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Slide 1 - OBESITY PLANNING EFFORTS IN KANSAS A review of key recommendations to impact Healthy Kansans 2010 February 16th, 2007
Slide 2 - Governor’s Council on Fitness Recommendations to Address Overweight and Obesity Physical Activity in Schools Subcommittee Recommendations Elementary school-age students at each grade level will receive 100-150 minutes of physical education per week. During physical education classes, students will engage in moderate to vigorous physical activity at least 15 minutes per day and/or 75 minutes per week. Middle school-age students at each grade level will receive a minimum of 100-150 minutes of physical education per week. During physical education classes, students will engage in moderate to vigorous physical activity at least 15 minutes per day and/or 75 minutes per week. High school-age students will continue to complete a minimum of one Physical Education unit in order to meet graduation requirement. During physical education classes, students will engage in moderate to vigorous physical activity at least 15 minutes per day and/or 75 minutes per week.
Slide 3 - Physical education teachers will be professionally licensed to teach Physical Education (highly qualified) by the Kansas State Department of Education. Physical education classes will have a student/teacher ratio which is comparative to those of other disciplines within each school. Elementary school-age students will participate in a minimum of 20 continuous minutes of supervised recess, preferable outdoors, per day. The above requirements will be monitored through the State Department of Education by an annual review process to ensure that schools are meeting these requirements. BMI data be collected every year and cardiorespiratory data be collected at the 4th, 7th and 9th grade levels. Surveillance Subcommittee Recommendations
Slide 4 - Appropriate staffs in schools and school districts be trained in data collection, be provided appropriated software for data management, and adopt a data collection policy that works best for their local school conditions and staff. When available, the subcommittee recommends that school nurses be responsible for the collection of BMI data and that physical education staff be responsible for the cardiorespiratory fitness data. Regardless of whom the school chooses to collect these data, any staff involved must complete appropriate training and refresher reviews annually to ensure accurate data collection. The multistage 20 meter shuttle run (known as PACER, beep test,mutlistage fitness test) be the test of choice for cardiorespiratory fitnessmeasurement, and that alternative, valid and reliable tests of aerobiccapacity can be considered at the request of the school and school districtto the agency/program providing oversight for this surveillance program. The Kansas Department of Health and Environment and the Kansas State Department of Education collaborate to establish protocols, staff training, and a secure data management system.
Slide 5 - The data management system should include protections of student privacy and protocols for surveillance of student-specific and subgroup-specific (i.e., girls; boys; rural vs. urban) patterns over time. Schools annually report relevant demographic data (age, race, ethnicity and gender) along with each student’s height and weight data, and that the data repository (location and oversight to be determined; see #5 above has the responsibility for BMI calculation and summary reporting. This recommendation does not preclude the school or district’s prerogative to calculate, summarize, report or use these data as it deems appropriate, particularly if relevant in the context of a school’s wellness policy initiative(s). The Kansas executive and legislative branches and relevant state agencies use the surveillance reports to inform and develop State responses to the trends in overweight and obesity and cardiorespiratory fitness status among school-age children.
Slide 6 - 1. The Kansas Council on Fitness recommends that public health agencies develop a physical activity promotion campaign titled “What’s your mile?” “What’s your mile?” is a campaign designed to encourage all adults without medical contraindications to walk a mile and determine their level of fitness. By raising awareness of individual fitness levels, this public health promotion campaign may increase the percentage of Kansans meeting the CDC-ACSM physical activity standard. Promotable Subcommittee Recommendations
Slide 7 - Obesity and Physical Activity Related Bills Introduced in the 2007 Session of the Kansas Senate Senate Bill 171 – Fresh Start This bill proposes to increase the availability of fresh fruits and vegetables to students in grades K-12. Schools would be eligible to apply for funding to provide fresh fruits and vegetables to their students. This program would supplement existing child nutrition programs. Schools would be reimbursed at $0.10/breakfast meal to include 1-2 servings of fruits and/or vegetables. Schools that already offer two servings of fresh fruits and/or vegetables for breakfast may be reimbursed at $0.10 per meal for providing fresh fruits or vegetables for after school snacks. The bill designates the state board of education as the responsible party for developing rules and regulations to implement the program and to establish guidelines for the evaluation of the fresh start program.
Slide 8 - Senate Bill 170 – Sales of Beverages in Schools This bill addresses the sale of beverages in elementary and middle or junior high schools. This bill does not address vending in high schools. Beginning July 1, 2008, all elementary schools will be allowed to serve only the following beverages during school hours (including ½ hour before and after school): fruit and vegetable juices containing 50% or greater juice content; water with no added sweetener; and milk or non-dairy beverages that are nonfat, 1%, or 2% fat. Middle or junior high schools will be able to serve the beverages listed above but can also serve an electrolyte replacement beverage with no more than 42 grams of sweetener per 20 ounces. Special school events and fundraisers are exempt from guidelines as long as products are sold off-campus and/or at least ½ hour after the school day has ended. These guidelines include vending machines, school stores, a la carte offerings, and the cafeteria.
Slide 9 - Senate Bill 281 – Physical Education, Establishing the Physical Education Incentive Grant Program The purpose of this bill is to promote a healthier school environment and a higher level of physical fitness in Kansas Children by developing curriculum, conducting physical fitness tests that include body mass index screening for grades 4, 7, 9, and 12, requiring a minimum number of physical activity for students K-12, develop standards and objectives for physical fitness tests and physical education programs, collecting information to assess the current teaching load of certified physical education teachers and providing for incentive grants to school districts that invest in certifying existing teachers to teach PE.
Slide 10 - Obesity and Physical Activity Related Bills Introduced in the 2007 Session of the Kansas House House Bill 2090 – BMI, Fitness Testing & Teacher Certification The purpose of this bill is to promote a healthier school environment and a higher level of physical fitness in Kansas Children by developing curriculum, conducting physical fitness tests that include body mass index screening for grades 4, 7, 9, and 12 and collecting information to assess the current teaching load of certified physical education teachers. . House Bill 2423- Obesity Task Force This bill addresses the creation of an obesity task force to prevent and combat the problem of obesity in Kansas, especially among children. The secretary of the Kansas Department of Health and Environment will appoint the chair and vice-chairperson. The chairperson and vice-chairperson will determine the members of the task force. The major focus of this task force will be to address obesity prevention among children and adolescents in school and community settings.
Slide 11 - House Bill 2275 – Vending Machines in Schools
Slide 12 - OBESITY PLANNING EFFORTS IN KANSAS A review of key recommendations to impact Healthy Kansans 2010 February 16th, 2007
Slide 13 - The Healthy Kansans 2010 Process Identified Three Cross-Cutting Issues Impacting Multiple Leading Health Indicators Reducing and Eliminating Health & Disease Disparities System Interventions to Address Social Determinants of Health Early Disease Prevention, Risk Identification and Intervention for Women, Children and Adolescents
Slide 14 - Recommendations and Action Steps Selected for Immediate Action by the Steering Committee Cultural Competency Comprehensive Tobacco Prevention & Control Disparities Data Collection, Analysis, and Dissemination Access to Care Overweight & Obesity
Slide 15 - Kansas Performance on Healthy People 2010 Obesity Indicators *Defined as at or above the sex and age specific 95th percentile of Body Mass Index (BMI) based on CDC Growth Charts: United States
Slide 16 - Kansas Performance on Healthy People 2010 Physical Activity Indicators
Slide 17 - Adopt and implement the 5 national overweight/obesity prevention goals: Educate and provide skills to Kansans, especially children an adolescents, regarding healthy lifestyles that impact the 10 Leading Health Indicators. Develop recommendations to: Increase Fruit and Vegetable Consumption Increase Physical Activity Decrease “Screen” Time (TV, leisure computer, video games) Increase Breastfeeding Balance Caloric Intake with Expenditure OVERWEIGHT & OBESITY ACTION STEP
Slide 18 - Child Health Advisory Committee Recommendations to Address Overweight and Obesity Implement population-based surveillance system using body mass index (BMI) Venue: Schools Measure: BMI Increase minutes and quality of physical activity and improve nutrition among school-aged children and children ages 0 to 5 years in schools, homes and communities. Venues: Schools, early childhood programs (e.g., Special Supplemental Nutrition Program, Women, Infants and Children [WIC]; Parents as Teachers [PAT]; Head Start), preschools, childcare providers, after-school program, communities, parents/parent education
Slide 19 - Population: School-aged children, children ages 0-5 years Action Step #1: Request funding and implement competitive RFP process to fund innovation programs. (Split awards between schools/school-aged children and applicants serving age 0-5 years.) Evaluate success. Replicate successful programs across the state. Encourage all Competitive foods in schools to be healthy and regulated. Action Step #2: Restrict food and beverage vending machines access during school hours. (Note: Intent of Committee action step is to make food and beverage vending machines unavailable to students during school hours.) Action Step #3: Implement Healthy Schools award program (or modify current Governor’s Healthy Schools award program) for schools achieving Exemplary Status on the Kansas Model Policy Wellness guidelines.