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2009 <strong>CityMatCH</strong> Urban MCH Leadership <strong>Conference</strong>Step Up To Health: Health education and physical activity for "tweens" at risk fordiabetes and future poor birth outcomesPRIMARY CONTACT:Kimberlee Wyche-E<strong>the</strong>ridge, MD,MPHDirector Family Youth and Infant HealthMetro Nashville/Davidson County PublicHealth Department311 23rd Avenue NorthNashville, TN, 37203Phone: (615) 340-5614Fax: (615) 340-2195Email: kimberlee.wyche@nashville.govCATEGORYAdolescent health / pregnancy preventionRacial and ethnic health disparitiesFOCUSProgram Policy FocusCO-PRESENTER(S)/AUTHOR(S):Warren Isenhour,warren.isenhour@nashville.gov (Author)Jamila Walker, jwalker@fisk.edu (Presenter)Keith Belton, rkbelton1@aol.com (Author)Henderson Kelly, henderson.kelly@metro.gov(Author)ISSUEAfrican American youth are at increasing risks for chronic diseases based on staggering obesity data.Younger and younger school-aged children are being diagnosed with Type II Diabetes, Hypertension ando<strong>the</strong>r chronic conditions that can be linked to weight issues during puberty.SETTINGThis innovative program takes place in 15 community centers dispersed around <strong>the</strong> county in high riskurban areas. The target participants are youth between eight and fourteen years-of-age who have a familyhistory of diabetes, or who live in an area with a known disparity in obesity, diabetes or in lifeexpectancy.PROJECTThis program brings toge<strong>the</strong>r local government, academic institutions, and private not-for-profitorganizations to address <strong>the</strong> health and wellness of <strong>the</strong> community’s youth.Each community center recruits <strong>from</strong> its client’s 15-20 youth who are interested in taking part in <strong>the</strong> StepUp program. Once recruitment is completed a Step Coach who usually is a student at a local college wi<strong>the</strong>xperience in Step dancing, is assigned to <strong>the</strong> team. Teams practice three to four times a week for at least45 minutes. This provides a source of vigorous aerobic activity. Prior to each practice <strong>the</strong> students have ahealth information “rap” session organized and executed by student health ambassadors. Subjects that arecovered range <strong>from</strong> nutrition, tobacco, staying healthy, risky behavior, bullying, etc. Each participantreceives a complete health and fitness assessment, health knowledge and habit assessment and is requiredto have a complete medical physical prior to joining. Students must also maintain good academic standing119

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