Gateway to Fitness Program

Gateway to Fitness ProgramGateway to Fitness Program

Gateway to Fitness Program

Asha Mehta, Director

San Francisco Beacon Initiative

Lara Sallee, Community Benefit Manager

Kaiser Permanente San Francisco

How many children are obese?

45

4

67

5

11 11

16 16

18.817.4

0

2

4

6

8

10

12

14

16

18

20%

Ob

es

e

1963-1970

1971-1974

1976-1980

1988-1994

1999-2002

2003-2004

6-11 Years12-19 Years

JAMA, April 5, 2006, Vol 295, No. 13, 1549-1555

Since 1963, the number of obese children in the

U.S. has tripled!

What children are at greatest risk?

11.513

19.217.7

2222.5

17.3

21.8

16.3

0

5

10

15

20

25

% O

bes

e

2-5 Yrs 6-11 Yrs 12-18 Yrs

White Black Mexican American

JAMA, April 5, 2006, Vol 295, No. 13, 1549-1555

Black Hispanic American Indian Alaska Native

How many children have type 2 diabetes?

Non-Type 1 Diabetes in children is now 32% of cases (10 fold increase from 1982-1994).(1)

The lifetime risk of developing diabetes for a hispanic female born in the United States in the year 2000 until their death is 1 in 2.(2)

This may be the first generation of children who may live less long than their parents as a result of the consequences of overweight and type 2 diabetes.(3)

1. Pediatrics May 2005 Vol. 115 No. 5: pp. e553-e5602. JAMA 2003 October 8;290(14):1884-18903. New Engl J Med Vol. 352(11) March 2005, pp. 1138-1145

Addressing Obesity in the Community

Beacon Initiative

Bayview/Hunter’s Pt. OMI/Excelsior

Richmond Visitacion Valley

Sunset Mission

Chinatown Westerm Addition


In 2005, Kaiser Permanente launched a partnership with San Francisco Beacon Initiative to develop the Gateway To Fitness Program.

Using Kaiser Permanente’s First Class Fitness Curriculum, Gateway to Fitness teaches 10 – 15 year olds about healthy eating and active living.

Since Fall 2005, more than 1800 youth have participated in Gateway to Fitness Program at Beacon sites throughout San Francisco.


Kaiser Permanente’s Involvement:

• Sharing of best practices and ongoing technical assistance by: Dr. Charles Wibbelsman, Chief of Teenage Clinic Janet Green, Clinical Health Educator, Department of Pediatrics Juggy Jaspal, Health Education

• Community Benefit regional and local funding totaling $450,000 in grant funding and in-kind Thrive donations since 2005.

• Referral of Kaiser Permanente members into community program

• Commitment to continue partnership

Gateway To Fitness Program

SUMMARY OF FINDINGS

Final Evaluation Report

Resource Development Associates

Funded by California Endowment

Evaluation Findings

Since Participating in the Beacon Afterschool Fitness Program, I have . . .

(percent of youth responding some or a lot to fitness items on posttests)

69.4%

71.2%

73.5%

69.2%

0% 10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Learned about new fitness activities

(N=281)

Tried some new physicial activities

(N=132)

Found fitness activities that I enjoy doing

(N=276)

Exercised more (N=279)

Evaluation Findings

Physical Activity Now as Compared to Before Gateway . . .

The same39.8%

More physically

active now

55.9%

Less active now4.3%

Posttest (N=279) Follow-up (N=82)

The same43.9%

Less active now2.4%

More physically

active now

53.7%

Evaluation Findings

Since Participating in the Beacon Afterschool Fitness Program,

I have . . .(percent of youth responding some or a lot to nutrition items)

61.6%

68.8%

72.2%

54.8%

65.1%

60.5%

47.3%

55.0%

0% 10% 20% 30% 40% 50% 60% 70% 80%

Tried some new foods

Found healthy food that I liketo eat

Prepared healthy food forsnacks and meals

Chose a diet that includes avariety of healthy foods

Posttest Follow-up

n=130

n=277

n=279

n=126

n=43

n=40

n=74

n=43

Evaluation Findings

PHYSICAL ACTIVITY

Many participants entered with a high level of self-reported physical activity.

# of times participants exercised in the previous week increased from pre to posttest for strenuous, moderate and mild types of activities. The % of participants exercising two or more hours the previous day also increased. These were statistically significant changes.

¼ of participants for whom BMI percentile was available were either at-risk or were overweight. These youth also realized increases in physical activity.

On the posttest and follow-up surveys a little over half of youth stated they were more physically active than before they started Gateway.

Evaluation Findings

HEALTHY EATINGOn the posttest nearly the solid majority of youth felt that Gateway had helped them to find healthy food that they liked to eat and learn to prepare healthy food for snacks and meals.

Almost half of youth at follow-up report not eating fast food in the last week.

Evaluation Findings

SUPPORT

The great majority of students shared that their families are supportive of their efforts to eat healthy and be physically active.

Friends were notably less supportive than were parents and Gateway staff for eating healthy and being physically active.

The large majority of participants reported making new friends and feeling better about themselves as a result of the Gateway program.

Evaluation Findings

IMPACT ON FAMILYOver half of youth reported on the posttest that their family was buying healthier food at the store and had been eating healthier since Gateway.


Future Directions

Modern Cooks

Summer


Contact Information:Asha Mehta, Director

San Francisco Beacon Initiative

415-934-4848; [email protected]

Lara Sallee, Community Benefit Manager

Kaiser Permanente San Francisco

415-833-7239; [email protected]

Documents

Gateway to Fitness Program