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NANCY WELLMAN National Resource Center on Nutrition, Physical Activity & Aging

Eat Better & Move More. NANCY WELLMAN National Resource Center on Nutrition, Physical Activity & Aging Florida International University 4 th State Units on Aging Nutritionists & Administrators Conference August 2006. Steps to Healthy Aging. Eat Better & Move More.

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NANCY WELLMAN National Resource Center on Nutrition, Physical Activity & Aging

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  1. Eat Better & Move More NANCY WELLMAN National Resource Center on Nutrition, Physical Activity & Aging Florida International University 4th State Units on Aging Nutritionists & Administrators Conference August 2006

  2. Steps to Healthy Aging Eat Better & Move More • Integrated Program to improve Nutrition & Physical Activity in Older Adults • Part of National Campaigns • USDHHS HealthierUS • AoA You Can! www.aoa.gov/youcan

  3. Steps to Healthy AgingGUIDEBOOK • Health benefits • Setting up a program • Designed for congregate dining sites & senior centers • Lesson plans for 12 weeks • Ready-to use • Tips & Tasks sheets to take home • To motivate & measure progress

  4. Eat Better • Matches nutrition education with today’s food issues for • Older Americans • Aging Network • Encourages better food choices & motivates by daily practice • Charts progress • Celebrates success

  5. Eat Better • More fruits & vegetables • More calcium-rich foods • More fiber & whole grains • Less portion distortion • Uses simple food check-offs

  6. Move More • Helps older adults increase physical activity • Aims to add steps throughout day to achieve realistic step goal • Helps older adults value physical activity

  7. Move More • Increases daily step goal realistically & individually • Includes walking tips • Encourages fluids • Uses step counters • Records steps daily to track progress

  8. About the STEP COUNTERS • Easy to use • 1 button reset • Large display • Accuracy tested • Safety leash • Alligator clip • Value  $26 • ~$9 + S/H Order online: http://nutritionandaging.fiu.edu

  9. Wear it directly above your knee. Make sure it’s close & flat to your body. It must be vertical with cover closed for accurate counts. Attach safety leash to belt loop or button hole; use alligator clip to secure counter. At end of each day, write down displayed number — your total steps for day. To start a new day, press yellow reset button to set counter to zero. Start wearing your counter anytime during day. Wearing it for even part of day motivates you to walk more. Wearing your STEP COUNTER

  10. EVIDENCE … OUTCOMES

  11. WHY COLLECT DATA? • Document local program effectiveness & timeliness • Add effective programming that attracts more clients • Justify increased funding for more services • Increase marketability with real-life data on older adults • Quality & performance improvement • Share successes & challenges

  12. RESEARCH: WHAT IS NEEDED? • Easy-to-use methods & measures • Effect of nutrition & physical activity on • Diet quality & choices • Health status • Functional status • Fitness, strength, balance • Quality of life

  13. Multi-Site Demonstration Eat Better & Move More PURPOSE • Encourage current participants to take simple steps for better health. • Collect national data & monitor outcomes from diverse populations & program types. • Build evidence base regarding Program's effectiveness • Help local programs generate funding & PR opportunities

  14. Multi-Site Demonstration Eat Better & Move More • 106 applications from community programs nationwide • 10 chosen: Program size, Participants served, Geographic location, Ability to report data • $10,000 grants awarded • 2-Day Orientation Workshop: June 2004; Baltimore

  15. Workshop: Data Collection • Group revised data collection forms to better suit needs of their clients • Practiced some measures • Safety Issues: basic safety, movement safety • Stretches • Timed Up & Go

  16. Workshop: Barriers Roundtable discussion of strategies to combat barriers • Implementation Consistency • Data Collection Consistency • For Older Adults to: • Make Eating Changes • Increase Physical Activity • Complete Weekly Tasks

  17. Interactive Approach • Worked together to develop tools • Piloted forms & revised • Kept in touch via listserv & regular conference calls • Flexible with timelines • Hurricanes • Slow start

  18. GRANTEES

  19. Active AgingMeadville, PA Alameda County AAA Oakland, CA Citizen Potawatomi Nation, Shawnee, OK Detroit AAA Detroit, MI Township Senior Citizens Activity Ctr, E St Louis, IL Hillsborough County Tampa, FL Kit Clark Sr Services Dorchester, MA SE Wisconsin AAA Brookfield, WI Valley Program for Aging Services, Waynesboro, VA Senior Services of Snohomish County, Mukilteo, WA 10Grantees http://nutritionandaging.fiu.edu/You_Can/Mini_Grantees.asp

  20. OUTCOMES

  21. 999 Older Adult Participants • 620 “Completers” • >60 yr + Native Americans • 59% Caucasian • 25% African American • 4% Hispanic • 7% Asian • 6% Native American • 82% Women; 18% Men • Age: 74.6+7.5 yr; Oldest: 101

  22. Chronic Conditions *Older Americans 2004: Key indicators of Well-Being **NHANES III

  23. Impaired Walking • 12% Use canes • 8% Knee replacement • 4% Use walkers • 3% Hip replacement

  24. Self Reported Health Status Percentage of participants

  25. NUTRITION  Daily Intakes Fruits & vegetables Calcium-rich foods Fiber-rich foods Fluids  Stage of Change PHYSICAL ACTIVITY 35%  # daily steps  Pace, stairs climbed, blocks walked, days active  Risk of falling -- Timed Up & Go  Stage of Change Significant OutcomesSummary

  26. STAGES of CHANGE

  27. Participant Review • Achieved self-set goal: 92% • Recommend Program: 99% • Agreed program helped them • Eat Better 93% • Move More 90%

  28. ParticipantFeedback • Right from day one, I knew this program was going to be a winner! Every session was full of good information on eating & exercise. • Tips & Tasks to Eat Better & Move More are excellent--new ideas & confirmed old ones. • Great! I increased my fiber & calcium. I learned how many steps it takes to make a mile. I am going to walk 2 miles everyday.

  29. Follow-up Project • Data analysis • What factors impact site participant retention • Time of day • Before or after meal • Site staff incentive • $$$$$

  30. Eat Better & Move More • Am J Public Health: in press • Wellman, Kamp, Kirk Sanchez, Johnson • Part 2: New Guidebook • Closer look at Dietary Guidelines • Resistance training • Eat Better & Move More for Homebound • Specially designed for needs & abilities of frail, homebound older adult

  31. National Resource Center on Nutrition, Physical Activity & Aging http://nutritionandaging.fiu.edu Subscribe: NAN Listserve for Biweekly Highlightson Nutrition, Physical Activity & Aging

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