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Obesity: What Can We Do? Freddi Adelson, MS, RN DPI School Nurse Consultant March 11, 2015

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5 Things That You Learned From Webinar

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Most Important Take Away?

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Psychological Testing Juvenile Courts Mental Health Services Environmental Health Crime Prevention After-school Programs Special Education Physical Education Child Protective Services Social Services School Safety Pupil Services Nutrition Education Immunizations Staff Wellness School Food Services Drug Prevention Health Services Pregnancy Prevention Clinic HIV/STD Prevention Health Education Drug Services Smoking Cessations Counseling An Example of a Typical School Community Organizations

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Healthy Food Options Success in School is More Than Just Academics 5 Schools must also consider other factors that affect academic achievement: Healthy Food Options Opportunities To Be Physically Active

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Health and Academic Achievement Know the evidence Share the message Take action

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Physical Activity and Academic Achievement Physical Activity Practice Related Academic Achievement Outcomes Students who are physically active Have better grades, better school attendance, and better classroom behaviors Higher physical activity and physical fitness levels Improved cognitive performance More participation in physical education class Better grades, standardized test scores, and classroom behavior Time spent in recess Improved cognitive performance and classroom behaviors Participation in brief classroom physical activity breaks Improved cognitive performance, classroom behaviors, and education outcomes Participation in extracurricular physical activities Higher GPAs, lower drop-out rates, and fewer disciplinary problems 7

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Three Key Concepts 1.Get at least 60 minutes of physical activity: DYGY60? Did You Get Your 60? 2.Utilize five key strategies that are relatively low resource: Active Schools: Core 4+ 3.Pick strategies that have the greatest impact: Impact = Reach x Dose Goal How to get to the goal

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Active Schools: Core 4+

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Delivering some dose One Example in a school of 100 kids Scenario 1 School with 100 students holds a 1-day event where kids walk for 30 minutes. All kids participate so impact is 3 doses x 100% = 300 (for the year) 300 18,000 Scenario 2 School institutes a new policy that requires daily active classrooms where there is 5 minutes of activity in the morning & 5 minutes in the afternoon. All kids participate, so impact is 1 dose/day x 100% of the kids = 100 x 180 school days = 18,000 (for the year) Use 1 dose of activity is equal to 10 minutes. Child goal is 60 minutes per day or 6 doses.

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http://sspw.dpi.wi.gov/sspw_physicaled

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How Do You Persuade or Influence the Use of Rewards Other Than Food? Share facts Be a role model Stay away from exaggeration

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How Could You Use this Webinar with Other Groups

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Resources Wisconsin Nutrition, Physical Activity and Obesity Program home page https://www.dhs.wisconsin.gov/physical- activity/index.htm https://www.dhs.wisconsin.gov/physical- activity/index.htm Wisconsin Nutrition, Physical Activity, and Obesity Resources - School Initiatives https://www.dhs.wisconsin.gov/node/4201 https://www.dhs.wisconsin.gov/node/4201 Winnebago County Active Community site https://www.dhs.wisconsin.gov/publications/p0/ p00780e.pdf https://www.dhs.wisconsin.gov/publications/p0/ p00780e.pdf

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Resources Alternatives to Food Rewards http://healthymeals.nal.usda.gov/hsmrs/Conn ecticut/Food_As_Reward.pdf http://healthymeals.nal.usda.gov/hsmrs/Conn ecticut/Food_As_Reward.pdf CDC: Health and Academic Achievement http://www.cdc.gov/HealthyYouth/health_and_aca demics/index.htm Wisconsin DPI: Active Schools Core +4 http://sspw.dpi.wi.gov/sites/default/files/imce /sspw/pdf/pewhycore4.pdf http://sspw.dpi.wi.gov/sites/default/files/imce /sspw/pdf/pewhycore4.pdf

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References Incidence of Childhood Obesity in the United States http://www.nejm.org/doi/full/10.1056/NEJMoa1 309753#t=article http://www.nejm.org/doi/full/10.1056/NEJMoa1 309753#t=article Contact Information Freddi Adelson, MS, RN 608-267-9244 Freddi.adelson@dpi.wi.gov