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Community Health Improvement Plan - Obesity (Fit Kids of Southwest Oklahoma)

Background Information

With obesity at epidemic levels, steps need to be taken to control this issue. While efforts continue on this front, communities must take efforts at the local level. Information to encourage, provide and educate on better nutrition and engage in more physical activities is a staple to reducing obesity and improving overall health.

Comanche County’s adult obesity rate at 33.5% puts Comanche County .4% lower than the adult obesity rate in the state (2015 BRFSS Data).  The 2016 County Health Rankings reports Comanche ranks 66th in Health Behaviors in the state of Oklahoma.

National findings reveal that significant geographic, income, racial and ethnic disparities persist, with similar disparities found in Comanche County. The Oklahoma Health Improvement Plan, pages 32-33, addresses obesity and an obesity reduction plan for the state.  Comanche County is committed to focus on these priority areas.

Over the past three decades, childhood obesity rates have tripled in the U.S., and today, the country has some of the highest obesity rates in the world. One out of six children is obese, and one out of three children is overweight.  County specific childhood obesity rates are hard to gather however, according to the 2015 Youth Risk Behavior Survey, 15.3% Oklahoma adolescents were overweight with 17.3% being obese. The percentage of students who were physically active for a total of at least 60 minutes per day on all seven of the seven days before the survey was 32.2% which was down from the 2013 percentages of 38.5%. Of Oklahoma students, 45.6% reported they played video or computer games or used a computer for something that was not school work three or more hours per day on an average school day.

The Comanche County Health Improvement Planning Committee is working with the Fit Kids of Southwest Oklahoma Coalition and the Tobacco Settlement Endowment Trust’s Healthy Lifestyles Grant Program to address obesity reduction.  The factors leading to obesity are complex. A comprehensive public health approach that affects large numbers of different populations in multiple settings where they live, learn, work, pray, and play are needed. The obesity reduction work group recommendations endorse the Tobacco Settlement Endowment Trust (TSET) Healthy Living Grant in Comanche County and the Healthy People 2020 objectives. Their priorities include:

  1. Improve community-wide engagement
  2. Increase environmental support for improved quality access to physical activity and nutrition resources
  3. Increase health education initiatives and improve health behaviors related to obesity
  4. Increase the percentage of adults reporting consumed the recommended servings of fruits and vegetables daily
  5. Increase the percentage of the population that routinely participates in opportunities to be physically active

Policy and practice initiatives that create incentives to make healthy nutrition choices and physical activity opportunities available will prove most effective in combating obesity. Key policy changes needed to achieve the objectives above include:

  • Support the Health Education in Schools Bill in the Oklahoma Legislature
  • School and early childhood center healthy eating and physical activity standards
  • Community and work site healthy eating and physical activity standards

References

National Center for Health Statistics - https://www.cdc.gov/nchs/fastats/obesity-overweight.htm

CDC – Overweight and Obesity - https://www.cdc.gov/obesity/index.html

http://www.countyhealthrankings.org/app/oklahoma/2016/rankings/comanche/county/outcomes/overall/snapshot

http://ohip2020.com/wp-content/uploads/2015/04/17395OSDH-OHIP-2020-Report-LR-F.pdf

https://www.cdc.gov/brfss/annual_data/annual_2015.html

Fit Kids logo.jpg

 

The Fit Kids (Obesity) group continues to meet on the fourth Wednesday of each month at noon- Comanche County Memorial Hospital.  To get involved with FKSWO or for more information on the local TSET Healthy Living Program contact Ashley Green at 580-248-5890 or email AshleyG@health.ok.gov.

 

 

For 2017 the dates are as follows:

  • Jan. 25, 2017      Oakwood 1 and 2
  • Feb. 22, 2017      Oakwood 1 and 2
  • Mar. 22, 2017      Oakwood 1 and 2
  • April 26, 2017      Oakwood 1 and 2
  • May 24, 2017      Maple 1 and 2
  • June 28, 2017      Oakwood 1 and 2
  • July 26, 2017       Oakwood 1 and 2
  • Aug. 23, 2017      Oakwood 1 and 2
  • Sept. 27, 2017     Oakwood 1 and 2
  • Oct. 25, 2017      Maple 1 and 2
  • Nov. 22, 2017      Oakwood 1 and 2
  • Dec. 27, 2017      Oakwood 1 and 2

2015-2020 Information

The 2015 Community Health Survey respondents ranked being overweight as the #3 most important health risk factor for the community.  Poor eating habits and Lack of exercise were #5 and #6 concerns respectively. The 2010 Lawton Middle School Survey revealed that middle school students showed an acute awareness of obesity issues, ranking overweight children as the 2nd most important health risk.

2016 Current Obesity Rate: 33.5% (BRFSS data 2015)

The current Obesity Work Group has two objectives:

Core measures/objectives:

  • By 2020, reduce the adult obesity rate in Comanche County from 34.8% in 2013 to 32% (Based on BRFSS Data)
  • By 2020 , reduce the adolescent obesity rate in Comanche County from 20% in 2016 to 18% (Based on WALK Program data 2017, fourth grade age group)

2010-2015 Information

The previous Obesity Work Group had two objectives:
By 2015, reduce Comanche County’s obesity rate from 28.2% to less than 27%.

The 2015 Obesity Rate was 31.8%

* BRFSS Change in calculation starting in 2012

By 2015, reduce Comanche County’s rate of overweight residents from 36.3% to 35%.

* Overweight numbers were no longer reported in 2015

The group had eight strategies.  Outcomes reported as below:

♦♦♦ ♦♦
Completed All Selected Activities Completed half Selected Activities Completed Less than half  Activities


Strategy 1:  Secure funding - ♦♦♦
Strategy 2:  Collect and evaluate data - ♦♦
Strategy 3:  Improve community-wide engagement - ♦♦♦
Strategy 4:  Increase health education and awareness -

Strategy 5:  Enhance healthy food options - ♦♦
Strategy 6:  Increase school-based programs -

Strategy 7:  Develop employee wellness programs - ♦♦♦
Strategy 8:  Enhance the built environment - ♦♦♦

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