1. CBPS PREVENTION NETWORK 1 EPODE UMBRIA REGION OBESITY INTERVENTION STUDY HEALTHY LIFESTYLE INSTITUTE, C.U.R.I.A.MO., UNIVERSITY OF PERUGIA www.eurobis.it

2. CBPS PREVENTION NETWORK 2 PREVALENCE OF OVERWEIGHT AND OBESITY IN ITALIAN CHILDREN 8-9 YEARS: UMBRIA REGION THE UMBRIA REGION has a prevalence of overweight (26%) and obesity (9%) above the national mean closer to that of southern Italy Regions (Data from Sistema di Sorveglianza: Okkio alla Salute) THE UMBRIA REGION has a prevalence of overweight (26%) and obesity (9%) above the national mean closer to that of southern Italy Regions (Data from Sistema di Sorveglianza: Okkio alla Salute)

3. CBPS PREVENTION NETWORK 3 EPODE Methodology: CBP Community Based Programme Clinical Intervention at the Healthy Lifestyle Institute: CURIAMO

4. CBPS PREVENTION NETWORK 4

5. 5 The EUROBIS PROGRAM

6. CBPS PREVENTION NETWORK 6 EUROBIS Objectives Change the pendency of slope of the actual trend towards the increase in the yearly rates of childhood overweight and obesity in Umbria and to improve healthy lifestyles of children and their parents Main activities Prevention activities on three main areas: physical activity (es: walking groups for children and families, sport activities and motor games), nutrition (food education, cooking classess) and psychology (es.: psychological counselling for parents). Clinical Program Target groups Children 4 - 12 yrs. (community population of 55.000 children) Communication tools Website: www.eurobis.itwww.eurobis.it Facebook Twitter Local (Regional) TV - Tef Channel Newspapers Events Political support Umbria Region Municipalities Private partners Coca-Cola Foundation Local sponsor: Grifo Latte, Coop.

7. CBPS PREVENTION NETWORK 7  EUROBIS was officially launched on the 8 th of February 2014 at the Aula Magna of the Faculty of Medicine and Surgery of the University of Perugia.  Since the last year EUROBIS Program has been developed with the following activities in four main domains:  DOMAIN 1: AGREEMENTS with Private – Public Partners (PPP)  EUROBIS/FEDERFARMA: agreement with regional pharmacies  EUROBIS – REGIONE DELL’UMBRIA: agreement with Umbria Region, USR and CONI to introduce regoular physical activity in 99 elementary schools  EUROBIS/Comuni di Marsciano e Città di Castello: agreement with two others municipalities of the Umbria Region  EUROBIS – Foligno: extension of the activities to the city of Foligno PROGRAMME DEVELOPMENT EUROBIS

8. CBPS PREVENTION NETWORK 8 EUROBIS  DOMAIN 2: SPORT and LIFESTYLE EVENTS  EUROBISSIADI – collaboration with CUS (Sport University Perugia) for the organization of local “Olimpic Games” (called Eurobissadi) for children and their parents  EUROBIS’ Day: main event for all the population to celebrate the first year of EUROBIS at Palasport Evangelisti di Perugia  Fattorie della Domenica (“Sunday at farms”): a series of events at didactic farms for children and families  EUROBIS/ACTIV and HEALTHY PARKS: building of “sentieri della salute” (healthy paths) in green areas around the city of Perugia  EUROBIS-RANDAGIAMO: collaboration with Randagiamo Project for walking tours for children, familes and dogs  BEAT the STREET Terni  DOMAIN 3: NUTRITIONAL EDUCATION PROGRAM  Previenigiocando-EUROBISPOLETO - Spoleto: extension of the activities to the city of Spoleto with a nuritional education program in school (pilot study called “Orsetto Gigetto”)  POST Centro della Scienza/EUROBIS: collaboration with the Museum of Science (POST) for the organization of meeting on themes regarding healthy eating and healty lifestyle  GAGGI/EUROBIS: Cooking classes  DOMAIN 4: CLINICAL INTERVENTION  Clinical care for children with obesity at the CURIAMO Center

9. CBPS PREVENTION NETWORK 9 DOMAIN 2: SPORT and LIFESTYLE EVENTS EUROBIS-RANDAGIAMO: collaboration with Randagiamo Project for walking tours for children, familes and dogs

10. CBPS PREVENTION NETWORK 10 THE PROJECT: KIDS AND DOGS, HAPPY AND HEALTHY EUROBIS + Municipal Kennel + Faculty of Veterinary Medicine - University of Perugia (Randagiamo Project) + Department for Health Prevention of Umbria Region have developed a joint program of walking trails in the beautiful countryside of Collestrada (Perugia) Children, families, volunteers of the municipal kennel with dogs that have made a re-educational path under the project "Randagiamo" have spent all together happy and funny Sundays in Spring/Summer 2015 Already planned also for 2016 The interaction with the animals is considered a mediator to move children and parents outdoor and to get positive messages on the respect for the natural environment

11. CBPS PREVENTION NETWORK 11 THE PROJECT: KIDS AND DOGS, HAPPY AND HEALTHY https://youtu.be/npmmKNhZrjs

12. CBPS PREVENTION NETWORK 12 THE PROJECT: KIDS AND DOGS, HAPPY AND HEALTHY

13. CBPS PREVENTION NETWORK 13 THE PROJECT: KIDS AND DOGS, HAPPY AND HEALTHY

14. CBPS PREVENTION NETWORK 14 THE PROJECT: KIDS AND DOGS, HAPPY AND HEALTHY

15. CBPS PREVENTION NETWORK 15 DOMAIN 3: NUTRITIONAL EDUCATION PROGRAM Previenigiocando - EUROBISPOLETO - Spoleto: nuritional education program in school (pilot study called “Orsetto Gigetto”) The Orsetto Gigetto Project aims to provide food education in primary schools (age 6 to 11) to drive healthy food choices taking into account the nutritional guidelines of the Mediterranean Diet The educational program is inspired by the principles of modern pedagogy and psychology following the paradigm of complexity and the narrative-autobiographical approach, aimed to acquire self- awareness and promoting change in children and parents trough the help of school The Orsetto Gigetto Project is an educational path for teachers, children and families. It consists of educational books for teachers and children based on didactic games, questionnaires used with children of the primary schools. Children who complete the educational program are rewarded with a free month of practice of their favorite sport activities (agreement with Italian Sports Federation (CONI: NATIONAL OLYMPIC COMMETTEE)

16. CBPS PREVENTION NETWORK 16 The four phases of the educational path FIRST PHASE: deals with the sensory experience linked to food, then looks at the cultural and traditional history of food; food and family histories and habits, and, working from a child’s perspective, the link between food and world of fantasy (fairy tales, cartoons, comics). Finally, it suggests a project for children and their families to discover more about the traditional food products in their geographical area. SECOND PHASE: introduces nutritional principles, food groupings and their priorities in a healthy diet regime. It also suggests that the children and their families start keeping a day- by- day record of their eating habits. THIRD PHASE: focuses on the importance of physical exercise allied with a healthy diet. FOURTH PHASE: aims to develop awareness in both children and their families of the importance of healthy food choices (and movement). This includes the discovery of the local farming communities, the seasonal nature of food and practical workshops on the different food production processes.

17. CBPS PREVENTION NETWORK 17 The launch of the Orsetto Gigetto action (pilot program) - March 2015 Spoleto, Umbria

18. CBPS PREVENTION NETWORK 18 March 2015: pilot program involving 191 children of Primary Schools in Spoleto, Umbria October 2016: implementation of the project with 900 children (age 6 – 11)

19. CBPS PREVENTION NETWORK 19 Pilot program: moments of the activities at local educational farms

20. CBPS PREVENTION NETWORK 20 The lifestyle activities: farms and sports A new series inside Orsetto Gigetto Program already planned for 2016

21. CBPS PREVENTION NETWORK 21 DOMAIN 1: AGREEMENTS PPP EUROBIS –UMBRIA REGION: Agreement with Umbria Region, USR and CONI to introduce regular physical activity in primary schools The EUROBIS’ program has been officially included in the Regional Prevention Plan for Health (2015-2018): Children of 99 classes of first grade with equipped gyms will practice two hours of physical exercise per week Training sessions on healthy lifestyle education for teachers and parents will be also held From January 2016, Umbria Region Schools Office in collaboration with EUROBIS will establish exercise classes, two hours per week, at 1 st classes in all primary schools of Umbria Region as a regional law This action targets 99 classes: 1.100 students and their parents and aims at implementing physical activity in the school setting Parents and teachers will be trained by EUROBIS experts on healthy nutrition and physical exercise by the use a too (a media book) l specifically designed at this aim

22. CBPS PREVENTION NETWORK 22

23. CBPS PREVENTION NETWORK 23 Moments of the agreement between EUROBIS-UMBRIA REGION-CONI-USR and UNIVERSITY OF PERUGIA

24. CBPS PREVENTION NETWORK 24 Thank you!