Regular physical activity promotes good health and well-being. Yet, about 80 percent of American adults do not meet the minimum recommended levels for cardiovascular activity and strength training needed to support optimal health and prevent the risk of chronic diseases.
3 WINS Fitness seeks to improve community health by increasing people’s physical activity levels. Launched in 2011 as 100 Citizens by California State University, Northridge’s (CSUN) Department of Kinesiology in partnership with Recreation Park in San Fernando, CA, 3 WINS Fitness offers a tailored and comprehensive free exercise intervention that is sustainable and replicable through its delivery by university kinesiology students. Programs are provided at public parks, faith-based institutions, and public schools, and currently they operate at six sites across Los Angeles County serving over 300 participants.
In 2013 the White House recognized and gave an award to the program through First Lady Michelle Obama’s “Let’s Move!” campaign. Since then, the program has scaled to three other universities within the California State University system.
Their program’s “3 WINS” reflects their social impact priorities: community health, participant fitness, and student professional development.
WIN 1: Community Health
Access and affordability to safe places to engage in physical activity promotes optimal community health. However, many low-income communities do not have affordable access to safe places for physical activity, and thus have a disproportionate burden of disease compared to wealthier communities.
Steven Loy, Ph.D., professor of kinesiology at CSUN and founder/faculty advisor for 3 WINS Fitness says the program focuses on those underserved communities which are at high risk for diabetes, cardiovascular disease, obesity and other chronic diseases related to physical inactivity.
“Having a program in their neighborhood park, school, and church where they can easily walk to and exercise, especially where there are no other physical activity programs is important,” said Loy. “We are holding it in communities that county public health has identified as areas where health inequities exist, and we are helping to address the social determinants of health by improving the physical activity conditions of those communities.”
Loy says through their research with RAND Corporation and the data they have collected, they observed a greater use of park facilities with the introduction of structured physical activity, in particular for the senior population reflecting a sense of safety and community among themselves and their students.
WIN 2: Participant Health
3 WINS Fitness provides participants with a dynamic 60-minute exercise routine three times per week for adults of all ages and fitness abilities, including a falls prevention group, and free diabetes prevention program modified from the National Diabetes Prevention Program.
Loy noted, “participants who attend the three classes per week exceed the minimum recommended levels for cardiovascular activity and strength training cited in the 2018 Physical Activity Guidelines. Throughout the years, our 3 WINS Fitness participants have had many success stories.”
“Doctors said I would need surgery for a back injury, I was in constant pain, I couldn’t even lift my arms to brush my hair” said 3 WINS participant of two years Balvina Nuño. “Since joining 3 WINS, the injury has healed without surgery. I can now lift my arms over my head, and I have lost 30 pounds! I am thankful to God and the instructors for giving me my life back.”
Other participants of the program have also reported improved health.
“I started 3 WINS Fitness last summer and have lost over 40 pounds,” said Andrea Veronica. “I am diabetic and was required to inject insulin 6 times a day. Because of this program, today I am no longer required to inject myself or take any medication. I am happy and feel more energetic than ever!”
“I started this program in October 2017 as a pre-diabetic,” added Candy Lopez. “I have lost 24 pounds, and I feel happier and have more energy. I love coming here because the participants and instructors create such a strong family-like community that I feel motivated to come workout every time.”
WIN 3: Student Professional Development
The kinesiology students involved in the program include both undergraduate and graduate students trained and educated in exercise and human movement. For them, 3 WINS Fitness is an opportunity to apply their education, gain job-related experience, and grow in leadership skills and self-empowerment.
“Noting the constant changes happening in health care reform, I realized what we are doing through 3 WINS Fitness is so special and is soon, if not already, to become the face of preventative health care methods that is efficient, cost-effective, and helps not only me as a healthcare provider, but most importantly, the individuals in the communities around us attain their best level of health and fitness,” said Angelica Alberto, a former 3 WINS Fitness student volunteer who is now pursuing a Doctor of Physical Therapy and Master of Public Health dual degree at Northwestern University.
Loy says it is also an opportunity to show communities what those educated in kinesiology can do for public health.
“We have found that there are few opportunities created for kinesiology and public health to work together. We are trying to change that with upstream solutions to the ideas promoted by Public Health 3.0,” said Loy. “We have recruited students to create an ongoing army of individuals trained in physical activity who are pursuing additional public health education opportunities, and, are motivated and enthusiastic to deliver programming that reaches the whole community to improve health.”
Where is the Program Going?
3 WINS Fitness participants receive exercise programming from 3 WINS Fitness kinesiology students during a 3 WINS
Fitness Summit held in April 2018.
Throughout 3 WINS Fitness’ journey, partnerships have been critical. The program has teamed with public and private sector partnerships with parks and recreation, public health, universities and research institutions, hospitals, and health and fitness organizations to sustain, scale, and provide accessible physical activity programming to communities.
One of those partners is the American Council on Exercise (ACE). Cedric Bryant, Ph.D., ACE President and Chief Science Officer says “ACE’s partnership with 3 WINS Fitness helps us fulfill our mission to get people moving, regardless of age, gender, race, or socioeconomic background.”
In the spring of 2018, ACE partnered with 3 WIN Fitness to hold a Summit to demonstrate the program to stakeholders. One of the attendees included Loretta DiPietro, Ph.D., professor of exercise and nutrition sciences at the Milken Institute School of Public Health at George Washington University in Washington, D.C. She was also a committee member of the 2018 Physical Activity Guidelines Advisory Committee which reviewed the scientific evidence and prepared a report about physical activity and health for the second edition of the Physical Activity Guidelines for Americans.
She said, “I’ve been waiting my entire public health career to see the science of exercise and physical activity translated and scaled up to the community level so elegantly and effectively. The cultural wave of change in how communities adopt an active lifestyle begins now with 3WINS Fitness!”
According to a study done by the Centers for Disease Control and Prevention, 11.1 percent in total health care expenditures were associated with inadequate levels of physical activity. However, if programs were in place to help adults meet current guidelines for physical activity, the country could avert up to an estimated $117 billion in preventable health care spending.
Loy said 3 WINS Fitness is part of that solution, and their next goal is to scale 3 WINS Fitness through universities across the country by training staff to develop and sustain their own program specific to their community.
“There are over 700 universities with kinesiology programs,” said Loy. “Our experience in replicating our program, as well as scaling it to other universities has identified the challenges existing for collaboration among public health, kinesiology, parks and recreation, and faith-based organizations, but it has also been an 8-year demonstration that an affordable sustainable solution is possible if we work together. The university kinesiology model can drive community wide disease prevention programs which can be customized for the needs of the community.”
*3 WINS Fitness Banner Photo Credit: Carmen Anthony