Jordan Tricia
West Area Health Education Center, Trover Health System Education & Research Foundation, Madisonville, KY 42431, USA.
J Ky Med Assoc. 2008 Mar;106(3):114-7.
Kentucky faces high rates of adult obesity and physical inactivity. Concerned with the associated health risks (ie, cardiovascular disease, diabetes, some cancers) and community-wide consequences (ie, high healthcare costs, increased absenteeism, and increased work-related injury) accompanying physical inactivity and adult obesity, community organizations partnered together to educate and encourage community members to make lifestyle changes. Lite'n Up Hopkins County provides program participants with a baseline physical activity assessment, health education, and follow-up assessment. Walk'n Kentucky provides community members with an avenue to increase daily physical activity and receive health education information. Current program results include (a) Walk'n Kentucky participants have walked over 20,533 miles; (b) three Walk'n Kentucky participants lost between 13 and 31 pounds; (c) 70% of Lite'n Up high school participants completing both assessments have improved their best mile times; (d) of those high school students completing both Lite'n Up assessments with BMIs categorized as at risk or potentially overweight, 2.4% improved from potentially overweight to at risk BMI classifications, 1.6% changed from overweight to healthy BMI classifications, and 1.6% changed from at risk to healthy weight BMI classifications; (e) 95% of middle school students participating in both Lite'n Up assessments saw improvements in their best mile times. Program challenges included (a) limited participation in second assessments of the community-at-large based Lite'n Up program, and (b) scheduling challenges in the high school and middle school programs.
肯塔基州面临着成年人肥胖率高和缺乏身体活动的问题。鉴于缺乏身体活动和成年人肥胖所带来的相关健康风险(如心血管疾病、糖尿病、某些癌症)以及整个社区层面的后果(如高昂的医疗费用、旷工率上升和与工作相关的伤害增加),社区组织联合起来教育并鼓励社区成员改变生活方式。“点亮霍普金斯县”项目为参与者提供基线身体活动评估、健康教育和后续评估。“肯塔基步行”项目为社区成员提供了增加日常身体活动并获取健康教育信息的途径。目前的项目成果包括:(a)“肯塔基步行”项目的参与者已累计步行超过20,533英里;(b)三名“肯塔基步行”项目的参与者体重减轻了13至31磅;(c)完成两项评估的“点亮”项目高中生中,70%提高了他们的一英里最佳成绩;(d)在完成“点亮”项目两项评估且BMI被归类为有风险或可能超重的高中生中,2.4%从可能超重改善为有风险的BMI类别,1.6%从超重转变为健康的BMI类别,1.6%从有风险转变为健康体重的BMI类别;(e)参与“点亮”项目两项评估的中学生中,95%的人一英里最佳成绩有所提高。项目面临的挑战包括:(a)基于社区的“点亮”项目的第二次评估参与度有限;(b)高中和初中项目中的时间安排挑战。