Extension
It Starts With Us
Health, Nutrition, Diet & Physical Activity All Through Life
Making Healthy Lifestyle Choices
Crystal Osborne, Paul Sizemore
Making Healthy Lifestyle Choices (general)
Embracing Life as We Age (general)
Health 4-H Core Curriculum
Nurturing Families (general)
The obesity epidemic threatens the quality and years of life of Kentuckians. Obese individuals are at increased risk for many chronic health conditions, including type 2 diabetes, heart disease, stroke, and some types of cancers. The obesity rate in Kentucky increased 90 percent over the last 15 years. Thirty percent of individuals in the Commonwealth report no leisure-time physical activity. Increased consumption of unhealthy food, stress, and built environments that promote physical inactivity are largely responsible for the obesity epidemic. As a result, Kentuckians are dying from heart disease and cancer at higher rates than all Americans and they have a lower life expectancy, 75.5 years, compared to 78 years for Americans. Minorities and individuals residing in Appalachia bear a heavier brunt of the obesity and chronic disease burden. According to the 2010 Census, Owsley County's population is 4,755 with 585 children living in poverty and 44.3% of seniors age 65 & over also living in poverty. In 2011,2,473 individuals received SNAP benefits. Owsley County ranked 120 out of 120 counties as the least healthy county in KY according to the "The Health of Kentucky: A County Assessment". This tool reveals that our county has an extremely high rate of cardiovascular deaths and lack of physical activity among adults. We also have a high rate of smoking among our adult and teen population. Some other problems that the report revealed include poor oral health, poor prenatal care, low immunization coverage, a high incidence of diabetes, high rate of lung and breast cancer. We also are struggling with our low adult education rate and low health insurance coverage,and a high incidence of drug abuse and misuse. Owsley County school children receive free school lunches at our local elementary school and 93.62% receive free school lunches.
In 2013, 25 percent of Kentucky children lived in poverty, ranking Kentucky 40th in the nation. Children who live in poverty are more likely to have learning disabilities and developmental delays.
People are living longer. Kentucky's current population of seniors (65+) is 13.3%, a number that is expected to double in the next 40 years due to the aging Baby Boomers. Approximately 25% of Kentucky's population include Boomers. Meanwhile, babies are born in Kentucky in 2011 are expected to live to be 75 years old (3 years shorter than the national average). It is important to acknowledge and celebrate the changes that accompany aging, in regard to health, independence and life quality throughout all stages of life.
• A decrease in the number of obese and overweight children, youth, adults and elderly
• Increase in the practice and promotion of physical activity and healthy eating daily
• Improvement in the built environment to promote physical activity and healthy eating
• Improvement in the mental health and well-being of Kentuckians
• Manage and prevent the risk, debilitation, and premature death related to diabetes, cancer, heart disease, stroke and hypertension
• Increase the estimated health savings in dollars for chronic disease.
• Increase policies that address obesity, physical inactivity and promotion of poor nutrition
*Foster the optimal development of children and youth.
*Build community capacity to nurture families through appropriate collaborations and programs.
• Strengthen community coalitions or partnerships to address obesity, physical inactivity and chronic disease.
*Change in social, economic, and environmental issues related to healthy aging, independent aging and quality aging: decrease falls, decrease obesity, decrease # of individuals with chronic disease; increase physical activity; and improve quality of life for KY's aging families.
• Practice healthy food choices and strengthen individuals’ ability to build healthy eating plans and patterns.
• Maintain appropriate calorie balance during each stage of life: childhood, adolescence, adulthood, pregnancy and breastfeeding and older age
• Practice of physical activity in families and communities and decreased time spent on sedentary behaviors
• Community members advocate for policy
*Strengthen family nurturing attitudes and behaviors by caring for the health and well-being of each individual throughout the lifespan.
• Change one or more practices related to reducing obesity, physical activity and healthy eating.
• Practice healthy lifestyle decision-making that strengthen individuals’ ability to cope with normal life stressors.
• Practice and promotion of daily physical activity
*Practice wise parenting skills.
*Change in behavior related to healthy aging, independent aging & quality aging: Make healthy eating choices and follow safe food handling practices; Change behavior to decrease risk of falling; and increase skills to interact/work with older adults.
Change in awareness, knowledge, opinions, skills, and attitudes needed to make informed choices regarding:
• Healthy lifestyle choices
• Childhood and youth obesity
• Adult weight management
• Healthy aging
• Policies that that reduce the level of obesity
• Reduction of chronic disease
*Change in awareness, knowledge, and aspirations related to healthy aging, independent aging and quality aging: risk of falling, healthy lifespan behaviors, healthy eating and food safety,etc.
Long-Term Outcome: Owsley County participants will increase their practice of being physically activity, healthy eating and health screenings.
Indicator: The number of participants that demonstrate a positive change in their overall health.
Method: Pre and post tests, personal testimonies, observations, & surveys
Timeline: On-going. Follow-up evaluations conducted after a 6 month period and beyond the program.
Intermediate Outcome: Owsley County participants will practice selecting healthy food choices and strengthen their ability to build healthy eating and physical activity plans and patterns.
Indicator: The number of individuals that report a change in their eating and physical activity behaviors.
Method: Surveys, observations, follow-up evaluations 3 months after programs.
Timeline: Fiscal Year 2018-2019
Initial Outcome: Owsley County residents will gain knowledge, awareness and opinions, skills, and attitudes regarding healthy lifestyles.
Indicator: Total number of program participants reached through different learning opportunities that gain knowledge about healthy lifestyle choices.
Method: Pre and post evaluations
Timeline: Before and after programs and events
Audience: Community Members, individuals, low income, youth, families, health professionals, schools, service agencies, businesses, community coalitions and organizations.
Project or Activity: Expanded Food Nutrition Education Program
Content or Curriculum: EFNEP Curriculum, Literacy, Eating & Activity for Pre-schoolers (LEAP), & Organwise
Date: FY 2018-2019
Project or Activity: Supplemental Nutrition Education Program
Content or Curriculum: SNAP-ed Curriculum, Wellness in KY (WIN), Professor Popcorn, & Literacy, Eating & Activity for Pre-schoolers (LEAP)
Date: FY 2018-2019
Project or Activity: Get Moving, KY & Physical Activity for Families & Youth
Content or Curriculum: CES Curriculum & Publications Materials for Youth & Adults
Date: FY 2018-2019
Project or Activity: Weight, the Reality Series
Content or Curriculum: Weight, the Reality Series curriculum
Date: FY 2018-2019
Project or Activity: Super Star Chef
Content or Curriculum: Super Star Chef
Date: FY 2018-2019
Project or Activity: Lunch-N-Learns
Content or Curriculum: UK Publications, KEHA lessons, curriculum & materials, etc.
Date: FY 2018-2019
Project or Activity: Drug Prevention Activities
Content or Curriculum: Truth & Consequences: The Choice is Yours
Date: Fall/Winter 2018-2019
Project or Activity: Farmer's Market Food Sampling & 4-H Taste of the Month
Content or Curriculum: Plate It Up Resources
Date: FY 2018-2019
Project or Activity: Food Preservation Workshops
Content or Curriculum: UK publications
Date: Summer/Fall 2018
Project or Activity: Bullying Lessons
Content or Curriculum: Bullying Curriculum
Date: FY 2018-2019
Project or Activity: Cooking 101
Content or Curriculum: Cooking 101
Date: FY 2018-2019
Project or Activity: Extension Homemakers, Community Groups, etc.
Content or Curriculum: Keys to Embracing Aging
Date: FY 2018-2019
Project or Activity: Grandparents Groups
Content or Curriculum: Grandparents and Grandchildren Together, Families on the Move, Keys to Embracing Aging, etc.
Date: FY 2018-2019
Project or Activity: Parenting/Grandparenting Lessons
Content or Curriculum: Keys to Great Parenting
Date: FY 2018-2019
Project or Activity: Story Walk
Content & Curriculum: LEAP books
Date: FY 2017-2018
Inputs:• Kentucky Cooperative Extension Service (CES) agents, program assistants, specialists and volunteers, Kentucky CES publications and resources, eXtension resources, Health Education through Extension Leadership (HEEL),Local, state, and federal health agencies, United States Department of Agriculture, Public health organizations, Medical professionals, Non-profit agencies, Kentucky Extension Homemakers Association (KEHA), Businesses, and
Community, Grandparents Group, Head Start Groups, and faith-based organizations
Author: Jacob Brandenburg
Major Program: 4-H Youth Development Programming
Children living in Owsley and surrounding counties served by UK’s Robinson Center (RCARS) rank at the absolute bottom of the Robert Woods Johnson County Health Rankings for overall health outcomes. (Breathitt #120, Wolfe #119, Owsley #118, Leslie #117, Perry #116. 2018 data). The Centers for Disease Control and Prevention list childhood obesity as a contributing factor to many health issues. The CDC states that one way to combat childhood obesity is to consume a diet high in vegetables and
Author: Crystal Osborne
Major Program: Embracing Life as We Age (general)
Strong families play an important role in the community and contribute to a healthy society overall. For example, positive development of a young child depends on a parent’s ability to nurture, teach and provide. Despite daily stressors such as finances, health and emotional barriers, positive family interactions, including a sense of belonging, love, connection, trust, sensitivity, and responsibility, can contribute to overall well-being. Family traditions are just one e
Author: Crystal Osborne
Major Program: Making Healthy Lifestyle Choices (general)
Owsley County Agent for Family and Consumer Sciences collaborated with homemaker groups to offer the Healthy Homemakers series to a total of twenty-five participants. One-hundred percent of participants identified the effects of stress on the body. Ninety-four percent of participants examined the different causes of stress in their lives and how to manage them. A follow-up evaluation revealed that 85% percent of participants have worked to decrease stress in their lives.
