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Physical Activity . Susan Brotherton, Physical Education Specialist. Tennessee Coordinated School Health Mission. To improve student health and their capacity to learn through the support of families, communities and schools. CDC’s Coordinated School Health Components.

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Physical Activity

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Physical Activity

Susan Brotherton, Physical Education Specialist

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Tennessee Coordinated School Health Mission

  • To improve student health and their capacity to learn through the support of families, communities and schools.

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CDC’s CoordinatedSchool Health Components

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Student OverweightRates

  • 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.

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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.

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In Tennessee

  • TN ranked 9th in the U.S. for the highest rate of adult obesity in 2006.1

  • 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. 2006. The Burden of Heart Disease and Stroke in Tennessee. Nashville, TN: TN Department of Health.

3.Weighing the Costs of Obesity in Tennessee. March 2006. Report No. R-03-06.

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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)

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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;101-923-5)

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20 Years Ago


500 calories

How many calories are in two large slices of today’s pizza?

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20 Years Ago


500 calories

850 calories

Calorie Difference: 350 calories

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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

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Calories In = CaloriesOut

If you shovel snow by hand or scrub a floor on hands and kneesfor1 hour you will burnapproximately350 calories.*

*Based on 160-poundperson

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10,000 steps/ day = 290 kcals

3500 kcals = 1 pound


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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 12-21 do not engage in regular PA (2000).

  • Only 30% of adults 18 and older engage in regular physical activity (2001).

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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

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T I M E !

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  • Sixout 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, 2002. MMWR 2003;52[33]:75-8)

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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.

Source: AAP (2001) Children, adolescents, and television. Pediatrics 107: 423-426.

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The Dilemma






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The Health & Learning Link

Educating the Whole Child:

Mind and Body

"The integral formation of the human person, this is the purpose of education…”

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

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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

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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

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Http tennessee gov education schoolhealth physed doc tnphysactivhbook 10 07 pdf l.jpg

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A Program of the ILSI Research Foundation


Phone: 770-456-0778 Email:

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The TAKE 10!Program

  • A classroom-based physical activity promotion program designed to reduce sedentary behavior while maintaining a focus on academics.

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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)

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NC 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

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Children and adolescents should engage in 30-60 minutes of moderate to vigorous physical activity on all or most days of the week.

*NASPE Guidelines

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Health Realities

“If schools do not deal with children’s health by design they deal with it by default.”

(Health Is Academic)

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TN Coordinated School Health – TDOE

CDC’s Coordinated School Health

School Health Index Guidebook

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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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