Lapeer

Emma Cumper, Cassi Karpovich, Tiffany Miller, Jayna

Thompson
Community Health Factor- Physical Inactivity
Percentage of adults age 20 and over reporting no leisure-time physical activity- Lapeer County was 24%
in 2015 (County Health Rankings & Roadmaps, 2019).

Reason for ranking- “Decreased physical activity has been related to several disease conditions such as
type 2 diabetes, cancer, stroke, hypertension, cardiovascular disease, and premature mortality,
independent of obesity. Inactivity causes 11% of premature mortality in the United States, and caused
more than 5.3 million of the 57 million deaths that occurred worldwide in 2008” (County Health Rankings &
Roadmaps, 2019).

● Related policies
○ Community fitness programs.
○ Active recess
○ Activity programs for older adults
CHF Policy- Community Fitness programs
Description-”Fitness programs can be offered in a variety
of community settings including fitness, community, senior,
and community wellness centers. Program offerings vary
by location, but often include exercise classes such as
spinning/indoor cycling, aerobic dance classes, Zumba,
Pilates, Yoga, and Tai Chi” (County Health Rankings &
Roadmaps, 2015c).
Pros- Increased physical activity, improved physical
fitness, and improved mental health (County Health
Rankings & Roadmaps, 2015c).
Cons- cost, transportation
Evidence of effectiveness- “Organized fitness
programs appear to be more attractive to women
and elderly adults than to men and younger adults,
while organized sport activities appear to appeal
more to males (County Health Rankings &
Roadmaps, 2015c). Yoga can improve blood
pressure, HDL cholesterol, triglycerides, and many
cardiovascular risk factors; however, more long-term
studies are needed to confirm effects (County
Health Rankings & Roadmaps, 2015c).
CHF Policy- Active Recess
Description- Having an active/ semi structured recess gives students a
break from their school day and is usually before lunch. It may involve
a variety of planned, inclusive and actively supervised games that
involve all children. Multi component intervention that includes
investments in playground equipment, painted markings on
playgrounds and special training for teachers (County Health Rankings
& Roadmaps, 2015a).

Pros- increased physical activity, reduced bullying, and improved social

skills (County Health Rankings & Roadmaps, 2015a)

Cons- stranger danger, risk for injury, potential to be expensive

Evidence of effectiveness- “Active recess programs can lead to

significant increases in moderate to vigorous activity; children can
expend 100 kcal/30 minutes of recess” (County Health Rankings &
Roadmaps, 2015a). This is most effective for children 10 and younger
(County Health Rankings & Roadmaps, 2015a).
CHF Policy- Activity programs for older adults
Description- “Programs for older adults offer
educational, social, or physical activities in group
settings that encourage personal interactions, regular
attendance, and community involvement. Activity
programs are a potential means to reduce social
isolation; isolation among older adults is associated
with poorer health outcomes (County Health
Rankings & Roadmaps, 2015b).
Pros- improved health outcomes, improved mental
health, reduced isolation, improved quality of life,
increased activity levels, and reduced falls (County
Health Rankings & Roadmaps, 2015b).
Cons- transportation, risk for injury, cost of classes
Evidence of effectiveness- Social engagement and group
activity programs (e.g., participatory art activities) can
benefit cognition for elderly adults and can decrease their
risk of death. Physical activity programs have been shown
to reduce falls, improve strength, walking performance, and
balance. Such programs also reduce depression and have
other cognitive benefits for older adults, although effects
may vary by the type of exercise. Senior center activities
can also foster new supportive friendships (County Health
Rankings & Roadmaps, 2015b).
 CHF Policy- Which would be most appropriate for Lapeer?
● The policy active recess would be most appropriate for Lapeer. Why?
● Lapeer has many schools with playgrounds and a few parks
● 20.6% of Lapeer Counties population is children 18 and younger (United States Census
Bureau, 2019).
● Thinking proactively before children grow into adulthood (promote healthy, active
lifestyles at a young age to follow into adulthood)
● Stop the problem before it starts so these children can grow up to be good role
models
● There are many resources available to help implement active recess
○ Playworks is a source to help find games to initiate active recess (https://www.playworks.org/game-library/)
○ KaBOOM!-Play matters is a study of the best practices to inform local policy and process in support
of children's play.
(https://media.kaboom.org/docs/documents/pdf/playmatters/Play_Matters_Case_Summaries.pdf)
○ The CDC has this took to help create an active recess…
(https://dpi.wi.gov/sites/default/files/imce/sspw/pdf/sasactiverecess.pdf)
Community Diagnoses & Goals Interventions

Activity intolerance related to sedentary lifestyle as

evidenced by 24% of adults age 20 and over reporting no
Primary Intervention: Provide education to
physical activity.
parents to promote activity in schools and at
● Increase activity level to at least 30 minutes per
home
day in all schools by the end of the school year
Secondary Intervention: Provide screenings for
● Promote work out classes at the recreation center
for all members of the community by the end of
BMI in all schools
the calendar year
Tertiary Intervention: Coordinate follow up
Risk for obesity as evidenced by numerous fast food
appointments with a nutritionist for all students
restaurants and sedentary lifestyle
within the community

● Encourage those restaurants to provide healthy

foods by the end of the year
● Promote walking during lunch breaks at the local
businesses to be started by the end of the year
 References
County Health Rankings & Roadmaps. (2015a). Active recess. Retrieved from https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-
health/policies/active-recess

County Health Rankings & Roadmaps. (2015b). Activity programs for older adults. Retrieved from https://www.countyhealthrankings.org/take-action-to-improve-health/what-
works-for-health/policies/activity-programs-for-older-adults

County Health Rankings & Roadmaps. (2015c). Community fitness programs. Retrieved from https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-
for-health/policies/community-fitness-programs

County Health Rankings & Roadmaps. (2019). Michigan. Retrieved from https://www.countyhealthrankings.org/app/michigan/2019/measure/factors/70/description

City-data.com. (2019). Crime rate in lapeer, michigan: Murders, rapes, robberies, assaults, burglaries, thefts, auto thefts, arson, law enforcement employees, police officers,
crime map. Retrieved from http://www.city-data.com/crime/crime-Lapeer-Michigan.html
Data USA. (2018). Lapeer county, mi. Retrieved from https://datausa.io/profile/geo/lapeer-county-mi/#about

Federal Reserve Bank. (2019). Unemployment rate in lapeer county, mi. Retrieved from https://fred.stlouisfed.org/series/MILAPE5URN

Lapeer Development Corporation. (2016). Business/industry demographics. Retrieved from http://www.lapeerdevelopment.com/doing_business/major_employers.php

State of Michigan. (2019). Marriage and divorce numbers and rates by county of occurrence, Michigan residents, 2018. Retrieved from
https://www.mdch.state.mi.us/osr/marriage/MxDivCounty.asp?MType=2

State of Michigan. (2017). Lapeer county health department health statistics tables. Retrieved from
https://www.mdch.state.mi.us/osr/chi/FullTableList.asp?REGIONtype=2&regioncode=26

United States Census Bureau. (2019). Quick facts: Lapeer city, michigan. Retrieved from https://www.census.gov/quickfacts/lapeercitymichigan