TIGERS FEEL GRRREAT IN ’08!

1. TIGERS FEEL GRRREAT IN ’08!

2. 2006 - SHS Nurse Practitioner identified increase in patients with Metabolic Syndrome • National statistics and news of Obesity Epidemic • Started development of Prescription for Wellness for clinic patients • VP and AVP requested “The Biggest Loser” program on campus Fall 2007 • Collaboration with many key departments • 2007 - Began development of Tigers Feel Grrreat in ‘08 Evolution of ideas

3. STUDENT DATA FACULTY/STAFF DATA n=274 n=48 Body Mass Index (BMI) Healthy (BMI 18.5-24.9) 43% Healthy (BMI 18.5-24.9) 25% Overweight (BMI 25-29.9) 33% Overweight (BMI 25-29.9) 35% Obese (BMI 30-39.9) 21% Obese (BMI 30-39.9) 33% Morbidly Obese (BMI 40+) 3% Morbidly Obese (BMI 40+) 6% Obese + morbidly obese 24% Obese + morbidly obese 39% Overweight + obese + morbid 57% Overweight + obese + morbid 5% Interest in Campus Health Program n=269 n=49 90% yes 83% yes 2% maybe 4% maybe 8% no 13% no Background for project – Data fromstudent health Fair 2007

4. METABOLIC SYNDROME • CORONARY ARTERY DISEASE • DIABETES • Joint pain and disorders • Fatigue • Sleep apnea • Respiratory disorders • Depression • Cancers • Complications of pregnancy • Incontinence Student Health Services would like to help you regain a healthy body and body image as you gain knowledge in your studies. We would also like to help you develop good solid lifelong health habits. COMPLICATIONS OF OBESITY

5. U of M Students • Core Participant will have: Body mass index (BMI) greater than 25  • Others may participate with BMI within 20 – 25 range for increased fitness • Suggest ways to reclaim a healthier BMI range • Nutritional support • SHS Graduate Assistants (G.A.s) • Nutrition Department  • Exercise • Health and Sport Sciences Department • Student Recreation and Fitness Center (CRIS) • SHS Graduate Assistants • Behavioral support • Psychological Counseling Unit • Psychology Department  • Continued monitoring (time intervals to be individual) • Resources for lifelong assistance • Community • Internet Tigers feel great in ‘08 Program

6. Pilot program Spring 2008 • Student Support Services • Intake • Motivational Interviewing • Fitness Assessment • Education and Exercise • Monthly Progress Party and Weigh-in (if desired) • Walking groups • Lab tests – Cholesterol/Triglycerides + Fasting Blood Sugar • Nutritional Support • Continued motivation • End of Semester Fitness Party • Incentives : t-shirts, pedometers, caps, Tiger gear Tigers feel grrreat in ‘08tigers feel fine in ‘09

7. Campus Collaborations • Adult and Commuter Services* • ARAMARK* • Campus Recreation and Intramural Services • Career and Employment Services* • Community Health • English Department – Susan Popham (future podcasts) • Greek Life Coordinator* • Health, Sport and Science Department* • Nutrition Department • Student Dietetic Association • Exercise Science • Health Promotion • Loewenberg School of Nursing • Student Nurse Association • Psychological Counseling • Psychology Department • Public Health (MPH Program) • Registered Student Organization Coordinator* • Residence Life* • Student Health Services • Student Support Services • OTHERS * FUTURE

8. Fall – two intake sessions/week at various times for first 4 weeks • Reserve a spot by email or phone • First come – first served (200) • Location – Student Recreation and Fitness Center • Paperwork • Schedule for educational programs and progress parties • Program Overview • Motivational Interviewing – goal development - continuing (in-person/phone/email) • Fitness Assessment – beginning and end of semester • CRIS Orientation and classes • Logs to keep : Fitness + Food • Schedule individual appointments with nutritionist • Group or Individual Photos INTAKE – joining tFG’08

9. Appointments made by behavioral psychology students • In person • By phone • Over email • Support systems • Goal setting • Perceived Barriers • Continued contact MOTIVATIONAL INTERVIEWING

10. Grad Assistant in SRFC • Fitness and Health Assessment completed at beginning and end of semester • SRFC orientation • Programs/classes and schedule • Use of machines FITNESS ASSESSMENT

11. Classes in SRFC • Cardio • Weights • Cycling • Swimming • Aerobics • Dance • Other • Walking groups – daily at 1 pm & 4 pm FH track or inside • Daily increased activity – walk, stairs, walk, dance, etc. EXERCISE

12. EDUCATIONAL PROGRAMS • Programming ideas • 15 minute programs • Weekly • Live program • UM Drive • Podcast • QUIZ for self testing • Tracking sheet for participants • Educational components: • Nutrition • What and why • Hypoglycemia • Calories • Supplements • Disordered eating/ED • Exercise • Weight loss versus fitness • Frequency • Which exercises are best for my personal goals • Stress • Coping • Drinking alcohol and using drugs • Smoking • Goal Setting • Monitoring self • Hydration and Kidney Health • OTHERS

13. Meet with Health Educator or HE graduate assistants at beginning and in 2 weeks • Review Fitness Testing + Lab tests • Fitness Parties • Motivational Interviewers • Listed support system • Peers SUPPORT

14. Nutrition advising • appointment • Exercise advising • appointment INDIVIDUAL SUPPORT

15. TIGERS FEEL GRRREAT IN ‘08 • TIGERS FEEL FINE IN ‘09 • TIGERS ---------------------------------- ’10 FUTURE of program

16. HEALTHY TIGERS! HealthyUof M!