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CALCIUM CONSUMPTION INTERVENTION

CALCIUM CONSUMPTION INTERVENTION. Paula Drelick SB 821 4/29/10. TARGET White female teenage “boarders” at the Dana Hall School . REASONS Peak Bone Mass, Osteoporosis Caucasian girls absorb calcium less efficiently 1,2

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CALCIUM CONSUMPTION INTERVENTION

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  1. CALCIUM CONSUMPTION INTERVENTION Paula Drelick SB 821 4/29/10

  2. TARGET White female teenage “boarders” at the Dana Hall School • REASONS • Peak Bone Mass, Osteoporosis • Caucasian girls absorb calcium less efficiently 1,2 • Eastern European decent higher risk for osteoporosis • Dana Hall is an all-girls institution with over 400 students • Boarders do not have watchful eyes of parents when eating meals • Fear of fat 3,4 • Higher prevalence of dieting in high SES 5,6

  3. OSTEOPOROSIS AWARENESS MONTH

  4. Performance Objective #1: READ NUTRITION LABELS Performance Objective #2: SELECT HEALTHY CALCIUM-RICH FOODS FOR CONSUMPTION Environmental Change Performance Objective : DINING HALL COOKS HEALTHY CALCIUM-RICH MEALS FOR STUDENTS

  5. PRE-INTERVENTION • Faculty meeting • Dining hall staff training • Contact media outlets

  6. INTERVENTION COMPONENTS TEENS + VARIOUS MEDIA = COLOSSAL7

  7. FLAG VENDING MACHINE • pink = • breast cancer • purple = Dana Hall calcium intake

  8. CALCIUM POWER HOURS • Dietician Julie Freeman • Geriatric Doctor Ana Cynthia Zara • Former star athlete HallieMabrey • Esthetician Elizabeth Renee Julie Freeman HallieMabrey Elizabeth Renee

  9. CALCIUM “ADVERTISEMENTS” SKITS OR FAKE NEWS REPORTS PA INTERCOM ANNOUNCEMENTS E-BLAST & TEXT MESSAGE CAMPAIGN FACEBOOK/TWITTER CAMPAIGNS

  10. FUNNY BONE FRIDAYS • Big Sister, Little Sister Bracelet Bonding • Mother, Daughter, Granddaughter Luncheon • Got Calcium? Competition

  11. FUNNY BONE FRIDAYS continued… • Frozen Yogurt Social • POST-INTERVENTION • Mass E-blast • Hallmanac Article

  12. MATERIALS NEEDED: • Paper, art supplies • Design software • AV equipment • E-blast deployment software • More healthy calcium-rich foods BUDGET: $5,000 – deployment of e-blasts, text message campaigns $3,000 – contingency + $11,000 – dining hall budget $18,000

  13. ADOPTION IMPLEMENTATION SUSTAINABILITY EVALUATION

  14. ADOPTION Health Center Director performs needs assessment. Dietician and head of dining hall assist in designing intervention with the Health Center Director. Health Center Director presents program to Principal and School Board.

  15. IMPLEMENTATION Once Principal/School Board permit adoption of the program, Health Center Director will need to “stay on top of” all staff or key implementers. Dietician/professional chef will need to train dining hall staff on cooking healthy calcium-rich foods. Dining hall staff will need to utilize these learned skills. Head of dining hall will need to plan ahead and schedule calcium-rich meals in advance. Vending machine supplier will need to work with Health Center Director to flag calcium-rich items.

  16. SUSTAINABILITY • Health Center Director maintains central server file containing all intervention components, including contacts, budgets, calendar, etc. • Health Center Director will need to report results/observations to Principal and School Board. • Principal/School Board must be convinced that the intervention’s pros outweigh the cons. Once they are convinced, they must maintain an item in the budget for the annual intervention. • Dietician will need to train/re-train (or refresh) dining hall staff prior to every school year with healthy cooking techniques and new recipes. • Dining hall staff will not only need to consciously continue to cook healthy, but the head of the dining hall will also need to plan for these healthy meals in advance.

  17. EVALUATION Health Center Director develops a plan that includes questioning, designing, indicating, measuring and timing of all components of the program. Short-term measuring of PBM/Osteoporosis not possible.8 EXAMPLES: -Visually monitor student’s plates -Review meal card “swipes” -Focus groups -Monitor food depletion in cafeteria Once a complete evaluation takes place, key stakeholders like the Principal and School Board can determine how much, if any, money should be devoted to this program in the future.

  18. REFERENCES Loud KJ, Gordon CM. Adolescent Bone Health. Pediatrics & Adolescent Medicine 2006;160:1026. Braun M, Palacios C, Wigertz K, Jackman LA, Bryant RJ, McCabe LD, et al. Racial differences in skeletal calcium retention in adolescent girls with varied controlled calcium intakes. American Journal of Clinical Nutrition 2007;85:1657. Holmes BL, Ludwa IA, Gammage KL, Mack DE, Klentrou P. Relative importance of body composition, osteoporosis-related behaviors, and parental income on bone speed of sound in adolescent females. International Osteoporosis Foundation and National Osteoporosis Foundation 2010. Amschler D. Calcium Intake in Adolescents: An Issue Revisited. Journal of School Health 1999;69(3):120. Drewnowski A, Kurth C, Krahn D. Body weight and dieting in adolescence: Impact of socioeconomic status. International Journal of Eating Disorders 1994;16(1):61. O'Dea J, A., Caputi P. Association between socioeconomic status, weight, age and gender, and the body image and weight control practices of 6- to -19-year-old children and adolescents. Health Education Research, Theory and Practice 2001;16(5):521. Jordan A, Trentacoste N, Henderson V, Manganello J, Fishbein M. Measuring the time teens spend with media: Challenges and opportunities. Media Psychology 2007;9(1):19-41. Dodiuk-Gad, Roni; Rozen, Geila; Rennert, Gad; Rennert, Hedy; Ish-Shalom, Sophia. Sustained effect of short-term calcium supplementation on bone mass in adolescent girls with low calcium intake. Am. J. Clinical Nutrition, Jan 2005; 81: 168 – 174.

  19. PHOTO REFERENCES http://www.unionathletics.com/roster.aspx?rp_id=3206&path=wtennis http://66.116.210.68/home.asp http://cdn.buzznet.com/media-cdn/jj1/headlines/2008/10/taylor-swift-got-milk.jpg http://sixbillionproud.com/2009/03/my-parents-would-probably-disagree-with-my-categorization-of-pokemon-as-a-good-thing/ http://www.bittenandbound.com/wp-content/uploads/2009/02/rihanna-got-milk-ad.jpg http://www.flickr.com/photos/27529511@N06/3638945049 http://www.lyngsat-logo.com/logo/tv/ww/wcvb_abc5_boston.jpg http://www.lifeinsynergy.com/about_us/press_center/awards_and_press http://www.mediabistro.com/fishbowlny/original/BostonGlobe_logo.gif http://www.lyngsat-logo.com/logo/tv/ww/whdh_nbc7_boston.jpg http://www.babybowsonline.com/images/dark_purple_med_bow_cw78.jpg http://farm3.static.flickr.com/2548/3753890471_51158ae237_b.jpg http://www.elizabethrenee.com/images/Elizabeth_newsept08.jpg http://images.teamsugar.com/files/upl1/0/6066/23_2008/froyo.jpg http://whatthehealthmag.wordpress.com/2008/11/10/eating-right-for-the-college-student-on-the-go-4/ http://www.healthadvanced.com/wp-content/uploads/2009/04/small_vegetables.jpg http://www.liis.lv/eng_learn/Clothes/voc_clothes/orange.jpg http://www.nutsonline.com/images/items/03004Al.jpg http://2.bp.blogspot.com/_fQ9HusLZAPU/SwbcvVDkMUI/AAAAAAAABfs/ataLv_LCNXQ/s400/swisscheese.jpg

  20. THE END

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