Every month in 2012, the US Department of Health and Human Services is focusing on high-priority health issues, and actions that can be taken to address them. The monthly series, entitled Who's Leading the Leading Health Indicators?, highlights a success story from an organization that has made significant progress toward addressing the featured health topic. This month, we're focusing on Healthy People's Nutrition, Physical Activity, and Obesity topic area.

Most Americans do not eat a healthful diet and are not as physically active as they should be. As a result, the Nation has experienced a dramatic increase in obesity. Today, approximately 1 in 3 adults (34.0%) and 1 in 6 children and adolescents (16.2%) are obese. Obesity-related conditions include heart disease, stroke, and type 2 diabetes, which are among the leading causes of death.

About the Leading Health Indicators (LHIs)

Healthy People 2020 provides a comprehensive set of 10-year, national goals and objectives for improving the health of all Americans. Healthy People 2020 contains 42 topic areas with nearly 600 objectives (with others still evolving), which encompass 1,200 measures.

In fall of 2011, the US Department of Health and Human Services launched the Healthy People 2020 Leading Health Indicators (LHIs). The LHIs are a smaller set of Healthy People 2020 objectives, and will be used to assess the health of the Nation, facilitate collaboration across sectors, and motivate action at the national, state, and community levels to improve the health of the U.S. population.

Save the Date!

The LHI Webinar on Nutrition, Physical Activity, and Obesity will be held on May 29, from 12:00-12:45 EDT. We will be answering questions via the Webinar chat feature and through Twitter (@gohealthypeople). Register now to reserve your spot.

How are you leading the leading health indicators on nutrition, physical activity and obesity? We would love to hear your stories and comments. Share them below, or follow the #LHI hashtag on Twitter to connect with your peers who are talking about this critical health topic.

What’s creative about walking? If you are Aegis Therapies, a leading provider of contract rehabilitation and wellness services in the United States, the answer is everything.

One of the company’s recent innovations, WALK! with Aegis Therapies, has garnered nationwide attention as more than 50,000 participants collectively walked about 100,000 miles by the end of the company’s weeklong celebration of health and wellness, held September 20–24, in 2010.

How did Aegis accomplish these numbers, especially given the fact that their first Walk Your Ageis event took place in 2009?

First off, the events are hosted at 582 client locations across the US, including independent living communities, assisted living centers, continuing care retirement communities, skilled nursing facilities, and other locations.

Everyone participating in WALK! with Aegis Therapies receives an activity card for the week. Attendees walk 15–30 minutes on each of the five days. They also listen to upbeat songs on CDs narrated by health and fitness expert Chris Freytag, which are custom-made for these activities. In addition to daily walking, the program features other activities designed to encourage active aging and wellness and highlight different dimensions of wellness. These events are structured to remind participants of the importance of nourishing their emotional and intellectual health, in addition to maintaining their physical well-being.

Each participant’s activity card is stamped to mark days they complete both the daily walking exercise and the wellness activity planned for the day. Participating sites calculate miles walked daily by participants at each location, and Aegis staff tally the total miles walked at locations across the nation. Aegis also track contributions of participants who are in wheelchairs or otherwise unable to walk, as they engage in other physical activities.

In addition to walking, each day of WALK! with Aegis Therapies incorporates another dimension of wellness as follows:

Monday: intellectual wellness
Creative and stimulating mental activities include trivia questions about America and brain teasers.

Tuesday: emotional wellness
Activities encourage participants to stay positive, connect with others, and remain physically active. Attendees write thank-you or caring notes to friends, loved ones or caregivers; alternatively, they may engage in another activity that promotes positive thinking.

Wednesday: spiritual wellness
A 15-minute guided meditation segment encourages participants to merge the physical realm of wellness with the spiritual.

Thursday: occupational wellness
Participants engage each other in a game that involves going through the alphabet and listing as many occupations as they can for each letter.

Friday: social wellness
Activities promote social wellness and the importance of socializing with others. Socializing involves using good communications skills, having meaningful relationships, respecting yourself and others, and creating a support system that includes family, friends and caregivers.

Summary

Ultimately, WALK! with Aegis Therapies helps to spread the word about the importance of getting—and staying—healthy, and that participants use the program as a springboard to a happier and healthier life.

What are you doing to turn basic ideas into creative programming?

The American Physical Therapy Association Section on Geriatrics held a 3-day conference in July 2010 on the campus of the University of Indianapolis to promote the application of research on benefits of exercise for older adults into clinical practice. Both the content format and the unique meeting planning create a model that may be useful to other organizations planning an education offering on the value of physical activity.

The conference, Exercise and Physical Activity in Aging Conference (ExPAAC): Blending Research and Practice, was hosted by the University of Indianapolis Center for Aging & Community and Krannert School of Physical Therapy, and drew 350 participants. Presentation topics included the effects of PA and exercise on health and aging, how to affect behavioral change, and evidence-based prescription for older adults. Our goals for the conference were to: 1) make available current research about PA and exercise from middle through older adulthood; 2) translate research into evidence based practice; 3) identify barriers to translation of research into evidence based practice; 4) promote best practices in physical therapist practice; and 5) evaluate public policies that influence the capacity of physical therapists to provide services. Speakers included national and international researchers Jack Guralnik, MD, PhD, MPH; Pamela Duncan, PT, PhD, FAPTA, FAHA; Alexandre Kalache, MSc, MD, PhD, FRCPH; James Rimmer, PhD; Thomas Prochaska, PhD; Barbara Resnik, PhD, RN, CRNP, FAAN, FAANP; and Luigi Ferrucci, MD, PhD.

Session topics included national and international physical activity initiatives, effects of physical activity and exercise on components of health and aging, determinants of behavior change, and evidence based practice exercise for optimizing function. We also held an evening poster presentation session to highlight case reports, research studies, special interest reports, and theory reports. Some participants wished to attend ExPAAC but felt they needed a review in geriatrics, so we offered a one-day pre-conference course that enabled these participants to maximize their experience. The closing keynote speech was delivered by Dr. James Canton, PhD, renowned author and advisor from the Institute for Global Futures.

Holding the conference at the university allowed us to have many great opportunities for networking and discussion - both formal and informal - at mealtimes in the campus cafeteria, during breaks on the outdoor commons, and at several special social events planned for conference attendees. Attendees stayed in the nearby Holiday Inn or in the dormitories on campus, which had the advantages of lower hotel and meeting site costs. An additional benefit was that conference participants were invited to attend exercise classes and to use campus recreational facilities during their free time.

For those who were unable to attend ExPAAC, we made sure that all of the sessions could be purchased through the APTA Learning Center at (click on "Courses" and search for ExPAAC). The PowerPoint presentations and the commentary of the experts during their ExPAAC presentations were included. Each session features multiple choice question examinations for the purposes of CEU credit.

Because of ExPAAC's overwhelming success, the Section on Geriatrics is considering an "ExPAAC II" in the next 5-10 years. We hope that a model such as ours will be as successful for you as it was for us...

Written by guest bloggers: Ellen Milner, PT, PhD; David M. Morris, PT, PhD