Wexford Countys Fight Against Obesity

Stephanie Twait Jana Snider Derek Sibley Rachel Hodges Erica Gamble Kim Fulmerhouser Desirae Naessens

Obesity in the United States

Defined 35.7% 16.9%

as BMI of 30 or greater

adults

children and adolescents

Additional Health Issues Related to Obesity

4

of the top 10 leading causes of death

Stroke Type 2 Diabetes Heart Disease Cancer

Wexford County Assessment

Population:

32,718 30 fast food restaurants People below poverty level in 2011: 16.7% (compared to Michigans overall 14%) Average Per Capita Income: $20,446 Lack of education Rural area

Wexford County Assessment

Obesity

rate in Wexford County: 37% (Compared to Michigans overall 35.6%)

27%

of people in Wexford County reported that they dont exercise (Compared to Michigans overall 23%)
7%

increase in obesity rate in Wexford County between 2008 and 2011.

Wexford Countys Strengths

Fitness

etc.) Hospitals and other health care services Some places like Four Winns will pay for gym membership if you use it Exercise incentives in place Billboards promoting healthy eating

Centers (YMCA, Anytime Fitness,

Wexford Countys Weaknesses

High

poverty rate Lack of transportation in rural areas Multiple fast food chains High cost of fresh fruits and vegetables, especially during winter months. Lack of health promoting education

Nursing Diagnosis
Risk

of obesity Among all persons of Wexford County Related to poverty, inappropriate nutrition, and lack of exercise As demonstrated by an increase of 7% in obesity between 2008 and 2011

SMART GOALS
The

total number of obese people in Wexford County will decrease by 8% by the year 2018 The program will decrease obesity in children aged 0-18 years in Wexford County by 10% by the year 2018

SMART GOALS
The

program will decrease the risk for Type II Diabetes, heart disease, hypertension, stroke, and certain types of cancer in adults and children in Wexford County by 7% by the year 2018 The total number of people in Wexford County who exercise 30 minutes per day will increase by 10% by the year 2018

Planning
Decrease

in obesity in 5 years Development of healthier lifestyles in 5 years Expand nutrition education in schools Implement weight loss and exercise programs in local businesses Track the changes towards healthier lifestyles with Wexford County.

Exercise Ideas

Walk during part of lunch break

Rollerblade,

bike, etc.

Use workplace exercise opportunities (walking factories or malls) Take stairs instead of elevator and park farther away Group weight loss competition/support Free time exercise
Running,

swimming, gym (some base prices on income), hiking, martial arts, yoga, etc.

Nutrition Education

Interventions - School children

Primary/Secondary

Prevention Access to healthier food choices before, during, and after school Increase participation in extracurricular activities Decrease screen time

Interventions - Working population

Primary/Secondary

Prevention Weight loss challenges and incentives in workplaces Discounts or other incentives for a healthy lifestyle and BMI Encourage gym memberships

Interventions Geopolitical Community

Cultural

differences in socioeconomic status

Differences Urban

population vs. rural population

Implementation

Mercy Hospital of Cadillac Four Winns Avon AAR Cadillac Casting Other local businesses Buckley Community Schools Cadillac Area Public Schools Manton Consolidated Schools Mesick Consolidated Schools Wexford-Missaukee ISD

Desired Outcomes
The

overall percentage of obese people living in Wexford county decreases within 5 years Increase in overall healthy eating habits and lifestyle choices within 5 years The amount of health issues related to obesity is reduced within 5 years

Funding and Resources

Donations

from individuals and organizations Support from schools and businesses participating in programs Grants from state and federal levels Health insurance companies Grocery store support

References

Economos, C.D., et al. (2003). Shape Up Somerville two-year results: A community-based environmental change intervention sustains weight reduction in children. PubMed. PMID:23756187

Frenk, D.J. (2013). Health risks: Weight problems take a hefty toll on body and mind. Retrieved from www.hsph.harvard.edu/obesity-prevention-source/healtheffects

Gounder, C. (2013). How exercising at work saves money. Retrieved from

www.theatlantic.com/health/archive/2013/05/how-exercising-at-work-saves-money/276086

National Heart, Lung & Blood Institute. (2012).What are the health risks of overweight and obesity? Retrieved from www.nhlbi.nih.gov/health-topics/obe/risks.html

Schuessler, L., Beyer, J., Mischler, E. (2007). Successful Weight Management in a Corporate Environment. Liebert Inc. 10(supplement 1): S-13-S-17. doi:10.1089/dis.2007.7714

Troxel, A.B., Loewenstein, G., Asch, D.A., Norton, L.A., Wesby, L. & Tao, Y. (2013). Cash for weight loss? Works better when employees compete for pots of money, study finds. Retrieved from www.uofmhealth.org/news./archiev/201304/cash-weight-loss-works-better

United States Census Bureau. (2011). Wexford County, Michigan: People quickfacts. Retrieved from quickfacts.census.gov/qfd/states/26/26165.html