vif program : shifting from childhood obesity prevention to … · monique romon . history . nord...
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VIF program :
Shifting from childhood obesity
prevention to sustainable
and healthy life style for everybody
in community based interventions.
Monique Romon
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History
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Nord Pas de Calais
Lille
Fleurbaix Laventie
Fleurbaix : 2 222 inhabitants
Laventie : 4 444 inhabitants
Paris
FLVS: Fleurbaix Laventie Ville Santé
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Three successives studies
FLVS I (1992-1997) :
evaluate the effects of a school-based nutrition education
program on eating habits of the whole family.
Obesity was not targeted!
FLVS II (1997-2002)4,12:
a longitudinal observational study on the determinants of
weight changes
FLVS III(2002-2007)
screening and coaching at risk individuals
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Accompanying these studies: progressive involvement of the whole community
Town council: • Supporting actions fostering physical activity
• Financing new equipment for sports
• Appointing sports educators to promote physical activity in primary schools
Health and sports professionals trained and informed: • GPs trained to manage pathologies related to nutrition
(diabetes, obesity, CVD…)
• Related information passed on to pharmacists, nurses, physical activity educators, sports associations leaders, school catering managers, …
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12 years later no increase in the prevalence of childhood obesity
compared to control town
16.3
+/- 0.2
16.3
+/- 0.1
FLVS
CT
1992 2004 Years
15
20
BMI (kg/m2)
15.9
+/- 0.1
+/- 0.1
16.6
P<0.001 / FLVS 2004
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3 lessons were learned
The key role of local political and the requirement of a local management
The need of a coordinating capacity
It takes time both to mobilize stake holders at different levels and to observe an effect
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2005: EPODE (Ensemble Prevenons l’obesité des enfants)
A community-based intervention approach prompting a lifestyle change at the local level:
A methodology dedicated to the development of a local strategy for a sustainable involvement of local stakeholders
– Regularly enriched by field experience and good practices sharing
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Theoretical frame work of the
program
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2011: VIF (Vivons en Forme)
VIF Program derives from EPODE a large-scale capacity building
approach for communities
to implement effective and sustainable strategies to prevent
childhood obesity.
To increase fitness in the whole population
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Scientific expertise
Public private partnership
Regular communication
Central coordination team
Formation
Evaluation social marketing
Local Political commitment
5 Pillars
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Contract between the town and
central organisation (NGO)
At the local level the town appoints a local project manager
He assembles and steers a local organisation team
He is responsible for the advocacy of the program.
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National Organisation provides tools
For communication
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National Organisation provides tools
For evaluation
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National organisation provides training
»
For local project managers
Evaluation
M anagement of projects
»
For local stake holders
Social actors
School kitchen staff:
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250 towns
3,8 millions people
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« Vivons en Forme »
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Results
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On obesity prevalence
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unemployment year age
11,5% 2005 à 2015 5 years
Meyzieu
• Méthodologie
• Résultats
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unemployment years age
11,8% (en 2011) 2008 à 2015 7-9
Saint Andre
• Résultats
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On community capacity
building
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Increasing empowerment of local
project manager
There is a positive synergy between healthy behaviour and
sustainable behaviour.
It is less stigmatizing to communicate about sustainability.
It is crucial to sensitize young people to sustainability
And increasing concern about
food sustainability
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Action on local environment
School meals (Saint André)
Use of local food
Fight again wasting
On line booking of meals
Convention with NGO for quick distribution of non
eaten meals
Nurseries ((Narbonne)
30% fruit and vegetable from local producers
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Action on behaviour: sensitization to
food wasting Posters and leaflets
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information
Entertaining interactive conferences Thematic school classes
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Thank to coordinating team
Gaelle Boulic
Raphaelle Chailloux
Agnes Lommez
Christophe Roy
And to all local project managers