Physical Activity Moving Toward Obesity Solutions: Workshop Summary (2015) / Chapter Skim
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8 Implementation of Strategies That Promote Physical Activity
8 Implementation of Strategies That Promote Physical Activity
Pages 121-132
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From page 121... ...
Finally, Marisa Molina described Everybody Active/Todos Activos, a Centers for Disease Control and Prevention (CDC) -funded exercise and healthy lifestyle intervention designed to promote physical activity among Latinos in San Diego, California.
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From page 122... ...
, Kohl suggested that researchers studying physical activity consider not just the goals, actions, and results that can be seen "above" the surface, but also the competing interests, actions of others, unintended consequences, and other public health phenomena "underneath" the surface. When studying ways to promote physical activity, Kohl explained, researchers typically apply a behavior change theory to the problem, 1 This section summarizes introductory remarks made by Harold W
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From page 123... ...
Many women attending the gym would tell her that they wished their husbands or children would "get off the couch." So she reached out to the wider community; mobilized the support of elected officials, churches, restaurants, other gyms, hospitals, and other individuals and institutions; and founded Shape Up Mississippi. 2 Thissection summarizes information and opinions presented by Linda Fondren, community leader and founder of Shape Up Sisters and Shape Up Vicksburg, Vicksburg, Mississippi.
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From page 124... ...
percentile, 65 percent increased their aerobic capacity, 100 percent reported feeling confident that they will graduate from high school, 95 percent reported feeling a lot of pride in themselves, and another 95 percent reported feeling as though they are a positive part of their community. The program started "organically," Hinkle said, in 1994, at Marie Reed Elementary School in the Adams Morgan neighborhood of Washington, DC.
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From page 125... ...
In the first funding cycle, 35 volunteer community health workers were trained to provide free exercise classes in schools, recreation centers, community centers, apartment complexes, and parks. Most of the group exercise programs involved Zumba or dance aerobic classes.
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From page 126... ...
Clearly, Molina said, the program had a tremendous impact not only on class participants but also on the community health workers providing the classes. That the classes are still being offered to the community reflects the program's sustainability, in her opinion.
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From page 127... ...
Molina replied that, while the community health workers encouraged participants in Everybody Active/Todos Activos to exercise outside of the classroom, it is difficult to know what physical activity actually took place outside of the program and whether total physical activity was increasing over time as a result of program participation. Fondren pointed to the success of the walking club that grew out of Shape Up Mississippi and the collective loss of 15,000 pounds among participants as indicators of the spread of physical activity in the community.
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From page 128... ...
Molina replied that it will be interesting to see how the Everybody Active/Todos Activos program continues now that its funding period has ended. Many schools and recreation centers have adopted the community health workers trained and certified (e.g., Zumba certified)
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From page 129... ...
In fact, the health center was one of three local agencies selected to help with supervision during the second funding cycle. In addition to supervising some of the program's community health workers, the center helped distribute exercise calendars so that visitors to the center could see when Everybody Active/Todos Activos classes were being offered.
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From page 130... ...
The program is part of the Mayor's Health Council, which Shape Up Mississippi helped to found, and the council conducts health screenings at community events hosted by Shape Up. Hinkle added that just the presence of the state health department at an event being hosted by DC SCORES is important.
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From page 131... ...
That said, exercise is the main component of the intervention, and the greatest amount of time is dedicated to exercise. If a particular community health worker has an interest in weight loss, he or she may verbally share that interest with class participants, but otherwise there is no focus on weight loss.
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From page 132... ...
In her opinion, there is something about physical activity that makes people want to eat better, do better, and try new things. CONCLUDING REMARKS In his concluding remarks, Russell Pate relayed three anecdotes that he believes collectively capture, as he said, "where we are with this challenging issue." The first was a media story about a so-called free range family in Silver Spring, Maryland, that was encouraging its elementary school-aged children to walk to a nearby park by themselves, unsupervised by adults.
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