Childhood Obesity Trends in Tuba City: A Health Promotion Perspective

 
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Community Health Division
Health Promotion Disease Prevention
Presenters: Monica Huber & Elena Curley
 
Childhood Obesity Within Tuba City
Service Unit
 
TCRHCC
 
Provides services to a 6,000 square mile area.
8 Service Areas/Chapters.
Approximately serves 100,000 individuals
94% Native Americans
Services provided to the community includes comprehensive
inpatient/outpatient emergency services; dental and ophthalmology
services; orthopedics; OB/GYN, oral surgery; eye surgery; and urological
procedure and community health services.
 
 
Health Promotion Disease Prevention
 
Best Practice: Diabetes-
related Education
Services Provided:
Take CHARGE
School-Based Activities
Community-Based
Activities
 
Tuba City Childhood Obesity Trends
 
School-Based Prevention Activities
 
Tuba City Service Area
School-Age Childhood Obesity Trends
 
Thirteen-Year Percentile Body Mass Index (BMI) Trends
 
Tuba City Service Area
School-Age Childhood Obesity Trends Over Time
 
Fall 2022 Childhood Obesity by Schools
Childhood Obesity by Location
 
Fast Food Accessibility
Fresh Fruit & Vegetables
Availability
Exercise Opportunities
Grocery Store Access
School Environment VS.
Community Environment
Time Spent at School VS.
Home
 
Student Based Activities
 
School-Based Services
 
Coordinated Approach to
School Health (CASH)
Program
11 Schools
School Health Team
Leaders
Classroom Movement
Break Challenge
Bi-Annual FitnessGram
Assessment
Capacity Building for
Staff/Families
 
Take C.H.A.R.G.E
 
Take C.H.A.R.G.E
 
Childhood Obesity Intervention
Program
Eligible target group:
Referral-based
9-12yo
BMI Percentile equal and greater
than 85%
12-week Course
Pre/Post FitnessGram
Assessment
Deliver culturally appropriate
nutrition education, Physical
Activity and life skills for youth
and their families.
 
Community-Based Activities
 
Community-Based Activities
 
Get Fit Challenge
Just Move It
Hiking Series
Community Health
Improvement Planning (CHIP)
Lifestyle Balance Classes
Nutrition & Physical Activity
Education & Demonstrations
HPDP Fitness Classes for Youth
and Adults
 
Partnerships
 
Teamwork & Communication
 
Administrator Meetings
School Health Team Leader Meetings
Pediatric Obesity Task Force Meetings
Community Health Improvement Planning
Meetings
Collaboration Meetings
 
Family, Collaboration & Community
 
 
 
 
CLASSROOM
MOVEMEENT
BREAKS
 
MY PLATE, MY FAMILY
CURRICULUM
 
FAMILY NIGHTS
 
FVRX PROGRSM
 
LOCAL
WELLNESS
POLICY
 
JUNK FOOD TAX
INITITIAVE
 
NAVAJO NATION
TRAILS
INITITIAVE
 
CHIP
 
GAREN EXPO
 
Recipe for Success
-  A Coordinated Approach
 
Questions?
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Childhood obesity trends in Tuba City, as presented by Monica Huber and Elena Curley from Tuba City Regional Health Care Corporation (TCRHCC), highlight the importance of health promotion and disease prevention initiatives. The data reveals a concerning rise in obesity rates among school-age children over the years, emphasizing the need for targeted interventions and community-based activities to address this public health issue effectively.


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  1. Childhood Obesity Within Tuba City Service Unit TUBA CITY REGIONAL HEALTH CARE CORPORATION Community Health Division Health Promotion Disease Prevention Presenters: Monica Huber & Elena Curley

  2. TCRHCC Provides services to a 6,000 square mile area. 8 Service Areas/Chapters. Approximately serves 100,000 individuals 94% Native Americans Services provided to the community includes comprehensive inpatient/outpatient emergency services; dental and ophthalmology services; orthopedics; OB/GYN, oral surgery; eye surgery; and urological procedure and community health services.

  3. Health Promotion Disease Prevention Best Practice: Diabetes- related Education Services Provided: Take CHARGE School-Based Activities Community-Based Activities

  4. Tuba City Childhood Obesity Trends School-Based Prevention Activities

  5. Tuba City Service Area School-Age Childhood Obesity Trends 1% 1% 2% 4% 3% 3% 3% 2% 2% 2% 2% 2% 2% Thirteen-Year Percentile Body Mass Index (BMI) Trends Underweight 47% 46% 50% 53% 55% 51% 51% 50% 51% Healthy Weight 55% 58% 56% 54% 19% 18% 17% 16% 17% 18% 14% Overweight 19% 20% 17% 16% 18% 19% 33% 35% 31% 30% 29% 28% 29% 27% 27% Obese 25% 24% 24% 26% Fall 2022 Fall 2021 Fall 2019 Fall 2018 Fall 2017 Fall 2016 Fall 2015 Fall 2014 Fall 2013 Fall 2012 Fall 2011 Fall 2010 Fall 2009

  6. Tuba City Service Area School-Age Childhood Obesity Trends Over Time TCSU 13-Year Fall Percentile BMI Trends 60 55 55 55 54 53 53 52 51 51 51 49 50 45 41 38 40 35 31 30 29 %BMI 28 27 27 27 27 30 26 25 24 20 19 19 19 18 18 18 18 18 17 17 17 20 16 10 0 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2021 2022 Healthy Weight Overweight Obese

  7. Fall 2022 Childhood Obesity by Schools 100% 90% 29% 30% 31% 32% 34% 36% 37% 39% 39% 80% 38% 43% 70% 11% 17% 60% 19% 21% 17% 20% 19% 16% 18% 50% 22% 18% 40% 53% 30% 51% 48% 44% 44% 47% 45% 43% 43% 35% 20% 38% 10% 7% 4% 4% 2% 2% 2% 1% KBS 1% TCBS 0% 0% THES 0% DLES 0% RRBS TCES MDS TCJHS TCHS TDS GAHS Underweight Healthy Weight Overweight Obese

  8. Childhood Obesity by Location Fast Food Accessibility Fresh Fruit & Vegetables Availability Exercise Opportunities Grocery Store Access School Environment VS. Community Environment Time Spent at School VS. Home

  9. Student Based Activities

  10. School-Based Services Coordinated Approach to School Health (CASH) Program 11 Schools School Health Team Leaders Classroom Movement Break Challenge Bi-Annual FitnessGram Assessment Capacity Building for Staff/Families

  11. Take C.H.A.R.G.E

  12. Take C.H.A.R.G.E Childhood Obesity Intervention Program Eligible target group: Referral-based 9-12yo BMI Percentile equal and greater than 85% 12-week Course Pre/Post FitnessGram Assessment Deliver culturally appropriate nutrition education, Physical Activity and life skills for youth and their families.

  13. Community-Based Activities

  14. Community-Based Activities Get Fit Challenge Just Move It Hiking Series Community Health Improvement Planning (CHIP) Lifestyle Balance Classes Nutrition & Physical Activity Education & Demonstrations HPDP Fitness Classes for Youth and Adults

  15. Family, Collaboration & Community Partnerships Teamwork & Communication Administrator Meetings School Health Team Leader Meetings Pediatric Obesity Task Force Meetings Community Health Improvement Planning Meetings Collaboration Meetings

  16. Recipe for Success- A Coordinated Approach CHIP SCHOOL HEALTH INDEX TRAINING Environment EXERCISE FRIENDLY COMMUNITY SCHOOL HEALTH NEWSLETTER REGIONAL FOOD SYSTEMS TEAM Community ACTIVE SUMMER YOUTH PROGRAM SOCIAL MARKETING JUST MOVE IT PEDIATRIC OBESITY TASK FORCE YOUTH BASKETBALL LEAGUE LOCAL WELLNESS POLICY YOUTH BASEBALL LEAGUE LIFESTYLE HEALTH EDUCATION SCHOOL HEALTH TEAM LEADER INITIATIVE Schools FITNESS CENTER END YEAR SCHOOL HEALTH LUNCHEON AYSO SOCCER League JUNK FOOD TAX INITITIAVE MY PLATE, MY FAMILY CURRICULUM ZUMBA 4 KIDS/TEENS SCHOOL GARDEN EDUCATION LOCAL WELLNESS POLICY GAREN EXPO PARENT/STUDENT DIABETES-RELATED EDUCATION GET FIT CHALLENGE Family NAVAJO NATION TRAILS INITITIAVE FITNESSGRAM PROJECT AFTERSCHOOL PROGRAM FAMILY NIGHTS LIFE SKILLS NAVAJO WELLNESS MODEL FAMILY NIGHTS CLASSROOM MOVEMEENT BREAKS EXERCISE FVRX PROGRSM HIKING SERIES CULTURE BEHAVIORAL HEALTH NUTRITION Individual YOUTH FITNESS CENTER EDCUATION CENTER TAKE CHARGE

  17. Questions?

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