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Bob Rauner, MD, MPHPartnership for a Healthy Lincoln
School Based Weight Status and Fitness Tracking
Obesity Trends* Among U.S. AdultsBRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS, 1998
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
Obesity Trends* Among U.S. AdultsBRFSS, 2002
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2009
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
1999
Obesity Trends* Among U.S. AdultsBRFSS, 1990, 1999, 2009
(*BMI 30, or about 30 lbs. overweight for 5’4” person)
2009
1990
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Prevalence of Obesity Among U.S. Children and Adolescents(Aged 2 –19 Years)
National Health and Nutrition Examination Surveys
Importance of Having Your Own Local Stats
Elements of Successful Community Change
3 Basic Principles:A 3-Way Partnership
Bottom up (grass roots efforts) Top down (support from officials, leaders, policies) Outside in (best practices from the experts)
Action based on local dataCommunity wide change in behavior is most
successful if the community sees it as in its own best interest
Taken from: “Just and Lasting Change: When Communities Own Their Futures”, by Daniel Taylor-Ide and Carl Taylor, 2002, Johns Hopkins University Press, Baltimore, MD.
2009 LPS Elementary Schools Percentage Overweight & Obese
N=16,257Kindergarten
1st Grade 2nd Grade
3rd Grade 4th Grade 5th Grade0
5
10
15
20
25
30
35
40
16.5 14.8 15.5 14.5 15.7 17.0
13.212.2
15.3 16.019.4
20.5
ObeseOverweight
2009 Obesity Prevalence – Title 1 vs. Non Title 1 Elementary Schools
Kindergarten
1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade0
5
10
15
20
25
30
11.3
9.0
13.212.2
14.916.516.0
17.018.8
21.8
26.8 26.5
Non Title 1Title 1
510
1520
2530
% O
bese
0 20 40 60 80 100Percentage of Students Qualifying for Free/Reduced Meals
Data Source: Lincoln Public Schools PEP Grant 2009-2010
Summary Stats: Adj R-squared-0.84
Plotted Against % Qualifying for Free/Reduced MealsLincoln Elementary Schools Obesity Prevalence
Percent of 4th & 5th Grade LPS Students Passing Fitness Test by Weight Status
Underweight Normal Weight Overweight Obese0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
79.7% 80.0%
61.8%
40.1%
20.3% 20.0%
38.2%
59.9%
UnfitFit
106/133 2,471/3,089 510/825 403/1,006
2009-2010 Kearney Public SchoolsPercentage Overweight & Obese
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
0
5
10
15
20
25
30
35
40
12.6 15.6 13.4 14.9 16.0 18.1 16.1 17.8 18.2
10.4
12.2 13.717.4 17.6 13.9 19.4 18.4 19.3
ObeseOverweight
Source: Unpublished data – Courtesy of Kate Heelan, Ph. D., University of Nebraska at Kearney
Do It Yourself Data Collection – CDC.GOV
CDC Children’s BMI Tool - http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/tool_for_schools.html
Downloadable Excel SpreadsheetCalculates BMI percentile & summary
statistics for up to 2,000 students
Outside Help for Data
Ask for helpPartner with a university/college/stats personKate Heelan, PhD, FACSM
Associate Professor/DirectorUniversity of Nebraska at [email protected]/hpl
