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FCS Program Focus Area – Healthy Eating/Active Lifestyles . Dr. Virginie Zoumenou UMES/ Maryland Cooperative Extension 11/01/07. Situation. Obesity and Diabetes are reaching epidemic proportions in US . In 2006, diabetes prevalence was 8.0% in Maryland above 10% in 10 counties .

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FCS Program Focus Area – Healthy Eating/Active Lifestyles


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    1. FCS Program Focus Area – Healthy Eating/Active Lifestyles Dr. Virginie Zoumenou UMES/ Maryland Cooperative Extension 11/01/07

    2. Situation • Obesity and Diabetes are reaching epidemic proportions in US . • In 2006, diabetes prevalence was • 8.0% in Maryland • above 10% in 10 counties

    3. Situation • High prevalence of diabetes among overweight Children aged 12 and 18(Maryland BRFSS 2006) • Overweight individuals: Children, adolescents, youth , adults, are at risk • Half of overweight individuals may already have pre-diabetes or are at high risk(American Diabetes Association, 2005)

    4. PRIORITIES 1- Reduce childhood obesity 2- Prevent or delay type 2 diabetes by: Early detection of people at risk (screening) Educateindividuals at risk 3- Prevent or reduce complications among persons with diabetes: Educate individualsdiagnosedwith diabetes. • Focus area: Diabetes Prevention through Education

    5. Goals • Increase participants’ • knowledge • ability to manage diabetes. • Improve participants' health status • Enhance the capacity of: • Extension Educators to impact diabetes education

    6. Assumptions Funding may be available : MCE Dairy council CDC Pharmaceutical companies Foundations External Factors Funds availability collaboration with: existing support groups other extension educators Healthcare educators A collaborative program will be the ideal and beneficial for the clients Access to the school systems

    7. Methods Pre-post tests in NDEP curriculum (end of sessions) Pre-post test using strength of commitment tool (scores) Pre and post of clinical test (if collaboration with healthcare professionals) Indicators # or % of individuals (adult or youth) who demonstrate improvement in: Knowledge Healthy lifestyle (eating and exercise) Strength of commitment Clinical values Evaluation

    8. Scholarship/Research • Compare results by agegroup or raceor between two counties • Evaluation results may be used for future publications or abstracts • Present abstract at diverse annual conferences such as • CDC • American Diabetes Association • American Dietetics Association • SNE • National FCS conference. • However, an IRB will be mandatory if these results have to be published.

    9. Other Suggestion: Childhood Obesity • Assess the environmental factors that may impact healthy and active lifestyle among children • Identify priorities in your community using ENACT tool. • ENACT: Environmental Nutrition and Activity Community Tool (The Strategic Alliance for Healthy Food and Activity Environments; (www.preventioninstitute.org/sa/enact/members/index.php) • ENACT : strategies designed to help improve nutrition and activity environments on a local level. • These strategies have been organized into seven environments selected for their importance in individual and community health. • Develop a program focusing on environmental factors.

    10. Thank you Questions?