A collaborative effort among: District 186 Schools Springfield Urban League Head Start

1. A collaborative effort among: District 186 Schools Springfield Urban League Head Start SIU School of Medicine Illinois Department of Public Health YMCA of the USA Generously funded by Blue Cross Blue Shield of Illinois

2. Why should District 186 schools want students to be active, healthy, and fit? • Academics (i.e., test scores) improve as fitness improves and activity increases • Daily activity improves behavior and reduces disciplinary problems • Healthy, fit kids may have better attendance rates • Healthy, fit kids are more likely to become healthy, fit adults • Healthy, fit kids may influence the health of other family members

3. Current District 186 efforts • CATCH program implemented across district • Physical activity • Classroom activity • Nutrition (“Go, Slow, Whoa foods”) • Wellness (CATCH) teams in each school • New Wellness Policy under consideration • Reform of vending and other food policies

4. Springfield Collaborative forActive Child Health • Goal: To prevent and control the child obesity epidemic through a multi-disciplinary, community partnership • Partners: District 186, SUL Head Start, IDPH, YMCA of the USA, SIU SOM • 2008: Grant from Blue Cross Blue Shield of Illinois

5. Ridgely Springfield Collaborative District 186 Grade Schools Fairview Enos Mc Clernand Dubois Iles Butler Lindsay

6. What the Collaborative offers • Measurement tools and expertise • BMI, activity, nutrition information • Assessment of school outcomes • Medical student and resident efforts • Classroom lessons for 4th grade intervention schools • Extensive health fair support • Active K at Enos • Consistent Health Messaging • SIU and CCHC Pediatric and Family Medicine Clinics • Goal: Include other local providers

7. What do we measure? • Eight Schools (4 control/4 intervention) • Measures, fall and spring • BMIs (Body Mass Index: Wt(kg)/Ht²(m)) • 1st and 4th grades • SOFIT(System for Observing Fitness Instruction Time) • 1st and 4th grades • PE class level of Moderate to Vigorous Physical Activity (MVPA) (examples: walking, running, jumping rope) • SPAN (School Physical Activity and Nutrition) • 4th grade • Forty nine multiple choice questions about activity, nutrition, and health knowledge

8. Overweight and Obesity in Children

9. Obesity in 1st and 4th Grade Childrenat Eight District 186 Schools, Spring 2013

10. Obese and Overweight 1st and 4th Grade Students District 186, Spring 2013 • 310 of 953 (32.5%) of 1st and 4th grade students were obese (16.7%) or overweight (15.8%) • In an average 20 student classroom: 3 are overweight and 3 are obese

11. Proposed Wellness Policy

12. 2012-2013 Fitnessgram Results4th Grade • Compares a student’s ability to perform fitness maneuvers to an established standard • For our 8 schools, from fall 2012 to spring 2013: • Abdominal Curl Ups- 6 of 8 (75%) schools improved • Aerobic Capacity- 5 of 8 (62.5%) schools improved • Push Ups- 5 of 8 (62.5%) schools improved

13. 2012-2013 Results from Student Physical Activity and Nutrition (SPAN) Survey

14. 2012-2013 Results from Student Physical Activity and Nutrition (SPAN) Survey

15. Conclusion • The Springfield Collaborative: • Provides measures of student activity and knowledge • Strongly supports the District’s efforts to improve student health through CATCH, Wellness policies, improved school nutrition, and other initiatives • Educates students, parents, and school staff • Teaches physicians to be active in the community, and to communicate the importance of wellness to their patients • Reinforces consistent health messaging across sites

16. Thank You. Questions/Comments? Generously funded by Blue Cross Blue Shield of Illinois

18. SIU School of Medicine Socio-Ecological Model IL Dept of Public Health Springfield Urban League Springfield Public Schools Head Start Schools Elementary Schools Primary Care Providers Parents