The Ohio Nutrition and Physical Activity Plan

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The Ohio Nutrition and Physical Activity Plan
Ginger Parsons, RD, LDMarti Andrews, PhD, RD,
LD May 1, 2009
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The Ohio Nutrition and Physical Activity Plan

• A statewide plan of action to improve the
  nutrition and physical activity habits of all
  Ohioans

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History Behind the Physical Activity Plan

• Developed by a non-profit consortium of American
  Heart Association, American Cancer Society, and
  Ohio Parks and Recreation Association
• Passionate about the overall health and well
  being of Ohioans
• Plan was initiated in 2007 and released in 2008
• Developed into six distinct action areas

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Physical Activity Plan Action Areas

• Implementation
• Information Coordination and Promotion
• Community
• School
• Transportation
• Worksite

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Socio-ecological model

• The socio-ecological model recognizes that
  everyone lives within a broader system of
  policies, regulations, social norms, and
  opinions, as well as a physical environment and
  built infrastructure that influence behaviors and
  lifestyles.
• (Physical Activity Plan)

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Nutrition Plan Beginnings

• Stakeholders meeting from Physical Activity Plan
  was held to discuss need to add a nutrition
  component to the plan in Dec. 2007.
• March 2008 first statewide meeting with all five
  regions represented. Attendees agreed to add the
  nutrition component.

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Nutrition Plan leaders

• State Chair - Ginger Parsons
• Regional leaders
• Northwest - Karen Bakies, Anne Gibson
• Northeast - Martha Halko
• Central - Marti Andrews
• Southwest - Lauren Niemes
• Southeast - Coleen Krubl

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Participation

• Plan was developed by more than 200
  professionals.
• Over 143 statewide agencies and organizations
  were represented.
• Plan was developed through statewide and regional
  meetings to establish goals and strategies for
  the action areas identified.
• Plan was written by Julie Shertzer, PhD, RD, LD.

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Rationale for the Ohio Nutrition Plan

• Only about one in five Ohio adults consume enough
  fruits and vegetables.
• The average American eats less than one serving
  of whole grains per day.
• On average, Americans are consuming only 1/2 the
  daily recommended servings of dairy.

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Top Nutrition IssuesIdentified in Ohio

• Obesity
• Chronic Diseases
• Food Insecurity / Economic Cost of Food
• Lack of reimbursement for nutrition counseling
  and Medical Nutrition Therapy

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The Status of Poor Nutrition in Ohio

• Ohio is ranked 17th highest in the nation for
  prevalence of adult obesity.
• Ohio is ranked 22nd highest for most overweight
  youth age 10-17 years.
• Almost 2/3 of adults in Ohio were obese or
  overweight in 2007.
• Ohios estimated cost of poor nutrition and
  inactivity is 3.3 billion a year.

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Grassroots Efforts

• A multitude of nutrition professionals, food
  industry professionals, representatives from
  state and local agencies provided content for the
  plan.
• Several statewide meetings were held over an 11
  month period to develop goals, objectives and
  strategies.
• Plan was designed to enhance the existing
  physical activity plan, and not stand alone.

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• A Healthy Active Oregon
• Statewide Physical Activity and Nutrition Plan
• 2007-2012
• Prepared by the Nutrition Council of Oregon
• the Oregon Coalition for Promoting Physical
  Activity

http//www.oregon.gov/DHS/ph/pan/docs/PAN_rpt_07.p
df
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COPAN Colorado Physical Activity and Nutrition
Program Living the Colorado Lifestyle Colorado Phy
sical Activity and Nutrition State Plan
2010 Developed by the Colorado Physical Activity
and Nutrition Coalition Colorado Department of
Public Health and Environment
http//www.cdphe.state.co.us/pp/COPAN/2004statepla
n.pdf
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For more information, visit www.EatSmartMoveMoreNC
.com.
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Additional States with Plans

• Arizona, Georgia, Iowa, Maine, Maryland, Montana,
  North Carolina, Oklahoma, Pennsylvania, South
  Dakota, and Washington

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Nutrition Plan Action Areas Added

• Nutrition Plan brought two additional action
  areas to the current plan
• Government
• Higher Education
• It was felt that these were vital to making
  nutrition policy changes

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Nutrition Action Areas

• Community
• School
• Worksite
• Government
• Healthcare
• Higher education

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Development of Goals

• SMART Goals
• Specific
• Measurable
• Achievable
• Realistic
• Timely

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Nutrition Implementation Goals

• Community Goal 1. Establish a wellness coalition
  per county(ies) to advocate for nutrition and
  physical activity programs.
• Strategies
• Engage local planning and elected officials in
  community wellness coalitions.
• Develop and promote a marketing plan that
  communicates the purpose and benefits of the Ohio
  Nutrition and Physical Activity Plan.

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Goals (continued)

• Community Goal 2. All Ohioans have access to
  nutrient-rich foods and opportunities for
  physical activity in every county.
• Community Goal 3. Each wellness coalition
  optimizes nutrition education opportunities
  providing Ohioans with access to quality and
  consistent nutrition education.

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Goals (continued)

• School Goal 1. Ensure school systems adopt and
  implement curriculum models based on Ohio
  physical education standards.
• School Goal 2. Increase student consumption of
  foods and beverages that contribute toward
  healthy eating patterns consistent with the
  current Dietary Guidelines for Americans.

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School Goal 2. Strategies

• Increase participation in USDA child nutrition
  programs, including National School Lunch and
  National School Breakfast programs and
  afterschool snack programs to ensure no child
  goes hungry and all children meet nutritional
  needs for the day.
• Work to mandate that all schools adopt policies
  that ensure all foods and beverages available at
  schools contribute toward healthy eating patterns
  consistent with current Dietary Guidelines for
  Americans.

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Goals (continued)

• School Goal 3. Implement policies and procedures
  that provide students with healthy food and
  beverage options and educational opportunities
  for nutrition and physical activity in all
  after-school programs.
• School Goal 4. Implement policies and procedures
  that provide pre-school children with healthy
  food and beverage options and provide educational
  opportunities for nutrition and physical
  activity.

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Goals (continued)

• Higher Education Goal 1. Prepare students for
  healthy lifestyles through the proper balance of
  food choices and physical activity.
• Higher Education Goal 2. Support research
  activities in Ohio related to food and nutrition.
  

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Goals (continued)

• Higher Education Goal 3. Provide nutrition
  education and programming to community
  stakeholders based on current nutrition-related
  research.
• -Strategy
• Support community gardens and sustainable
  farming.

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Goals (continued)

• Worksite Goal 1. Assure that all employers in
  the state of Ohio utilize best practices and
  policies for increasing physical activity and
  improving nutrition at worksites.
• Worksite Goal 2. Assure that all employers in
  Ohio have policies, programs, and projects to
  encourage healthy eating behaviors and improved
  nutrition status for employees.

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Worksite Goal 2. Strategy

• All employers will provide nutrition education
  opportunities during the work day and at
  work-related events.

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Goals (continued)

• Worksite Goal 3. Encourage all local government
  agencies to adopt and implement the principles of
  Ohios Nutrition and Physical Activity Plan in
  general and implement best practices to encourage
  recreational and routine physical activity among
  their employees.

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Goals (continued)

• Healthcare Goal 1. Establish nutrition concepts
  across the life cycle in evidence based programs
  for disease prevention and wellness promotion.
• Healthcare Goal 2. Assure the use of Medical
  Nutrition Therapy (MNT) as a cost-effective
  integral component of evidenced based disease
  management.

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Evaluation of the Plan

• Establish baseline and evaluation indicators for
  each goal.
• Determine a method of assessment, data
  collection, and tracking for each goal.
• Establish time lines and evaluation schedules.

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Evaluation (continued)

• Utilize existing evaluation capacity and data
  available and allow agencies and organizations
  with appropriate expertise to take the lead in
  their areas.
• For example, Department of Aging and Department
  of Education

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• Questions?

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• Thank you!