Indiana

1
Improving the Health of the School Environment

• Indiana

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Obesity Trends Among U.S. AdultsBRFSS, 1985
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
3
Obesity Trends Among U.S. AdultsBRFSS, 1986
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
4
Obesity Trends Among U.S. AdultsBRFSS, 1987
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
5
Obesity Trends Among U.S. AdultsBRFSS, 1988
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
6
Obesity Trends Among U.S. AdultsBRFSS, 1989
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
7
Obesity Trends Among U.S. AdultsBRFSS, 1990
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
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Obesity Trends Among U.S. AdultsBRFSS, 1991
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
9
Obesity Trends Among U.S. AdultsBRFSS, 1992
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
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Obesity Trends Among U.S. AdultsBRFSS, 1993
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
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Obesity Trends Among U.S. AdultsBRFSS, 1994
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
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Obesity Trends Among U.S. AdultsBRFSS, 1995
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
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Obesity Trends Among U.S. AdultsBRFSS, 1996
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
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Obesity Trends Among U.S. AdultsBRFSS, 1997
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
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Obesity Trends Among U.S. AdultsBRFSS, 1998
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
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Obesity Trends Among U.S. AdultsBRFSS, 1999
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
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Obesity Trends Among U.S. AdultsBRFSS, 2000
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
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Obesity Trends Among U.S. AdultsBRFSS, 2001
(BMI 30, or 30 lbs overweight for 5 4
person)
Source Behavioral Risk Factor Surveillance System
No Data lt10 1014 1519
2024 25
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Obesity Trends Among U.S. AdultsBRFSS, 2002
(BMI 30, or 30 lbs overweight for 5 4
person)
(BMI ?30, or 30 lbs overweight for 54 person)
No Data lt10 1014 1519
2024 25
20
Obesity Trends Among U.S. AdultsBRFSS, 2003
(BMI 30, or 30 lbs overweight for 5 4
person)
No Data lt10 1014 1519
2024 25
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Childhood Overweight/Obesity

• Obesity/overweight is considered a national
  epidemic
• In the last two decades, there has been a
  threefold increase in overweight children and
  teens
• Childrens increasingly sedentary lifestyles and
  poor food choices compound the problem

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Childhood Overweight/Obesity
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Why should schools be concerned?

• Poor nutrition and inadequate physical activity
  leads to health learning problems
• Costs due to the obesity epidemic
• Obligation to identify and provide outreach
• Opportunity and revenue cost due to missed school
  days
• Nutrition and physical activity is linked to
  achievement, attendance, behavior

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What can schools do?

• Establish comprehensive nutrition policies
• Address food and beverage contracts
• Make more healthful choices available
• Limit access to competitive foods
• Fund-raising tactics examined
• Become informedhear from experts, gather local
  data from parents and students
• Create a school health council

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What can schools do?

• Establish comprehensive physical
  education/activity policies
• Provide recess opportunities for all grades
  during each school day
• Provide physical education opportunities for all
  grades each week
• Provide before/after school activities
• Develop a marketing plan to promote health and
  wellness within your school
• Join the Indiana Action for Healthy Kids team

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Nutrition Policies

• Small steps lead to great gains!

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Food and Beverage Policies

• Competitive foods any food that competes with
  the NSLP
• Most choices are low in nutrition and high in
  calories
• Interferes with any potential profits earned
  through the NSLP
• Effects consumption of healthier foods
• Increases stigma of NSLP

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Offering Healthier Options

• Increased support from parents and teachers
• Improved achievement, attendance, behavior
• Being part of the solution, shaping healthful
  behaviors
• Bringing in additional revenue without being a
  detriment to students health

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Making Changes

• Develop more strict nutrition guidelines and
  policies for vending that are consistent with the
  Dietary Guidelines for Americans
• Provide food options that are low in fat,
  calories, and added sugars, such as fruits,
  vegetables, whole grains, and low-fat or nonfat
  dairy foods

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Making Changes

• Improve fund-raising choices
• Create healthy vending selections
• Teach nutrition education to students that is
  interactive and teaches them skills they need to
  adopt healthy eating habits
• Eliminate the sale of competitive foods during
  school lunch periods
• Use non-food rewards in the classroom

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Physical Activity Policies

• Exercise and recreation are as necessary as
  reading. I will say rather more necessary
  because health is worth more than learning
• -Thomas Jefferson

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Physical Activity Policies

• Fewer than 1 in 4 children get 20 minutes of
  vigorous physical activity per week, and less
  than 1 in 4 at least 30 minutes of physical
  activity per day
• Over 1/3 of adolescents aged 12-17 are physically
  active less than 3 days a week
• Nearly half of Americas teens are not vigorously
  active
• Nearly 10 of 9-12th graders participate in NO
  moderate or vigorous activity weekly

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Physical Activity
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The Schools Role in Fitness

• Schools are identified as a key setting for
  change by the U.S. Surgeon Generals report
• Schools serve as kids work and social world
• Decisions and behavior of leadership have strong
  impact
• Students need consistency between educational
  messages and real life messages

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Need/Want for PE

• 72 of student leaders feel schools should make
  physical activity for all students a priority,
  with 81 calling for more students to get
  involved in physical activity and 56 stressing
  the importance of having more physical education
  classes
• 95 of parents think physical education should
  be part of a school curriculum for all students
  in grades K-12

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Making Changes

• Make more strict physical education and activity
  policies
• Develop a Recess before Lunch policy
• Develop after-school non-competitive physical
  activity programs
• Enforce recess and physical education from K-12
  on most days of the week
• Incorporate activity into the morning/afternoon
  announcements

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Creating a School Wellness Council

• Schools alone are not and should not be solely
  responsible for the health and well being of
  youth.

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School Wellness Council

• Create a school-community wellness council
• Gain support of the school superintendent and
  other key personnel
• Helps schools meet community expectations
• Can be instrumental in improving student health

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Who to Involve

• Usual partners
• Physicians, nurses, nurse practitioners
• Registered Dietitians/Nutritionists, School Food
  Service Staff
• Teachers and administrators
• Other health or education staff
• School board members
• Parents
• Students

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Who to Involve

• Obvious choices
• Restaurants
• Grocers
• Parks and recreation board
• Less obvious choices
• Childcare organizations
• Churches/synagogues/temples
• Youth groups
• City or tribal councils

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Who to Involve

• Innovative partners
• Shopping mall/retail representatives
• Hairdressers
• Libraries
• Police and fire departments
• Housing authorities
• Businesses
• Key Stakeholders Children, Adolescents, Parents,
  and Caregivers!

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Marketing Health in Schools

• Host a community health fair at the school
• Promote nutrition and physical activity in the
  daily announcements
• Have poster contests devoted to healthy topics
• Create a student/teacher group to discuss menu
  and vending improvements
• Encourage bouts of physical activity in the
  classroom
• Develop before/after school programs

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Blow Your Own Horn!

• Spread the word that you are making positive
  changes within the school environment
• Contact local media (television and newspaper)
  and IN AFHK
• Send a letter to parents
• Attend School Board meetings
• Discuss new ideas at faculty meetings
• Attend student council meetings
• Apply for the Healthy Hoosier School Award

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What is Action for Healthy Kids

• AFHK is the only national, non-profit
  organization specifically addressing the epidemic
  of overweight, undernourished and sedentary youth
  by focusing on changes AT SCHOOL.
• AFHK has three main thrusts
• To improve childrens eating habits
• To increase childrens physical activity
• To educate administrators, teachers, children,
  and parents
• AFHK has an active Partner Steering Committee of
  more than 50 national organizations and
  government agencies

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Target Audience of Indiana AFHK

• Individuals involved with schools
• Parents
• Students
• Administrators
• Teachers
• School Board Members
• Health Professionals
• Focus on individual school buildings creating
  healthy environments, school by school

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IN AFHK Team

• IN AFHK team consists of 250 volunteer team
  members throughout the state
• Steering Committee provides overall direction,
  guidance, and technical assistance to the state
  team.
• Comprised of parents, INDOE, ISDH, public health
  professional from NIFS and DNCI, local school
  personnel (Perry Township and Fort Wayne
  Community Schools), and Valparaiso University
• Recruitment began after the 2003 Healthy Schools
  Summit in Washington D.C.
• Invited key individuals to Summit
• Used word of mouth and personal contact to
  recruit other members

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Indiana State Structure

• State divided into 9 regions
• Each region is led by Regional Leader (s)
• Each region is advised by one member of the state
  steering committee.
• Regional structure helps to move efforts at the
  grassroots level

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Information Sharing Opportunities

• National AFHK Website www.actionforhealthykids.o
  rg
• Indiana AFHK Website www.nifs.org/afhk/inafhk.ht
  m
• Indiana Listserv hosted by DOE
• Presentations throughout school communities and
  professional conferences
• Media
• Health fairs and word of mouth

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Accomplished Efforts

• Healthy Hoosier School Award
• Mini-Grant Sponsored by Anthem BCBS Foundation
• 2004 Taking Action for Childrens Health
  Conference
• Indiana Success Stories
• Resources on the IN AFHK Website
• Recess before Lunch
• Healthy Alternatives to
• School Parties
• Vending
• Fundraising
• Much more

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For More Information

• Amy Moyer
• Indiana State Team Chair
• National Institute for Fitness and Sports
• 250 University Blvd
• Indianapolis, IN 46202
• amoyer_at_nifs.org
• [phone] ext. 287
• Become a Member at www.nifs.org/afhk/inafhk.htm

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References

• Centers for Disease Control and Prevention
• Behavioral Risk Factor Surveillance System, CDC
• American School Food Service Association
• Department of Health and Human Services
• National Association for Sport and Physical
  Education