Fitness Unity and Nutrition
Garfield’s Childhood
Obesity Intervention
Taskforce
Kathleen Burke PhD, RN
Starr Eddy PhD, CHES
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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F.U.N. (Fitness, Unity and Nutrition) Garfield’s
Childhood Obesity Intervention Taskforce
Overarching Strategic Plan
Mission Statement: F.U.N. is a model program dedicated to
fitness, unity and nutrition in Garfield
Vision: Garfield residents will have access to resources that
engage them in the adoption of healthy behaviors
Goals:
I. Improve the overall health and reduce obesity of Garfield
residents in their respective communities by:
1. Access to information and resources.
Facilitate access to information and resources to enhance body
composition specifically for the “over-fat and under-fit”
2. Engage residents of Garfield in activities.
Integrate the activities into the fabric of the community.
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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Childhood Obesity
Institute of Medicine Recommendations
State and Local Governments
•
Expand and promote opportunities for
physical activity in the community through
changes to ordinances, capital
improvement programs, and other
planning practices.
•
Work with communities to support
partnerships and networks that expand
collaborative efforts between public and
private entities
http://www.iom.edu/report.asp
Mayors Wellness
CBC- Campaign
Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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Increasing Prevalence of Overweight Children
35
30
25
20
15
10
5
0
1960
1980
At Risk to be Overweight
2000
Overweight
> 85th percentile for Body Mass Index
> 95th percentile for Body Mass Index
Source: U.S. Centers for Disease Control; Ogden, et
al, JAMA, 2002
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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Risk Factors for Childhood Obesity
Table 4. Environmental and ethnographic risk factors for obesity in children
Socioeconomic Risk Factors for Obesity






Urban versus Rural Dwelling
Smaller (<5) versus Larger Families
Single Parent or Older Parent Families
Less Educated Parents
Living in the Northeast > Midwest > South
> West
Lower Socioeconomic Status
Ethnographic Risk Factors for
Obesity




African-Americans
Hispanic-Americans (Latinos)
Asian-Americans
Native-Americans
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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Barriers to addressing obesity in
minority children and adolescents.
• Environmental Barriers
– To physical activity
2,3,5
• high neighborhood crime rates that discourage outdoor activities
• dilapidated parks, and
• reduced access to facilities
– To good nutrition
2,4,5
• more fast-food restaurants
• few supermarkets that carry fresh produce
• small grocery stores that sell high-fat, energy-dense foods
• greater exposure to televised commercials for high-calorie, lownutrient food
• Cultural Barriers5
• Those who do not maintain normal weight outnumber those who
do; thus, overweight is often the community norm.
• Caloric restriction and leisure-time physical activity are not
routine in minority communities.
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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• 59% of New Jerseyans are obese or
overweight, 60% of adults, 10% of teens
• In NJ, the age groups most at risk are the
45-64 year olds at 26.3% and 28.7%
obesity
(NJ DHSS7/2006)
• • New Jersey has the highest incidence in
the nation in obesity among low-income
kids aged 2-5 years. (F as in Fat, 2005)
CBC- Campaign
Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
Mayors Wellness
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Development
• Needs assessment
– Conducted by Rampo-UMDMJ Nursing students
• Identified Needs
– Address environmental barriers
– Provide culturally compatible fitness and nutrition
programs
• Projects
• Safe Routes to School Project
• RAMS Camp
• FUN Walk
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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Garfield Health Department
• Darleen Reveille, RN Public Health Nurse
• Founder of Garfield Task Force on Obesity
• Address core minimum standards of Public
Health
• Coordinated the implementation of RAMS
Camp
–
–
–
–
Promoted program
Liaison with school nurses
Recruited participants
Coordinated transportation
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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City of Garfield Leaders
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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Hackensack
Univ Med
Cntr
HARP
UMDNJ
Dr.Kathy
Burke
The Partners
Amerigroup
Insurance
Bergen
CAP
Robert
Halsch, CEO
Horizon
Insurance
Mayor’s
Wellness
Campaign
City Mgr
Thomas
Duch
RAMS
Camp
Garfield
DOH
Darleen
Reveille, RN
Partnership for
Comm Health
Jackie LueRaia,
Ramapo
College
A. Cristinii
North
Hudson
County
FQHC
Garfield Mayor
Calandriello
& Council
William
Paterson Univ
Dr. Starr
Eaddy
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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Objective:
Provide municipal leaders with evidence based
tools, implementation plans, synergistic
contacts and communication materials to
engage citizens in programs that increase
activity and healthy nutrition
Mayors Wellness
CBC- Campaign
Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
12
FUN Activities
• Safe Routes to School
• RAMS Camp
• FUN Walk
• Continued integration of RAMS Camp
activities in Garfield Middle School
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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• The Meadowlands Environment Center was formed to increase
awareness and enjoyment of our vital ecosystem. The New
Jersey Meadowlands Commission and Ramapo College of New
Jersey entered into a partnership in 2003, to develop a
comprehensive environmental education program for schools
and the general public.
• The Meadowlands Environment Center has hands on
educational programs for grades K-12. Our experienced team of
educators will introduce your students to a variety of topics
while satisfying the NJCCCS. Through inquiry learning and
cross-curricular activites, you and your students will experience
the best of these unique wetlands.
Source: http://www.meadowlands.state.nj.us/ec/educators/index.cfm
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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RAMS Camp
Educators
• Educators and school
nurses
• August event
• Daily stipend
• Fitness & Nutrition
Activities
Middle School
Students
• Free of charge
• Supervised
transportation
• Planned activities
• Fitness and nutrition
education and
experiences
• Obesity prevention
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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Dr. Angela Cristini
RAMS Camp Director
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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RAMS Camp Boat Races
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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Future
• RAMS Camp - train the trainers Bergen County YMCAs
• The Active Living Resource Center (ALRC) City
SRTS, one of six cities (Atlanta, Brooklyn, Garfield,
Hartford, Blue Island IL., Huntsville, AL) (National
Center for Bicycling and walking)
• Walk to School survey data aggregated
• Outcome Data for RAMS Camp being collected
• Working with Mayors Wellness to continue with gap
assessments of communities across NJ
• Creating Strategic Plan for FUN to create long term
sustainability of project
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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Thanks to . . .
Mayor’s Wellness Campaign
Meadowlands Environmental Center
North Hudson FQHC
Hackensack Medical Center
Garfield Dept of Health
City of Garfield
Ramapo College
UMDNJ
Partnership for Community Health
NJ State Dept of Health & Senior Services
Leaders’ Academy for Healthy
Community Development
Horizon NJ Health
Garfield
Board of Education
League of Municipalities
William Paterson University
Bergen CAP
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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State Partners
• League of Municipalities
– http://www.njslom.org/
• Mayor’s Wellness
www.mayorswellnesscampaign.org
• Partnership for Community Health
– www.bergenpch.org
• Ramapo College
– http://www.ramapo.edu/news/pressreleases/2003
/12_03_2003.html
• NJ State Department of Health and Senior
Services
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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References
1. Fitzgibbon ML, Stolley MR, Schiffer L, Van Horn L, KauferChristoffel K,
Dyer A.(2006). Hip-Hop to Health Jr. for Latino preschool children.
Obesity (Silver Spring). Sep;14(9):1616-25.
2. Kumanyika S, Grier S. Targeting interventions for ethnic minority and
low-income populations. Future Child. 2006 Spring;16(1):187-207.
3. Gordon-Larsen P, Nelson MC, Page P, Popkin BM. (2006) Inequality in
the built environment underlies key health disparities in physical
activity and obesity. Pediatrics. Feb;117(2):417-24.
4. Wang Y, Tussing L, Odoms-Young A, Braunschweig C, Flay B, Hedeker
D, Hellison D. (2006). Obesity prevention in low socioeconomic status
urban African-American adolescents: study design and preliminary
findings of the HEALTH-KIDS Study. Eur J Clin Nutr. 2006
Jan;60(1):92-103.
5. Fitzgibbon ML, Stolley MR. (2004). Environmental changes may be
needed for prevention of overweight in minority children. Pediatr Ann.
2004 Jan;33(1):45-9.
CBC- Braintrust on Obesity, 2007 Drs. Kathy Burke & Starr Eaddy
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