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Georgia SHAPE Reducing Childhood Obesity

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Presentation on theme: "Georgia SHAPE Reducing Childhood Obesity"— Presentation transcript:

1 Georgia SHAPE Reducing Childhood Obesity
Brenda Fitzgerald, M.D. Commissioner GA DPH

2 Georgia Childhood Obesity
Georgia ranks 17th in the nation for childhood obesity (Georgia ranked second in 2009)

3 Percent Meeting Physical Activity Recommendations

4 Obesity/Overweight Related Hospitalizations, Ages 2-19
The graph illustrates the increase in obesity-related hospitalizations among children 2 – 19 years of age in Georgia from 1999 through 2010. Poor diet and lack of physical activity contribute to the rise in childhood obesity. Only 52% of middle school students and 43% of high school students in Georgia currently meet the CDC recommendations for physical activity. More than 44% of Georgia’s middle school students and 39% of high school students watch television for three or more hours on a school day and only 17% of high school students in Georgia consume five or more servings of fruits and vegetables a day. In 2008, Georgians spent $2.4 billion on the direct medical costs of obesity and lost productivity from disease, disability and death. In Georgia, obesity- related hospitalizations of children aged 2 – 19 years increased 338% over the eleven year period from 1999 to 2010. 338% Increase

5 Georgia SHAPE 2011-2012 school year Annual fitness assessment,
all local school districts Grades 1-12, enrolled in fitness classes taught by certified physical education teachers 998,774 students tested There were 1,491,772 total students enrolled in grades 1-12.

6 FitnessGram Assessments: Aerobic Capacity Flexibility
Muscular Strength Muscular Endurance BMI (Body Mass Index)

7 Georgia SHAPE Results 43% of Georgia children are overweight, obese or underweight Only 16% of Georgia children were able to pass all SHAPE basic fitness tests 20% of Georgia children were not able to pass ANY SHAPE basic fitness tests

8 Georgia SHAPE Georgia SHAPE is a statewide, multi-agency, multi-dimensional initiative of Governor Nathan Deal that brings together the governmental, philanthropic, academic and business communities to address childhood obesity in Georgia

9 Georgia SHAPE Includes strategies for addressing obesity from birth through the high school years Efforts focus on schools, communities, child care centers, government and policy agencies, businesses, and medical practices.

10 Georgia SHAPE Partners
4-H Club Arthur M. Blank Foundation Atlanta Falcons Youth Foundation Board of County Commissioners Boys and Girls Club Bright From the Start CDC Children's Healthcare of Atlanta CIGNA City of Atlanta Cobb/Douglas Health District Coca-Cola Department of Community Health Department of Human Resources Fulton County Board of Health GA Afterschool Investment Council GA Department of Agriculture GA Department of Education GA Department of Natural Resources GA Department of Transportation GA Governor’s Office GA State Board of Education Georgia Chamber of Commerce Georgia Chapter of the American Academy of Pediatrics Georgia Family Community Partnership Georgia Healthcare Foundation Georgia Learns Georgia Municipal Association Georgia Organics Georgia Recreation and Park Association Georgia Regents University Georgia Restaurant Association Georgia State University Good Sports Health M Powers Kaiser Permanente Novo Nordisk Safe Routes to School State Health Benefit Plan The Alliance for a Healthier Generation The Atlanta Braves Foundation The Giving Point UGA Cooperative Extension United Healthcare Georgia United Way University of Georgia Voices for Georgia's Children

11 Georgia SHAPE State Collaboration
5-Star Hospital Initiative - 10 Georgia hospitals working toward Baby Friendly status - Encourages breast feeding through education and counseling State Health Benefit Plan - 4 visits to the doctor - 4 registered dietitian visits - Obese children, ages 3-8

12 Georgia SHAPE State Collaboration
Bright from the Start (DECAL) - Develop criteria for early care and education centers to be SHAPE recognized Georgia Grown (Dept. of Ag) - Feed My School for a Week - Improve nutritional value, quality of food - Fresh local produce in Georgia schools

13 Georgia SHAPE State Collaboration
Tons of Fun (DNR) - Fitness trails, events, and groups near home - Access to personal trainer Power Up for 30 (DOE) - 30 additional minutes of physical activity - Training and resources for incorporating physical activity into the classroom Joint Use Agreement - Allows use of school facilities by an outside group for recreational and physical activities

14 Physical Activity and Academic Performance
“Spark” by Harvard physician John Ratey (2008) Examined the stimulation of cognitive and physiological pathways by exercise that result in enhanced learning capabilities Illustrates the interdependent connection between the human mind and body The literature highlights the adaptability of the brain as an organ and its responses to repeated stimulation and activation thus improving one’s learning capacity

15 Enhanced Academic Performance
Consistent exercise, and certain types of specific exercises, can both temporarily and permanently affect the way your brain is able to focus, its ability to deal with stress and anxiety, and its ability to learn “Exercise is like fertilizer for the brain … it’s so good, it’s like Miracle Gro”. - Dr. John Ratey, Harvard Brain Researcher

16 Physical Activity and Academic Performance
Physical Activity Across the Curriculum (PAAC): University of Kansas (2009) 26 elementary schools integrated physical activity into curriculum for 3 years 90 minutes a week, moderate to vigorous physical activity during academic lessons 10 minutes, intermittently during the day Teachers incorporated the majority of lessons during language arts and mathematics Significant improvements in academic achievement from baseline to three years in the PAAC compared to the control schools for the composite reading, math, and spelling scores

17 Physical Activity and Academic Performance
Change in Academic Score

18 Average Composite: 20 Students Taking Same Test
Brain after sitting quietly Brain after 20 minute walk Research/scan Dr. Chuck Hillman University of Illinois

19

20 Classroom Behavior vs. Recess Time

21 ADHD and Physical Activity
Shipman (1985) Running decreased hyperactivity and impulsivity The more the students ran, the less psychotropic medication was required After this study, children who stopped running regressed to old behaviors

22 ADHD and Physical Activity
Katz, et al., 2010 “Studies have suggested that physical activity can decrease the symptoms of ADHD and asthma. Our program echoed these findings by showing a significant decrease in medication use for asthma and a decrease in ADHD medication.”

23 ADHD and Physical Activity
Michigan State University (2012) 40 children ages 8 to 10, half with ADHD, half without 20 minutes walking or 20 minutes reading while seated Reading and arithmetic tests Both groups, those with ADHD and those without ADHD, performed better after the exercise

24 Sope Creek Elem. School: Physical Activity Model
Regular academic schedule is maintained Classroom time is not reduced Increased funding is not required Exercises start at 7:15 am as students arrive Minimal class schedule changes allow for 20 minutes of morning exercise Exercise occurs throughout school day

25 Physical Activity vs. Physical Education: What’s the Difference?
Planned, sequential program of curricula and instruction Develops knowledge, attitudes, motor skills, self-management skills, confidence for an active lifestyle Taught by a certified teacher Same level as other learning environments Physical Activity Structured or unstructured Involves moderate to vigorous physical exertion Led by any teacher Compliments– does not replace – PE

26 SHAPE Initiative Power Up for 30 Collaboration between DPH, DOE
30 minutes of additional physical activity – every day, every school, every child in Georgia Training and resources to incorporate physical activity in every elementary classroom Improves the quality and amount of physical activity during physical education classes Physical activity programs before, during and after school Training to help improve fitness testing scores

27 Georgia SHAPE Power Up for 30
$1 million Coca Cola award The Coca-Cola funding is solely for the purpose of implementing Power Up for 30 in schools Implementation includes a 3 year contract to HealthMPowers for training, evaluation, program management

28 SHAPE Initiative Evaluating success of program – University of Georgia
Robert Wood Johnson Foundation grant: barriers to training National Institutes of Health grant: evidence of efficacy of training

29 GeorgiaSHAPE.org Georgia Department of Public Health developed the SHAPE website as a communications and resource hub for families, day cares and schools, businesses, community based organizations, foundations and the medical community.


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