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H.D. Woodson Senior High School Warriors for Healthy Living

Purpose of the Project. To address the growing problem of obesity and diminishing participation in regular activity among adolescents. Identification of barriers to proper nutritional and physical activity habits, coupled with implementation of

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H.D. Woodson Senior High School Warriors for Healthy Living

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    1. H.D. Woodson Senior High School “Warriors for Healthy Living” District of Columbia Department of Health Maternal and Family Health Administration Good Afternoon My name is Elise Cummings and along with my partner Sally Lawrence, we will be presenting our year-long capacity building project entitled “HD Woodson Senior High School, Warriors for Healthy Living” in partnership with the DC Department of Health and the CityMatch Data Use Institute. Good Afternoon My name is Elise Cummings and along with my partner Sally Lawrence, we will be presenting our year-long capacity building project entitled “HD Woodson Senior High School, Warriors for Healthy Living” in partnership with the DC Department of Health and the CityMatch Data Use Institute.

    2. Purpose of the Project To address the growing problem of obesity and diminishing participation in regular activity among adolescents. Identification of barriers to proper nutritional and physical activity habits, coupled with implementation of “mini” initiatives, will aid the District in developing model programs that will ultimately assist in reducing the likelihood of adolescents developing preventable chronic diseases in adulthood. The purpose of this project is to address the growing problem of adolescent obesity and decreased participation in regular physical activity, and to develop model programs within the District that will ultimately assist in reducing the development of preventable chronic diseases in adulthood. The purpose of this project is to address the growing problem of adolescent obesity and decreased participation in regular physical activity, and to develop model programs within the District that will ultimately assist in reducing the development of preventable chronic diseases in adulthood.

    3. District of Columbia Demographics, 2000 572,059 total population 119,708 adolescents (21%) between 10-24 years of age 62,480 adolescents (11%) between 14-18 years of age (high school age) The District of Columbia has a very diverse population. Of the more than 572,000 residents, 21% are between the ages of 10 and 24, and 11% are of high school age, 14-18. The District of Columbia has a very diverse population. Of the more than 572,000 residents, 21% are between the ages of 10 and 24, and 11% are of high school age, 14-18.

    4. Obesity and Lack of Physical Activity, United States vs. District of Columbia, 2001 Recent reports from the Department of Health and Human Services have stated that obesity in adolescents has reached epidemic proportions, nationwide. The District of Columbia has faired no better. In 2001, the Youth Risk Behavior Survey, which is conducted in high schools nationwide every two years, reported that adolescents that were overweight, at risk of becoming obese, and lacked involvement in physical activity in the District surpassed those of the national average. 14.6% of teens in the District reported being overweight, compared to 10.5% nationwide, and 15% were at risk of becoming obese in the District, compared to 13.6% nationwide. Students reporting insufficient physical activity in the District was nearly double that of the national average, 56.7% and 31.2% respectively. Recent reports from the Department of Health and Human Services have stated that obesity in adolescents has reached epidemic proportions, nationwide. The District of Columbia has faired no better. In 2001, the Youth Risk Behavior Survey, which is conducted in high schools nationwide every two years, reported that adolescents that were overweight, at risk of becoming obese, and lacked involvement in physical activity in the District surpassed those of the national average. 14.6% of teens in the District reported being overweight, compared to 10.5% nationwide, and 15% were at risk of becoming obese in the District, compared to 13.6% nationwide. Students reporting insufficient physical activity in the District was nearly double that of the national average, 56.7% and 31.2% respectively.

    5. The Obesity Epidemic in Adolescents: Adolescents Reporting Being Overweight, United States vs. District of Columbia 1999-2001 Between 1999 and 2001 the percentage of overweight students increased from 12.3% to 14.6% in the District. Nationally, the percentage rose from 9.9% to 10.5% during the same time period. Adolescent obesity statistics within the District continually surpass national rates, setting the city up for dangerous trends in causes of death for adult residents. Between 1999 and 2001 the percentage of overweight students increased from 12.3% to 14.6% in the District. Nationally, the percentage rose from 9.9% to 10.5% during the same time period. Adolescent obesity statistics within the District continually surpass national rates, setting the city up for dangerous trends in causes of death for adult residents.

    6. Five Leading Causes of Death in the District of Columbia, 2000 Two of the five leading causes of death for District adults were directly related to diet and exercise. In 2000, the death rate from heart disease was 273. per 100,000 deaths, making it the leading cause of death of residents within the city. 41.3 deaths per 100,000 were directly related to hypertension. Making it the third leading cause of death for adult residents. This trend of high death rates from heart disease and hypertension is one all too familiar to the District. We as a team sought to address this problem at the level where measurable influence could be exerted, leading to lasting lifestyle changes in adolescents. Two of the five leading causes of death for District adults were directly related to diet and exercise. In 2000, the death rate from heart disease was 273. per 100,000 deaths, making it the leading cause of death of residents within the city. 41.3 deaths per 100,000 were directly related to hypertension. Making it the third leading cause of death for adult residents. This trend of high death rates from heart disease and hypertension is one all too familiar to the District. We as a team sought to address this problem at the level where measurable influence could be exerted, leading to lasting lifestyle changes in adolescents.

    7. H.D. Woodson Senior High School Area Demographics Located in Ward 7 64,704 total residents 27.9% of residents under the age of 18 Highest death rate from heart disease Highest death rate from diabetes related illnesses 3rd highest death rate from hypertension The District of Columbia is divided into 8 roughly equally populated sections called wards, base on US Census estimates. HD Woodson Senior High School is located in Ward 7, east of the US Capitol. Woodson was chosen as the intervention sight for many reasons. Indicators in the community surrounding the school point to serious health related problems. Ward 7 has the highest death rates from heart disease and diabetes related illnesses, and the third highest death rate from hypertension citywide. The Department of Health, in partnership with DC Public Schools, funds the student health center at the school, which is open year-round, five days a week, servicing all students who submit parental permission slips at an annual cost of $3. The District of Columbia is divided into 8 roughly equally populated sections called wards, base on US Census estimates. HD Woodson Senior High School is located in Ward 7, east of the US Capitol. Woodson was chosen as the intervention sight for many reasons. Indicators in the community surrounding the school point to serious health related problems. Ward 7 has the highest death rates from heart disease and diabetes related illnesses, and the third highest death rate from hypertension citywide. The Department of Health, in partnership with DC Public Schools, funds the student health center at the school, which is open year-round, five days a week, servicing all students who submit parental permission slips at an annual cost of $3.

    8. Woodson Wellness Center: Services Offered Immunizations School physical exams Laboratory testing and referral Individual and group counseling Nutrition and education counseling Health promotion and education sessions The Wellness Center offers a wide range of clinical and health related services to students including physical exams, lab testing and referrals, nutrition and education counseling, and health promotion activities. The Wellness Center offers a wide range of clinical and health related services to students including physical exams, lab testing and referrals, nutrition and education counseling, and health promotion activities.

    9. Woodson Wellness Center Nearly 450 students receive services at the Wellness Center each year. Of that 450, about 40% are clinically obese. CLEARLY, THERE IS A NEED FOR INTERVENTION! The Wellness services nearly 450 students yearly, in all grades. Of these 450 students 40% are classified as clinically obese. The Wellness services nearly 450 students yearly, in all grades. Of these 450 students 40% are classified as clinically obese.

    10. Woodson Warriors for Healthy Living Intervention Four Phase Program I. Chart Review and Student Survey II. Student Focus groups III. “Warrior” Sessions IV. Student Evaluation

    11. Woodson Warriors for Healthy Living Goals To spread and promote awareness To positively influence knowledge and attitudes

    12. Phase I Chart Review and Student Survey Woodson Wellness Center client records were reviewed for various health indicators Students were given a short, voluntary 5 question survey regarding attitudes about healthy living, health behaviors, and eating habits

    13. Phase II Student Focus Groups 1-2 focus groups Wellness Center students will talk about and plan programs they would like to see addressing health, lifestyles, and physical wellbeing Engage natural and elected leaders at the high school to become “warriors for health” among their peer groups

    14. Phase III “Warrior” Sessions Nutrition Cooking Right, Eating Right Enrichment Body Image: The Mirror ALWAYS Lies

    15. Phase IV Student Evaluation 1-2 student focus groups Will talk about effectiveness of program Devise ways to change and expand the program to include more students and more effective interventions

    16. Woodson Warriors for Health Living Finish Line The Woodson Warriors for Healthy Living is a unique program which places the focus on the needs of the adolescents by allowing them to shape the curriculum.

    17. Woodson Warriors for Healthy Living Contact Information Deneen Long-White, Project Lead Sally Lawrence, Project Co-Lead 825 North Capitol Street, NE, 3rd Floor Washington, DC 20002 (202) 442-5925

    18. Acknowledgements Marilyn Seabrooks-Myrdal, Maternal and Child Health Officer, DC Department of Health CityMatCH Data Use Institute 2002-2003 HD Woodson Senior High School Administration and Staff HD Woodson Wellness Center Staff District of Columbia Data Use Institute Team Members

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