Prospectus:

Fitness & Nutrition Class

Proposal

Donna R. Williams

Problem

International Crisis

Obesity rates have DOUBLED: 2-5 yo & 12-19

TRIPLED 6-11yo

Hallmark Cause: Increased physical inactivity & poor nutritional intake (CDC. gov)

Comorbidities

Proposed Intervention

The topic is to conduct a bi-weekly 90-minute fitness

and nutrition class in order to decrease childhood

obesity, reduce the risk of diabetes, and improve self-

esteem.

Objectives

Decrease childhood obesity and risks/comorbidities associated with it. (Goal: Lower each participants weight by 10% by the end of the one year program

Decrease risk of developing diabetes. (Goal: Lower Hgba1c in all pre-diabetic patients by 0.5-2 points by the end of the one-year program).

Decrease negative self-images, decrease risk of mental illness such as depression, and improve self-esteem by monitoring self-esteem levels. (Goal: Increased scores on Rosenberg Self Esteem Survey indicating improved Self Esteem).

Design

Quasi-experimental

Staff- APRN, Registered Dietitian, Licensed Fitness Instructor

Year long program, monthly ht & wt checks, q3mos Hgb A1c, monthly Rosenberg

Initial testing July 2015

Tues/Thur, 90 minutes

Participant Criteria

Overweight/Obese BMI 85-99%tile

Pre-diabetic Hgb a1c 5.7-6.4 (American Diabetes Association)

Pediatric patients ages 10-18

Budget

Indirect costs: APRN, RD, facility, lab work

Healthy Snacks $1/person x 50 people (48 weeks) = $2,400.00

Supplies (paper, pens, printer ink) = $ 250.00

Fitness instructor $60/hour x 48 weeks = $2,880.00

Facility = $0

Program Administrators (APRN & RD) = $0

Total $5,530.00

Evaluation

Lower weight by 10%, leading to decreased BMI

Decreased Hgb A1c level by 0.5-1 point

Improved scores on RSE

Summary

Improve health outcomes

Decrease health care expenses

Model for many facilities

Healthy Lifestyle to become infectious

Improvement Starts with…Nutritional Education Physical Fitness

The End

Questions