Pulaski County hits the mark with a community program to get kids up and moving; a great model for other communities to follow

Communities wondering what they could start that is fun, and will also improve the health of local families, might consider hosting something like "The Longest Day of Play," which Pulaski County has done for the last five years.

The Longest Day of Play at SomerSplash Waterpark
(Photo by Katie Pratt, UK Agricultural Communications)

The Longest Day of Play is a day, typically around the longest day of the year, on which SomerSplash Waterpark invites families from across the region for a day of physical activity and healthy living, Katie Pratt reports for the University of Kentucky. For those under 18, the event includes free admission, a healthy lunch, a book to read for the summer and sunscreen.

“A lot of times the people who are here today wouldn’t otherwise get to come, so it’s an opportunity for us to give back to the community,” Stephen Sims, manager of the waterpark, told Pratt. “It’s a way to get kids out and let them be active and not just simply stay at the house all summer long.”

The event is hosted by Pulaski County schools, UK's Cooperative Extension Service, the Lake Cumberland Health District Department, Eastern Kentucky Personal Responsibility in a Desirable Environment (PRIDE), and the city of Somerset.

“We have a Working on Wellness group in the community, and we wanted an event to give children nutrition, physical activity and to help our new waterpark grow," Edith Lovett, Pulaski County family and consumer sciences extension agent, told Pratt.

While Pulaski County has an awesome venue for the event, most communities have something special to offer -- parks, swimming pools, bike trails, school running tracks -- that could bring families together for a day of physical activity, fun and nutritious food.

Health department urges Kentuckians to walk regularly; state ranks high in obesity, low in physical activity

With summer here, the state health department is urging Kentuckians to adopt a regular walking schedule to connect with friends and neighbors and improve health and fitness in a state that ranks high in obesity and low in physical activity.

“Summer is the perfect time to renew your commitment to get outdoors and take a walk,” Health Commissioner Stephanie Mayfield, said in a news release. “We all know walking is healthy, but it’s also fun, relaxing, and a great way to connect with others. You can invite a friend or loved one out for a nightly walk after dinner, take care of weekend errands on foot, or invite neighbors or co-workers to start a regular walking group. The more you walk, the more you’ll connect and be part of building a stronger, healthier community.”

In Kentucky, 31.3 percent of adults are obese. “Obesity is linked to multiple chronic conditions, including diabetes, heart disease and stroke – and is one of the major chronic conditions affecting the health of Kentuckians,” said Elaine Russell, the Department for Public Health's obesity-prevention coordinator. “Regular walking could greatly reduce our state’s obesity burden.”

Russell's program and the Partnership for a Fit Kentucky have created a guide for obesity prevention and health policy for Kentucky communities, at http://www.fitky.org/wp-content/uploads/sites/2/2015/04/PA-Vision-Slidedoc.pdf. ). Kentucky is one of four states that will get technical assistance from America Walks to improve walkable community design, such as complete streets, lower traffic speeds, livable communities and economic benefits.

“We’re also working directly with communities and funding projects through a public health grant program to help cities and towns across Kentucky develop pedestrian plans,” Russell said. The department selected 11 communities for funding to start work on a pedestrian plan.

“We’re very excited about recent developments in obesity prevention and increasing physical activity in the commonwealth,” Russell said. “We hope everyone will not only become more physically active, but take some time to learn more about our vision and support our communities in their work to become more active, healthier places to live, work and play.”

Kentucky's seniors rank 48th in insurance firm's health rankings

Click here to go to interactive map.

Kentucky seniors ranked in the bottom 10 states for 23 of the 35 measures ranked by the 2015 America's Health Ranking Seniors Report, placing Kentucky in 48th place for the second year in a row.

“The report is a call to action. We believe you can’t improve what you don’t measure,” Dr. Julie Daftari, market medical director for United Health Care of Kentucky told Alyssa Harvey of the Bowling Green Daily News. “It may start with seniors taking individual action. If we live long enough, we’ll be part of these statistics in the future."

Kentucky seniors ranked last in two areas, total health outcomes and preventable hospitalizations; next to last in premature deaths and education and in the bottom three states for smoking, seniors who are considered underweight, and poor mental health days.

The report notes that smoking is the leading cause of preventable death in the U.S. and "older smokers are at an increased risk of smoking-related illness as they tend to be heavy smokers with an average smoking duration of 40 years" and "are less likely than younger smokers to believe that smoking harms their health." Kentucky, with 11.8 percent of its seniors regularly smoking, ranked third highest in senior smoking, behind Nevada and Mississippi.

The report is intended to point out the health challenges facing today's seniors and offer a starting point to help states determine what needs to change. That being said, Kentucky ranks very low in an area that could help improve these outcomes: community support, where it ranks 45th.

The report did say that Kentucky seniors do have some strengths. They have a low prevalence of chronic drinking, low percentage of adults needing pain management, high flu vaccination coverage and a low percentage of low-care nursing home residents.

More Kentucky seniors also reported very good or excellent health since last year's report, up to 33.7 percent from 31.2 percent.

The report noted that a decrease in physical inactivity is a nationwide problem for seniors, with 33.1 percent of seniors nationwide reporting they did not get enough physical activity. This percentage was even higher in Kentucky at 40.2 percent, which is higher than the previous two years (34.5 percent in 2014 and 17 percent in 2013).

The report notes that today, one in seven Americans are aged 65 and older, and in the next two decades the rest of the 77 million baby boomers will move into this demographic. The report also projected the increase in Kentucky's senior population between 2015 to 2030 will be 41.8 percent.

“The fact that we were able to identify key strengths and challenges gives Kentucky an opportunity to address those specific issues,” Daftari told Harvey. “If these challenges aren’t addressed, there may be a significant strain on health care in the future.”

The rankings were based on 35 measures of senior health including behavior determinants like smoking and dental visits; micro and macro community and environmental determinants like poverty and social support; policy issues like percentage of seniors on SNAP; and measures of clinical care like the percentage of seniors who receive home health.; and outcomes like the percentage of seniors who have fallen. It also included measures like education and cognition.

Mount Sterling follows lead of another KentuckyOne Health hospital, in Bardstown, to host monthly 'Walk With a Doc'

Saint Joseph Mount Sterling is the second KentuckyOne Health hospital to host monthly "Walk With a Doc" events as part of a nationwide program that promotes walking as a great way to improve your health, while at the same time offering a place to get to know your local physicians in an informal setting as you walk together. The program also offers a complimentary health screenings at the event, says a news release from KentuckyOne Health.

Flaget Memorial Hospital in Bardstown, also part of KentuckyOne Health, began its "Walk With a Doc" program in March.

"According to America Walks, brisk walking has been shown to reduce body fat, lower blood pressure, increase high-density lipoprotein and even reduce risks of bone fracture. Not only that, it is also associated with lower mortality rates from cardiovascular disease and cancer," says the release.

The Mount Sterling walks begin at 9 a.m. on Saturday, April 25 at Easy Walker Park, located at 1395 Osborne Rd. For more information call 859-497-5556.

Researchers discuss physical activity as a way of maintaining or improving health; daily walking is still the best exercise

By Melissa Patrick
Kentucky Health News

Obesity worsens the damage that arthritis does to joints, but simply telling patients to go home and diet and exercise is not working, and health care providers must proactively monitor their patients and help them find affordable solutions to succeed. And daily walking is still the best exercise.

Those were examples of research findings discussed at the 10th annual Center for Clinical and Translational Science conference sponsored by the University of Kentucky on March 25. More than 700 researchers, students, policymakers and guests discussed research with a focus on physical activity across the lifespan.

Stephen Messier, professor and director of a biomechanics laboratory at Wake Forest University, said obesity has a significant effect on joint health, particularly osteoarthritis, which he said is quite painful. He called for closer attention to obese patients with arthritis.

He said a study found that a combination of diet and exercise over an extended period of time offers the best results for less pain and less disability. He said that a separate study found those who lost 10 percent of their body weight had the most "significant outcomes" related to function, which included walking speed.

The conference featured 31 oral presentations and 270 poster presentations, addressing a vast array of topics including physical inactivity in children, physical inactivity in chronic disease and biomedical informatics.

"The conference was designed to raise awareness of the science behind the benefits of exercise and the dangers of physical inactivity," Charlotte Petterson, professor and associate dean of research in the College of Health Sciences, who chaired this year's conference, said in a UK press release.

The keynote speaker, Duke University medicine professor William E. Kraus, encouraged walking as a proven and simple activity that can improve health and actually extend life. "Fitness always trumps fatness," he said, noting that a "culture of convenience" and conditions of built environments, such as absence of sidewalks, deter people from physical activity.

Research on fourth and fifth graders in two Clay County schools, while in the early stages of analysis, found that obesity and inactivity begins early.

Karyn Esser, professor of physiology at the UK College of Medicine, said her research was examining the circadian rhythms and physical activities of students because changes in natural circadian rhythms "can create pre-cursors to disease" in just seven days, even in healthy young people. She said her study is intended to help schools improve students' health by adjusting meal times and offering physical activities to best coincide with circadian rhythms.

The data for Esser's study was gathered through electronic devices that the 136 students wore for seven days to measure activity, heart rate and skin temperature. The students also kept a daily journal to record their activities. So far, Esser said, the data show 33 percent of the students are considered obese, their initial blood pressure measurements are on the high end of normal, and the students are less active on weekends and nights than during the school week.

Another UK study found that students who are more active during the school day do better in mathematics.

Alicia Fedewa and Heather Erwin of the College of Education said they found that increased physical activity levels "significantly improved" math scores and slightly improved reading scores of the students who got an extra 20 minutes of movement on each school day. They recommended two short 15-minute recesses per day, rather than one long one. They also said that classroom "energizers" and stability balls also help students with these behaviors.

The researchers said many studies show that students who participate in recess and physical education during the school day are more focused and less fidgety, show less listlessness, and have better overall classroom behavior. They said more controlled studies need to be conducted, but said most studies to date have found that fit kids have less anxiety and better overall well-being. Also, a regimen of consistent physical activity is best for kids with attention deficit hyperactivity disorder (ADHD).

Kentuckians split on taxing sugary drinks to pay for nutrition and physical-activity programs, but like warning labels for such drinks

Should soda and other sugary drinks be taxed to fund school nutrition and physical activity programs? Kentucky adults are almost evenly divided on the issue, but the majority of them believe that sodas and sugary drinks should come with a health warning label.

According to the latest Kentucky Health Issues Poll, 51 percent of Kentucky adults support taxing soda and other sugary drinks, while 47 percent do not. Fifty-five percent of women favored the measure, while 46 percent of men favored it. African American adults (67 percent) were more likely than white adults (50 percent) to support a tax. Sixty-eight percent of respondents ages 18-29 favored the measure, 49 percent of those 30 to 45, 49 percent of those 46 to 64 and 32 percent of those 65 and over.

The poll also asked respondents if sodas and other sugary drinks should come with a label that says "studies show that daily consumption of soda and other sugary drinks contributes to diabetes, obesity and tooth decay." Seventy-one percent of Kentucky adults favored adding the label.

A random sample of 1,597 Kentucky adults were interviewed by phone. To see the rest of the results, click here. The poll is sponsored by the Foundation for a Healthy Kentucky and Interact for Health, formerly the Health Foundation of Greater Cincinnati.

Survey shows satisfaction with after-school programs aimed at helping children's health and physical fitness

Kentucky Health News

A household survey for the Afterschool Alliance shows that after-school programs may be key in preventing childhood obesity in Kentucky and across the nation. The "Kids on the Move: After-School Programs Promoting Healthy Eating and Physical Activity" survey showed parentswere generally satisfield with the programs, which are aimed at health and physical fitness.

The great majority of parents (78 percent in Kentucky and 72 percent nationally) report that after-school programs give their children snacks, drinks and/or meals, and 80 percent in Kentucky say that the sustenance provided is healthy. Eighty-six percent of Kentucky parents report that their child's afterschool program provides opportunities for physical activity. To see the rest of the statistics, click here.

"Afterschool programs are a proven, but sometimes underappreciated, weapon in the battle against childhood obesity and physical inactivity," said Afterschool Alliance Executive Director Jodi Grant.  "The healthy habits afterschool programs help instill can last a lifetime."

Key national findings from Kids on the Move:

• Older youth are less likely than younger children to attend an after-school program that offers food and less likely to be physically active in their program.
• Providing healthy food during after-school programs is especially important to low-income, African-American and Hispanic parents.
• Opportunities for physical activity are important to African-American, Hispanic and low-income parents.
• Many parents are unaware that standards for healthy eating and physical activity exist for afterschool programs. The Healthy Eating and Physical Activity Standards recommend best practices related to food and activity, including at least 30 minutes of morning or after-school program time for physical activity (60 minutes for a full day program).

Kids on the Move recommends that providers of afterschool programs make sure they are aware of policies that support such programs. Findings from America After 3PM show that in the last 10 years, afterschool program participation has risen from 6.5 million to 10.2 million, and 19.5 million parents said they would send their children to an afterschool program if one were available.

Bardstown hospital sponsors monthly 'Walk With a Doc'

Here's an interesting idea to promote physical activity and maybe even health literacy: take a walk with your doctor.

Flaget Memorial Hospital in Bardstown hosts monthly "Walk With a Doc" events as part of a nationwide program. Participants can also receive complementary health screenings at the event, says a news release from KentuckyOne Health, which owns Flaget.

"According to America Walks, brisk walking has been shown to reduce body fat, lower blood pressure, increase high-density lipoprotein, and even reduce risks of bone fracture," the release says. "Not only that, it is also associated with lower mortality rates from cardiovascular disease and cancer."

The walks begin at 10 a.m. on the second Saturday of each month, so the next one is March 14. The walks begin at the Court Square in the middle of Bardstown. For more information, call 502-350-5040.

Grant will fund Lexington signs, maps to encourage walking

A $182,000 grant will fund a pilot project in Lexington to encourage citizens to walk more, by erecting way-finding signs for pedestrians and updating walking maps.

The new Walk Lexington program will also feature signs that tell people how easy it is to get from one spot to another such as "It's only two minutes to the library." The signs are used to help people realize that walking is often faster than driving.

The grant is from the John S. and James L. Knight Foundation, which awards grants to programs in cities where the Knight brothers once owned newspapers, including the Lexington Herald-Leader.

A Herald-Leader report on the grant indicted that the recipient is the NoLi Community Development Corp., a nonprofit trying to make the North Limestone corridor a more livable place, through the Blue Grass Community Foundation, which announced it.

Experts suggest ways to win public-policy changes to fight obesity

Though the obesity epidemic shows signs of stabilizing, it still carries national security risks—negatively affecting education, agriculture and transportation—and public policy change can incredibly important in reducing obesity, Richard Hamburg, deputy director of Trust for America's Health, said at the Southern Obesity Summit in Louisville Oct. 7.

Kentucky and 42 other states have adult obesity rates of at least 25 percent, according to The States of Obesity.

Leon Andrews, senior fellow of the Institute for Youth, Education and Families discussed work with First Lady Michelle Obama's Let's Move! campaign, in which all 50 states and over 450 school districts are participating. The initiative includes new nutrition standards for school meals and ideas for encouraging exercise. Andrews urged attendees to ask their elected officials to participate in the campaign if they aren't already. Share positive feedback and success stories with elected officials as well instead of just making requests, said Whitney Meagher, project director at the National Association of State Boards of Education. "They need to be reassured that they did a good job and that this is actually working."

Jasmine Hall Ratliff, a program officer for the Robert Wood Johnson Foundation, said every community has a slightly different culture of health, but everyone should have the option to make healthy choices no matter where they live. She recognized that fighting obesity is multifaceted, and children need to both eat better and move more. "There are many communities where access to healthy foods is impossible, and there are no playgrounds. We fund advocacy and policy change at various levels to make access to physical activity and good food the default instead of the exception." She recommended checking out preventobesity.net, a place to access resources and talk with other advocates.

Voices for Healthy Kids, a joint initiative of the American Heart Association and the Robert Wood Johnson Foundation, supports nonprofits working to prevent obesity through public policy, said Kim Milbrath, the initiative's southern regional manager. Its campaign focuses on policy in six areas: improving nutritional quality of snack foods in schools; reducing consumption of sugary beverages; protecting children from unhealthy food marketing; increasing access to affordable healthy foods; increasing access to parks, playgrounds and bike paths; and helping youth-serving programs increase children's physical activities. The initiative is funding projects in nine Southern states but not in Kentucky, at least yet.

Milbrath also offered practical advice for winning policy changes to fight obesity: Make sure you're including and informing the right people, including business groups, parents, school administrators, groups with political power and all those who share the goal. Messages should be carefully constructed to clearly express the purpose of the campaign and to personalize it to the audience's concerns. Recognize that contributions will vary, set clear expectations, decide exactly how the money will be used and include the issues important to the audience, like job creation.

Leaders in health care and education meet on child obesity and what can be done about it, and not just in the schools

By Al Cross

Kentucky Health News

Children who are physically active are likely to be better learners, but not enough Kentucky schools seem to put that knowledge into practice, speakers suggested at last week's Kentucky Summit on Childhood Obesity and Physical Activity at the University of Kentucky.

Kentucky ranks eighth in child obesity, and nationally, adult obesity is expected to grow from 30 percent of the population now to 60 percent by 2030.

"Many of the adults who will be obese in 2030 are the children in Kentucky schools today," said Dr. Mary Lynne Capilouto, the wife of UK President Eli Caiplouto. The couple hosted an opening brunch for the conference, and at one small-group session.

The conference was an unusual gathering of people from education and health care, who don't discuss common interests enough, said Terry Brooks, executive director of Kentucky Youth Advocates, which staffed the conference. "Our intent is to put together a guiding coalition . . . and make something happen in 2015-16."

That would probably include legislation, but "We can't legislate ourselves out of this problem," educator Leon Mooneyhan told the group. "We need to change the mindset of our society," with multifaceted solutions. Mooneyhan, a former superintendent in Shelby County, is CEO of the Ohio Valley Educational Cooperative, which assists school districts.

He said each district needs a strong "wellness committee" to focus on health, nutrition and physical activity and promote such measures as integrating physical activity into the classroom and not using denial of recess as punishment for misbehavior. "We really need to focus at the elementary schools," he said. "That's where it starts."

The biggest obstacle may be the educational system itself.

An example of classroom-based physical activity,
from Dr. Heather Erwin's PowerPoint presentation

Some schools are reluctant to carve out time for physical activity because of pressure to spend time preparing students for annual achievement tests, but research shows that more physical-activity time "does not appear to to adversely impact academic performance," said Heather Erwin, Ph.D., a UK specialist in kinesiology, the study of human movement.

Erwin said some schools have started intensive math instruction lasting 90 minutes, and students could benefit from two of three physical-activity breaks in such a long classroom session. She said, "So many teachers will say after implementing physical activity, why haven't we been doing this all along?"

"If your butt is numb, your brain is, too," said Jamie Sparks, director of the School Health and Physical Education Network for the state Department of Education.

Sparks said it's unfortunate that some schools are using recess as extra study time before achievement tests. Stu Silberman, executive director of the Prichard Committee for Academic Excellence, said research has shown that students do better on achievement tests on days that they have physical activity.

"There is an achievement gap related to obesity," but many teachers don't see the connection, Silberman said. When students take part practical, in-class programs like those Erwin mentioned, "it becomes a habit for the rest of their lives. . . . Frankfort's not the answer on this.

Tom Shelton, who succeeded Silberman as superintendent in Fayette County, said asking teachers "to do one more thing is almost criminal," they are so busy, but nations such as India and China emphasize physical activity, and "It's amazing to me that we're going the other way. . . . We know for a fact that healthy students are better learners."

Shelton said "Poverty is the number-one barrier to student achievement," and part of that is "lack of good food options."

The face of poverty has changed to one of obesity, said David Jones Jr., a member of the Jefferson County school board and a Louisville venture capitalist. Poor people often eat poor food and don't get enough exercise. "The problem is, we don't know how to eat. We don't know how to deal with calorie-rich environments," Jones said.

Jones was among those who said the solution to child obesity lies in the community at large, not just in its schools.

"It has to be parents and schools and the community and legislators," said Susan Zepeda, president of the Foundation for a Healthy Kentucky, which funded the conference. "This challenge is about nutrition policies, physical-activity policies and building our environment with health in mind."