Yogurt
- Celery/peanut butter
- Whole grain products
- Fresh fruit when available
- More Milk Choices
- Hard boiled eggs

- _Offered_

- Cafeteria Changes/Expanded Choices

## “Never doubt that a small group of thoughtful, committed people can change the world. Indeed, it is the only thing that ever has.” 

***- ******Mead***