children’s health a call to action your name your mafhk region insert date

Children’s Health A Call to Action

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What will you learn today?

• Health Trends• The Challenge• Action Needed

Healthy Students Better Learners!

The challenge before us…..

US Obesity Maps of Adults 1985 to 2003

US Obesity Maps of Adults 1985 to 2003

Definitions:• Obesity:

– having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher. For a 5’ 4” woman this means 30 lbs overweight.

• Body Mass Index (BMI): – a measure of an adult’s weight in relation

to his or her height, specifically the adult’s weight in kilograms divided by the square of his or her height in meters.Source: Centers for Disease Control

Definitions:• Obesity:

– having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher. For a 5’ 4” woman this means 30 lbs overweight.

• Body Mass Index (BMI): – a measure of an adult’s weight in relation

to his or her height, specifically the adult’s weight in kilograms divided by the square of his or her height in meters.Source: Centers for Disease Control

Obesity Trends* Among U.S. AdultsBRFSS, 1985

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

No Data <10% 10%–14%



No Data <10% 10%–14%



No Data <10% 10%–14% 15%–19%



No Data <10% 10%–14% 15%–19% 20%-24%


No Data <10% 10%–14% 15%–19% 20%–24% ≥25%


Source: Behavioral Risk Factor Surveillance System, CDC

(*BMI 30, or ~ 30 lbs overweight for 5’4” person)(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


No Data <10% 10%–14% 15%–19% 20%-24% 25%

No Data <10% 10%–14% 15%–19% 20%-24% 25%

Source: Behavioral Risk Factor Surveillance System, CDC

Obesity* Trends Among U.S. AdultsBRFSS, 2003

(*BMI 30, or about 30 lbs overweight for 5’4” person)

“Children are mirrors reflecting how we

[adults] live.”

Nicholas B. Drzal, MPH, RDNutrition Education Consultant

Michigan Department of Education

Health Effects of Overweight and Obesity

• Heart Disease• Stroke• Diabetes• Cancer• High Blood Pressure• Osteoporosis• Gallbladder disease• Sleep Apnea

Source: Centers for Disease ControlThe National Institute of Diabetes and Digestive Kidney Diseases (NIDDK)

Obesity…

• Is the second leading cause of preventable deaths in the U.S. (Tobacco related deaths rank #1)Source: www.cdc.gov

• Leads to13 times more deaths than

gunsSource: www.cspinet.org/nutritionpolicy/nutrition_policy.html

• Causes 20 times more deaths than drug use Source: www.cspinet.org/nutritionpolicy/nutrition_policy.html

http://www.cdc.gov/

http://www.cspinet.org/nutritionpolicy/nutrition_policy.html

http://www.cspinet.org/nutritionpolicy/nutrition_policy.html

The Economic Cost of Physical Inactivity in Michigan

• Over 4 million Michigan adults are physically inactive.

• Physical inactivity in Michigan adults cost almost $8.9 billion in 2002 or $1,175 for each Michigan adult.

• If current trends continue, costs associated with physical inactivity in Michigan will increase to over 12.65 billion in 2007-a 42% increase in only 5 years.

• The dollars spent on Medicaid for physical inactivity could fund a school nurse in every public middle and high school.

Source: Centers for Disease Control, 2000The Economic Cost of Physical Inactivity in Michigan, Michigan FitnessFoundation 2003

How did we get here?

Our Current Lifestyle

Portion Distortion

Technology Replacing

Physical Activity

Cost StructureCheap

High Calorie Foods

Examples of Portion Distortion

Over the last 20 years watch how portion sizes have grown.

Bagels

1980Bagel

3 in.-Diameter140 calories

2004Bagel

6 in.-Diameter

350 calories

Burgers

1980 2004

333 Calories 590 Calories

Spaghetti

1980 2004

3 Small Meatballs500 Calories

3 Large Meatballs

1025 Calories

Soda

19802004

6.5 Oz85 Calories

20 Oz250 Calories

Fries

1980 2004

2.4 Oz210 Calories

6.9 Oz610 Calories

What Students Eat

• Snack calories are increasing Source: http://www.obesityresearch.org/cgi/content/full/10/5/370

• Kids who drink soft drinks consume more calories than kids who don’t drink soft drinksSource: http://www.obesityresearch.org/cgi/content/full/10/5/370

• Only 1 in 5 Michigan high school students ate 5 servings of fruits/veggies per day Source: http://www.emc.cmich.edu/YRBS/2003/03WtNutritionFact.pdf.pdf

• Only 1 in 6 Michigan high school students drank 3 glasses of milk daily (females less likely than males) Source: http://www.emc.cmich.edu/YRBS/2003/03WtNutritionFact.pdf.pdf

What Students Do

• Nearly half of 12 to 21-year olds do not engage in vigorous physical activity on a regular basis Source: www.mediafamily.org/facts/facts_tvandobchild

• Daily participation in physical education class dropped from 42% in 1991 to 27% in 1997 Source: www.mediafamily.org/facts/facts_tvandobchild

• 43% of adolescents watch more than 2 hours of TV each day. Source: The Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity

Overweight, Obesity and Television

• Studies show the highest rate of overweight and obesity in children who watch 4 or more hours of television a day. (2001)

• Overweight and obesity rates are the lowest among children watching an hour or less a day. (2001)

• 60% of overweight incidents can be linked to excessive television viewing. (2003)

Source: www.mediafamily.org/facts/facts_tvandobchild

More Children are Overweight(Obese = at or above 95th percentile BMI for age)

0

3

6

9

12

15

18

1963-65

1971-74

1976-80

1988-94

1999-2000

6-11yearolds

12-19yearolds

Source: Ogden C, Flegal K, Carroll M, Johnson C. “Prevalence and Trends in Overweight Among U.S. Children and Adolescents, 1999-20000. “ Journal of the American Medical Association 2002 Vol. 288, no.14, pp.1728-1732

Per

cent

age

The Impact on Children’s

Physical Health

• Type 2 diabetes• Cardiovascular disease risks• Orthopedic problems

Source: Institute of Medicine of the National Academies, Preventing Childhood Obesity: Health in the Balance. 2005 Fact Sheet. Preventing Childhood Obesity: Facts and Figures (http://www.iom.edu/view.asp?id=22606)

http://www.iom.edu/view.asp?id=22606


The Impact on Children’s Emotional Health

• Low self-esteem• Negative body image• Depression• Size discrimination

Source: Institute of Medicine of the National Academies, Preventing Childhood Obesity: Health in the Balance. 2005 Fact Sheet. Preventing Childhood Obesity: Facts and Figures http://www.iom.edu/view.asp?id=22606)



Call To Action: What Schools Can Do

1. Create a Coordinated School Health • Team (CSHT)

2. Conduct a free assessment: Healthy School Action Tool (HSAT) Source: www.mihealthtools.org/schools

3. Develop and Implement Action Plan – Policy and Environment changes

http://www.mihealthtools.org/schools

http://www.mihealthtools.org/schools

Call To Action: What Schools Can Do Continued

• Adopt the Michigan State Board Of Education Policies– Policy on Coordinated School Health Programs to

Support Academic Achievement and Healthy Schools, adopted September 25, 2003.

– Policy on Offering Healthy Food and Beverages In Venues Outside of the Federally Regulated Child Nutrition Programs, adopted December 18, 2003.

– Policy on Quality Physical Education, adopted September 25, 2003.

Source:www.michigan.gov/mde go to State Board of Education, select Policies.

http://www.michigan.gov/mde

Call to Action: What Schools Can Do Continued

• Utilize the “Tips and Tools To Help Implement Michigan’s Healthy Food and Beverages Policy.” Source: www.actionforhealthykids.org and click on “Tools for Action,” then “State Team Recommended Tools Database,” user name: MIAFHK, password: MIAFHK#1

• Join MichiganTeam Nutrition Source: http://www.tn.fcs.msue.msu.edu/

• Address Physical Education hours and curriculum used. Consider using Exemplary Physical Education Curriculum (EPEC).Source: http://www.michiganfitness.org/EPEC/default.htm

• Participate in Farm to School Initiatives. Source: Page 23 of the “Tips and Tools” resource listed in the first bullet.

http://www.actionforhealthykids.org/

http://www.tn.fcs.msue.msu.edu/

http://www.michiganfitness.org/EPEC/default.htm

Local Success Stories

"Our Health Team helped our school begin the process of a more healthy student body." We may have only taken the beginning steps, but we see progress as well as the rest of the staff and the student body.“

"As an educational institution we cannot ignore the growing concern in our country related to the health of our youth. Our Nutrition Team at NBC not only examined our needs, but took steps to address the problem locally.“

Gary Beaudoin, Principal Nellie B. Chisholm Middle

SchoolMontague, MI

Local Success Stories Continued

• Breakfast sales increased in one school after a school-wide breakfast promotion. One year after the promotion, breakfast numbers continue to improve.

• Two high schools have limited the hours that vending machines are operational.

• Gender-separate physical education and health classes now optional at one local high school to encourage lifetime fitness skills.

• Water, 100% fruit juice and milk machines installed at local schools.

• Building practice requires one school to use store bought or professionally catered food for school functions to ensure food safety.

• The importance of mealtime has been emphasized to students at one school by adding a third lunch period. Now students spend less time waiting in line and more time enjoying their meal.

• One school adopted a building practice that encourages healthy food options to students and staff in venues outside of the School Meal Program, such as non-food fundraisers and non-food classroom rewards.

Remember Healthy Students Perform Better

Academically• Increased alertness and concentration.• Reduced disruptive behavior.• Critical link between movement and

attention /memory.• Improved self esteem.• Less absenteeism.• Improved mood levels.• Increase in energy levels.• The Learning Connection: The Value of

Improving Nutrition and Physical Activity in Our Schools. Source: www.ActionForHealthyKids.org

http://www.actionforhealthykids.org/

Take Action!

Healthy kids make better students. Better students

make healthy communities.

children’s health a call to action your name your mafhk region insert date

Documents

body mass index bmi

lean body mass

body fat

adults weight

adults brfss

date slide

disease control slide

us obesity maps of adults