Healthy Eating by Design APHA 135th Annual Meeting and Expo November 5, 2007 Joanne J. Lee, MPH, RD Active Living by Design

Active Living and Healthy Eating by Design Active Living and Healthy Eating by Design is a way of life that integrates physical activity and healthy eating into daily routines. ALbD supports communities to do this through community design.

Active Living by Design Current Clients

ALbD/HEbD Active Living by Design (2003-2008) 25 grantees $200,000 over five years Healthy Eating by Design pilot (2005-2006) 12 grantees (subset of ALbD) $50,000 over 18 months Special focus: children in lower income communities HEbD Transition supplements (2007) Focus Help partnerships increase routine physical activity and healthy eating through community design

HEbD Goals Improve access to healthy foods in lower income, culturally diverse school and community settings Demonstrate promising policy and environmental solutions Identify how integrating Active Living and Healthy Eating by Design strategies can address both sides of the energy-balance equation to improve the health of children

The Approach: 5P Strategies Chronic disease Childhood obesity Preparation Promotion Programs Policy Physical Projects Active Living/ Healthy Eating Air quality Local economies Safety Social capital Livable communities Integration

Health & Lifestyle Changes Healthy Eating by Design Action Model Health & Lifestyle Changes Healthy Eating Obesity Diabetes High B/P Heart Disease Stroke Cancer Short Term Changes Media coverage Prompts to action Community/school events Enhanced awareness Food gardens Accessible food venues Signs/labels Community/school mobilization Increased citizen involvement Emerging leaders Master plans Organizational policies Standard practices Curriculum/educational programs for healthy eating Programs to provide healthy foods Incentive programs for healthy options Intermediate Changes Social support Institutionalization Change professional practice Accessible, convenient, safe, and integrated facilities/venues Standardized programs in communities, schools, worksites, etc. Consistent and supportive policies and practices across school, organizational, community and home settings Strategies Supports RWJF HEbD Grantee Communities Preparation Policy Programs Promotions Physical Projects

Preparation: Getting Ready Multidisciplinary Partnerships Conduct assessments Gather/analyze data Evaluate master plans, food environment, policies and standard practices Provide training for local advocates Generate financial and in-kind resources Public Health Officials Food Assistance Programs Healthy Eating Partnership Transport Housing Officials Planning Food Producers School Officials and Staff Food Vendors Community Leaders Health Care Providers

Preparation: Assessment Check assumptions and increase confidence Methods/resources Surveys Focus groups Existing data sources Key informant/stakeholder interviews Policy reviews and analysis Direct observation

Promotion: Communications Increase Understanding Healthy Eating Partnership Leaders Citizens Media Children & Families Food Venues Community/school wide campaigns Educate editorial and advisory boards, elected officials, community organizations Editorials, articles and features about healthy eating. Television coverage of healthy eating topics. Community/school events Point of decision prompts

HEbD Tangible Results Preparation Promotion Buffalo                                                       Lents farmers market wins 3-year grant Thursday, February 15, 2007 Fans of the Lents International Farmers Market, rejoice. The market, born last year at Crossroads Plaza, near Southeast 92nd Avenue and Foster Road, won a three-year grant to continue every Sunday from June through mid-October. The $150,000 grant will keep the market going in a part of Portland starved for fresh, healthful food choices, says former market coordinator, Hilary DuBose. The grant will cover a staff position and help produce information about the market in numerous languages, she says. A new coordinator hasn't been chosen. Buffalo HEbD Tangible Results Preparation Promotion

Programs Increase Opportunities and Incentives Curriculum/educational programs for healthy eating Healthy food instruction program Increase social support for healthy eating Programs to provide healthy foods Incentive program for healthy options

HEbD Tangible Results Preparation Promotion Programs Garden programs School and youth program curriculum/classes Healthy food preparation Fruit/vegetable snacks Others

Policy: Influencing Public Decisions Increase access to healthy food Discontinue/limit offering less healthy food Policies and guidelines for making affordable healthy eating choices Requirements that communities/neighborhoods have accessible food providers Advocate for funding to support healthy eating initiatives Community Values Food Producers & Food Vendors Organizations & Programs Public Health Mobilize/Empower Communities/Schools Establish Relationships with Policy Makers

HEbD Tangible Results Preparation Promotion Programs Policy School policies: free breakfast for all students, school lunch salad bar option, healthy food options for classroom snacks, parties and events - Community policy: healthy snack options at neighborhood events

Physical Projects Creating Supportive Built Environments Food gardens Equipment for preparing, cooking and storing healthy foods Accessible food providers Space for sitting comfortably and eating unrushed Materials with information to access healthy food providers Signs, labels and other educational materials for healthy food/beverage options

HEbD Tangible Results Physical Projects Preparation Promotion Programs Policy Physical Projects Farmers market opened/ improved Garden established/improved School cafeteria improved/ enhanced School salad bar established Equipment to prepare healthy foods provided

HEbD Tangible Results Funding commitments leveraged as a result of HEbD: over $300,000 overall

Louisville, KY

Seattle, WA

Visit Our Website: www.activelivingbydesign.org Our website features fact sheets, primers, case studies, profiles, resources, presentations, publications and direct links to the 25 Active Living by Design Community Partnerships.