1. Getting Active: Benefits of Aftercare Program for MNPS Students Musarrat Maisha and Yi-Ting Huang Seniors of MNPS Schools School for Science and Math at Vanderbilt Sabina Gesell, M.D. Department of Pediatrics Vanderbilt University School of Medicine

2. Who Are We? School for Science and Math Finish with community-engaged research Childhood Obesity Prevention Program –Increasing physical activity Results could impact MNPS student health and academic performance

3. Key Points ● Scope of obesity problem ● Impact of obesity on academic performance ● Introduce successful community model ● Hopes of expanding this model throughout areas in Nashville

4. Global Problem http://www.hivehealthmedia.com/world-obesity-stats-2010/

5. Why does it matter to us? Tennessee ranks 5 th for the highest rate of youth obesity in the nation (36.5%). Leads to health problems Affects academic performance: o Decreases focus o Increases social stigma

6. Physical Activity and Academic Success Improved fitness would... ● Increase engagement, behavior, and personal/social development ● Increase concentration ● Improve attendance ● Proven to benefit cognitive functioning, grades, intelligence quotient, and standardized tests Dwyer, T., Sallis, J. F., Blizzard, L., Lazarus, R., & Dean, K. (2001). Relation of Academic Performance to Physical Activity and Fitness in Children. Pediatric Exercise Science, 13, 225-238.

7. Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

8. Obesity Trends* Among U.S. Adults BRFSS, 1986 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

9. Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

10. Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

11. Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

12. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

13. Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

14. Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

15. Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

16. Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

17. Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

18. Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

19. Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

20. Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

21. Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

22. Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

23. Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

24. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. Adults BRFSS, 2002 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

25. Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

26. Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

27. Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

28. Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

29. Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

30. Obesity Trends* Among U.S. Adults BRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

31. Obesity Trends* Among U.S. Adults BRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

32. Coleman Afterschool Program Coleman Parks Staff decided to increase youth activity Started after school program –MNPS changed bus routes –Free –Safe environment –Trained staff in recreational programs Requested scientific evaluation –Wanted to test impact of program

33. Benefits of Academic–Community Partnership Science benefits from practical research Community benefits from evidence-based, sustainable program Improved child health outcomes

34. Study Sample Enrolled 83 elementary school children (6-12 years) Race/ethnicity 40% African American 39% White 19% Latino 1% Asian 1% Native American 43% overweight and obese

35. Study Design Used “Gold Standard” measurement Captured amount and intensity of physical activity Collected measures 3 times over the semester Coleman group vs. Matched Control group (Accelerometer)

36. Percent of time active after school

37. Results ● Over the 12 week study o 12% increase in activity o 10% of that was intense activity range ● Boys vs. Girls o Boys general have a higher physical activity than girls o Girls have increased physical activity in the experimental group

38. Current and Future Directions Successful model of collaboration between MNPS and Metro Parks Spread program to other Metro Parks community centers (23) o Being continued at Hadley Park Metro Parks willing to take initiative and cover costs of program Helping MNPS students by providing a safe environment and establishing healthy lifestyle habits

39. Acknowledgments Vanderbilt Department Dr. Gesell Dr. Barkin Eileen Ruchman Dr. Lambert Metro Parks Paul Widman Jonathan Dodson Stevon Neloms Glenn Young Tommy Lynch Organizations American Heart Association NIH Vanderbilt Energy Balance Laboratory Vanderbilt Department of Pediatrics Metro Parks School For Science and Math at Vanderbilt Dr. Jonathan Creamer Dr. Angela Eeds Dr. Chris Vanags Dr. Mary Loveless

40. Thank You