KEEP KIDS EXERCISE AND EDUCATION PROGRAMFor Lifelong Health and Wellness

FOR YOUTH DEVELOPMENTFOR HEALTHY LIVINGFOR SOCIAL RESPONSIBILITY

Need: • Childhood obesity rates have tripled since 1980• Obesity rates have shown to be greater in racial

and ethnic populations • Demographically greater than average increase

locallyProgram Goal: • Introduction and sustainability of long

term exercise & nutritional behavioral changes

• Decrease likelihood of Heart Disease, Type II diabetes, Asthma, Sleep Apnea, etc…

• Incorporate aerobic, muscle strengthening, and bone strengthening activities

• Educate on healthy eating, meal planning, label reading, and preparing healthy foods

2

PEDIATRIC OBESITY

PROGRAM OUTLINE

3

• 12 WEEK PROGRAM• Group meets twice per week• Program Runs 3 times per year

• Physician Referred• Offered at no charge• Groups

• 1 HOUR EXERCISE: Certified Personal Trainer• ½ HOUR NUTRITION: Registered Dietician

• Ages 7-14 years old

TIMELINE

4

• Spring 2012: Met with Brockton Hospital Chief of Pediatrics and team to launch our vision of collaboration through a program like KEEP

• JUNE 2012: CHNA 22 awarded funding for our KEEP proposal under the Health Priority: Nutrition/Fitness

• JULY 2012: Brochures created, Supplies ordered• AUGUST 2012: Team of trainers met to plan curriculum, brochures

distributed, Signature Health developed healthy recipes• September 2012: Pilot program began• Winter 2012: Team met to evaluate pilot• January 2013: Session 2 began

5

• Greeting and discussion of the day’s focus (5-10 minutes)

• Dynamic warm-up (5 minutes)• Endurance Training (10 minutes)• Fitness focus of the day (15 minutes)• Independent Fitness or Games (5-10

minutes)• Cool Down/ Stretch and Recap (5-7

minutes)• Nutrition Discussion and

Hands-on Food Preparation (30 minutes)

TYPICAL K.E.E.P. CLASS

The Numbers• Session 1 Sept- Dec: 4 kids• Session 2 Jan-April: 9 kids• Session 3 May-Aug: 17 kids

Referral base:• Harvard Vanguard Medical

Associates• Tri County Pediatric• Signature Medical • Massachusetts General Hospital • Brockton Pediatrics

6

PROGRAM PROGRESSION

Assessment Session One• Aerobic endurance: 1/2 mile timed

run• Muscular strength/ endurance:

Pushup & Sit-up test

Assessment Session Two• Aerobic endurance: 1 mile• Muscular strength/ endurance:

Pushup & Sit-up test

7

OUTCOME MEASURES

Session One Data: ½ Mile Run

8

800m (s) Pre

800m (s) Post

800m (s)Change

0 100 200 300 400 500 600

Session One Data: Pushups and Sit-ups

9

# Sit-ups Pre

Push-up max Pre

# Sit-ups Post

Push-up max Post

# Sit-ups Change

Push-up Max Change

0 5 10 15 20 25

Data Session Two: 1 Mile Run

10

1600m Pre (s)

1600m Post (s)

1600m Change (s)

0 100 200 300 400 500 600 700 800 900

Session Two Data: Pushups & Sit-ups

11

# Sit-ups Pre

Push-up max Pre

# Sit-ups Post

Push-up max Post

# Sit-ups Change

Push-up Max Change

0 5 10 15 20 25 30 35

PROGRAM ADAPTIONS

12

Assessment during family interviewDecreased testing requirements for aerobic enduranceImplementation of Behavioral questionnaire and Nutrition surveyAttendance requirementFamily involvement Changes to curriculum

Using feedback from session one Focus on making fitness fun, incorporating games Homework responsibilities

Challenges• Follow up with Parents• Post Assessment formsSuccessesTranslation into other areas• Love of lifelong fitness• Martial Arts, Aquatics, Fitness Center• 5K race/walk

Family Strengthening• Use of Family Fitness center

13

PROGRAM OBSERVATIONS

The Future of KEEP• Continuing to strengthen

referral networks• Increase number of

coaches trained• Strengthen Role Model

program for returning participants

• Spread of program to other OCY branches

• Pilot Program in Community setting

• Increase the number of families served

• Enhance data reporting system and tracking measures14

SUSTAINABILITY

THANK YOU

15