Ohios Physical Activity Plan Its Impact on Communities

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Ohios Physical Activity Plan Its Impact on
Communities

• Changing the School Health Environment

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www.foryourhealthohio.org

• Halfway There Ohios Physical Activity Plan
• -----------------
• Changing the Future of Ohio One Community at a
  Time

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Reflection

• What is your earliest fond recollection of being
  physically active from your childhood?

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Which is more like your recollection?

• Formal, structured activity or sport with adult
  involvement, mostly kids of same age
  background.

Informal, unstructured play, often done w/
neighborhood kids, running around, biking,
exploring.
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Question

• How many kids today would have such memories of
  unconstrained, informal, unstructured physical
  activity?

Are we losing the opportunity for children to
grow up as Free Range Kids?
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What Id be talking about if I were running for
President

• Health care costs the so-called obesity
  epidemic.
• Global warming environmental degradation.
• Foreign policy, oil dependence.
• Aging transport infrastructure.
• Growing local issues
• Education cost vs. performance.
• Traffic congestion.
• Local economic development.
• Community life.

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Amazingly, one thing actually does help with all
of these issues

• Health care costs the so-called obesity
  epidemic.
• Global warming environmental degradation.
• Foreign policy, oil dependence.
• Aging transport infrastructure.
• Growing local issues
• Education cost vs. performance.
• Traffic congestion.
• Local economic development.
• Community life.

More walking, bicycling, active living in
general.
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Who can help

• Schools, parents
• Planning Zoning
• Parks, Recreation
• Historical Groups
• Public Health Safety
• Chambers of Commerce
• Economic Development
• Neighborhoods, activists
• Environment, Conservation
• Faith based service organizations
• Local government

Columbus
Policy information www.lgc.org www.vtpi.org
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Surgeon Generals Report on Physical Activity
Health, 1996

• 30 minutes of moderately vigorous physical
  activity.
• Most (all) days of the week.
• Can be broken up.
• Reduced risk for
• CVD,
• diabetes,
• osteoporosis,
• obesity,
• dementia,
• clinical depression,
• some cancers.

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Physical activity recommendation for
adolescents(1994 consensus conf.)

• Physically active every day as part of lifestyle
  (at least 60 minutes, moderate intensity).
• Some vigorous activity at least 20 minutes,
  three days/week.

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Ohios Plan Change the conversation. Its not
just an obesity epidemic. Its an epidemic of
physical inactivity and poor nutrition.
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But in the end . . . Its a matter of personal
choice, isnt it?
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Estimated Cost of Inactivity and Poor Nutrition
nationally 78.5 billion/year

• Ohio total 3.304 billion/yr.
• Public (taxes) Medicaid, Medicare 1.75 bill.
• Private (insurers, hospitals) 1.55 bill.

State Level Estimates of Annual Medical
Expenditures Attributable to Obesity, Finkelstein
et.al., Obesity Research 200412(1)1824 www.cdc
.gov/nccdphp/dnpa
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Exercise ParticipationEffect of Short Bouts,
Home Treadmills
See the drop-off after a 6-month walking program
below.
(Jakicic et.al., JAMA 282, 16)
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Did these people exercise?
Lowell Natl Hist. Park, Lowell, MA
Its about dramatic decreases in routine, daily
physical activity!
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Social Ecology ModelDeterminants of behavior
change

• Individual (readiness, efficacy)
• Interpersonal (family, friends)
• Institutional (school, work, HMO)
• Community (networks, local govt)
• Public Policy (transport, land use)

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Socio-ecological success Tobacco

• Individual education, medication
• Interpersonal 2nd hand smoke, kids
• Institutional work place bans
• Community smoke free policies
• Public Policy taxes, enforcement, advertising
  bans, SGs warning label.

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Four focal areas

• Community
• Schools
• Transportation
• Worksites

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Four Focal Areas

• Community Active living designs are the rule
  sprawl urban decay the exception.
• Schools Structured informal activity centers
  for all students residents.
• Transportation Safe, inviting facilities for
  moving under human power.
• Worksites Create a culture of healthy active
  living with support real incentives.

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Community Goals

• Establish new subdivision commercial village
  site standards.
• Use historical villages as a guide incorporate
  green areas, open space, trails.
• Density bonuses for affordability, mixed use,
  infrastructure improvements.

Xenia
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Community Goals continued

• Buildings at the sidewalk, parking on-street or
  behind, bike parking required
• Higher residential densities, clusters, grids vs.
  cul-de-sacs

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TRANSPORTATION All roadways to be designed for
all users (pedestrians, cyclists, transit riders,
drivers) of all ages abilities
Des Moines, IA

• Complete Streets Policy
• City-wide active transport coordinators

www.completestreets.org
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In your area, what defines places where people
walk and bicycle more often?

• Are there a variety of destinations within walk
  bike distance?
• Is there a connected network of sidewalks,
  trails, bike lanes, crossings?
• Are building sites inviting for bikes,
  pedestrians?
• Is it safe all users?

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School Goals

• Design programming
• Better school site decisions!
• Promote quality PE
• Active recess
• Structured activities sports
• Active transportation to/from school
• Community use
• Partnerships with business community groups to
  maximize use of activity facilities by all
  residents, all ages abilities.

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School Goals continued

• Curriculum Standards
• All school systems to adopt implement model PE
  curricula
• Buckeye Best Health School Awards
• Increase applications, awards

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Worksite goals
Wide implementation of physical activity
supportive policies infrastructure

• Physical Activity breaks programs
• Rewards for active travel (transit passes)
• Rewards for physical activity (, vacation days)
• On-site bike parking
• Designs from open, clean stairwells to on-site
  trails

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Worksite goals continued

• State to be model employer
• Beyond exercise programs, create a culture of
  active living
• Local governments
• Be model employers
• Healthy Ohio Worksite Wellness Awards
• Dramatically increase employer innovation,
  applications awards

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Worksite Carrots Sticks

• Flex time, scheduled physical activity breaks
  universal leave
• Increased parking costs subsidized transit pass
  covered, secure bike parking
• Walking loops at and to worksite paths
  sidewalks bike access

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Worksite Carrots Sticks

• Lockers, showers
• Real rewards and vacation
• Adopt a Safe Route to School Program employees
  to lead walking busses

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Health Care industry is already seeing the
economic opportunity.

• UnitedHealthCares High Deductible (2,500) plan.
• Earn 500 reductions for
• Not smoking.
• Body Mass Index lt 27.5
• Blood pressure lt 130/85
• Cholesterol LDL lt 130 mg/dL

Columbus
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For Your Health Ohio, Inc.

• Non Profit organization dedicated to elevating
  awareness for Ohioans to be more physically
  active and eat healthier

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For Your Health Ohio, Inc.

• Regional Committee will be formed by Spring of
  2008
• General responsibilities of a Regional Team
  Member
• We NEED YOU, to represent your region

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Regions
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For Your Health Ohio, Inc

• Regional Meetings- All times 10-12 pm
• Southwest Ohio- Monday April 28
• Southeast Ohio- Tuesday April 29
• Northwest Ohio- Wednesday April 30
• Central Ohio- Thursday May 1
• Northeast Ohio- Friday May 2
• Locations posted on www.fouryourhealthohio.org
• all days and time subject to change

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Bring People Together
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Think Economic Development
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Think Outside The Box
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What are we teaching?
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For Your Health Ohio, Inc

• Website www.foryourhealthohio.org
• Contact Ohio Parks and Recreation
• 614.895.2222
• Mary Beth Thaman
• 937.296.2454