| Healthier
lifestyle program will live on after Preston WIN grant ends
When
a 3-year $4.3 million federal Wellness IN the Rockies grant ends
in January 2004 in Preston, a southeastern Idaho community of 4,600,
chances are healthier lifestyles for residents of all ages will
remain.
“Preston’s
residents have stepped forward to make these programs their own,”
says Julie Harker, a registered dietician working for the UI and
WIN the Rockies Idaho state coordinator. “They’re self
directed. They have ownership. It’s going to be very easy
for me to phase out, while the programs remain up and running.
Photo above:
Elementary PE teacher Debbie Wilson checks pedometer on 3rd grades
Riker Hobbs while Lindsee Dowd watches. They found pedometers work
just fine for students on crutches. Photos by Rod Boam.
“We call that
‘capacity’ building within the community,” adds
Harker. Helping communities envision ways to be healthier, and enabling
them to do it was all part of the grant’s goal.
Designed to fight obesity
with sensible, sustainable nutrition and exercise, the program uses
pedometers to inspire and document the actual amount of walking
by participants. At least three times a year, for 8 to 12 weeks
at a time, a significant percentage of rural Preston has risen each
morning, strapped on a pedometer, and walked toward the goal of
logging 10,000 steps before nightfall.
When snow flies, citizens
can take to the high school gym, which opens at 4:30 a.m., since
Preston has no mall for off-hours walking.
But most important is
that from the beginning locals helped design the programs. They
ran them. They have evaluated them. And they are the ones who will
keep them running.
At least
four programs will continue
At least four
local leaders have designed and run programs, each of which is expected
to continue.
Medical
center. Rachelle Oliverson, volunteer Walk Program Coordinator
and physical therapist at the Franklin County Medical Center, helped
design the “Preston on the Move” walking program, following
guidelines established by WIN the Rockies.
“It’s been
a multi-generational thing,” says Oliverson. “It’s
really brought everyone in the community together with a common
goal: physical activity.” When the grant ends, Oliverson will
continue to coordinate the community’s program with the support
of Mountain West Physical Therapy. She schedules the 8- to 12-week,
city-wide walking programs, checks walkers’ progress in their
log books, and produces a walkers’ newsletter.
Elementary
school. Debbie Wilson, Oakwood Elementary physical education
teacher, expects to continue working pedometers into many of her
PE classes for 4th, 5th, and 6th graders. She also uses them in
her afterschool running club and will soon implement a WIN the Rockies
grant to build a fitness trail for Preston.
“Kids love the
pedometers,” says Wilson. “Giving them out is just like
waving a magic wand. They can’t help but be more active.”
Pedometers seem to have a motivating effect regardless of age. “Our
janitor gets in over 20,000 steps a day,” Wilson reports with
pride.
High school.
Preston High School PE teacher Launa Moser has also been creative,
working pedometers into her weight lifting curriculum, walking and
running activities, and as an extremely effective “reality-check”
in her health classes. There she has students bring in some of their
favorite foods, note the calorie count, and estimate whether they
have worked the food off in their week’s activities. “Then
I tell them that 2,000 steps is equivalent to 100 calories,”
said Moser. “It’s quite a revelation.”
UI Extension
programs. UI Extension nutrition educator Laura Sant has adopted
the WIN the Rockies 8-week curriculum for Preston 4-H’ers.
It includes an hour-long meeting weekly, where kids learn fitness
and nutrition, and report the steps they’ve logged. “The
goal is to increase the number of steps each day,” Sant said.
Under the grant, Sant
also taught a body image program for adults called “A New
You: Health for Every Body.” She plans to continue both programs
indefinitely. “The whole world is focused on weight, obsessed
with it,” said Sant. “By focusing on what we can actually
do through diet and exercise, we can live healthy, happier lives.”
Editor’s
Note: WIN the Rockies wellness interventions come to American
Falls in February 2004.
Documenting
Program's Success
Sure, pedometers may be fun, and inspire action. Preston citizens
have been walking more diligently and eating more thoughtfully under
the auspices of the wellness research and education project, WIN
the Rockies (Wellness IN the Rockies). But what impact has the program
actually had on school children and adults in the last 3 years?
In the study, “demonstrator
communities” like Preston adopt wellness interventions that
support healthy lifestyle choices. A “comparator community”—American
Falls in Idaho—receives no intervention until the final 8
months of the study, allowing researchers to compare the two.
The
grants selected Idaho, Montana, and Wyoming communities of 3,000
to 10,000 residents, with extension offices and WWAMI Medical Education
Program presence or Area Health Education Centers to receive the
intervention. Pedometers are given free, or sold at reduced prices,
with proceeds used to purchase more pedometers. Participants also
are given log books and instructions to document their daily number
of steps, to help them monitor and progressively increase daily
activity.
Each January, a sample
of 50 adults and 40 children are weighed and heights are taken.
For adults, fasting insulin levels, glucose levels and lipid panel,
insulin resistance and cardiovascular health are documented. Kids’
and adults’ BMI (Body Mass Index) are also measured.
Soon after
grants end next September, results will be quantified. For results
summaries, e-mail Julie Harker at jharker
@uidaho.edu.
--Donna Emert
© 2003
University of Idaho, College of Agricultural and Life Sciences.
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