2. 1 Georgia Freeman Sherritta Bell

3. 2  The Y.E.A.H. Program’s desire is to create an initiative that will introduce at risk children and their parents to a healthy lifestyle program and assimilate healthy behaviors onto their everyday life. This 12 month program is designed to address and reverse the trend toward increased obesity and its negative consequences.

4. 3  An estimated 64 percent of adults and 15% of children are overweight or obese  Overweight and obesity are both labels for ranges of weight that are greater than what is generally considered healthy for a given height.

5. 4  Two approaches dominate the body of literature dealing with obesity - A population approach - A high-risk approach  The strategy of the “Y.E.A.H.!” program is to make better use of existing resources and build public-private partnerships while using a holistic approach.

6. 5  Overweight, obesity and the lack of physical activity are among the top priority health issues of the federal Healthy People 2010

7. 6  For 3 decades, Healthy People - a federal initiative, has provided a comprehensive set of national, 10-year health promotion and disease prevention objectives aimed at improving the health of all Americans

8. 7  The Obesity Education Initiative (OEI) was launched by The National Heart, Lung and Blood Institute (NHLBI) of the NIH in 1991.  The OEI has adopted a two-pronged strategy for educating professionals and the public -Population approach -High-Risk approach

9. 8  The Population Approach – The major focus is Heart N’Parks, a community based effort to encourage heart healthy eating and increased physical activity in partnership with the National Recreation and Park Association.

10. 9  High-Risk Approach - In 1998, the "Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: Evidence Report" was issued by an expert panel.

11. 10  To encourage the adoption of heart healthy eating patterns and physical activity habits  To prevent or reduce the prevalence of overweight and obesity and their related heart disease risk factors

12. 11  Reduce the proportion of children and adolescents who are overweight or obese by 5%  Increase the proportion of adolescents who engage in moderate physical activity for at least 30 minutes on 5 or more days by 10%

13. 12  Much work has been done under OEI to help prevent or reduce the prevalence of overweight and obesity.

14. 13  Program Steps: A.Recruit youth participants a. Parental Consent b. Weight/BMI/Goals c. Membership Cards

15. 14 B. Twelve month healthy lifestyle program a. Healthy Food Choice Education Plan b. Exercise/Fitness Plan c. Parental Involvement & Education Plan d. Self-Esteem Workshops e. Improved access to healthy foods

16. 15 C. Camp “Y.E.A.H.!” Summer Bridge D. Recognition/Incentives for participation E. Graduation Ceremony F. Quarterly Monitoring & Alumni Meetings

17. 16  Partnerships -Food Banks/Grocers -Gyms, YMCAs, Fitness Facilities -Schools/Recreation Centers -Hospitals/Clinics/Health Dept./Dr.’s offices -Culinary Arts Schools & Restaurants -Faith-Based Organizations -Youth Athletic Groups - Barber/Beauty/Nail Salons

18. 17  Workshops - “Healthy Mind/Healthy Body”: 3 Fold Holistic Approach: Physical, Social, and Emotional Health - “Eat Less/Move More”: Fitness & Nutrition - “I Can/You Can!”: Parent Involvement & Modeling

19. 18  Office of Disease Prevention and Health Promotion http://www.healthypeople.gov/  Obesity Education Initiative, National Heart, Lung, and Blood Institute Information Center http://www.nhlbi.nih.gov/about/oei/index.htm  The Weight-Control Information Network (WIN) National Institutes of Health (NIH) http://www.niddk.nih.gov/health/nutrit/win.htm  President’s Council on Physical Fitness and Sports http://www.fitness.gov  Centers for Disease Control and Prevention (CDC) http://www.cdc.gov/obesity/  The Center for Health and Health Care in Schools http://www.cdc.gov/nccdphp/dnpa  Child Obesity Bibliography http://www.healthinschools.org/Health-in-Schools/Health- Services/Schools-and-Childhood-Overweight.aspx.

20. 19  Demonstrate the effectiveness of a culturally adapted obesity prevention program for children  Build the capacity of other local communities to address Healthy People goals  Evaluation will be completed using pre/post- surveys captured in a database  Weight before and after  Amount of physical activity before and after  Attitudes/choices before and after  Level of satisfaction with the program

21. 20  National Heart Lung and Blood Institute. Obesity Education Initiative [Internet]. (Accessed 2009 July 12). Available from: http://www.nhlbi.nih.gov/about/oei/oei_pd.htm  Levin, S, Stein, R. 2008 May 17. Obesity Threatens a Generation. Washington Post [Internet]. [accessed 2008 July]. Available from: http://www.washingtonpost.com/wp- dyn/content/graphic/2008/05/16/GR2008051602876.html  Healthy People 2020 framework [Internet]. (Accessed 2009 July 12). Available from: http://www.healthypeople.gov/stateaction/attachmentA.htm  What are the leading health indicators? [Internet]. (Accessed 2009 July 12). Available from: http://www.healthypeople.gov/LHI/lhiwhat.htm  Office of Disease Prevention and Health Promotion. Attachment B, background - excerpts from Healthy People 2010 (determinants of health) [Internet]. (Updated 2009 March; accessed 2009 July 12). Available from: http://www.healthypeople.gov/stateaction/attachmentB.htm  Leading health indicators priorities for action [Internet]. (Accessed 2009 July 12) Available from: http://www.healthypeople.gov/LHI/Priorities.htm  National Heart Lung and Blood Institute. Obesity Education Initiative. Clinical guidelines: evaluation and treatment of overweight and obesity in adults slide show [Internet]. (Accessed 2009 July 12). Available from: http://hp2010.nhlbihin.net/oei_ss/menu.htm#sl1  National Heart Lung and Blood Institute. Heart N’ Parks [Internet]. (Accessed 2009 July 12). Available from:  http://www.nhlbi.nih.gov/health/prof/heart/obesity/hrt_n_pk/index.htm  Teenage obesity [Internet]. Publication location unavailable; 2007. (Accessed 2009 Jul 15). Available from: http://obesity.ygoy.com/obesity-teens/  National Institute of Diabetes and Digestive and Kidney Disease (NIDDK). Weight-control Information Network. Statistics related to overweight and obesity. [Internet]. Bethesda, MD; (Updated 2007 May; accessed 2009 Jul 15). Available from: http://www.win.niddk.nih.gov/STATISTICS/