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Arkansas School Student BMI Assessments

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BMI normalized percentile histograms from NHANES. 0 20 40 60 80 100. 0 20 40 60 80 100 ... Arkansas BMI standardized percentiles. 0 10 20 30 40 50 60 70 80 90 ... – PowerPoint PPT presentation

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Title: Arkansas School Student BMI Assessments


1
Arkansas School Student BMI Assessments
  • Joseph W. Thompson, MD, MPH
  • Director, Arkansas Center for Health Improvement

2005 3rd National Prevention Summit Washington,
DC 2005 Secretarys Innovation in Prevention
Awards Public SectorSchoolsObesity October 24,
2005
2
Arkansas Center for Health Improvement
  • Mission
  • Be a catalyst for improving the health of
    Arkansans through evidence-based research, public
    issue advocacy, and collaborative program
    development

Health Promotion/ Disease Prevention
Health Care Financing
Scope of Work
Access to Quality Care
3
ACHIs major achievements
  • Tobacco Settlement Proceeds Act
  • Optimization for Arkansas Medicaid
  • Arkansas Health Insurance Roundtable strategic
    plan and safety-net benefits program
  • Arkansas Southern Rural Access Program
  • Arkansas Health Data Initiative
  • Child and adolescent obesity initiative

4
National data sources on child and adolescent
obesity
  • National Health and Nutrition Examination Survey
    (19702001)
  • Source of federal estimates for childhood obesity
  • Actual measurements of
  • Youth Risk Behavior Survey
  • CDC/State survey of adolescents
  • Self-reported data on height and weight

5
BMI normalized percentile histograms from NHANES
19761980
19711974
0 20 40 60 80 100
0 20 40 60 80 100
19992001
19881994
0 20 40 60 80 100
0 20 40 60 80 100
6
84th General Assembly Act 1220 of 2003
An act to create a Child Health Advisory
Committee to coordinate statewide efforts to
combat childhood obesity and related illnesses
to improve the health of the next generation of
Arkansans and for other purposes.
  • Goals
  • Change the environment within which children go
    to school and learn health habits everyday
  • Engage the community to support parents and build
    a system that encourages health
  • Enhance awareness of child and adolescent obesity
    to mobilize resources and establish support
    structures

7
Act 1220 activities
  • Elimination / restriction of all vending machines
    in schools statewide
  • Requirement of professional education for all
    cafeteria workers
  • Public disclosure of pouring contracts
  • Establishment of local parent advisory committees
    for all schools
  • Establishment of a state Child Health Advisory
    Committee to make recommendations to DOE
  • Confidential child health report delivered
    annually to parents with body mass index (BMI)
    assessment

8
BMI Taskforce
Developed Strategic Plan
School Nurses Local Clinical Resources
9
Data from Arkansas public schools


Matched for 2-yr comparison 264,480
10
Overall results by BMI classification
c26.3, df3, p .05
11
Arkansas BMI standardized percentiles
20032004
0 10 20 30 40 50 60 70 80 90 100
12
Percentage of students overweight or at risk for
overweight by Arkansas school districts
(20042005)
13
Overall results by grade
14
Child Health Report (2004)
15
Overall results by gender and ethnicity
60
50.7
49.7
50
44.2
43.9
43.1
42.6
38.7
38.6
38.5
38.3
34.6
40
34.3
30
20
10
0
Year 1 2 1 2 1 2 1 2 1 2 1 2
Females Males Females Males Females Males
Caucasians African Americans Hispanics
Overweight At risk for overweight
16
Spanish Child Health Report (2005)
17
Child obesity initiative accomplishments
  • Physician Continuing Medical Education
  • BMI screening and treatment algorithm
  • Year 3 of BMI assessments underway
  • Community, school district, and school reports
    being developed for year 3
  • Support for local Parent Advisory Committees
  • Board of Education adopted Child Health Advisory
    Council recommendations
  • Baseline established for evaluation of Acts
    impact

18
Conclusions
  • Arkansas population-based assessments exceed the
    national estimates for child and adolescent
    obesity rates
  • US estimates 15 overweight / 15 at risk
  • AR estimates 21 overweight / 17 at risk
  • Parental reports incorporated to raise awareness
    school and health resources mobilized for support
  • Longitudinal school-based assessments are
    possible and provide local information
  • Establishing a baseline enables the state to
    evaluate progress in combating the child obesity
    epidemic

19
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