Dick: Early Partners engaged in the Planning process
DICK: 1. Develop a coordinated set of messages that can be incorporated into all strategies of the plan. 2. Develop an inventory of the resources available in DuPage County to help children and adolescents enthusiastically make dietary and physical activity choices every day that result in a healthy weight. 3-4. Develop a spectrum of tiered options that providers of health services can adopt, in total or in part, to guide their patients/clients along the process of nutritional and physical activity behavioral change. Develop a spectrum of tiered options that DuPage County schools can adopt, in total or in part, to guide their students and student families along the process of nutritional and physical activity behavioral change. 5. Identify the linkages and interconnections among the resources listed in the FORWARD inventory that would lead to more coordinated, comprehensive, and effective collaborative programs, and actively support partner organizations in solidifying these collaborations
DICK: 6. Develop new resources and programs to meet identified needs where no such resources currently exist. Develop a coordinated outreach program designed to enlist a variety of community resources as ambassadors and teachers disseminating the FORWARD message. 8. Develop a coordinated process for tracking progress in each of the strategies outlined, including a succinct set of indicators that will be tracked to measure the success of the entire FORWARD initiative. 9. Develop a coordinated process for identifying and applying for grants and other forms of financial aid to support any or all of the strategies outlined. At the appropriate time, develop and/or participate in research projects that advance knowledge about childhood obesity and how to combat it.
Maureen: In May of 2009 the FORWARD Advisory Board was formed. Community leaders in all areas of nutrition, healthcare, education, physical activity, public health, and others are engaged for direction. In the summer of 2009 committees were established to conduct initial work- The Data and Research committee- Identifies relevant data and measures the mechanisms, means and timelines that will be employed in order to inform and direct the FORWARD Initiative. You will be hearing a report for this committee today as they are working hard to supply us with baseline DuPage County obesity rates. Their work measures FORWARD’s impact and progress on reversing the trend of obesity. Marketing and Communications Committee- oversees and develops documents, tools, and plans regarding the marketing, promotion, and external communication. Resource and Partnership Building Committee- Identify and link passionate, engaged, like-minded individuals, programs, and agencies in order to promote the exchange of information and opportunities between these entities. A electronic resource inventory will be built and maintained- which is why we have a couple of laptops set up in the registration area today. If you haven’t do so already please fill out the online partnership form which will help us classify you and/or your organization in the FORWARD resource directory.
MAUREEN OCTOBER 2009 First FORWARD Coalition Meeting. FORWARDDupage.org goes live. Online resource inventory is launched. FORWARD Data Snapshot unveils obesity levels in DuPage mirror the national average. Additional resources secured through DuPage medical group and in-kind contributions from Armark, Wheaton Whole Foods NOVEMBER 2009 Long-term FORWARD Vision developed as part of CDC grant application with participation and support from over 20 partner agencies. It entails: A Central Oﬃce—with evaluation, , marketing/PR and planning functions Five Regional Oﬃces through a partnership with the YMCA’s Three Centers for Expertise- An expansion of service to include not only children but their families MARCH 2010 FORWARD is launched to the public through the “Spring FORWARD to Better Health” event at Wheaton Whole Foods. We held a press conference, demonstrations of healthy eating and active living with more than 20 FORWARD partners and announce a partnership with NBC’s Season 7 Biggest Looser Couple Jerry and Estella Hayes (who you will hear from later today) APRIL 2010 FORWARD is on year old. FORWARD holds 2nd County-wide Coalition Meeting. The meeting today will help collation members understand and provide input into the FORWARD Vision as we put the vision into action and secure funding to support our work over the next few years
Maureen: Briefly explain the vision- and we will dedicate the meeting by going in depth in each section.
MAUREEN MARCH 2010 FORWARD is launched to the public through the “Spring FORWARD to Better Health” event at Wheaton Whole Foods. We held a press conference, demonstrations of healthy eating and active living with more than 20 FORWARD partners and announce a partnership with NBC’s Season 7 Biggest Looser Couple Jerry and Estella Hayes (who you will hear from later today) APRIL 2010 FORWARD is on year old. FORWARD holds 2nd County-wide Coalition Meeting. The meeting today will help collation members understand and provide input into the FORWARD Vision as we put the vision into action and secure funding to support our work over the next few years
Cake and signing, sparkling cider announced for the break
Dr. Buffalo introduces Julie Moreschi
Julie: While the founding members of FORWARD believed there was an obesity issue, and regional and national data supported this supposition, there was no hard evidence at the local level to support this hunch. In June of 2009, FORWARD created the Data and Research committee- Dr. Deepa Handu of Benedictine University and Dr. David Dungan of DuPage Medical Group co-chaired this effort. The committee looked at existing data sources to support this hunch as well as new sources needing to be collected. The committee submitted a proposal to an IRB to allow for research. Last fall the Data committee brought you a Data snapshot, a glimpse into some of the statics regarding overweight and obesity in DuPage County. The committee identified data from a series of existing sources- WIC sites, DuPage County Health Department, Pediatric Practices and Schools. Following that meeting, a subgroup of the full committee continued to meet to refine the data needs and identify a process to collect reliable data for FORWARD.
Julie: FORWARD took an important step this spring in data collection. The data committee worked with the regional office of education to develop a method to collect data from the Illinois School Physicals that children receive before entering grades K, 3, and 9 th grades. The ongoing goal of the committee is to create a surveillance system to collect data on BMI- height and weight in order to track the impact of our efforts over time. We could not have done this without the partnership with the DuPage County Health Department, The Regional Office of Education and the school nurses and superintendents who all made this effort possible. Today what you have in your packets is a supplemental report to the Data Snapshot. This is exciting for FORWARD for three primary reasons: We now have a data collection tool, called Fittrac that was shared with FORWARD by the Regional Office of Education. FORWARD adopted this tool for a minimal cost and will use the database to track obesity over time. We have, through this initial exercise, both worked out the capacity issues with the Fitrack system and engaged the education community in this effort. Many of you may know that School Nurses have been collecting data through the school physicals for years and they were pleased to work with FORWARD to actually do something with this data in an effort to make an impact The data collected, while not conclusive due the the voluntary nature of the sample, does support the Data Snapshot unveiled in October and again supports the theory that DuPage County’s obesity rates mirror the national avenge for children at 33% in some communities
Chris: The percentage of overweight and obesity overall for all grades is 33% overweight and 16% obese. Obesity in children is defined as a body weight at least 20% higher than a healthy weight for a child of that height, or a body fat percentage above 25% in boys or above 32% in girls. The US averages are 32% overweight and 16% obese. The rates we found were comparable to the national averages and also comparable to the data that was reported last fall in the data snapshot.
Chris: The data for these children showed very little difference between gender. In this graph we see that girls were 1% more overweight than boys. In this study we had 537 girls and 540 boys represented- a nearly even distribution.
Chris: This graph shows the grade breakdown. In this study we had 578 Kindergarteners 206 6 th graders 294 9 th graders We see a larger percentage of overweight children in Kindergarten, this may be biased due to the larger representation of Kindergarteners in the study.
Chris: This map represents a majority of the participating schools. Some schools are not identified on the map to keep their participation in this project confidential. We had a good representation from many of the FORWARD regions however, not each grade level in each region was represented. This is an important goal for next year to have a better sample.
Moving forward the Data Committee will continue to engage with the education community and begin to explore a process to collect data each fall from the school physicals for every school in DuPage County. By engaging every school in the County we can establish overweight and obesity prevalence rates. It is important that we continue to move to the goal of a comprehensive data surveillance system that includes children and adults.
Dr. Buffalino: The Regional Plan for FORWARD, our vision is to build local community support through local coalitions and through the identification of the barriers and assets of each community in order to identify trends and county-wide policy and system changes. During the CDC grant application process the YMCA’s were identified as partner that seemed to naturally fit into this role. This summer FORWARD will formally begin to build this vision by working with the regional YMCA’s by performing a community assessment and building the regional FORWARD Coalitions. The Executive Directors of the YMCA’s are here today to tell us about their on-going work and the role they will play in building local support for FORWARD.
FORWARD Region YMCA’s Indian Boundary BR Ryall Fry Family Elmhurst Tri-Town
Portion control, food pyramid, food labels
Brad Warren: B.R. Ryall YMCA Brief History Program Information Who was Luther Gulick? What is the Gulick Collaborative & why is it important? Selected along with 15 other Ys from around the country to participate in the Gulick Collaborative Group of Ys focused on changing the culture of the movement by refocusing our Y with a holistic approach to Health and Wellbeing. In response to the growing health crisis, we are focused on supporting healthy lifestyles by reaching out and engaging those who seek well-being. We also strive to create and sustain healthier communities by active participation and by connecting our network and resources to influence decisions that impact health. The Gulick collaborative provides resources and education necessary to develop and define a response appropriate to the communities we serve.
Brad Warren: Service Area Core: Wheaton, Glen Ellyn Other Service Area: Carol Stream, Glendale Heights, Warrenville, West Chicago, Winfield Lombard Numbers do not include impact of our partnerships with some 50 area organizations.
Beyond Education. Grant pending through FORWARD & through Y-USA collaboration
Beyond Education. Pending United Way grant. Contract to have Bi-Lingual Social Worker/Mental Health Counselor at our facility 2x per week
Initial FORWARD Vision Statement:Children/Adolescents inDuPage County, with thesupport of their families,enthusiastically make dietaryand physical activity choicesevery day that result in ahealthy weight.
The PartnersAccess DuPage Healthy Schools CampaignBenedictine University Heritage YMCA GroupBlue Cross Blue Shield Northern IL. Food BankBreaking Free Northwestern UniversityCentral DuPage Hospital Pediatric Health AssociatesCentral DuPage Physician’s Group Progress AthleticsDuPage County Health Department United WayDuPage Medical Group University of IL. ExtensionDuPage County Regional Office of West Chicago School Dist.Education 33Edward Hospital West Chicago FQHCFit Kids Wheaton Park District
Who We Are• One of the nation’s oldest and largest not for profit CBO organizations (150+ years)• National movement of YMCAs: 2687—in every large urban area and most mid-size to large cities• International Movement: 124 countries• Charitable Status – financial assistance available• The Mission: To put Christian Principles into practice through programs that build healthy spirit, mind and body for all• Most valued not for profit brand
What We DoWe build strong kids, strong families and strong communitiesThrough programs that building healthy spirit, mind and body,In four distinct areas: health and wellness, youth development, family strengthening, and social responsibility
Traditional Y Programs Health and Wellness Focus• A variety of cardio and strength equipment (wellness centers)• Group exercise classes• Sports (youth and adult)• Aquatics: (lap swimming, recreational swim, and water aerobics and swimming lessons for youth and adults)• Afterschool and Day Camp Programs• Teens, Older Adults, Families
Who We Serve• 21 million members annually• 549,000 volunteers (policy and program)• Cradle to Grave-- Kids, families, adults, seniors, communities
We Remain Innovative and Relevant• Basketball • Father’s Day• Volleyball • Peace Corp• Racquetball • USO• Pool filtration • Pioneers in School• Group swim lessons Age Care • Activate America
Activate America is the YMCAs response to the nations growing health crisis. The YMCA is redefining itself and engaging communities across the country to provide better opportunities for people of all ages in their pursuit of health and well-being in spirit, mind and body. Our primary focus is health seekers: those individuals committed to healthy living but struggling to maintain healthy habits over time.
Elements of Activate Activate American events America and resources• Understand Health Seekers and Well-being • Healthy Kids Day• Strengthen Relationships • America on the Move with Members • Healthy Family Homes• Change Y Environment • Food and Fun Curriculum• Grow Programs • Community Healthy Living• Transform Staffing Practices Index• Use Members’ Perspective • Pioneering Healthy Data Communities
Indian Boundary YMCABurr Ridge, Clarendon Hills, Lisle, Darien, Downers Grove, Hinsdale, Oak Brook, Westmont, Willowbrook and Woodridge.
History• An affiliate of the YMCA of Metropolitan Chicago serving Chicagoland for more than 150 years• Community members mobilized in the 1950’s and succeeded in opening a storefront YMCA in 1954• This grew into a full facility Y in 1970. The field house was added in the early 1980s.• Building enhancements and community outreach keep this Y relevant in its community
Basic Stats• Between 4,700 and 5,000 membership units• Close to 13,000 members• More than 8,000 program participants• $688,096 in financial assistance allocated to individuals in 2009• 3,416 individuals served through financial assistance in 2009• 13+ community groups receive free or reduced costs for facility use
Programs and Services• Traditional Y programs• Healthy Kids Afterschool• Healthy Kids Camp• Girlz in the Game• Lose Weight-Feel Great• Silver Sneakers• Commit to be Fit Run/Walk
Programs and Services (cont)• 35,000 Calories in 100 Days and other goal setting and tracking programs• Commit to be Fit• Acivtrax• Healthy Family Home
RecognitionWinner of the Downers Grove Area Chamber of Commerce & Industry’s 2009 “Chamber Choice Award” in the category of community contribution by a nonprofit organization
B.R. Ryall YMCA A Gulick Collaborative YMCAwww.brryallymca.org
B.R. Ryall YMCA Total Direct Annual Service 16,006 individualswww.brryallymca.org
B.R. Ryall YMCA Community Support Direct Financial Assistance Health & Well-being $153,000 Childcare & Afterschool 97,000 Total Direct Assistance $250,000 Indirect Financial Assistance Facility Use by Community Groups $60,000 Outreach/support to Community Groups 30,184 Community Outreach Programs 10,000 International Work 500www.brryallymca.org Other Community Support 8,500 Total Indirect Assistance $109,184 Total Community Support $359,184
Heritage YMCA History• Naperville Area YMCA Opened March 1911• Fry Family YMCA, South Naperville 1995• 2000 Aurora YMCA merges with Naperville to become Heritage YMCA Group• Expanded Fry and Built Field House• 2001 Oswego Y opened at Mason Square• 2009 Oswego moves to 22,000 sq.ft. location in old Traughber Middle School
Heritage YMCA Service Area DuPage County: • Aurora • Naperville • Lisle (west of Rt. 53)
Heritage YMCA Programs• Traditional YMCA Programs • 86 Free Group Exercise Classes/Week • 10 Free Family Friendly Classes/Week • Strong Personal Training program, long term commitments• Before/After School Child Care • 38 sites in School Dist. 203 & 204
Heritage YMCA Service Area Naperville 69% Oswego Aurora 10% 10%Other Areas 5% Other Service Montgomery Areas 3% 3%
Heritage YMCA Obesity Prevention• Healthy Lifestyles Committee Healthy Vending Policy Healthy Food Policy• Family Friendly Classes• Fit Kids Program• Wellness Initiative in Summer Day Camp• Healthy Kids Day• America on the Move Week• Collaborations with Community Organizations
Heritage YMCA Success Stories• Fit Kids in Summer Camp• Danny• Kirsten
Elmhurst YMCA Serving the communities of: Elmhurst – Bensenville Berkeley – Hillside Melrose Park – Addison Bellwood
History• The Elmhurst YMCA is a branch of the YMCA of Metropolitan Chicago• The Elmhurst YMCA has been part of the community for nearly 60 years• Programs and services have changed over the years to reflect the needs of the communities the Y serves
Programs• Fitness Center – Active-Trax system• Land and Water Fitness Classes• ½ Day Kindergarten and Afterschool Program• Day Camp• Outdoor Ice Rink• Teen Leaders Club• Adaptive Aquatics• Youth Basketball
Obesity Prevention Efforts• Land and Water Fitness Classes 45 land and 18 water fitness classes a week Youth Fitness Kids Yoga Teen Commit to be Fit• N.E.W. You – Nutrition Education and Weight Management• Youth Sports• Elmhurst Triathlon Club• Healthy Kids Day Camp and Afterschool
Success!!!!!!!!!!• Michelle Daugherty and Terri Sever
Tri-Town YMCA Improving Children’s Livesthrough Health Enhancement Serving Lombard, Villa Park, Oakbrook Terrace through Community Programming and Outreach We build strong kids, strong families, strong communities
After School ProgramFood & Fun Curriculum National YMCA The DuPage Community Foundation The DuPage Medical Group West Suburban Dietetic Association
Operation Pull Your Own Weight• Leg Assisted Pull Ups so all can succeed• Adjustable Straps for individual progress• Shared Resources with school PE classes• Community Volunteers• Community Recognition
Healthy Lombard • Village of Lombard • Lombard Elementary District 44 • Glenbard Township High School District • Lombard Park District • Lombard Kiwanis, Lombard Rotary, Lombard Lions • Best Buy of Downers Grove • DuPage County Health Department & FORWARD • Helen Plum Library • The DuPage Medical Group • Elmhurst Hospital
Community Healthy Living Index • Y-USA, Harvard, Stanford, CDC • Impact on Policy & Environment • Y Facilitated Assessment Teams & Improvement Planning Sessions • Schools, Childcare, Worksites, Neighborhoods, Community at Large
Overcoming Barriers • Stress – Overscheduled • Low Self Esteem – Anxiety- Depression • Low Income – Under Insured - Cultural Issues
Why IS PE ImportantAmericans are growing more obese & overweight…rapidly!! more 1985 1996 2004 No Data 10% 0%–14% 15%–19% 20%–24% ≥25% *BMI ≥30, or about 30 lbs overweight for 5’4” person lbs
Swedish Study• Performed - study of all Swedish men born between 1950 on 1976--- who entered the MILITARY— At age 18 They had grades and test scores at 15 and test scores on entering military at 18. As well they had information on physical fitness at 15 and 18 and made their analyses. • 270,000 were siblings• 3100 were fraternal twins• 1432 were identical twins• The sample included a total of 1,221,727 men • The finding was that higher IQ scores were found in those men with the better cardiovascular conditioning, even when comparing TWINS
Figure 1 2004 CST in English-language arts by the number of fitness standards achieved Grade 5 Grade 7 Grade 9 360 355 352 350 350 342 340 339 336CST ELA Scale Score 333 330 329 327 326 322 322 320 320 317 316 314 310 311 309 306 304 300 300 290 0 1 2 3 4 5 6 Overall PFT Score
Enhanced AcademicPerformanceConsistent exercise, and certain typesof specific exercises, can bothtemporarily and permanently affectthe way your brain is able to focus, itsability to deal with stress and anxiety,and its ability to learn …“Exercise is like fertilizer forthe brain … it’s so good, it’slike Miracle Gro”.- Dr. John Ratey, Harvard Brain Researcher
Average composite of 20 student brains taking the same test Brain after sitting quietly Brain after 20 minute walkResearch/scan compliments of Dr. Chuck Hillman University of Illinois
Childhood Obesity is aSimple Mathematic Equation Less Calories in Minus More Calories out That is why we need Quality Daily Physical Education
The Core Beliefs of a PE4life Program• Ideally PE every day (minimum: every other day)• Develop an innovative curriculum • Explore new lifetime activities• Integrate new technology into the PE class, i.e. heart rate monitors, pedometers, fitness software... • Explore opportunities in team building/leadership• Direct to all students, not just the athletically inclined• Variety of sports, life time activities and fitness activities small sided games• Individualized fitness assessments• Extend PE beyond the walls of the gymnasium -- develop community partnerships
Malpractice OccurrencesDidn’t finish work Discipline ProblemDiscipline Problem More academic Time Needed NO NO Recess PE
Medical Excuses Modified FormsDoctor’s note should indicate what Student Can Do!!!
DU PAGE COUNTYPROMOTING ACTIVE TRANSPORTATION The Built Environment
WHY DO IT?• Transportation • benefits• Quality of life/health and fitness• Economic development
Transportation BenefitsWhat gets theequivalent of 1,000miles per gallon,doesnt pollute, •Reduced trafficgreatly increases yourphysical andmental health, congestion through tripencourages fun andfriendships? diversion •Air quality improvements through reduced auto emissions
Trip Diversion • Bicycling/walking are ideal transportation alternatives for shorter trips • Most trips less than 5 miles
Trip Lengths in DuPage County < 3 miles 54% > 5 miles 31% 3 to 5 miles 15%Source: CATS Household Travel Survey
Quality of LifeHealth and Fitness • Recreation • Nature experience • Mental health benefits (stress reduction, decreased depression, decreased anxiety)
Quality of Life/Health • Slows the aging process by promoting active/healthy lifestyles • Aids in preventing and controlling diabetes and arthritis • Helps reduce obesity
Quality of Life/Health • Promotes sense of community • Promotes environmental stewardship and resource conservation
Economic Development • Contributes to the economic vitality of the community •Eco-tourism • Sales: Equipment supplies
Economic Development•Amenity in residential areas increaseshome values•Small business development (shops,restaurants)•Can be the focal point of downtowndevelopment/redevelopment
Economic Development Example – Naperville Riverwalk
Pre-Riverwalk Development Aerial of Downtown Naperville
Hitchcock Design Group, Naperville, Illinois - Latest Area Plan
It’s More Fun! Multi-use system includes Bison roam the prairie at equestrians, pedestrians, and Fermi National Laboratory bicyclists
Plan Development1987: 1st Countywide land use plan setting aside open space along greenway corridors1984: 1st Countywide Bikeway Plan1996- Plan Updates 2008:
Plan BasisIntergovernmental Coordination •Part of NE Illinois Regional Transportation Plan •90 local agencies in DuPage •Cooperative planning effort with DuPage Mayors and Managers Conference
Plan BasisIntergovernmental Coordination • Municipalities • Park Districts • Forest Preserve District • DuPage County Div. of Transportation • Townships • Federal Laboratories • Citizens
Plan Components•Goals & Policies (e.g., County Healthy Roads)•Existing Facilities•Roads Suitable for Bicycling
Plan Components• Proposed new facilities • Priority projects for implementation by all 90 agencies• Plan summary in meeting materials
VISION OF FORWARD • Increase Public Education on Value of Active Transportation • Promote Usage of Facilities• Utilize Expertise
Blackwell Trail Illinois Prairie Path 47-year-old Rail-to-Trail Conversion Aurora School Kids On Bike Hike
Glen Briar Walk-to-School Day Glen Ellyn Great Western Trail Connection Villa Park
EXPANDING WORK WITH EXISTING PARTNERS• DuPage Mayors and Managers Conference• League of Illinois Bicyclists• Active Transportation Alliance• Business Community
PROPOSED PROJECTS• Bike-to-Work Employer-Based Site Training Program • Bike-to-Transit Marketing Campaign • DuPage County Bicycle Ambassadors• Healthy Roads Policy – Municipal Outreach Program
PROPOSED PROJECTS• Bicycle Parking Program for Businesses • Countywide Directional Signage for Trails • Active Transportation for DuPage Neighborhood Resource Centers• Bicycle Lane Expansion • County Safe Routes to School Grant Program
CENTER FOR ACTIVE LIVING• Improve Access to Active Transportation Especially for Families• Work with Coalition Partners to Change Policy, Systems, and our Built Environment
www.dupageco.org/bikeways for Maps and UpdatesDeborah Jan Fagan, Chief Planner And County Trail System Coordinator, Dupage County Department Of Economic Development And Planning Contact: firstname.lastname@example.org