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

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.