1. Fort Atkinson School District Wellness Program
2012 Program Summary
February 16, 2019

2. Agenda Highlights Program Participation
Wellness Evaluation Findings, Observations & Recommendations
Top Risks Identified
Lab and Biometric Results
PHA Results
Appendix

3. Highlights 32.8% PHA participation (Participants ÷Eligible Members)
Top 5 Risks Overall
BMI > 25
High LDL > 100
Sedentary Lifestyle
High Systolic Blood Pressure >119
High Diastolic Blood Pressure >79
Fort Atkinson participants 10% less obese than National Average
40% answered in PHA that they do not exercise regularly, 15% worse than the National Average
Tobacco use (smoking) better than the National Average
Better than the National Average for elevated LDL Cholesterol for both men and women
Men and women HDL Cholesterol worse than the National Average
Fort Atkinson participants Triglycerides higher than the National Average for both men and women
High Job Satisfaction

4. Participation Participation from 2/6/2012 – 3/6/2012
Total Eligible Participants: 302 (210 Female/92 Male)
Total Enrolled: 99 (32.8%) (77 Female or 36.6%/22 Male or 24%)
32.8% of eligible participants Enrolled in the program, completed the PHA and labs
The Purdy Elementary location saw the highest participation rate (40.5%) followed by the Middle School (39.4%).

5. Wellness Evaluation Findings, Observations, and Results

6. Top 10 Risks Identified Top 3 Risks Identified
61 Participants (61.6%) are overweight with a body mass index (BMI) 25 or greater
38 (38.4%) Participants generated a risk for Overweight with BMI
23 (23.2%) Participants generated a risk for Obese with BMI >= 30
46 (52.9%) Participants with high LDL >99
45 participants (45%) are considered sedentary because they
Are doing 30 min of moderate exercise less than 3 times a week, OR
Are doing 20 min of vigorous exercise less than 2 times a week

7. Body Mass Index BMI Ranges
<18 is Underweight (0 members)
>=18 and <25 is Normal (38 members)
>=25 and <28 is Borderline (30 members)
>=28 and <30 is Overweight (8 members)
>=30 is Obese (23 members)
High School and Purdy locations have the highest percentage of members overweight and obese (77% & 65%)
23% participants obese, less than the 33.9% national prevalence *(Centers for Disease Control and Prevention)
Being obese puts you at greater risk for health problems such as heart disease, high blood pressure, stroke and more
*According to the American Heart Association
Recommendations:
Low Calorie/Portion Control Diet
At least 30 minutes of physical activity most days of the week

8. Systolic BP – Non-Hypertensive Members
Systolic blood pressure ranges
<120 Normal (44members)
is Borderline (28 members)
is High (7 members)
is Very High (1 members)
>=180 is Extremely High (0 members)
36 participants with a systolic blood pressure reading >119
44% of Females & 50% of Males
High blood pressure increases the risk of heart disease and stroke, which are the first and third leading causes of death among Americans *(Centers for Disease Control and Prevention)
Contributing Factors: Stress, overweight, smoking, too much salt in diet, sedentary lifestyle
Recommendations:
DASH diet & At least 30 minutes of physical activity most days of the week

9. Systolic BP – Hypertensive Members
Systolic blood pressure ranges
<120 Normal (4 members)
is Borderline (6 members)
is High (7 members)
is very High (0 members)
>=180 is Extremely High (0 members)
7 participants with a systolic blood pressure reading >139
38% of Females & 50% of Males
High blood pressure increases the risk of heart disease and stroke, which are the first and third leading causes of death among Americans *(Centers for Disease Control and Prevention)
Contributing Factors: Stress, overweight, smoking, too much salt in diet, sedentary lifestyle
Recommendations:
DASH diet
At least 30 min. of physical activity most days of the week

10. Diastolic BP– Non-Hypertensive Members
Diastolic blood pressure ranges
<80 Normal (41 members)
80-89 is Borderline (23 members)
90-99 is High (12 members)
is very High (4 members)
>=110 is Extremely High (0 members)
39 participants with a diastolic blood pressure reading >79
47% of Females & 56% of Males
About one out of three U.S. adults, 31.3% has high blood pressure *(Centers for Disease Control and Prevention)
Contributing Factors: Stress, overweight, smoking, too much salt in diet, sedentary lifestyle
Recommendations:
DASH diet
At least 30 min. of physical activity most days of the week

11. Diastolic BP – Hypertensive Members
Diastolic blood pressure ranges
<80 Normal (6 members)
80-89 is Borderline (8 members)
90-99 is High (3 members)
is very High (1 members)
>=110 is Extremely High (0 members)
4 participants with a diastolic blood pressure reading >89
21% of Females & 25% of Males
About one out of three U.S. adults, 31.3% has high blood pressure *(Centers for Disease Control and Prevention)
Contributing Factors: Stress, overweight, smoking, too much salt in diet, sedentary lifestyle
Recommendations:
DASH diet & At least 30 min. of physical activity most days of the week

12. Glucose - Blood Sugar Glucose Ranges
Good <99 (82 members)
Borderline >=99 & < 126 (17 members)
High >=126 & <300 (0 members)
Very High >=300 (0 members)
35% of U.S. adults age 20+ are pre-diabetic with a Glucose level between *(National Diabetes Information Clearinghouse – NDIC and ADA)
17% of Fort Atkinson School District is pre-diabetic, better than national average
Recommendations:
Portion control/Limited carbohydrate diet
At least 30 minutes of physical activity most days of the week

13. LDL: Bad Cholesterol LDL Cholesterol ranges
<70 Very Good (11 members)
70-99 is Normal (30 members)
is Borderline (35 members)
is High (9 members)
is Very High (2 members)
>=190 is Extremely High (0 members)
National Avg. LDL > 130 = 33.5% *(Medscape)
LMH Females LDL > 130 = 13%
LMH Males LDL > 130 = 10%
Both Females and Males better than the national average for elevated LDL
Recommendation:
Healthy Low Fat/Low Cholesterol Diet

14. HDL: Good Cholesterol
Very Good; Males >60 & Females >60 (40 members)
Normal, Males & Females (22 members)
Low, Males <40 & Females <50 (37 members)
Male National prevalence for HDL <40 = 24%
45% of Fort Atkinson Males with low HDL, worse than the national average
Female National prevalence for HDL <50 = 27%
35% of Fort Atkinson Females with low HDL, worse than the national prevalence
National prevalence figures obtained from National Health and Nutrition Examination Publication
Recommendation:
For those at risk, follow up with PCP
At least 30 minutes of physical activity most days of the week

15. Triglycerides Triglyceride ranges
<150 is Normal (66 members)
is Borderline (13members)
is High (19members)
>=500 is Very High (0 members)
National Avg. Triglycerides > = 150 = 31% of U.S. adult population *(American Heart Association)
Females Triglycerides > = 150 = 32%
Males Triglycerides > = 150 = 36%
Fort Atkinson population worse than the national average for elevated triglycerides
Recommendations:
Diet – limit bad fats and increase omega-3 fatty acids
Exercise – At least 30 minutes of physical activity most days of the week

16. Tobacco Frequency
National Average of Smoking use is 20.6% of adults > 18
*(Centers for Disease Control and Prevention)
6% of participants are tobacco users, better than National Average
2.6% of females use tobacco
18.2% of males use tobacco

17. Activity Days Per Week
45% participants generated the risk for sedentary lifestyle
25.1% National Prevalence of adults who engage in no leisure-time physical activity *(Centers for Disease Control and Prevention)
40% Participants do not exercise regularly, worse than national prevalence
Members who exercise for 30 min, 5 or more time a week have the lowest number of average risks, 2.1
Contributing Factors: Job type, overweight, and other health issues
Recommendations:
Identify one accountability/fitness partner
Create a fitness plan with health or fitness professional
Aerobic activity for minutes 4-5 days per week

18. Risk Factors
On the graphs, 0 through 8 represent the number of risk factors per person
Risk Factors:
High Systolic Blood Pressure >=120
High Diastolic Blood Pressure >=80
High LDL >=100
Low HDL < 40 (Male); < 50 (Female)
High Triglycerides >=150
High Glucose >=99
Overweight BMI>=25
Tobacco Use: answered occasionally, weekly, or daily to tobacco use frequency question on PHA
33% of the population has 2 or less risk factors

19. Appendix

20. Top Clinical Risks Identified
Clinical Risk Factors:
BMI >25
High LDL Cholesterol
Low HDL Cholesterol
High Systolic Blood Pressure
High Diastolic Blood Pressure
High Triglycerides
High Glucose Levels
Tobacco Use
61 Participants (61.6%) are overweight with a body mass index (BMI) 25 or greater
38 (38.4%) Participants generated a risk for Overweight with BMI
23 (23.2%) Participants generated a risk for Obese with BMI >= 30
Target range for BMI =
46 (52.9%) Participants with high LDL >99
43 (44.3%) Participants with high systolic blood pressure >119
43 (43.9%) Participants with high diastolic blood pressure >79
37 (37.4%) Participants with low HDL Females <50 or Males <40
32 (23.7%) Participants with high triglycerides >149

21. Top Lifestyle Risks Identified
Lifestyle Risk Factors:
Sedentary
Mammogram overdue
Cervical Cancer Screening Overdue
Sleep Apnea Symptoms
Doesn’t have PCP
At Risk for Depression
Primary Care Appt. Needed
Not Compliant with Meds
Colon Cancer Screening is overdue
Uncontrolled depression
45 participants (45%) are considered sedentary because they,
Are doing 30 min of moderate exercise less than 3 times a week, OR
Are doing 20 min of vigorous exercise less than 2 times a week
10 (10) participants do not have a primary care physician
9 (9%) participants need a primary care appointment
10 (10%) participants are at risk for depression
Sub groups who need attention
16 (28.1%) female members >40 years old are overdue for a mammogram
12 (21.1%) female members >40 years old are overdue for a cervical cancer screening
6 (15.8%) members >50 years old are overdue for colon cancer screening
5 (5%) medicated members are not compliant with meds overall

22. Hypertension Medication Adherence
Hypertension defined as combined blood pressure of 140/90 or greater
19 Participants indicated having High Blood Pressure (Hypertension) on their Personal Health Assessment
13 Participants, 68% always take medication and are controlling their condition based on their blood pressure reading
0 Participants, 0% taking medication did not have a controlled blood pressure reading
1 Participant who has not been prescribed any medications does not have a controlled blood pressure reading

23. Diabetes Medication Adherence
Controlled Diabetes defined as Glucose<100
1 Participants indicated having Type I Diabetes; 0 with Type II Diabetes on their Personal Health Assessment
1 of 1 Type I individuals are controlled, and they mostly take their medication

24. Alcohol Frequency
The majority of participants are limited alcohol consumers (75%)
10% of participants consume no alcohol
15% of participants consume 1-2 drinks per day

25. Caffeine Frequency
The vast majority of Fort Atkinson School District participants consume caffeine daily (87%)
77% of participants consume 2 or less caffeine drinks per day
23% consume 3 or more caffeinated drinks per day
31% of males consume 3 or more drinks per day more than the 20% of females
Caffeine frequency is highest in the age groups and 50 to 59.

26. Chronic Back Pain
See trend of participants with current or past back pain increase with age, while those responding never to back pain decreases with age
49% of participants self-reported current chronic back pain currently or in the past

27. Job Satisfaction
Overall, 92% of participants strongly agree or agree their job is satisfying
7% disagree, and 1% strongly disagree
The 60+ age group has the highest job satisfaction

28. Feeling down or depressed
10% of respondents indicated feeling down or depressed in the last 2 weeks
7.7% of females and 19% of males responding to this question answered feeling down or depressed in the last two weeks

29. Feeling bothered
4% of participants answered being bothered by things that usually don’t bother them in the last 2 weeks

30. Little interest or pleasure in things
9% of participants indicated having little interest or pleasure in doing things in the last 2 weeks

31. Trouble keeping focus
8% of participants indicated trouble keeping their mind on what they were doing in the last 2 weeks

32. Sources American Heart Association; www.americanheart.org
CDC, Center for Disease Control;
National Diabetes Information Clearinghouse (NDIC);
American Diabetes Association;
National Health and Nutrition Examination Publication