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Walking the Walk Implementing a Successful Physical Activity Program Among Utah Pacific Islanders. Ivoni Nash, Presenter Fahina Tavake-Pasi, Brenda Ralls, PhD National Tongan American Society Salt Lake City, Utah Third National Leadership Summit
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Walking the WalkImplementing a Successful Physical Activity Program Among Utah Pacific Islanders Ivoni Nash, Presenter Fahina Tavake-Pasi, Brenda Ralls, PhD National Tongan American Society Salt Lake City, Utah Third National Leadership Summit on Eliminating Racial and Ethnic Disparities in Health February 25-27, 2009 National Harbor, MD
Disclosure In the past 12 months, I have had no relevant financial relationship with a commercial organization which produces health-care products or services. Name: Ivoni Nash Email: email@example.com
“We, Pacific Islander immigrants, bring our traditions.” “Having to comply to a diet is against what we think life really is.” “Exercise! I worked hard in Tonga, I come to America to rest” Focus Groups
Developing Country: Food is Scarce Sobal & Stunkard, 1989
“And becoming westernized” Coming to America
. Beauty in Developed Countries
Developed Country: Junk food is cheap & abundant Lower income people have higher rates of overweight and obesity Sobal and Stunkard, 1989
National Tongan American Society“Healthy Living in the Tongan American Community Survey” ● Respondents ● n=390 ■ Criteria ■ Adult (18 years and older) ■ Pacific Islander ■ Utah Resident ▲Recruitment ▲ Churches ▲ Festivals ▲ Community sites (senior centers, pool hall, laundry mat, etc.) ▲ Homes ▲ E-mail
Body PerceptionMales Both males and females selected leaner males ( #1 and #2) as the most attractive and healthiest males Stacy Van Arnsdale: Artist
Females But both males and females selected leaner and slightly heavier females ( #1, #2, and #3) as the most attractive and healthiest females Stacy Van Arnsdale: Artist
Body Preference? Eating behaviors? Meaning of Food? Inactivity? Beauty? Laziness?? Cultural Values? Root Cause of Obesity? .
Eating can reduce stress Eating is a way to connect with others Food can represent caring and respect Our survey showed three main feelings about food:
Only 40% reported they engaged in any physical activity Among that 40%, most (78%) felt they did not get enough exercise. Physical Activity?
“Walk for Life” • Location: Urban park in Salt Lake City • Moved to shopping mall during winter – close to community • No pressure: Walk at own pace (with seats available for resting)
Walking . . . . • Focus is on women (and children to get parents out) • Walking provides socialization opportunities • NTAS provides materials (reading, meters, water) • Miss Tonga Utah is a mentor for the Walk
“Family Fun Time” • Adapted from “Strengthening the Family” Program • Worked with a church to conduct pilot program • Included the whole family • Provided only healthy snacks (fruit, whole-wheat)
Family Fun Time, continued • Exercise vs. family games (sock throwing, red-light green-light, tickle/protect family member, balloon popping) • Used pedometers to track steps per family • Produced a booklet with types of games that can be used by the families.
Thank you! • Obesity project funded by Health Through Action, a community investment initiative from the Asian & Pacific Islander American Health Forum and the W.K. Kellogg Foundation. • Family Fun Time project funded by Diabetes Prevention and Control Department of Utah Department of Health.
Contact Information Ivoni Nash Fahina Tavake-Pasi National Tongan American Society 3007 S. West Temple Building J, Suite 7 Salt Lake City, UT 84115 (801) 467-8712 firstname.lastname@example.org