Be Active Your Way Blog - Environmental Interventions

Overcoming environmental barriers to being active

JPivarnik — Wed, 03 Nov 2010 09:01:00 -0400

So many things can get between our intentions and our actions. Sometimes my desire to write—even when motivated by a firm deadline—is held at bay while I adjust the blinds, make tea, boot up and log on. Things I know I should do but haven’t fully bought into can find no end of delays and reasons not to.

So it is with exercise, for many people. But even those who know how good it feels to be physically active and who earnestly seek the health benefits of a healthy lifestyle may confront circumstances that make it inordinately difficult. I’d like to explore some of those challenges and ways to address them. The goal, as always, is to help everyone enjoy appropriate physical activity throughout the lifespan.

Perhaps you grew up in a suburban house with a generous backyard. Did you have a city park nearby? I did, and I loved to ride my bike to school—all over town, in fact, as my age and my parents’ confidence in me increased. Add schoolyard play and team sports, and I burned quite a few calories with a smile on my face. Many evenings saw robust games of Kick the Can at locations throughout the neighborhood.

What about kids who have no backyard, no nearby park and inadequate school playgrounds? Team sports aren’t an option for some, with no school leagues and no minivan to the soccer field.

Opportunities for adults vary, too. Not everyone can afford to join a health club and hire a personal trainer. Rural dwellers may live miles from the nearest facility. Membership or league fees are the barrier for some—ditto the cost of sports equipment, lessons and travel. Kids in unsafe neighborhoods may be kept indoors, snacking in front of the TV or game console.

Too often, such challenges get between healthful exercise and those who could benefit from it.

Solutions

Those who advocate for health and wellness can do much to expand opportunities for physical activity and exercise. Solutions may involve working with local officials or simple, informal collaboration. For example, can school facilities be open to the community after hours? How about pitching in to make a vacant lot into a pocket park? Neighbors, merchants and volunteers can work wonders in a day. A congregation in search of an outreach project might start a soccer league, a weekly game of kickball, or a jump-rope-a-thon.

For longer-term, larger-scale solutions, look at the impact rails-to-trails projects have had in some communities. Build paths and they will come: walking, wheeling, strolling and skating their way to fitness. Zoning laws can require sidewalks in new or redeveloped neighborhoods.

While some pursuits need costly equipment (think polo, on the high end), an active life often requires nothing more than a pair of walking shoes and your imagination.

Bottom line? Being physically active is too important to health and quality of life to let some of us go without. Let’s look at what keeps people from exercise and find ways to surmount the barriers. Now, what was I saying about writer’s block?

What barriers to physical activity confront some people in your community? How can they be overcome?

Creating Walkable Communities

SLier — Wed, 27 Oct 2010 11:35:00 -0400

www.pedbikeimages.org by Andy Hamilton

Intuitively it makes sense that creating more walkable communities will help meet the 2008 Physical Activity Guidelines from Americans because walking is the most frequent form of Physical activity. I wondered whether walkability makes a difference and which communities have tackled this issue. I got curious about this and did a search to find out more.

My first stop was to look into whether community design makes a difference in increasing physical activity rates. I visited The Community Guide for Preventive Services Web site where I learned that their research confirmed the increase in community members’ physical activity levels after land use policies are put into place at the community level and even at the street level!

I also noticed that progress is being made towards meeting the Healthy People 2010 objective to increase the proportion of trips made by walking. For adults, the objective was to increase from the baseline of 17% in 1995 to 25 percent. As of 2001, this measure had increased to 21%.

How timely! Just when my curiosity was aroused, a colleague told me about the Pedestrian and Bicycle Information Center’s new recognition program, Walk Friendly Communities with applications opening November first.

Even more fascinating, the PBIC has a search tool that you can use to find examples of policies and changes implemented in cities across the country to improve walkability. Their Pedestrian and Bicycle Information Center also Case Study Compendium includes dozens of examples of communities with pedestrian and bicycle projects and programs. Planning pedestrian programs ranged from the City of Charlotte North Carolina’s Commitment to the Pedestrian Program to a Traffic Calming Guidelines project in Sacramento, California.

My next stop was to visit the CDC’s Healthy Places Web page and browse the recent CDC community design report issued in April that illustrated the importance of taking public health, including physical activity, into account when creating the built environment. The report included five case studies of communities that illustrate best practices in community design to support good health. One of these communities, Lakewood, Colorado, is paying particular attention to walkability as it develops the Belmar Project, a pedestrian centered residential and retail area.

In this same report, Bill Gilchrist, a member of the American Institute of Architects, working with Miami-Dade County, briefed participants in this expert workshop on his urban design work with them. He commented that when the environment is healthier, there is a more economically thriving community. Interestingly, Gilchrist noted the University of Wisconsin-Madison’s Center for Community Economic Development report The Economic Benefit of a Walkable Community that highlighted several economic benefits of a more walkable community and ways to make communities more walkable.

Last summer, HHS hosted a Webinar on June 15th for Physical Activity Guidelines Supporters. As part of the Webinar Nicole Rioles, Campaign Coordinator discussed Shape Up Somerville, a Massachusetts citywide campaign to increase daily physical activity and healthy eating. The campaign includes a number of interventions including walkability and safe routes to schools.

Now, I’m even more curious to learn from you. What is your community doing to build a healthy community that is more walkable?

Community Design for Healthier Communities

sFranklin — Wed, 13 Oct 2010 11:10:00 -0400

Healthy Communities...the term seems to be turning up more and more lately...from reports in the media to city and county council meetings-from the smallest of the states legislatures to the hallowed halls of the United States Congress. Is it latest buzz phrase or truly a movement?

There are a variety of groups (both government and non-profit) working on healthy communities and each of them have their own interpretation of exactly WHAT a healthy community is. However, I have noticed one thing that most healthy community discussions seem to include...the need to insure that there are ample opportunities for people to engage in physical activity. The introductory paragraph for the National Physical Activity Plan's Transportation, Land Use and Community Design sector reads: “Transportation systems, development patterns, and community design and planning decisions all can have profound effects on physical activity. People can lead healthier, more active lives if our communities are built to facilitate safe walking and biking and the use of public transportation, all considered forms of active transportation.”

Considering how community design affects the amount of physical activity that residents get would go a VERY long way toward positioning individuals to increase their daily physical activity and also plays an important part in creating a healthy community.

Imagine...if all neighborhoods had sidewalks and were well lit....imagine the increase in the number of individuals achieving the amount of physical activity specified for their demographic in the National Physical Activity Guidelines....imagine if all commercial landlords in a community were to insure that office stairwells are open for traffic...and imagine one step further...where the said landlord (owner or whoever the power that be is) added interesting artwork or motivational signs to the walls in the stairwells. Imagine if there were bike racks at all train stations-small and large....or if all children were able to walk to school along paved wooded paths...now-imagine how many more Americans would be reaching the recommended amount of daily physical activity.

The National Physical Activity Plan states that “Changes to improve active transportation will require many individuals and agencies – transportation engineers, city planners, architects, schools, health professionals, government agencies at all levels, community advocates, citizens, and employers – to rethink the way we plan and develop our communities. “ It is imperative that a variety of departments work together even if in the past they may not have always agreed on direction.

I would love to hear some of non-traditional partnerships that have worked effectively to promote healthy communities. What plans do YOU have to begin to establish a coalition in YOUR community to work toward making it a healthier one?

Overcoming Barriers to Physical Activity

JKauffman — Wed, 10 Mar 2010 12:26:00 -0400

Do you think it’s easy for adults to meet the Physical Activity Guidelines for Americans? Even though we’re in a profession dedicated to promoting health and well-being, do you often struggle to personally meet the Guidelines? I know I do. As professionals dedicated to helping others increase their physical activity, I think it’s important for us to acknowledge the challenges we might face ourselves and share those things that have worked for us in hopes of inspiring others to meet the Guidelines.

Here are some of the things that have worked for me: There are hand weights and elastic bands next to my desk at work. There’s a pair of walking shoes ready to go by the door. I have a few exercise posters just inside my top desk drawer. These few changes to my environment have helped me come closer to meeting the Guidelines. I often pick up the weights or bands and do a series of exercises while on conference calls, in between checking emails, or before starting an administrative task. The walking shoes often come on when I see that I have 10 to 15 minutes before my next appointment. A quick walk or a few flights of stairs gets my heart pumping, and also allows me to focus on the next meeting. I do all these things in my street clothes, no need for changing or showering.

My office does some interesting health promotions, all with the intent of getting staff more active. By taking part, I’ve done a lot of things I wouldn’t have normally tried such as: taking a yoga class, assisting in a volunteer project helping an elderly neighbor (shoveling snow off a roof), participating in a corporate triathlon relay, and recording my monthly steps. This variety of activities really helps me meet the Guidelines. The variety is actually kind of fun. My company’s not trying to get all of us into yoga, or running, or counting our steps…they’re just trying to get us active in something, this week and next week, and the week after.

Supportive friends and relationships also help me meet the Guidelines. Instead of getting grief or mockery from co-workers who may see me doing arm curls, or see some perspiration (sometime even sweat) on my face, I get compliments about doing something healthy. When I ask for others to join me on the quick walk around the block, I actually get a few who say “yes.” When I ask for help in meeting one of the company’s health activities, my co-workers understand the importance, and lend support.

I believe changes to your environment, choosing a variety of activities, and getting support from friends and colleagues is integral in helping most of us and our clients meet the Guidelines. So even though I sometimes struggle meeting the Guidelines, I’m finding ways to help me be active.

What environmental changes have you recommended to others to help them reach greater levels of physical activity?

What variety of activities have you incorporated to promote more activity?

How have you created or cultivated supportive friends and relationships for your clients?

News & Reports 2/1/10

SLier — Mon, 01 Feb 2010 15:28:00 -0400

This week, we highlight physical activity initiatives from the White House to the Sonoran Desert:

HHS Secretary and Surgeon General Join First Lady to Announce Plans to Combat Overweight and Obesity and Support Healthy Choices (Source: HHS) Marking the release of a new Surgeon General report, the First Lady teams up with the Department of Health and Human Services on a mission to reduce obesity in the United States.

150 4th grade students hike for health & education in Sonoran Desert (Source: Examiner.com) Arizona schools introduce students to hiking, by extending the classroom into the desert.

What are your thoughts on how the First Lady and HHS should address obesity in the U.S? If you were leading the initiative, how would you promote physical activity?

Hopscotch in the Defense Commissary Agency

kHawkins — Mon, 07 Dec 2009 10:44:00 -0400

Walk through a military commissary and you are likely to see children happily playing hopscotch in the fruit and vegetable section. To help promote physical activity as part of the “Eat Healthy and Be Active Your Way” program in commissaries, the Defense Commissary Agency (DeCA) has installed a permanent hopscotch game display on the floor in the produce section of most commissaries. This was implemented to help demonstrate the link between physical activity and making healthy choices when shopping for food.

The hopscotch game is making an impact on children such as John Murray Jr. John’s mom says, “Whenever we go to the commissary he is so excited and always asks, ‘Can I hopscotch in the apples?’ The game allows John to play and I use it to let him pick out the fruit he wants to take home.”

Recently John’s mom shared a shopping adventure where he was already out of the buggy skipping towards produce saying, "Mama I get to hopscotch, yeah for me." He rounded the corner and she followed him. He had stopped and was looking back at her with big tears in his eyes and said, "Mama I can't get to hopscotch no more," as there was a pallet of watermelons covering the hopscotch game. John’s mom tried to reassure him that maybe next time he could play hopscotch. However he said, "No Mama I always get to hopscotch real good two times and pick out my fruit from the hopscotch."

Around that time Mr. Raymond Lane, Deputy Store Director came by, and seeing the big tears in John’s eyes he asked what was wrong. John pointed to the pallet of watermelons covering the display and replied, "I can't hopscotch in the apples today." Mr. Lane quickly had the pallet of watermelons moved and John was free to hopscotch.

Fast friends were made that day between Mr. Lane and John Jr. Mr. Lane gave him his card and told him, "Now you are my hopscotch checker; if the game is ever covered, you come and let me know and I will fix it." Now when Mrs. Murray and John Jr. visit the commissary they make sure to let Mr. Lane know that "the hopscotch in the apples is okay."

During 2009 DeCA and HHS signed a proclamation recognizing that eating healthy and being active are two things Americans can do to improve their health and are keys to a healthy lifestyle. In support of the proclamation DeCA is coordinating in-store displays and promotions in commissaries. The hopscotch game display is an environmental intervention designed to encourage children and families to be active along with making healthy choices while shopping in the commissary. DeCA is currently looking at the use of displays to determine how they are impacting choices in commissaries while the hop scotch game display is being enjoyed by children of all ages in commissaries.

What kind of environmental interventions have worked for your organization?