1. Physical Activity and Wellness Lab University of Nebraska Kearney Bryce Abbey MAEd Kate Heelan PhD,

2. Nebraska Department of Health and Human Services -Regulations TITLE 173 CONTROL OF COMMUNICABLE DISEASE CHAPTER 7 SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION, AND VISUAL EVALUATION – 7-004.05: Weight/height status screening shall be accomplished by the measurement of height and weight, calculation of body mass index (BMI), and assignment of percentile ranking utilizing age- and gender- specific charts.

3. WEIGHT/HEIGHT STATUS SCREENING COMPETENCIES WEIGHT/HEIGHT STATUS SCREENING COMPETENCIES: Body Mass Index Essential Steps for accurate measurement. COMPETENCYKEY POINTS AND PRECAUTIONS 1. Assure students’ privacy needs are met. A cubicle or stall-style approach to provide visual privacy is suggested. Making a line for students to stand behind while waiting helps reduce crowding and teasing around the scale Avoid statements about a student’s weight that others will be able to hear

4. COMPETENCIES cont. COMPETENCYKEY POINTS AND PRECAUTIONS 2. Assemble equipment and prepare environment for measurements. 3. Assure scale balances correctly at “0” pounds, or scale shows “0” when empty. 4. Stadiometer is correctly placed with “0” at floor level 5. Students remove shoes and heavy outer clothing prior to measurement. Excessive shoes and excessive clothing will affect accuracy of measurement. When BMI is calculated, height is used in the denominator. Errors in measurement can have a larger effect on accuracy than expected. 6. For weight measurement, student stands in center of weighing platform, bearing full weight equally on both feet, no shoes.

5. COMPETENCIES cont. COMPETENCYKEY POINTS AND PRECAUTIONS 7. Measure weight in pounds to nearest quarter pound (0.25). 8. For height measurement, student stands straight and looking straight ahead with back touching stadiometer surface. Measurement surface touching student’s head should be at least 3” wide. Press down sufficiently to flatten hair on top of head. Have student look straight ahead, ears in (horizontal) line with nose. 9. Immediately recheck height. If second measure is not within ¼” (.25 “) of first measure, recheck a third time. Accurately measure height in inches to nearest ¼ (0.25)”. 10. Record results.BMI is calculated from height and weight measurements, gender, birth date and date of measurement.The CDC group BMI calculator is found at www.cdc.gov. Use the search field to locate “BMI group calculator”. 11. Carry out rescreen and notification procedures per local school practice/policy. See guidelines for more information. Aggregate information about weight/height status of students may be useful for evaluating School Wellness Policies, or contributing to community- level efforts to promote healthy living.

6. Data Collection –Training –Technical Assistance Weight Status Aerobic Fitness

7. Accurate measures Advocate for a good digital scale and height stadiometer

8. Weight Status Lessons learned –Not everyone is currently measuring height and weight –Not every school has nurses –Equipment –Accuracy –Data management File cabinet, electronic, etc Who has time to enter? –Calculation of BMI –Knowledge of BMI meaning

9. Assessment of Weight Status Imperative to calculate BMI percentile based on age- and gender- specific BMI growth charts from CDC. –Website – school calculator spreadsheet –UNK BMI Report Card program

10. Centers for Disease Control and Prevention, National Center for Health Statistics. CDC growth charts: United States. http://www.cdc.gov/grow thcharts/. May 30, 2000. http://www.cdc.gov/grow thcharts/

11. www.cdc.gov/obesity/childhood

12. UNK BMI WEB APPLICATION

13. Data management Where is the data? –File cabinet –Trash –Spreadsheet –Who enters it and when?- TIME

14. What can we provide? Web application that is user friendly and does calculations and provides export to larger data base and parent reports Technical support

15. What UNK can provide now

16. UNK BMI WEB APPLICATION

17. Web application The web application is designed to: – track the BMI of individual students –calculate students BMI percentile – generate BMI Report Cards for parental awareness of child’s weight status This system can track BMI information about students from their entry into the school system, to their graduation.

18. Confidentiality Data are maintained, compiled and disseminated to promote and protect the confidentiality of data. –Confidentiality of individual data at the school level during collection and data entry Follow HIPAA Privacy Rules

19. School

20. Obtain from enrollment office: Class name Grade ID First Name and Last Name Gender Ethnicity Date of Birth Primary email address and Secondary email address

21. Screening data Can be entered into Excel and uploaded into site Can be entered into web app using a wizard

23. Personalized district logo Trending option District/ community specific info

24. Aggregate Report Example n % Mean weight Mean BMI

25. Questions? Bryce Abbey MAed Assistant Professor, Exercise Science HPERLS Department 1410 W 26 th Kearney NE 68849 abbeybm@unk.edu