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Susan Brotherton, Physical Education Specialist

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1 Susan Brotherton, Physical Education Specialist
Physical Activity Susan Brotherton, Physical Education Specialist

2 Tennessee Coordinated School Health Mission
To improve student health and their capacity to learn through the support of families, communities and schools.

3 CDC’s Coordinated School Health Components

4 Student Overweight Rates
Based on CSH pilot site data, 43% of all students are either at-risk for overweight or overweight. TDOH data collected from 14,000 students found that 43% of all students were either at-risk for overweight or overweight. Overweight adolescents have a 70% chance of becoming overweight or obese adults. Statistics from the Centers for Disease Control and Prevention (CDC) are alarming. Today, about 16 percent of all children and teens in the United States are overweight.

5 Childhood Weight Trends
31% of youth, 6-19 years, are at risk for overweight or overweight. 1 in 10 of 2-5 year olds are at risk of overweight or overweight. 1 in 6.5 of 6-11 year olds at risk of overweight or overweight. Since 1980, the % of overweight (OW) children in the U.S. has nearly tripled.

6 In Tennessee TN ranked 9th in the U.S. for the highest rate of adult obesity in Heart disease and stroke are the 1st and 3rd leading causes of death & disability in TN.2 Good News…Coordinated School Health! Monroe County, CSH pilot site, over a 3-yr period reduced the percentage of students at risk of OW or OW from 46.37% to 43.77%.3 1. Univ of Baltimore Obesity Report, 2006. 2. TN Dept of Health, TN State Univ, Center for Health Research, and Univ of TN Health Science Center The Burden of Heart Disease and Stroke in Tennessee. Nashville, TN: TN Department of Health. 3. Weighing the Costs of Obesity in Tennessee. March Report No. R


8 Between 1970 and 1980, the number of fast-food outlets in the United States increased from about 30,000 to 140,000, and sales increased by about 300 percent. In 2001, there were about 222,000 fast-food outlets. (Paeratakul S, Ferdinand D, Champagne C, Ryan D, Bray G. Fast-food consumption among US adults and children. J Am Diet Assoc 2003:103:1332-8)

9 Children eat nearly twice as many calories (770) at restaurants as they do during a meal at home (420). (Zoumas-Morse C, Rock CL, Sobo EJ, Neuhouser ML. Children’s patterns of macronutrient intake and associations with restaurant and home eating. J Am Diet Assoc 2001; )

10 PEPPERONI PIZZA 20 Years Ago Today 500 calories How many calories are in two large slices of today’s pizza?

11 PEPPERONI PIZZA Calorie Difference: 350 calories 20 Years Ago Today

12 Maintaining a Healthy Weight is a Balancing Act
Calories In = Calories Out How long will you have to shovel snow or scrub a floor on hands and knees in order to burn those extra 350 calories?* *Based on 160-pound person

13 Calories In = Calories Out
If you shovel snow by hand or scrub a floor on hands and knees for 1 hour you will burn approximately 350 calories.* *Based on 160-pound person

10,000 steps/ day = 290 kcals 3500 kcals = 1 pound ½ of calories consumed were from fat and sugar that had been added to foods (1997). Only 1% regularly ate diets that resembled the food guide pyramid (1997). About 1/5 of high-schoolers reported eating as many as 5 servings of fruits and vegetables daily (2001). From 1991 to 1999, the % of students attending daily PE declined from 42% to 29% (1999). Nearly ½ of people age do not engage in regular PA (2000). ENERGY IMBALANCE !

15 Current Trends…Physical Activity
From 1991 to 1999, the % of students attending daily PE declined from 42% to 29% (1999). Nearly ½ of people age do not engage in regular PA (2000). Only 30% of adults 18 and older engage in regular physical activity (2001). You may remember that when you were in school, you had physical education and recess almost every day. This is not the case any more. Children have not been able to participate in regular physical activity at school for some time. One of the results of this change is that those individuals aren’t growing up with a love for movement and think of physical activity as a ‘chore’ rather than a way to relax or de-stress. Schools and government officials have often assumed that when kids leave school, they will make up the physical education time by playing at home. Let’s look at the data on this in our next slide.

16 Physical Activity Levels are affected by…
Current Trends…Physical Activity Physical Activity Levels are affected by… Elimination of PE / recess in schools Reductions in physical activity required for daily living Physical environment, transportation, labor saving devices Competition from attractive sedentary activities Television, video/DVD, computer games, internet

17 T I M E !

18 Nearly 23 percent don’t engage in any free-time physical activity.
Six out of 10 children ages 9-13 don’t participate in any kind of organized sports/physical activity program outside of school. Nearly 23 percent don’t engage in any free-time physical activity. Children whose parents have lower incomes and education levels are even less likely to participate. (Physical activity levels among children aged 9-13 years – United States, MMWR 2003;52[33]:75-8)

19 Current Trends… Sedentary Activity
Avg. child watches  3 hours of TV per day (excluding videos & video games). Avg. child spends 6.5 hours per day using various forms of media. American Academy of Pediatrics recommends TV viewing be limited to no more than 1-2 hours per day. Many researchers say that one of the most important messages we can give families today to prevent overweight in our children is to reduce the amount of time we sit around! As you can see from this slide, kids are spending a great deal of time in sedentary behavior. Source: AAP (2001) Children, adolescents, and television. Pediatrics 107:



HEALTH? IS HEALTH Everyone’s responsibility? Classroom teachers should teach health Someone else’s responsibility? Physical educators and/or parents should be responsible for teaching health

23 The Health & Learning Link Educating the Whole Child:
Mind and Body "The integral formation of the human person, this is the purpose of education…”

24 DISCUSSION QUESTION… How does physical activity and/or sedentary behavior contribute to (or not contribute to) a child’s ability to learn?

25 Between Learning + Health
THE ALL IMPORTANT LINK… Between Learning + Health Undernourished children: Attain lower scores on standardized tests More likely to become sick Poor Attendance Fall behind in class Physically active children: Achieve higher math scores Calmer in class Less absent from school

26 Definition of Physical Activity
Physical activity in an educational setting: a behavior consisting of bodily movement that requires energy expenditure above the normal physiological (muscular, cardiorespiratory) requirements of a typical school day. Tennessee Association for Health, Physical Education, Recreation and Dance



29 A Program of the ILSI Research Foundation
Web: Phone:

30 The TAKE 10! Program A classroom-based physical activity promotion program designed to reduce sedentary behavior while maintaining a focus on academics.

31 The TAKE 10! Program Integrates multiple 10 minute periods of physical activity with core curriculum learning objectives in K-5 classrooms, (language arts, math, science, social studies, and health)

32 NC Energizers DOWNLOADABLE Elementary School Energizers
Elementary School Energizers A laminated booklet of the Grades K-5 Energizers is available for purchase Middle School Energizers     Laminated booklets of the Middle School Energizers are available for purchase

33 Recommendations Children and adolescents should engage in minutes of moderate to vigorous physical activity on all or most days of the week. First of all let’s explore about why TAKE 10! Was created. First of all the centers for Disease control recommends that children And adolescents should engage in min. of moderate of vigorous pa on all or most days of the week. *NASPE Guidelines

34 Health Realities “If schools do not deal with children’s health by design they deal with it by default.” (Health Is Academic)

35 Websites TN Coordinated School Health – TDOE
CDC’s Coordinated School Health School Health Index Guidebook

36 Contacts Susan Brotherton Physical Education Specialist
Connie Givens Director of School Health Sara Smith Coordinator of School Health Rebecca Johns-Wommack Health Education Specialist

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