1. Start Strong An Obesity Synergy Program Kirsten Frandsen Nutrition Coordinator STEPS to Health, King County

2. Program Overview Partners Robert Wood Johnson Foundation (50 K)/Group Health (60 K) Seattle Schools, Feet First, UW, Injury Free Coalition for Kids Goals Decrease student obesity rates in four schools Pair physical activity with good nutrition Objectives Decrease potential for student injury Increase number of students walking to school Increase number of students consuming a healthy breakfast Improve school breakfasts Intervention Period SY 2006-2007

3. Targeted Environment and Population Four low income southeast Seattle schools Maple Elementary Dearborn Park Elementary Emerson Elementary Wing Luke Elementary Selection Need Willingness “Champions”

4. Maple Elementary Statistics Free/Reduced 64.5% Ethnicity Asian 66% Hispanic 15% AA 10% Student Population 428 Grade LevelReadingMathWritingScience 3rd Grade 63%67% 4th Grade 91%82%80% 5th Grade 83%74% 47% Breakfast Participation 12.9%

5. Dearborn Park Elementary Statistics Free/Reduced 75% Ethnicity Asian 50% AA 33% Hispanic 10% Student Population 259 Breakfast Participation 21.6% Grade LevelReadingMathWritingScience 3rd Grade 50%64% 4th Grade 66%48% 5th Grade 36%16% 4%

6. Emerson Elementary Statistics Free/Reduced 77% Ethnicity AA 61% Asian 22% Hispanic 12% Student Population 278 Grade LevelReadingMathWritingScience 3rd Grade 48%35% 4th Grade 65%29%58% 5th Grade 44%21% 12% Breakfast Participation 46.0%

7. Wing Luke Elementary Statistics Free/Reduced 72% Ethnicity Asian 59% AA 27% Hispanic 10% Student Population 282 Grade LevelReadingMathWritingScience 3rd Grade 49%55% 4th Grade 56%41% 5th Grade 82%64% 45% Breakfast Participation 24.4%

8. Primary Challenges Growing prevalence of obesity among school children

9. Prevalence of Overweight Among Children and Adolescents NHANES sex and age specific BMI > 95 th percentile based on CDC growth charts

10. Obesity in Schools What responsibility do schools have? Policies Access to healthy foods Access to opportunities for physical activity Health education Community partner

11. Primary Challenges Growing prevalence of obesity Considerations around breakfast

12. Breakfast Considerations Consumption low among students School wide transportation policies USDA regulations for schools Appealing, budget, labor USDA categories- free, reduced, full pay Implementation of policies How can we increase participation?

13. Primary Challenges Growing prevalence of obesity among school children Considerations around breakfast Decrease in physical activity of children

14. Decrease in Physical Activity Minutes of PE and recess is low Less active at home PE policies being developed

15. Primary Challenges Growing prevalence of obesity among school children Considerations around breakfast Decrease in physical activity of children Safety of children walking to school

16. Considerations- Walk to School Stranger danger Pedestrian safety The bus as a babysitter Fuel brain- reduce risk for injury? Manpower to coordinate

17. Primary Challenges Growing prevalence of obesity among school children Considerations around breakfast Decrease in physical activity of children Safety of children walking to school Policy development and systems level change

18. Policy Development Build evidence base Relationship between health and academics Competition for classroom time (health ed) Adequate time to consume school breakfast

19. Implementation Workplan implementation by: Katie Buzz…bee

20. Logic Model InputsOutputs Long Term OutcomesIntermediate Outcomes Short Term Outcomes lilillllllllllllllllllll llllllllllllllllllllllll llllllllllllllllllllllll llllllllllllllllllllllll llllllllllllll Resources Grant money Staff Volunteers Activities Taste Tests Focus Groups Promotions Decreased Obesity Rates District Wide Policy Change Breakfast changes District Wide Add to evidence base for breakfast and Walk to School Activities Healthier students Increased student academic success + changes in Nutrition Services due to increased revenue Increased participation in school lunch program Increased # of students walking to school + changes in school breakfasts Great evaluation Nutrition Ed Improved knowledge Walk to School expansion Develop health champions within schools

21. Contact Kirsten Frandsen Nutrition Coordinator STEPS to Health, King County Kifrandsen@seattleschools.org 206.252.0686