full project community nutrition

Fort Collins: Prevention of Chronic
Disease in Older Adults
Fort Collins Senior Center
Mel Beale, Andrea Rapp, Jackie Nelson
FSHN 451: Community Nutrition
November 20, 2015

Fort Collins Senior Center Page 2 of 44
TABLE OF CONTENTS
Team & Work Distribution....................................................................................................................3
Team Members, Team Leader .........................................................................................................3
Distribution/Plan to Accomplish Team Project....................................................................................3
Community Partner .............................................................................................................................4
Context: Target Audience & Community Description .............................................................................4
Problem Statement, Project Purpose & Brief Description .......................................................................5
Problem Statement ..........................................................................................................................5
Project Purpose...............................................................................................................................6
Description of Proposed Project .......................................................................................................6
Behavior Change Theory & Research Basis .........................................................................................8
Social Cognitive Theory (SCT) Definition...........................................................................................8
SCT Constructs Selected for This Project & Rationale .......................................................................8
Research Basis ...............................................................................................................................8
Lesson Plan Table ............................................................................................................................11
Evaluation Table ...............................................................................................................................14
Logic Model......................................................................................................................................16
Presentation.....................................................................................................................................18
Summary of Findings ........................................................................................................................18
Reflection.........................................................................................................................................18
Acknowledgments.............................................................................................................................19
References.......................................................................................................................................19
Appendices ......................................................................................................................................21
Appendix 1: Bulletin board materials: Behavioral Information, Brochure, Biographical Information Sheet
....................................................................................................................................................21
Appendix 2: Bulletin board materials: Fitness Information ................................................................26
Appendix 3: Bulletin board materials: Nutrition Information ..............................................................34
Appendix 4: Evaluation Surveys ....................................................................................................40
Appendix 5: Bulletin board citations ...............................................................................................44

Team & Work Distribution
Team Members, Team Leader
Leader: Mel Beale
Members: Andrea Rapp, Jackie Nelson
Distribution/Plan to Accomplish Team Project
Mel: Communicated with community partner, set-up meeting via Doodle poll, created Google docs,
attended initial meeting, researched local statistics, took notes during meeting, continued communication
with community partner for further statistical (and other) information, attended meeting with Dr. Sabo and
took notes, sent meeting notes to group members, gathered all fitness information for bulletin board,
attended first bulletin board set-up, attended second bulletin board session (to monitor/change materials),
compiled references, restructured, added, and wrote citations for entire document, added all appendices
including bulletin board citations and in-text citations, wrote logic model, edited entire document, edited
evaluation table, minor changes to appendices, re-read and re-edited document, added results to
evaluation table, completed final edit for assignment 3, added media to PowerPoint, communicated with
group two, edited PowerPoint, edited assignment 4, participated in the presentation.
Jackie: Attended initial meeting with community partner, toured the center, observed community partner
eating habits, researched statistics, transferred information from writing to learn 3 into the document,
contacted Betsy for approval on bulletin board, contacted James Peth (MPH in Nutrition and
currentlyPHD student in Nutrition at CSU) for second opinion on work before we added it to the bulletin
board, wrote and compiled all food-related materials for bulletin board, participated in the bulletin board
set-up, did research for the bulletin board, contacted Dr. Sabo and set up meeting for further project
approval, wrote and edited research basis table completed lesson plan table, and completed evaluation
table, completed presentation section, completed the summary of findings section, completed the
reflection section, and completed the acknowledgments section.

Andrea: Attended initial meeting with community partner, participated in Grandparent’s Day event and
collected observational nutrition information about clientele and food served during events, spoke with
Betsy (our informant for the Senior Center) about clientele and employees of the center, researched
national statistics for our population, found behavior article to support WTL assignments/project, created
flyers for our bulletin board, created information about behavior for bulletin board, helped put up bulletin
board at Senior Center, attended meeting with Dr. Sabo, corrected information in assignment, Found
articles mentioning definitions of process evaluations and impact evaluations, corrected some information
from assignment 2, collected information from members of the senior center in a post-retrospective pre
survey, helped take project off of bulletin board, and created nutrition information for our community
partner to use in the future, and created the PowerPoint used for final presentation, and included both
teams information in the presentation.
Community Partner
The community partner is the Fort Collins Senior Center / Fort Collins Recreation. According to Betsy
Emond, B.S., volunteer coordinator at the Fort Collins Senior Center, (September 2015), the Senior
Center of Fort Collins serves members 18 years and older, but their main population are adults over the
age of 50. The members at this center can utilize their recreation amenities such as a full weight room,
walking track, full gymnasium and a lap pool. Along with the utilization of the facility, these members can
participate in a variety of programs and classes that are offered such as health and wellness education,
aquatics classes, dance, art and outdoor activities. The Senior Center also consistently strives to meet
their mission statement which reads,“[The Senior Center] a gathering place where older adults can come
together for activities and services that enhance their dignity, maintain their well-being, support their
independence, foster lifelong learning, and enhance and encourage their movement in the community.”1
Context: Target Audience & Community Description
The target audience is adults over age 50 who regularly attend the Fort Collins Senior Center. The
“Senior Center” title, however, is slightly misleading. This center services all adults 18 and over, but

people over the age of 50 are the main clientele to frequent the senior center (Betsy Emond, B.S.,
September 2015). According to Healthy People 2020,2 more than 60% of the population 65 years and
older will manage more than one chronic condition by 2030, many of which could be preventable through
proper nutrition and fitness care.2 Through classes in which older adults can participate, the Senior
Center helps to prevent poor lifestyle decisions from occurring and progressing to a chronic stage.
Examples of classes and programs provided at the Fort Collins Senior Center include aqua fitness, arts &
crafts, dance & movement, education, fitness, outdoor recreation, and trips & travel.1 Larimer County is
home to about 13,000 people over the age of 65, (8.8%)3 so services like the senior center are essential.
Many older adults do not achieve the recommended amount of exercise,4 so the presence of the Fort
Collins Senior Center can help improve the risk of chronic disease and motivate older adults to participate
in informational and social events. If seniors can obtain the information and means to live a healthy
lifestyle, rates of chronic disease may decrease.
Problem Statement, Project Purpose & Brief Description
Problem Statement
Currently in the U.S., four of out five adults over the age of 50 are living with a chronic disease.5 An
example of a common chronic disease in the elderly is Osteoporosis, the softening of bones related to
insufficient vitamin D, calcium, and weight-bearing exercise. Statistics show that by 2025, in the U.S.,
annual costs and fractures related to Osteoporosis will increase by 50%.6 However, Osteoporosis is not
the only chronic disease that affects older adults. Others include (but are not limited to) Sarcopenia, Type
Two Diabetes, Hypertension, and Atherosclerosis.2. Incidences of these diseases are worsening due to
poor nutrition and lack of exercise as well as the rapidly growing older population of baby boomers.5
Luckily, the city of Fort Collins aims to help prevent these diseases with multiple physical activity and
education centers. These programs are provided by Colorado State University, Poudre Valley Hospital,
and recreation centers such as the Fort Collins Senior Center.

ProjectPurpose
The purpose of this project is to educate the older adult members of the Senior Center (age 50 and older)
about health and wellness in relation to the reduction of chronic disease risk. The goal of the project is to
educate these older adults by producing information regarding fitness and nutrition to reduce the risks of
chronic diseases.
The proposed project could help alleviate chronic diseases in older adults in many ways. First, the
proposed bulletin board idea (see below) will integrate both exercise and nutrition. Exercise and nutrition
are known to lower resting blood glucose, potentially prevent osteoporosis, potentially prevent
Sarcopenia, lower blood pressure, and reduce risk of plaque build-up that could lead to Atherosclerosis.
Further, the bulletin board will be targeted at adults over the age of 50, so the information will be
applicable to the lives of this population. The current goal stated in Healthy People 2020 for older adults
are overall to improve the health, function and quality of life.2 In addition, older adults are not getting
enough of their recommended nutrients.2 Some statistics from Healthy People 2020 reported that 35.4%
of adults 60 and older are overweight or obese, 22.4% of adults consume less than 1 serving of
vegetables daily, 38.5% of adults consume less than 1 serving of fruit daily and 26.3% of adults do not
engage in any type of physical activity.2 This project will acknowledge all of these areas by providing
information on diseases, recipes, physical activity information and how to improve these areas by setting
goals.
Description of Proposed Project
This project is a bulletin board about health and wellness designed to target the members of the Senior
Center over the age of 50. The bulletin board will have a “fall” theme, so all recipes and fitness
information will be centered around fall. For example, the bulletin board will provide a salmon with apple
cider glaze recipe and information about 5k races this fall. Additionally, the bulletin board will be
decorated with fall accessories like leaves and orange background paper. The bulletin board will also help

educate the members about healthy choices when it comes to nutrition and disease risk. For example,
lowering sodium intake to 1500mg per day may help reduce hypertension. On the bulletin board, an
example of a low sodium recipe will be provided. This bulletin board will help educate the Fort Collins
Senior Center members about fitness and nutrition and help the members implement healthy ways to
exercise, eat, and cook. Members will also be provided with information about goal setting, and all of
these together may help decrease the risk of chronic disease. The bulletin board will provide
supplemental materials such as healthy recipes, physical activity opportunities in and around Fort Collins,
a handout that explains SMART goals, disease descriptions, and nutrition and physical activity
information. Finally, the bulletin board will provide a “14 days of health challenge” that will encourage
members to try the recipes, 5k races, and other healthy behaviors.
Four total bulletin boards will be created. The other group (Alysse Milano, Kat Egleston, and Lauren
Hebert) working with the Fort Collins Senior Center will design a “winter” themed board. In addition, each
group will create another board (spring and summer themes respectively) for service learning. This way,
each group will be able to present one bulletin board during the semester and other information can be
left with our community partner to be used for future seasons. The bulletin board is located at the Senior
Center on the second floor next to the weight room and running track. The bulletin board was posted for
three weeks. It was assessed with a “post retrospective pre” survey, an assessment of how many flyers,
recipes and 5k information sheets were taken, and how many people participated in the 14 days of health
challenge.

Behavior Change Theory & Research Basis
SocialCognitive Theory(SCT) Definition
Social Cognitive Theory is the notion that people learn from watching others succeed or failure and make decisions based on these observations.7
SCT focuses on how people interact with their environments and their wiliness to change. Four main types of factors are involved: environmental,
behavioral, personal, and the interaction between the aforementioned three factors.7
SCT ConstructsSelected for This Project& Rationale
 Observational learning: watching and reenacting a behavior seen by a “model”7
 Reinforcement: a reward for exhibiting a desired behavior7
 Through observational learning, participants will be able to model good nutrition and fitness behaviors to reduce the risk of chronic
diseases. For example, members of the Fort Collins Senior Center will learn about 5k races, and if they decided to attend, they
would see many people running and they may learn from this behavior.7 For example, the members who watch those running may
learn running techniques, clothing options, breathing patterns or even be simply motivated to try running themselves. Ultimately,
with this learned behavior, they could decrease their risk of chronic disease. Reinforcement through the use of a star and prize
system will be beneficial because it will be a small reward for trying good nutrition and exercise practices.7 By giving the
participants who choose to complete the health challenge positive reinforcement, they will be able to develop more knowledge and
confidence about eating healthy and exercise to reduce the risk of chronic disease.
Research Basis
**Complete this table for two selected research studies that support your project design**
Citation
AMA format
required; include a
copy of each
complete article
with your electronic
submission.
Setting &
Participants
Intervention
description (include
Social Cognitive
Theory constructs)
Evaluation
strategies (include
how SCT
constructs were
measured)
Describe study findings
relevant to your project
outcomes
Based on their
results, what can
you expect from
your project?
Smith-Rae R,
Fitzgibbon ML, Tussing-
Humphreys L.Fit and
Strong! Plus:Design of
400 adults ages 60+
with osteoarthritis,gym
setting.
Half the participants did
justa workout, and the
other halfalso received
interactive sessions
Evaluation done
through
measurements before
and after, including
The results ofthe study
showed thatthe participants
in Fit and Strong had
decreased weight,started
There was a
noticeable behavior
change in those in the
experimental group,

Citation
AMA format
required; include a
copy of each
complete article
submission.
Setting &
Participants
Intervention
Social Cognitive
Theory constructs)
Evaluation
strategies (include
how SCT
constructs were
measured)
outcomes
Based on their
results, what can
you expect from
your project?
a comparative
effectiveness evaluation
of a weight
managementprogram
for older adults with
osteoarthritis. Contemp
Clin Trials. 2014;37(2):
178-188.
aboutdiet and weight
loss called Fitand
Strong. Through the
observational learning
methods ofproviding
information to the
participants in various
ways (information on
MyPlate, food labels and
portion planning)
participants were able to
model behavior.
body weight,
assessmentof
outcomes after the
trials taken in
increments. These
measurements were
taken at 2, 6, 12, and
24 months.
Observational learning
methods included data
through information
provided in seminars
to participants on
healthy eating,
MyPlate, portion
distribution,meal
planning and grocery
shopping.
making healthier life
choices,and decreased
osteoarthritis through diet
and exercise. These
findings are relevantto this
projectbecause a similar
age group was targeted
(adults over the age of 60).
Through the use of
modeling/observational
learning,the participants
obtained results. This
projectwill also provide
resources including healthy
recipes and MyPlate
information similar to this
study.
and there was a
change in weight
managementand
exercise due to the
change in their social
cognitive constructs.
From these results in
a similar audience,we
can expect that our
group of participants
will change behavior
based on the
observational learning
through the
information supplied
in our bulletin board.
However, the
intervention at the FC
Senior Center is less
intensive than the
study at hand, so we
could likely expect
fewer changes in the
FC Senior Center
population.
Wisocki,Patricia A.
Handbook ofClinical
Behavior Therapy with
the Elderly client. 1st
ed.
New York, New York:
Plenum Press;1991.33-
34.
Gym setting,ages 46-78
years old.
8 male residents ofa
nursing home
Reinforcementand
environmentwere both
used as social
constructs.
Reinforcementthrough
gold stars for the
completion ofgoals.
The participants were in
a setting where a bike
was given to them.They
placed the reinforcement
board near that same
Reinforcementofgold
stars for completing
workoutgoals.
Evaluation through
observational studies
of the participants.
The findings showed that
through the use of
reinforcementwith prizes
and stars,the participants
stuck with their exercise
program. When they
stopped reinforcement, 1
participantcompletely
stopped exercising,1
returned to the baseline,and
the six remained stable.
.This is relevant to our
Based on the results
of this study, we can
expect that
reinforcementwill be
beneficial to getting
successful outcomes
in our project, and
enforce changed
dietary and lifestyle
behaviors.

Citation
AMA format
required; include a
copy of each
complete article
submission.
Setting &
Participants
Intervention
Social Cognitive
Theory constructs)
Evaluation
strategies (include
how SCT
constructs were
measured)
outcomes
Based on their
results, what can
you expect from
your project?
place which could have
helped with creating a
motivational atmosphere.
Stationary bikes were
used as an exercise tool.
project, because we plan to
use a system similar to this
one, with a fitness
challenge. This challenge
will also use reinforcement
through gold stars and
prizes.

Lesson Plan Table
Specific 2010 Dietary or 2008 Physical Activity Guidelines for Americans emphasized:
According to the 2008 PAG10, older adults should complete at least 150 minutes of moderate intensity exercise each week (or 75 minutes vigorous
intensity) and at least two strengthening exercises each week. (These can help prevent sarcopenia, osteoporosis, and type two diabetes.) Further,
according to the 2010 DGA11, reducing dietary sodium to <2300 mg/day can help reduce hypertension, reducing solid fat consumption can help
prevent CVD, and increasing vitamin D consumption can help prevent osteoporosis.
**Complete this table for each lesson developed**
Lesson Title Social Cognitive
Theory Constructs
Nutrition or Activity
Message(s)
Learning Objectives Learning Activities Instructional Materials Evaluation
Strategies for
learning objectives
1) Physical activity
education:add the
recommended
amountof exercise
for older adults
through learning
aboutexercise and
exercise
opportunities
2) Nutrition
education:
improving dietby
learning aboutdiet
in relation to chronic
disease and by
trying the recipes
provided
1) Reinforcement
and observational
learning.Members
of the Fort Collins
Senior Center can
choose to
participate in the 14
days of health
challenge,and for
each of the 7 fitness
goals completed,
each member will
receive a star. (And
be entered in a
drawing to win a
$20 Whole Foods
gift card.)
Observational
learning will be
present,for
example,if
members ofthe
senior center
attended a 5k race
and observed
people running.
2) Reinforcement.
Members of the Fort
1) Increased
physical activity has
been shown to
reduce risk for
osteoporosis,type
two diabetes and
sarcopenia.
2) Dietary education
can help with a
change of diet and
an increase in
healthful eating.A
healthful dietcan
help reduce risk
factors for chronic
diseases such as
osteoporosis and
diabetes.
1) After reading the
bulletin board and
participating in our
challenge,the
population ofelderly
adults will learn how
to involve
themselves in
physical activity and
will learn how to set
goals for
themselves.The
objective of this
lesson is to educate
the participants on
the health impacts
of chronic disease
and exercise. This
will be assessed
using a post
retrospective pre
type of survey. The
participants will be
asked abouta
possible habitthat
they had and then
will be asked their
opinion on that
1) The bulletin
board will give
physical activity
options ofactivities
going on in the
communitythat
they could
participate in. Also,
there will be a
fitness challenge of
14 differentthings
(7 fitness-related
and 7 nutrition-
related) that they
could do in order to
increase their
awareness of
physical activity
and nutrition
Anchor:
Participants will
access prior
knowledge and
understanding
before learning
aboutfitness and
chronic diseases.
Add: Participants
1) All information will be
available to the
participants on the
bulletin board and there
will be a supplemental
brochure to accompany
the information. This
information will come
from external sources,
all listed in the
reference section and
shown the appendices,
including the USDA
dietary guidelines11,
information about
chronic diseases,
upcoming events in Fort
Collins,etc.
2) A brochure will be
provided with mostof
the information on the
bulletin board in a
condensed version (see
appendices,18-19) and
extra information will
also be included on the
board which they will be
1) We will see how
many people are
able to engage in
the challenge and
provide a survey
that people will take
so we can gage
where they are in
the process.We will
also see how many
people have taken
the fliers and
brochures. Surveys
will be conducted to
see how engaging
our bulletin board
was at the senior
center. Personal
opinions will be our
strategy through the
use of surveys.
2) A survey will be
used to measure the
information supplied
and how it helped
the members ofthe
Senior Center that

Theory Constructs
Message(s)
Strategies for
learning objectives
Collins Senior
Center can choose
to participate in the
14 days of health
challenge,and for
each of the 7
nutrition goals
completed,each
member will receive
a star.
same habitafter
they have read our
board and/or
participated in the
fitness challenge.
2) After reading the
bulletin board,the
participants will
know how different
nutrients are
involved with
diseases and how
creating a different
diet can promote
better health.
The objective of this
assignmentis to
educate the
participants who
take the recipes
from the board
aboutnutrition in
relation to reducing
the risk of chronic
diseases,and also
providing some
recipes thatare
targeted for specific
chronic diseases.
This information will
be measured in a
few different ways.
First, our group will
count how many
recipes and
brochures were
taken to assess
how popular they
were as well as
what recipe they
will experience the
fitness challenge,
and learn about
fitness and chronic
diseases,through
observation in the
bulletin board.
Apply: Participants
will do the fitness
challenge
Away: Participants
will take away the
importance of
fitness and the
reduction of
chronic diseases,
and apply this to
their lives.
2) Our bulletin
board will include
recipes thatthe
participants can
incorporate into the
holidayseason and
information about
how to read a
nutrition label
Anchor:
Participants will
access prior
knowledge before
observing the
board with nutrition
and chronic
disease
information.
Add: Participants
will learn through
reading and
communication by
able to read whenever
they are in the center.
(See appendices 1-3.)
read or participated
in the board.

Theory Constructs
Message(s)
Strategies for
learning objectives
may have liked the
most.Then, the
same surveywill be
used to assess
what they might
have learned or
thoughtof our board
as it contains
questions relating to
both nutrition and
physical activity.
us,about the
importance of
nutrition and
fitness.
Apply: Participants
will take the
recipes and use
them at home in
their own lives.
Away: Participants
will learn simple
nutrition in recipes
to reduce chronic
disease.

Evaluation Table
Process Evaluation (these are measures that
w illtie to the activities and participants you
outlined in your logic model)
Impact Evaluation (these tie to the
learning objectives, behavioralintent, skill
demonstrations, etc., listed in your lesson
plan table and short term outcomes in
your logic model)
Outcome Evaluation (these tie to the medium
term outcomes listed in your logic model).
Definition (include reference) “Process evaluation is used to
monitor/document program implementation
and can aid in understanding relationship
betw een specific programelements and
program outcomes.”
Saunders R, Evans M, Joshi P. “Developing a
Process Evaluation Plan for Assessing Health
Promotion Implementation: a how -to guide.
Health Promot Pract. 2015; 6(2): 134-147.
Only impact evaluations allow one to
conclude authoritatively w hetheror not the
observed outcomes are a result of the
intervention.”
Nutrition Education: Principles of Sound
Impact Evaluation. USDA Website.
http://www.fns.usda.gov/nutrition-
education-principles-sound-impact-
evaluation
Published September 13, 2005. Accessed
November 11, 2015.
Outcome evaluation measures how wella
program changes health or nutrition of the target
population (long-term.)
Liquori T, Koch PD, Contendo IR, Castle J. The
cookshop program: outcome evaluation of a
nutrition education program linking lunchroom
food experiences with classroomcooking
experiences. J Nutr Educ. 1998; 30(5): 302-313.
doi:10.1016/S0022-3182(98)70339-5
Specific purpose of each type of
evaluation for our project
Process evaluation is an important measure
for a project and intervention to determine
w hether or not the implementation of the
program w as successful. Process evaluation
can also determine if the project/intervention
w as implemented how it w as originally
intended to. For this project, one can evaluate
how effective a bulletin board is for teaching
older adults about nutrition and fitness and
how they relate to chronic disease.
Impact evaluation measures the
effectivenessof immediate changes in
behaviors. If the interactive bulletin board
and the fitness challenge are successful,
then impact evaluation w illdepict the
immediate changes in the members of the
FC Senior Center w ho read the bulletin
board. For example, there w ould ideally
be immediate changes in exercise habits
through the know ledge gained by the
bulletin board. Further, ideally, there
w ould be changes in dietary habits
because of the information presented on
the bulletin board.
Outcome evaluation could determine if our
intervention (a fall-themed bulletin board in the
Fort Collins senior center that relates both
nutrition and exercise to osteoporosis, CVD,
sarcopenia, type tw o diabetes, and hypertension
prevention) w asactually successful. For
example, one could use the people w ho read the
bulletin board as the experimental group and,
w ithin a few years, measure their rates of these
chronic diseases. This experimental group could
be compared to a controlgroup of people w ho
attend the Fort Collins Senior Center w ho did not
read the bulletin board.
1 to 3 4-part objectives for each
type of evaluation (action,
population, measure of success,
time frame)
Example:
1. During the time the bulletin board
w as posted (10/16- 11/6), twenty
people read the entire board and
had the opportunity to learn about
fitness, nutrition and their
relationships w ith chronic disease,
as measured by traffic near bulletin
board and number of people spoken
to.
2. During the time the bulletin board
w as posted (10/16-11/6)creators of
the bulletin board visited three times
to speakw ith at least 5 FC Senior
Example:
1. Immediately after looking at the
bulletin board, each participant
w illhave an increase in
know ledge about osteoporosis,
type 2 diabetes, sarcopenia,
CVD, hypertension as
measured by survey; appendix
4 page 42.
2. During the specific time period
(10/17-10/30) five people w ill
attempt the fitness challenge
and completed at least three
suggested activities each.
Example:
1. Half of the members of the FC Senior
Center w ho read the bulletin board,
w ithin 2-3 years, willhave at least 25%
low er rates of chronicdiseases related
to exercise* compared to the average
population.
2. Half of the members of the FC Senior
Center w ho read the bulletin board,
w ithin 2-3 years, willhave As
measured by outcome evaluation
survey; appendix 4, page 43) Results
should show at least 25% low er rates
of chronic diseases related to

Process Evaluation (these are measures that
w illtie to the activities and participants you
outlined in your logic model)
Impact Evaluation (these tie to the
learning objectives, behavioralintent, skill
demonstrations, etc., listed in your lesson
plan table and short term outcomes in
your logic model)
Outcome Evaluation (these tie to the medium
term outcomes listed in your logic model).
Center members and modulate
reading and learning from bulletin
board (as measured by how many
times visited and how many people
spoken to).
nutrition** compared to the average
population.
*osteoporosis, sarcopenia, type-two
diabetes
**osteoporosis, hypertension,
cardiovascular disease
Method/s used to measure each
objective for each type of
evaluation
1. Counting of people spoken to,
number of 5k information sheets
and recipes taken, information from
Betsy Emond (community partner
liaison) about traffic by the bulletin
board (located next to the running
trackand the w eight lifting and
cardio area.)
2. Counting of times visited by Mel,
Andrea, and Jackie. Upon each
visitation, speak to at least 5
members and encourage them to
read bulletin board and take
recipes/trailmaps/5k information
sheets.
1. Retrospective survey used to measure
participants’know ledge before and after
reading the bulletin board.
2. Count number of people w ho completed
fitness challenge and number of fitness
challenge activities
1&2. Email or phone survey of people w ho read
the bulletin board and took surveys.
Medical/population statistics of Fort Collins older
adults (to match ages the people w ho read the
bulletin board) taken in the future to evaluate
success.
Summary of actualresults OR
expected results fromeach type
of evaluation method described
above
A total of 18 people w ere spoken to during
three different visits to the Fort Collins Senior
Center. The Fort Collins Senior Center w as
visited on 10/16, 10/23, 11/6.
On 10/16, w e spoke w ith seven people, on
10/23, w e spoke with six people, and on 11/6
w e spoke w ith five people.
Four Veteran’s Day 5k information sheets
w ere taken*, five Thanksgiving Day 5k
information sheets w ere taken*, 6 trail maps
w ere taken*, 15 salmon recipes w ere taken**,
10 chicken recipes w eretaken**, 5 tomato
soup recipes w ere taken**.
Traffic is highest at the gymnasium and
running trackbetw een 6amand noon (Betsy
Emond, September 2015), but exact numbers
are unknow n.
*appendix 2
**appendix 3
1. Of the 18 people spoken to, 15
of them had an increase in
know ledge about chronic
diseases by at least 3 out of 10
points (see appendix 4, page
39).
2. Unfortunately, no one
participated in the fitness
challenge. The goal of 3
activities per person w as zero
as w ell.
1. 50% of those interview ed had 25% less rates
of chronic disease than the average age-
matched Fort Collins population. The survey
simply asks w hether or not the person has each
of the five diseases. Ideally, 50% of the
members of the Fort Collins Senior Center w ho
took a survey willhave 25% low er rates of these
diseases than the average age-matched Fort
Collins population. For example, of the age-
matched Fort Collins population, if 50% had at
least one of the five chronic diseases, then only
25% of the Fort Collins Senior Center members
surveyed would have one of the five chronic
diseases.
*see appendix 4, page 40

Logic Model
nputs
Outputs Impact -- Outcomes
Activities Participation Short Medium Long
Invested by our group:
-Time to create the
project, put up the
project and research
information
-Money to buy supplies
needed
-Know ledge
Invested by professors:
- Time for group
meetings
Invested by Senior
Center:
-Time to meet up w ith
us
-Supplies
Accessto bulletin
board
- Researched
information regarding
nutrition and physical
activity and how they
pertain to certain
diseases.
- Created information
to place on a bulletin
board so members of
the Senior Center
could be educated on
the information.
- Provided handouts for
the members, so that
they could have the
information w ith them.
Created a challenge
members can
participate in, in w hich
they complete nutrition
and exercise related
activities, and then get
rew ardedfor it.
We reached the
members of the Senior
Center w ho visit the
w eight roomor the
indoor track. Hopefully
many of the members
w illcome across the
bulletin board at some
point during their visit
since it is in a prime
location. We w illalso
visit the center to talk
w ith the members and
have them take tw o
different surveys
regarding their lifestyle.
These surveyswillbe
used to assess what
they thought about our
board, learned about
their board, possible
behavior changes after
reading the board and
current lifestyle factors
and ages. We also
answ ered questions
they may have about the
information or challenge.
Participants
learned about how
osteoporosis, type-
tw o diabetes, and
sarcopenia relate
to exercise, how
osteoporosis,
hypertension, and
CVD relate to
nutrition, as w ell as
a bit about goal
setting.
Participants
immediate changes
w ere trying new
recipes,
participating in 5k
races, and trying
other suggested
behaviors in the 14
days of health
challenge.
What actions
(behaviors) are
they now doing?
Members of the Fort
Collins Senior Center
can now choose foods
that help reduce the
risk of osteoporosis,
CVD, and HTN.
Further, they know how
and w hy to increase
their daily activity to
reduce the risk of
osteoporosis, type-two
diabetes, and
sarcopenia. Ideally, this
began w ith reading the
bulletin board taking
home recipes, 5k
information sheets, and
trail maps. How ever,
this w illcontinue by
integrating these
concepts of healthy
and eating and
exercise into their lives.
How will health conditions
improve?
If this population chooses to:
-performat least 150 minutes of
moderate-intensity activity per w eek
-consume <2400mg of sodium per
w eek
-reduce solid fat consumption
-increase vitamin D consumption
(As outlined and described on the
bulletin board):
Then, compared to the average Fort
Collins population w e expect, the
people w ho read the bulletin board
w illhave at least 25% low er rates of:
-osteoporosis
-cardiovascular disease
-hypertension
-type-two diabetes
-sarcopenia
For these Fort Collins Senior Center
members, this may improve quality
of life, decrease medical expenses,
increase lifespan, maintain mental
acuity, and maintain contribution to
w orking, volunteer work, or society
as a w hole.
Assumptions (beliefs you have aboutyour project, the people
involved, and the way you think the project will work)
External Factors (environmentin which your project exists,
interacts with and influences the impactofyour project)
We hope to alter the lifestyles of the members of the Fort Collins Senior Center.
We think our project w illallow this to happen by giving the necessary
information on diseases and nutrients, providing information for physical
activities, suggestions and encouragement for goalsetting and how to
implement these items in their life.
1.1.1 Admittedly,a bulletinboard isnot the most interactive or effective
method to communicate information. However, withthe help of
visiting three times, doing a “health challenge,” and giving surveys,
thisbulletin boardbecomesmuch more effective. Thisproject exists
right next to a walking trackand gymnasium,so the people who
would likely read the bulletinboard already take initiative to exercise.
Further, membersof the Fort CollinsSenior Center are involved in
the community by simply being a member, so it islikely that they

have lower ratesof chronic disease than the average population.

Presentation
The presentation was created with Microsoft PowerPoint and combined with the other students
working with the Fort Collins Senior Center (Kat Egleston, Alysse Milano, and Lauren Hebert). First, we
presented the location, description, and mission statement of the Fort Collins Senior Center. Next, the
presentation went into detail about each of our team member’s service learning experiences. The
presentation also included a section about the description of our audiences, and where our project took
place. Then we spoke about the specific goals of the project; the reduction of chronic diseases
(sarcopenia, osteoporosis, type 2 diabetes, CHD, hypertension) in older adults in Fort Collins.
Observational learning and reinforcement social constructs were used in our project. Our presentation
discussed the learning activity: an interactive bulletin board and handouts about events in Fort Collins,
recipes related to reduction of chronic diseases, information about nutrition and chronic diseases, and
also a fourteen-day fitness challenge activity to members of the gym. In the presentation, there was a
brief section including pictures of the bulletin board and its creation as well as sample works from the
bulletin board. Briefly, we discussed our methods of evaluation through the retrospective survey, reaction
survey, and a number count of the handouts that were taken by members. Lastly, we spoke about what
we learned, how we would improve our projected, and we acknowledged all of those who helped in the
creation of our project.
Summary of Findings
The intention of our intervention was to reduce the risk of chronic diseases in the Senior Center
members. Through the use of reinforcement as a social construct theory and observational learning.
Reinforcement was used in the fourteen-day fitness challenge. The reward provided for the participant to
complete the most challenges on the days was a 20$ Whole Foods gift card. Observational learning was
used through the use of the interactive bulletin board. Information was provided about nutrition and
fitness in reducing chronic diseases (sarcopenia, osteoporosis, type 2 diabetes, CHD, hypertension).
Results for our intervention are as follows: A total of 18 people were spoken to during three
different visits to the Fort Collins Senior Center.
Four Veteran’s Day 5k information sheets were taken, five Thanksgiving Day 5k information sheets were
taken, 6 trail maps were taken, 15 salmon recipes were taken, 10 chicken recipes were taken, 5 tomato
soup recipes were taken. Of the 18 people spoken to, 15 had an increase in knowledge about chronic
diseases by at least 3 out of the 10 points. Unfortunately our fitness challenge was not successful and
there were no participants.
Our intervention was successful through the use of observational learning to increase knowledge
and confidence in understanding about chronic diseases. One recommendation for our own improvement
would be more interaction at the Senior Center with the bulletin board. Especially when it comes to
talking about the significance of the fitness challenge with members. The most traffic around the board
was in the mornings, and it was hard being at the Senior Center in the morning, since we have classes.
Reflection
From this experience, we learned the steps that are involved in creating a community nutrition
program for intervention, and how to implement and evaluate the success of the program. Future
students may be interested in our project and the social constructs we used for our intervention
(observational learning and reinforcement). Teachers and students might be interested in whether or not
our intervention was successful. Our intervention was successful in increasing knowledge and
understanding about reduction of chronic diseases, but we were not successful in engaging our
participants. Students who are planning to use observational learning through the use of a bulletin board
might want to consider our own success when implementing their own programs. The limitations of our

project were that our community partner needed planned events to be approved months in advance, so
that limited us with what we could do with the project. As stated, due to schedule constraints in the
morning, it was hard to be at the Senior Center to talk to participants about the fitness challenge when the
fitness area was busy. This really limited our success with the health challenge. If this projected was
repeated, we be more interactive and engage more with the members of the senior center. Class
learning sessions could also be performed (depending upon scheduling constraints) with the senior
center members to help further change behavior and increase more awareness about reduction of
chronic disease risk.
Our project contributes to the field of community nutrition through the implementation of an
intervention that aims to promote health and wellness. Health promotion focuses on promoting health
and preventing disease, which is what our goal was in reducing the risk of chronic disease for the Senior
Center community.
Acknowledgments
We would like to acknowledge our community partner, the Fort Collins Senior Center, for allowing
us to complete our intervention and service hours. We would also like to thank Betsy Emond, the Fort
Collins Senior Center volunteer coordinator who helped vastly in setting up our intervention and service
hours.
We would like to thank the members of the Fort Collins Senior Center participants who completed
the surveys, read our bulletin board, and made our service learning meaningful.
Lastly we would like to acknowledge Whole Foods that donated a $20 gift card for the Fitness
Challenge reward.
References
1. Fort Collins Senior Center. City of Fort Collins Web site.
http://www.fcgov.com/recreation/seniorcenter.php
Accessed September 2, 2015.
2. Older Adults: Overview. Healthy People 2020 Web site.
http://www.healthypeople.gov/2020/topics-objectives/topic/older-adults
Accessed September 2, 2015.
3. Fort Collins (city), Colorado. United States Census Bureau Web site.
http://quickfacts.census.gov/qfd/states/08/0827425.html
Updated October 14, 2015. Accessed October 20, 2015.

4. Older Adults: National Snapshot. Healthy People 2020 Web site.
http://www.healthypeople.gov/2020/topics-objectives/topic/older-adults/national-snapshot
Updated August 25, 2014. Accessed September 3, 2015.
5. Chronic Conditions Among Older Americans. AARP Web site.
http://assets.aarp.org/rgcenter/health/beyond_50_hcr_conditions.pdf
Accessed October 20, 2015.
6. Osteoporosis Facts and Statistics. International Osteoporosis Foundation Web site.
http://www.iofbonehealth.org/facts-and-statistics/index.html
Updated 2015. Accessed October 21, 2015.
7. Key Constructs: What is Social Cognitive Theory? Health Behavior and Health Education on
UPenn Web site.
www.med.upenn.edu/hbhe4/part3-ch8-key-constructs.shtml.
Published 1990. Accessed Oct. 1, 2015.
8. Smith-Rae R, Fitzgibbon ML, Tussing-Humphreys L. Fit and Strong! Plus: Design of a
comparative effectiveness evaluation of a weight management program for older adults with
osteoarthritis. Contemp Clin Trials. 2014; 37(2): 178-188.
9. Wisocki, Patricia A. Handbook of Clinical Behavior Therapy with the Elderly client. 1st ed. New
York, New York: Plenum Press; 1991
10. Chapter 5: Active Older Adults. 2008 Physical Activity Guidelines on health.gov Web site.
http://health.gov/paguidelines/guidelines/chapter5.aspx
Updated October 18, 2015. Accessed October 18, 2015.
11. Dietary Guidelines for Americans 2010. Health.gov Web site.
http://health.gov/dietaryguidelines/dga2010/dietaryguidelines2010.pdf
Updated 2010. Accessed October 18, 2015.

Appendices
Appendix 1: Bulletin board materials: Behavioral Information, Brochure,
BiographicalInformation Sheet
Page 10: Goal setting1
Page 20-21: Brochure
Page 22: Biographies

This was created by three seniors in Food Science and Human Nutrition at CSU for FSHN 451:
Community Nutrition.
Mel:
Mel is a graduating in December with a concentration in Nutritional Sciences. She is a competitive cyclist
for the CSU Cycling Team as well as a general chemistry tutor. She plans to attend graduate school for
Exercise Physiology after taking time out of school to race professionally.
melanie.n.beale@gmail.com
Andrea:
Andrea is graduating in May with both a concentration in Nutritional Sciences and Dietetics. She is a
personal trainer at the CSU Recreation Center and she volunteers in the emergency department at Poudre
Valley Hospital. She plans to begin medical school in the next couple of years.
arapp1004@gmail.com
Jackie:
Jackie is graduating in May with a concentration in Nutrition and Fitness. She enjoys hiking, running, and
working at the CSU Recreation Center. After she graduates, she plans to work as a Fitness Director at the
CSU Recreation Center. This job entails training fitness instructors and implementing wellness programs.
jnnelson@rams.colostate.edu

Appendix 2: Bulletin board materials: Fitness Information
Page 24: 14 Days of Health Challenge
Page 25: FAQs about exercise2
Page 26: Information about osteoporosis, sarcopenia, and type two diabetes3,4,5
Page 27: Fall hikes in Fort Collins
Page 28: Thanksgiving Day Run6
Page 29: Trail Map7
Page 30: Veteran’s Day 5k8

14 days of Health Challenge
Sat urday, Oct ober 17t h
- Friday, Oct ober 30t h
Instructions: Write your name (last, first initial) in the provided rows. Each day you complete a
goal, add a star next to your name and indicate below with a number which goal you completed.
You may complete the same goal twice if you are unable to complete every goal. If you have the
most stars after 14 days, you’ll receive a $20 Whole Foods Gift Card*!
*If there is a tie, we will do a raffle to determine the winner.
Fitness Goals:
1) Walk or run for 40 minutes
2) Lift weights for 40 minutes
3) Attend an aqua fitness class
4) Attend a dance and movement class
5) Go for a hike
6) Go for a bike ride
7) Use a cardio machine for 40 minutes
Healthy Eating Goals:
8) Try making a fall recipe from the board
9) Drink 0 sodas for one day
10) Eat six servings of vegetables in one day
11) Eat only whole grains for a day
12) Drink a whole gallon of water in one day
13) Replace high-fat meats with low-fat meats
14) Use olive oil rather than butter while cooking
Google images: www.maghullhealthstudios.co.ukGoogle images:
http://i.huffpost.com/gen/1137453/imag
es/o-YOGA-OLDER-ADULTS-facebook.jpg
Google images:
https://www.nflplayerengagement.com/me
dia/387293/78811704a_498x265.jpg
Google images:
https://knoxvillecpr.com/wp-
content/uploads/2015/01/A_Food_Borne_E
pidemic_photo.147211602_std.jpg
Google images:
https://westendfood.coop/sites/westen
dfood.coop/files/wefc/public/2012/mis
c-images/veggie%20bike_0_0.jpg Google images:
http://cdna.allaboutvision.com/i/slides-
habits/salmon-vegetables-462x428.jpg

Frequent ly Asked Quest ions about Exercise:
Is exercise safe for me?
If you have any heart condition or you have suffered a recently injury or fall, make
sure to consult your physician before starting to exercise.
How much should I exercise?
According to the 2008 Physical Activity Guidelines for Americans, you should aim
to do at least 150 minutes of aerobic activity and two activities involving strength
each week.
Aerobic activities: walking, biking, hiking, water aerobics, etc.
Strength activities: yoga, carrying groceries, weight lifting, etc.
Is it ok to start exercising now?
Absolutely! Even if you haven’t exercised much throughout your life, it is never too
late to start. Start with walking a couple of times per week, and slowly you could
add weight lifting, exercise classes, hiking, running, or anything else you like!
Why is exercise so beneficial?
Chronic disease:
Exercise is known to help prevent and treat many chronic diseases. Exercise can
help prevent osteoporosis, sarcopenia, type two diabetes, and more.
Mental health:
Exercise can help increase sleep quality, prevent and treat stress, and allows you
to meet new people and socialize with your friends.
Want more information?
See the attached 2008 Physical Activity Guidelines Þ
Google images:
http://www.fitnessquotesimg.com/quotes-images/warning-exercise-has-
been-know-to-cause-health-and-happiness-839493.jpg

Take advantage of the mild temperatures and
beautiful fall colors by using the extensive
trail systems in Fort Collins!
Want more hiking ideas in the foothills?
Our favorites include:
Horsetooth Mountain Park
Take Harmony Rd. west up toward the reservoir, and continue onto
Count Road 38E for 7 miles. Take a right into the trailhead parking lot.
Coyote Ridge Natural Area
Take Taft Hill Rd. south out of town. The trailhead will be on your right
between Trilby and 57th St.
Pineridge Natural Area
Take Overland Trail south until it dead-ends at a parking lot. Walk on
the Poudre Trail South until you see the trailhead on your right.
Hewlett Gulch
Take US 287 North, then left up Poudre Canyon/CO-14 West. Continue
for 11 miles and turn right only Hewlett Place just after Poudre Park.

Want to burn off some of the turkey you’ll eat on
Thanksgiving? This is the race for you!
The race starts at 9:00am on Thanksgiving Day, and it starts at
College Ave and Mountain Ave.
-Register online by November 15th $32
-Register online after November 15th $35
-Race day registration $48
Get more information and register online at:
http://www.fctdayrun.com/
ThanksgivingDayRun
9am11/26/16
ThanksgivingDayRun
9am11/26/16
ThanksgivingDayRun
9am11/26/16
ThanksgivingDayRun
9am11/26/16
ThanksgivingDayRun
9am11/26/16
ThanksgivingDayRun
9am11/26/16
ThanksgivingDayRun
9am11/26/16
ThanksgivingDayRun
9am11/26/16
ThanksgivingDayRun
9am11/26/16
Google images: http://cdn.danspapers.com/wp-
content/uploads/2012/11/KeepFit3.jpg

Veterans Day 5k Run
SAVE THE DATE!!!
9:00 a.m. on Saturday, November 7, 2015
(Registration begins at 7:30 a.m.)
*Meet south of the Engineering Building at the sculpture fountain plaza east of Glover.
Event Description:
The Colorado State University Veterans' Day 5K is an annual, non-profit fund raiser designed to raise money for the Veteran's
Scholarship fund. This scholarship is awarded to veterans who were honorably or medically discharged and are living with
disabilities related to their military experience.
The race is also to honor a fallen member of our armed forces who has a personal connection to Colorado State University.
Our honoree for 2015 is David A. Mitts.
Over the years, the run has attracted hundreds of participants: CSU alumni, veterans, children running and in strollers,
experienced runners, and everyone in between. Each year, race participation grows steadily, allowing us to help a disabled
student veteran achieve the goals of successfully completing higher education. Join us and our community members in
honoring a fallen hero as well as helping our student veterans.
The race course is flat and entirely paved and marked. The route circles around The Oval, a CSU landmark, and across the
campus, highlighting much of CSU's main campus.
Veteran’sDayRun
http://alvs.colostate.edu/veterans-day-5k-run
9am11/7/15
Veteran’sDayRun
9am11/7/15
Veteran’sDayRun
9am11/7/15
Veteran’sDayRun
9am11/7/15
Veteran’sDayRun
9am11/7/15
Veteran’sDayRun
9am11/7/15
Veteran’sDayRun
9am11/7/15
Veteran’sDayRun
9am11/7/15
Veteran’sDayRun
9am11/7/15Google images: http://alvs.colostate.edu/veterans-day-5k-run

Appendix 3: Bulletin board materials: Nutrition Information
Page 32: Information about osteoporosis, hypertension, and cardiovascular disease3,9,10
Page 33: Healthy eating plate11
Page 34: Salmon recipe12
Page 35: Low sodium tomato soup recipe13
Page 36: Roasted Dijon chicken and vegetables recipe14

Vitamin D and Osteoporosis
Osteoporosis is a condition of weak and brittle bones. It can be linked to vitamin D and
calcium deficiency.
Food Sources of Vitamin D
· Fish-salmon, tuna, catfish, cod oil
· Eggs
· Fortified Vitamin D milk
· Beef liver
Consuming adequate amounts of dietary vitamin D is important to maintain bone strength
and density. Vitamin D is essential to regulate the body’s calcium levels. For example,
Vitamin D helps increase intestinal absorption of calcium from food and prevents excess
losses of calcium from bones or in the urine.1
Sodium and Hypertension
Excess sodium intake is associated with hypertension (high blood pressure). A normal
blood pressure range is 120/80 mmHg. A high blood pressure is greater than 140/90
mmhg. Sodium can increase the fluid retention in the body, causing the pressure exerted by
the blood vessels walls to increase. Possible ways to decrease consumption in the diet could
be by not adding additional sodium to meals, or buying products low in sodium. When
making soup for example, use a no sodium or low sodium broth. The American Heart
Association recommends that people limit their sodium intake to 2,300mg per day. With
hypertension the recommendation is to limit sodium intake to 1500mg per day.
Cardiovascular Disease and Fat intake
Cardiovascular Disease includes many diseases related to the heart and the blood vessels.
For example, narrowed or blocked blood vessels by plaque referred to as atherosclerosis,
which reduces blood flow to the heart, causing different heart complications such as strokes
and heart attacks . Diets that are low in saturated fats and contain adequate amounts of
fruits, vegetables, and omega 3 fatty acids, could reduce the risk of heart disease by 73%.
3 Focusing a diet toward more healthy unsaturated fats, as opposed to less healthy trans and
saturated fats, can decrease the risk of heart disease.4 An example of eating more healthy
unsaturated fats would be eating more skinless poultry and fish.

http://www.hsph.harvard.edu/nutritionsource/healthy-eating-plate/

10/25/2015 Roasted Salmon with Apple Cider Glaze
http://thescrumptiouspumpkin.com/easyrecipe-print/6137-0/ 1/1
Recipe type: Healthy Fish and Seafood
Roasted Salmon with Apple Cider Glaze
Author: The Scrumptious Pumpkin

Total Time: 30 minutes
Prep: 5 minutes
Cook: 25 minutes
Yield: 2 servings
Ingredients
1 cup apple cider
2 4-ounce wild salmon fillets, bones removed
1 tablespoon extra virgin olive oil
2 teaspoons fresh rosemary, chopped
Salt and freshly ground black pepper
Instructions
1. Preheat the oven to 350 degrees F.
2. To a small saucepan, add the apple cider and bring it to a light boil. Reduce the heat to a simmer, stirring often
with a wooden spoon. After about 25 minutes, the cider will reduce and become thick, like a syrup. Turn off the
heat and immediately pour the cider glaze into a bowl to allow it to cool.
3. Meanwhile, arrange the salmon, skin-side-down, on a parchment-lined baking sheet. Drizzle the olive oil all
over the top of the salmon and season with salt and pepper. Sprinkle the chopped rosemary all over the tops
of the salmon. Roast until firm, about 15-20 minutes (ideally, salmon should be cooked on the outside while
still moist on the inside).
4. Transfer salmon to serving plates and drizzle the cider glaze all over the top of the salmon.
Nutrition Information
Serving size: 2 Calories: 272 Fat: 14.3g Saturated fat: 2.1g Trans fat: 0g Carbohydrates: 15.2g Sugar: 13.5g
Sodium: 347mg Fiber: .7g Protein: 22.2g Cholesterol: 50mg
Recipe by The Scrumptious Pumpkin at http://thescrumptiouspumpkin.com/2013/12/06/roasted-salmon-with-apple-cider-glaze/

Leigh Beisch: http://www.health.com/health/recipe/0,,10000001046843,00.html
Roast Dijon Chicken and Vegetables
Ingredients
· 1 1/2 tablespoons Dijon mustard
· 1 teaspoon dried thyme, divided
· 4 chicken-breast halves
· 3/4 teaspoon salt, divided
· Cooking spray
· 3 cups (1/2-inch) cubed peeled sweet potato or Red Bliss potato
· 2 cups baby carrots (about 7 ounces)
· 1 large Vidalia or other sweet onion, cut into 12 wedges
· 1 tablespoon olive oil
· 1/2 teaspoon freshly ground black pepper
1 tablespoon chopped fresh parsley
Yield: 4 servings
(serving size: 1 breast and 1 cup potato mixture)
Nutritional Information
Calories per serving: 284
Fat per serving: 7g
Saturated fat per serving: 1g
Monounsaturated fat per serving: 4g
Polyunsaturated fat per serving: 1g
Protein per serving: 30g
Carbohydrates per serving: 25g
Fiber per serving: 3g
Cholesterol per serving: 73mg
Iron per serving: 3mg
Sodium per serving: 462mg
Calcium per serving: 64mg

Appendix 4: Evaluation Surveys
Page 41: Nutrition and health survey
Page 42: Post-retrospective pre survey
Page 43: Outcome evaluation survey

Nutrition and Health Survey
1) How many days a week do you engage in physical activity? (circle answer)
1 2 3 4 5 6 7
2) How enjoyable is physical activity for you? (10 being very enjoyable, 1 not enjoyable at all)
1 2 3 4 5 6 7 8 9 10
3) During the past 7 Days, how many times did you eat fruit?
I did not eat fruit during the past 7 days
1-3 times during the past 7 days
1-2 times per day during the past 7 days
3 or more times per day during the last 7 days
4) During the past 7 Days, how many times did you eat vegetables?
I did not eat fruit during the past 7 days
1-2 times per day during the past 7 days
3 or more times per day during the last 7 days
5) During the PAST 7 Days, how many times did you eat breakfast in the morning?
1 2 3 4 5 6 7
6) How would you describe your health?
Poor
Fair
Good
Very Good
Excellent
Please circle your age range:
Below 18 18-50 50 or older

Health and Wellness Survey
1) How would you rate your knowledge regarding chronic
diseases related to nutrition and exercise* after looking at this
bulletin board?
1 2 3 4 5 6 7 8 9 10
2) Last month, how would you rate your knowledge regarding
chronic diseases related to nutrition and exercise*?
1 2 3 4 5 6 7 8 9 10
3) How aware are you of physical activity opportunities in Fort
Collins after reading this bulletin board?
1 2 3 4 5 6 7 8 9 10
4) Last month, how aware were you of physical activity
opportunities in Fort Collins?
1 2 3 4 5 6 7 8 9 10
5) How interested are you in the content listed on this bulletin
board?
1 2 3 4 5 6 7 8 9 10
Please circle age range:
17 and below 18-50 50 and above
*Osteoporosis, sarcopenia, type two diabetes, cardiovascular disease, hypertension

Outcome Evaluation Survey
1) At your most recent checkup, have you been diagnosed with osteoporosis?
DEXA bone density T-score >2.5
2) At your most recent checkup, have you been diagnosed with sarcopenia?
As diagnosed by European Working Group on Sarcopenia in Older People criteria15
3) At your most recent checkup, have you been diagnosed with any type of
cardiovascular disease (i.e. atherosclerosis, heart disease, coronary artery
disease) or have you had a heart attack or stroke in past 3 years?
4) At your most recent checkup, have you been diagnosed with type-two
diabetes?
Fasting glucose >126mg/dL
5) At your most recent checkup, have you been diagnosed with hypertension?
Blood pressure >120/80 mmHg

Appendix 5: Bulletin board citations
1. Swayne L, Dodds M. Sports Managementand Marketing.Thousand Oaks,CA: Sage Publications;2011.
2. Chapter 5: Active Older Adults. 2008 Physical Activity Guidelines on health.govWeb site.
http://health.gov/paguidelines/guidelines/chapter5.aspx
Updated October 18, 2015.Accessed October 18, 2015.
3. Osteoporosis.Mayo Clinic Web site.
http://www.mayoclinic.org/diseases-conditions/osteoporosis/basics/definition/con-20019924
4. Sarcopenia with Aging. WebMD Web site.
http://www.webmd.com/healthy-aging/sarcopenia-with-aging
5. Type 2. American Diabetes Association Web site.
http://www.diabetes.org/diabetes-basics/type-2/
6. Fort Collins Thanksgiving DayRun. Fort Collins Thanksgiving DayRun Web site.
7. Trail Map 2012. Trails on City of Fort Collins Web site.
http://www.fcgov.com/parks/pdf/trailmap2012.pdf
Updated 2012.Accessed October 19, 2015.
8. Veteran’s Day 5k Run.CSU Adult Learner and Veteran Services Web site.
http://www.alvs.colostate.edu/veterans-day-5k-run
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