PHYSICAL ACTIVITY AND NUTRITION

WHY PHYSICAL ACTIVITY AND NUTRITION? 

Being physically active and eating a healthy diet helps prevent chronic disease and excess weight gain.¹ Respondents to the CHA Survey identified obesity as the #1 overall health concern and chronic disease as the #4 overall health concern facing Hendricks County.² Participants in the focus groups and town hall meetings repeatedly identified a poor nutrition environment and physical inactivity as top concerns facing the county. Many stated that a healthy community included one with walking and biking trails, parks, and access to reasonably priced recreation facilities and produce, but felt Hendricks County lacked in these areas.³

Additional primary and secondary data suggest physical inactivity, poor nutrition, and the built environment are problems in Hendricks County. Over 70% of respondents to the CHA Survey report that they use parks, rivers, lakes, and/or woods for recreation and physical activity, but nearly half of residents live more than a half-mile from a park and one mile from a recreational facility.⁴,⁵ This may be contributing to 28% of adults who report participating in no leisure-time activity and the 34% obesity rate in the county.⁶,⁷  Additionally, about 10% of residents face food insecurity, and 25% indicated that the cost and lack of health foods are top factors in keeping them from a healthy weight.⁸,⁹  About 76% of adults do not eat the recommended amount of fruits and vegetables. ¹⁰

Additional information about accessing and utilizing health care can be found in the 2016 Hendricks County Community Health Assessment.


PRIORITY AREA LEADERS AND PARTNERS

PRIORITY AREA LEADER:  Kayla Northcutt, Wellness Director
Hendricks Regional Health YMCA

PRIORITY AREA PARTNERS: Danville High School, Danville Middle School, Central Indiana Center on Aging, Jump IN for Healthy Kids, Hendricks Regional Health, Purdue Extension – Hendricks County, Top 10 Coalition


2016 WORK PLAN

GOAL: By December 31,2018, decrease the percentage of Hendricks County residents who are physically inactive from 29.3% to 28.8% as reported by the Center for Disease Control and Prevention.

SHORT-TERM OBJECTIVE: By December 31, 2016, enroll 10 hospital systems, health care providers, and or employers in Hendricks County into the physical activity referral system as reported by Hendricks Regional Health.

STRATEGIES:

Identify hospital personnel, health care providers, and employers to participate in the referral network.

Assess current mechanism for referring and/or addressing physical activity among patients/employees and determine gaps in service at identified hospitals, health care providers, and employers.

Develop and implement referral mechanisms for each participating referring partner.

Develop education measures and evaluate effectiveness for the referral system.

MID-TERM OBJECTIVE: By December 31, 2017, increase the percentage of Hendricks County schools with shared use policies to 90% as reported by the Top 10 Coalition. 

STRATEGIES: 

Assess current shared use policies and procedures at all Hendricks County schools/districts.

Write sample policies for schools without shared use policies and assist all schools with adopting and implementing policies.

Assist schools in developing messaging and marketing of the shared use policy within their schools and community.

Develop evaluation measures and evaluation measures and evaluate effectiveness of the polices.

LONG-TERM OBJECTIVE: By December 31, 2018, increase the number of Hendricks County municipalities with a Complete Streets policy from 0 to 1 as reported by the Physical Activity and Nutrition work group.

STRATEGIES:

Meet with each municipality and identify one municipality interested in adopting or pursuing Complete Streets.

Host an Active Living Weekend within the municipality.

Conduct walk audits, photo voice, and other activities at locations identified during the Active Living Weekend as needing review and write a report about how Complete Streets would benefit those areas.

Draft model Complete Streets policy and present to municipality policymakers.

GOAL: By December 31, 2018, decrease the percentage of Hendricks County Residents with inadequate fruit and vegetable consumption from 75.9% to 75.4% as reported by the Behavioral Risk Factor Surveillance System.

SHORT-TERM OBJECTIVE: By December 31,2016, enroll 10 hospital systems, health care providers, and/or employers in Hendricks County into the nutrition referral system as reported by Hendricks Regional Health. 

STRATEGIES:

Identify hospital personnel, health care providers, and employers to participate in the referral network.

Assess current mechanisms for referring and/ or addressing nutrition among patients/employees and determine gaps in services at identified hospitals, health care providers, and employers.

Develop and implement referral mechanisms for each participating referring partner.

Develop evaluation measures and evaluate effectiveness of the referral system.

MID-TERM OBJECTIVE: By December 31,2017, increase the percentage of Hendricks County residents who grow their own food from 12% to 14% as reported by the Physical Activity and Nutrition work group.

STRATEGIES:

Identify and map all community garden locations in Hendricks County.

Assist organizations who operate community gardens in developing marketing and messaging to increase participation in the gardens.

Identify locations in the county with limited land to use for gardens and provide at least one container/urban gardening class within those locations.

LONG-TERM OBJECTIVE: By December 31, 2017, assist 12 Hendricks County food establishments in identifying and marketing produce options and consumption as reported by Purdue Extension- Hendricks County. 

STRATEGIES:

Develop program outline and sample materials for identifying and marketing produce options at food establishments.

Identifying food establishments to participate in the program and conduct focus groups to determine effectiveness of program outline and materials in food establishments.

Assist food establishments in identifying produce options in their menus that adhere to the program requirements and implementing program materials.

Host a kick-off event featuring food establishments participating in the event to highlight their menu options.

Develop marketing and messaging samples to promote the program and food establishments using them to residents.


COMMUNITY RESOURCES

Hendricks Regional Health

Hendricks Regional offers multiple health education classes and seminars, health screenings, and family friendly community events.

IU Health West

IU Health West offers many types of health support groups and educational opportunities. Including areas such as grief support groups, cancer support groups, childbirth and breastfeeding education, diabetes education, and more. 

Hendricks Regional Health YMCA

Hendricks Regional Health YMCA is a great resource for finding physical activity classes and events that meet individual’s needs and abilities. Classes range from children’s swimming lessons to classes tailored to meet the needs of older adults. There are also free family events every month. 

Plainfield Recreation and Aquatic Center

Known for its Splash Island water park, kids love this interactive water park complete with slides, pool basketball, a lane pool, diving board, and more! Town residents receive a special discount.

Danville Athletic Club

Provides physical activity and recreation services. DAC provides fitness classes, open gym times, and an aquatic center.

Purdue Extension- Hendricks County 

Provides nutrition education and coordinates local food pantry coalition. 

Hendricks County Food Pantry Coalition

Facilitates collaboration among food pantries in Hendricks County to reduce food insecurity. 

Brownsburg Farmers Market

Provides vendor space for local farmers to sell fresh produce.

Danville Farmers Market

Provides vendor space for local farmers to sell fresh produce.

Pittsboro Farmers Market

Provides vendor space for local farmers to sell fresh produce.

Avon Farmers Market

Provides vendor space for local farmers to sell fresh produce.

Hendricks County Parks and Recreation

Provides trails and other outdoor facilities for physical activity. Here you can find more information about parks throughout the county, kids nature day camps, and free family programs.

Brownsburg Parks and Recreation

Provides fitness classes, trails, and other facilities for physical activity. More information about the different parks and events is available here. 

Danville Parks and Recreation

Provides trails and other outdoor facilities for physical activity.  Here you can find more information about parks throughout the county, kids events, and free family programs.

Avon Town Hall Park

The Avon Town Hall Park is located behind Avon Town Hall.  It features a lake for fishing, a playground, walking trails, and a disc golf course.

Plainfield Parks and Recreation

Provides trails and other outdoor facilities (including Splash Island water park)  for physical activity, along with hosting community events. 

Washington Township Park

This park boasts preserved wooded areas with 5 miles of trails, two playgrounds, a sand volleyball court, basketball court, an outdoor fitness station,  a splash padand more. 

Hummel Park

Hummel Park offers a variety of recreational venues, including basketball and volleyball courts, baseball and softball diamonds, a soccer field, disc golf course, as well as miles of nature trails perfect for walking. 

Hendricks County Senior Services 

Provides exercise equipment and fitness classes at the Hendricks County Senior Center. 

Vandalia Trail

Vandalia Trail has 17 miles of trails for hiking/biking across Hendricks County.

B&O Trail

B&O Trail offers walking and biking trails across Hendricks County. 


REFERENCES

1. Centers for Disease Control and Prevention. (2015). Adult obesity causes and consequences. Retrieved from http://www.cdc.gov/obesity /adult/causes.html

2. Hendricks County Health Partnership. (2015). 2015 Hendricks County community health assessment survey results: Microsoft Excel spreadsheet.

3.  Hendricks County Health Partnership. (2015). Public meetings and key informant interviews summary: Microsoft Word Document.

4.  Hendricks County Health Partnership. (2015). Public meetings and key informant interviews summary: Microsoft Word Document.

5. Community Commons. (2016). Community needs assessment health indicators report- physical environment: recreation and fitness facility access. Retrieved from
http://assessment.communitycommons.org/CHNA/report?page=3&id=408&reporttype=libraryCHNA.

6.County Health Rankings and Roadmaps. (2015). Physical inactivity: Indiana. Retrieved from
http://www.countyhealthrankings.org/app/indiana/2015/measure/factors/70/map.

7.County Health Rankings and Roadmaps. (2015).Adult obesity. Retrieved from
http://www.countyhealthrankings.org/app/indiana/2015/measure/factors/11/map.

8. Feeding America. (2015). Map of the meal gap 2015: overall food insecurity in Indiana by county in 2013. Retrieved from
http://feedingamerica.org/hunger-in-america/our-research/map-the-meal-gap/2013/IN_AllCounties_CDs_MMG_2013.pdf

9. Hendricks County Health Partnership. (2015). 2015 Hendricks County community health assessment survey results: Microsoft Excel spreadsheet.

10. Community Commons. (2016). Community health needs assessment indicators report- health behaviors: fruit/vegetable consumption. Retrieved from http://assessment.communitycommons.org/CHNA/report?page=5&id=301&reporttype=libraryCHNA.