Fit, Healthy, and Ready to Learn:

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Fit, Healthy, and Ready to Learn

• Maximizing student performance through after
  school physical activity and nutrition programs

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Today Lets Talk About

• Overweight Obesity
• Role of Schools in Obesity Prevention
• After School Opportunities
• Physical Activity in CCLCs
• Evidence Based Programs
• Resources for PA in After School

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Obesity Trends Among U.S. AdultsBRFSS, 1991,
1996, 2003
(BMI ?30, or about 30 lbs overweight for 54
person)
1996
2003
No Data lt10 1014
1519 2024 25
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Obesity Trends Among U.S. AdultsBRFSS, 2005
(BMI 30, or 30 lbs overweight for 5 4
person)
No Data lt10 1014
1519 2024
2529 30
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Percentage of Overweight U.S. Children and
Adolescents is Soaring
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Minorities Disproportionately Affected

• Prevalence increases with age and is higher in
  racial-ethnic minorities than in non-Hispanic
  whites. For example, Mexican American children
  are significantly more overweight (23.7) than
  non-Hispanic white children (11.8) beginning at
  age 6.

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Alaskan High School Students Who Are Overweight
or At-Risk for Becoming Overweight
Source YRBS 2003
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BMI Status of Kindergarten and First Grade
Students Anchorage School District 1998-2003
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Overweight and Obesity Youth Health
Consequences
Increased risk of obesity as an adult High blood
pressure High cholesterol Orthopedic
disorders Type 2 Diabetes Asthma Sleep
Apnea Psychological/Social Issues
Mokdad AH, Marks JS, Stroup DF, Gerberding JL.
Actual Causes of Death in the United States,
2000. JAMA . 2004291(10)1238-1245.
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• Why the concern?

The obesity epidemic threatens to make this
generation of American children the first to have
a shorter life span than their parents Source
Ohshansky, SJ, et al. A Potential Decline in
Life Expectancy in the United States in the 21st
Century. New England Journal Of Medicine 2005
35211.
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What Causes Obesity?

• Obesity is a result of many factors (genetic,
  personal, environmental)
• Comes down to caloric intake vs. expenditure

If we could give every individual the right
amount of nourishment and exercise, not too
little and not too much, we would have found the
safest way to health. - Hippocrates -
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Physical Activity Recommendations for Youth

• At least 60 minutes of moderate intensity
  physical activity most days of the week,
  preferably daily.1
• Note This recommendation is for overall health
  not weight loss. Both increased activity and
  decreased caloric intake over a period of several
  months will be necessary for significant weight
  loss.

Dietary Guidelines for Americans 2005.
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Working Together for a Healthier Alaska
Health System
School System
Media
Healthy Children
Parents/Family
Community Programs
Businesses Worksites
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Activity-Friendly Schools

• Walk/bike to school programs
• Physical education
• Recess (elementary)
• Active learning
• PA breaks
• Intramural sport programs
• Physical activity clubs
• Interscholastic sports
• Staff wellness programs
• Active after-school care programs

Schools should ensure that all children and
youth participate in a minimum of 30 minutes
of moderate to vigorous physical activity during
the school day. Institute of Medicine, 2005
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Physical Education Alone Isnt Enough!

• The National Institute of Child Health and Human
  Development (NICHD) Study of Early Child Care and
  Youth Development (2003)found
• On average, children had 2.1 PE classes per week,
  totaling 68.7 minutes
• Only 5.9 percent of the children had PE five
  times a week
• For each class, students engaged in only about
  4.8 minutes of vigorous physical activity, and
  11.9 minutes of moderate to vigorous physical
  activity.

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Gaps in After School Opportunities

• School sports teams limit participation
• Intramurals are under-funded staffed
• Community sports programs may be costly
• Safety issues limit free outdoor play at home

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After-School

• Nearly two-thirds of school-aged children and
  adolescents live with a single employed parent or
  two employed parents.
• A survey of children aged 9-13 years and their
  parents found that 61 percent of children do not
  participate in any organized physical activity
  during after-school.
• 23 percent do not engage in free-time physical
  activity during those hours.
• What are kids doing?

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Physical Activity (PA) in After-School Care
Settings
In their 2000 report to the President,
Promoting Better Health for Young People Through
Physical Activity and Sports, the Secretary of
Health and Human Services and the Secretary of
Education identified schools and after school
programs as key providers of opportunities for
youth to be physically active.

• Accumulate PA minutes
• Facilitate learning
• Teach social skills
• Provide non-traditional activity opportunities
• Minimize inactivity and excess caloric intake
• Provide a safe, cost-efficient place for after
  school activities

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Physical Activity and CCLCS

• For what activities may a grantee use 21st CCLC
  program funds?
• Before- and after-school activities that advance
  student achievement.
• Remedial education activities and academic
  enrichment learning programs, including providing
  additional assistance to students to allow the
  students to improve their academic achievement
• Mathematics and science education activities
• Arts and music education activities
• Entrepreneurial education programs
• Tutoring services (including those provided by
  senior citizen volunteers) and mentoring
  programs
• Programs that provide after-school activities for
  limited English proficient students that
  emphasize language skills and academic
  achievement
• Recreational activities
• Telecommunications and technology education
  programs

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CCLC Flexibility

• CCLCs have a rare opportunity to
• Offer non-traditional physical activities catered
  to student interest
• Offer a wide variety of activities
• Offer options beyond competitive sports
• Include families
• Provide safe activity during summer and holiday
  breaks.

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Evidence-Based Programs

• SPARK After-School
• (www.sparkpe.org/programAfterSchool.jsp)
• CATCH Kids Club
• (www.sph.uth.tmc.edu/chppr/catch/KidsClub.htm)
• Deal Me InFood and Fitness (Free)
• (www.dairycouncilofca.org/edu/edu_prog_dmi.htm)
• Healthy Start
• (www.healthy-start.com)

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After School Pre-Packaged Programs

• Sports4Kids After-School Program (Free)
• (http//www.sports4kids.org/PDFs/ASP.PDF)
• The Power of Choice Helping Youth Make Healthy
  Eating and Fitness Decisions A Leaders Guide
  (Free)
• (http//www.fns.usda.gov/tn/Resources/power_of_ch
  oice.html)
• ReCHARGE (225 or grant)
• (http//www.actionforhealthykids.org/special_afte
  r.php)
• Smart Start (310)
• www.nays.org
• We Can! Energize our Community Curriculum for
  Parents and Caregivers
• http//www.nhlbi.nih.gov/health/public/heart/obes
  ity/wecan_mats/parent_curr.pdf
• (Free)

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Recreation Ideas

• Dance Clubs Dances
• Walking Clubs Contests
• Summer Camps
• Morning Fitness
• Native Dance
• Family Fitness Challenges
• Swimming/Water Safety
• Outdoor Education/Survival

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Physical Activity Partners

• Parks and Recreation Departments
• City Governments
• State and Federal Agencies
• Local or State Non-Profits
• Native Health Corporations
• Local Schools/Universities
• Private Business (Fitness Clubs, etc.)

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Other Resources

• Building a Quality Girls Sports Program
• http//www.sports4kids.org/gifs/girlssports.pdf
• Running/Power Walking Club
• www.sports4kids.org/PDFs/FitKidClubs.PDF
• Guidelines for After-School Physical Activity
• and Intramural Sports Programs
• www.aahperd.org/naspe/pdf_files/pos_papers/intramu
  ral_guidelines.pdf

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Thank You!

• Contact me anytime about physical activity
• Russ_Stevens_at_health.state.ak.us
• 465-8541
• www.epi.hss.state.ak.us/cd/obesity.htm