1. Tonya Bryan, M.D. Medical Director

2.  12 week healthy lifestyle course for children between 10-18 years of age and their families  The program meets 3 days per week for 2 hours. During these 2 hours children workout with trainers and receive education on developing healthy lifestyles

3.  Program notebook: 100 plus page book which serves as the road map for healthy eating and movement  Daily health log: Children completed a log for each day of the program. These are reviewed weekly by the training staff  Children put their logs on boards, they review logs together, and help each other solve barriers to healthy eating

4.  There are 5 family weekends during the 12 week program. During these longer family days, families receive the core education on healthy eating and movement  Families move together and try healthy food together on family days  We have developed a core set of lectures and demonstration booths

5.  Lecture topics: ◦ Healthy Eating 101 ◦ Fast Food and You ◦ The Dietary Prescription ◦ Portion Control ◦ Keeping a Daily Health Log ◦ Exercise Prescription ◦ Getting Started at Home ◦ Challenges to Change  Advanced lectures topics:  What Obesity Does to Your Body  Reading Food Labels  Obesity in a Bottle  Grocery Store Adventures  Maintaining a Healthy Weight for Life  Tips for Ongoing he Energy Balance

7.  Demonstration Tables: ◦ To engage families and children in a smaller group setting, we have developed booths. This allows kids to engage with their hands and minds. Topics:  Gross Out Table  Portion Control  One Day of Food  Reading Food Labels  9 Inch Plate  Recipe Modification  Managing Holidays and Parties

11.  Kids participate in traditional cardiovascular training. They start with a 2-3 minute run and all participants work up to a 20- 30minute run  Many children completed over a 30minute run in our last 2 cycles  Strength training is a core element of the program. Children participate in obstacle courses and other basic strength training activities

13.  Yoga/Zumba ◦ Children participate in weekly yoga sessions lead by an instructor from Core Power Yoga ◦ They can earn yoga mats and yoga DVD’s to build on their yoga practice after the twelve week program  Aquatics ◦ Children Participate in weekly aquatic aerobics and water games ◦ This helps with building core strength and cardiovascular endurance

17.  Parents and siblings participate in fitness days during our weekend programming  We have obstacle course competitions  Yoga classes for participants, parents, and siblings  The last 2 sessions we have added a parent group. Parents walk or run the track while children are doing their activities.  Parents participate in many of the activities with their children.

18.  Break Dance: ◦ Local professional break dance group demonstrates the basic concepts of street dancing and provide a weekend class on fun dancing moves  Tap Dance: ◦ A Keene Sense of Rhythm, does a tap demonstration and then they teach a 3 week session as part of the core cardiovascular activities

19. We organize multiple food demonstrations during family weekends  The goal is to introduce new types of foods and recipes to families. Example: quinoa salads, brown rice, whole grain wraps and sandwiches, fruits with dips, veggies with hummus and many other foods ◦ Veggies and You Food Demonstration ◦ Building Better Salad Food Demonstration

21.  Cooking Classes : ◦ Urban Relish- a local group of chefs, provides are larger food demonstrations and a full cooking class. Children and parents participate in a cooking class, and then eat the food they prepared during our end of cycle family celebration ◦ Chefs provide basic tips on a stocking a healthy kitchen. They provide recipes and assist families with menu planning

22.  Children complete surveys and the changes families make in their approach to food and exercise are assessed  We track physical progress through the session  Through a previous grant partnership, the University of Minnesota helped us to respond to program data and adapt the program for ongoing success.

23.  Recent cycle data highlights: 24 participants ◦ Over 70% of the kids completed a 30minute run by the end of the 12 weeks (most starting at less than 6minutes) ◦ 2 parents completed a 30minute run ◦ 1 family with 100% attendance ◦ 4 other families with near perfect attendance ◦ Several kids returning for a repeat cycle (our data is showing we need 18 months of engagement) ◦ 3 kids going out for a new sport ◦ 1 family completed a 5K Run together

24. ◦ Improvements in all physical activity measures ◦ Improvements in weight (wide range of loss with 2lbs-22pounds this cycle) But all patients maintained or lost weight during the 12 weeks, while adding muscle from training

25.  Special thanks to all of our current sponsors, including: Medica, United Way, P.A.C.E Foundation, UPS, and IBM  Thank you for your time and support!!