1. Child/Adolescent BMI Assessment --Pike County, 2008-2010
Epi/Surveillance &
Preventive Medicine Teams
June 18, 2010

2. Objectives
Assist Pike County Health Department with entering school screening data
Evaluate trends
Sex
School
Year
Report findings and compare to national and state data
Provide tools to facilitate data entry

3. Definitions Body Mass Index (BMI): Weight (kg) / Height (m2) or
Weight (lbs) / Height (inches2) x 703
Overweight: Children with BMI values at or above the 85th percentile of the sex-specific BMI growth charts
Obese: Children with BMI values at or above the 95th percentile of the sex-specific BMI growth charts
Children with BMI values at or above the 95th percentile of the sex-specific BMI growth charts are categorized as obese. This is different from previous years where children above this cutoff were labeled overweight. This change in terminology reflects the labels used by organizations such as the Institute of Medicine and the American Academy of Pediatrics.
For more information see Krebs NF, Himes JH, Jacobson D, Nicklas TA, Guilday P, Styne D. Assessment of child and adolescent overweight and obesity. Pediatrics 120:S193–
Although this cutpoint is not diagnostic, elevated BMI among children indicates increased risk for future adverse health outcomes or development of disease.

4. Healthy People 2010
Reduce the proportion of children and adolescents who are overweight or obese
Overweight & obesity: leading health indicator
Reduction in the proportion of children overweight/obese to 5% is a target goal
U.S. has made little progress
Healthy People 2010 identified overweight and obesity as 1 of 10 leading health indicators and called for a reduction in the proportion of children and adolescents who are overweight or obese, but the United States has made little progress toward the target goal.

5. Prevalence of overweight and obesity among children 10-17 years of age
Source: National Survey on Children’s Health

6. Prevalence of obesity among children 10-17 years of age
Source: National Survey on Children’s Health

7. Methods
Obtained hardcopy data on 6th grade children attending public school in Pike County, Kentucky
Data available for and school years
12 schools included in analysis
Microsoft Excel used for analysis

8. Variables Examined Sex Age at screening BMI BMI percentile Sex
Age (as of screening date)
BMI (calculated from sex/height/weight/age variables)
BMI percentile (calculated from age and BMI variables)

9. Results
Prevalence of Overweight and Obesity among children by selected variables
Sex
School
Year

10. Prevalence of Overweight and Obesity among 6th graders by sex --Pike County, 2009
Source: Pike County Health Department

11. Prevalence of Overweight and Obesity among 6th graders by sex --Pike County, 2010
This graph shows by the prevalence of overweight and obesity by sex
Boys at or greater than the 85 percentile
Boys at or greater than the 95th percentile
Girls at or greater than the 85 percentile
Girls at or greater than the 95th percentile
Total 6th graders at or greater than the 85 percentile
Total 6th graders at or greater than the 95th percentile
Source: Pike County Health Department

12. Prevalence of Overweight and Obesity among 6th graders by school --Pike County, 2009
This graph depicts the 2009 prevalence of overweight and obesity among sixth graders in Pike County - by school
**School names have been removed to protect confidentiality.
Source: Pike County Health Department

13. Prevalence of Overweight and Obesity among 6th graders by school --Pike County, 2010
This graph depicts the 2010 prevalence of overweight and obesity among sixth graders in Pike County - by school
*School names removed to protect confidentiality
Source: Pike County Health Department

14. Trends in Overweight and Obesity among 6th grade students --Pike County, 2009
This graph shows the trends in prevalence of overweight/obesity among sixth graders in Pike County from the 2004/5 through 2009/10 school years.
Source: Pike County Health Department

15. Limitations Incomplete records Inconsistent measurement precision
Relied on estimations of percentile for one school
Precision example: 56 vs vs

16. Conclusions
Kentucky has higher rates of overweight & obesity than the U.S.
Pike County has higher rates of overweight & obesity than KY & U.S.
Prevalence in Pike County is similar in boys and girls
Most 6th graders with weight issues are obese

17. Recommendations Explore feasibility of electronic data transfer
Consider use of free CDC program for ease of data entry
Standardization of data collection
Quality Control
Use data to highlight magnitude of problem and special needs of community

18. Team Members Pike County Health Department U.S. Public Health Service
Danita Bartley
Patrece Beverly
Jan Johnson
All others who showed great hospitality and kindness
U.S. Public Health Service
CDR Jennifer Williams
CDR Maria Cano
LCDR Araceli Rey
LCDR Deborah Dee
LCDR Jan Linkenhoker
LT Terri Stenmark
Preyanka Makadia