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SMART. Start Moving Adolescents Right Today. Detroit Health Department Detroit Public Schools Detroit Recreation Department. SMART. Background (Why) Methods / Approaches (What We Did) Results (What We Found) Conclusions ( What We Think About What We Found) Public Health Implications.

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Start Moving Adolescents Right Today

Detroit Health Department

Detroit Public Schools

Detroit Recreation Department

  • Background (Why)
  • Methods / Approaches (What We Did)
  • Results (What We Found)
  • Conclusions ( What We Think About What We Found)
  • Public Health Implications



background youth obesity a public health crisis
BackgroundYouth Obesity: A Public Health Crisis
  • The Prevalence of increased obesity and overweight among teens that adverselyaffect the quality of health and academic performance
  • Today, there are nearly twice as many overweight children and almost three times as many overweight adolescents as there were in 1980.
  • Increase in Type II diabetes among children, estimated eight timesthe pre-1992 level.
  • Overweight in children and adolescents is generally caused by lack of physical activity, unhealthy eating patterns, or a combination of the two

(2001 Surgeon General's Call to Action)

background youth obesity a public health crisis1
BackgroundYouth Obesity: A Public Health Crisis
  • Considered a national epidemic
  • Threefold increase in overweight children and teens in last two decades
  • Children’s health at further risk due to undernourishment.
  • Sedentary lifestyle compounds problem
  • Unhealthy/sedentary lifestyles result in $100 billion in costs and 300,000 deaths annually

(U.S. Surgeon General’s Report, 2002)

background youth obesity a public health crisis2
BackgroundYouth Obesity: A Public Health Crisis
  • Increased prevalence of overweight children in each age group
  • Between 1988-94 and 1999-2000, weight increased by 10% among African American and Mexican American adolescents!
  • 15% (1 in 6) of children 6 years and older are overweight Study

(Journal of the American Medical Association)

background youth obesity a public health crisis3
BackgroundYouth Obesity: A Public Health Crisis
  • One third of Michigan school children are overweight. In fact, theyare among the heaviest in the nation. For example, a typical 17-year-old child is 7 pounds heavier than the national average.
  • One of five African-American girls, one of six African-American boys, and one of twelve Caucasian children have significantly elevated resting blood pressures.
  • 2-4% of Michigan school children have "severely high" blood pressure, compared to a national average of 1%.
  • 39% of Michigan children have elevated cholesterol levels compared to a national average of 25%.

(Kuntzleman C.T. University of Michigan Dept. of Movement Science)

background youth obesity a public health crisis4
BackgroundYouth Obesity: A Public Health Crisis
  • Only 22% of male and 19% of female teens meet the minimum average daily goal of at least five servings of vegetables and fruits.
  • 1/3 of students do not receive the recommended amount of both moderate and vigorous physical activity during the week.
  • Younger students were more likely to watch three or more hours of television each day on an average school day.

(2001 Youth Risk Behavior Survey Results – Detroit High School Survey)




what we did methods approaches
What We DidMethods & Approaches
  • Brought stakeholders and partners together
  • Committed resources from three district bureaucratic organizations to address a common public health problem adversely impacting teens
  • Enhanced coordination among the local health

department and the local school district to leverage resources as a mechanism to achieve health and academic goals of students

what we did methods approaches cont d
What We DidMethods & Approaches (cont’d)
  • Complied health data from the school-based health centers, physical education activity data from the school district and geographic recreation service delivery data from the City’s Recreation Department
  • Assisted in the development and submission of a Michigan collaborative grant application
  • Participated in the development of a “Coordinated School Health Program (CSHP) for the Detroit Public School District
  • The SMART initiative will be implemented more effectively with the infrastructure of CSHP
what we did inventory of programs services and supports
Faith Based Initiatives

Parks & Recreations

Project FRESH


Mall-walking Programs

MDCH Cardiovascular Health Program

Governor’s Council on Physical Fitness and Health Sports

MoTown in Motion

African American Health Initiative

What We DidInventory of Programs, Services and Supports



what we found results schools critical role
What We FoundResults: Schools’ Critical Role
  • Key environment identified in U.S. Surgeon General’s report
  • Potential significant influencing power
  • Extraordinary opportunity to guide and shape healthy eating and physical activity habits
  • Key link to parents and community
  • Growing trend: commercial interests target schools and compete with healthy choices, i.e., vending machines
what we found results

What We FoundResults

Youth Risk Behavior Survey

Students Eating Habits (9 - 12th graders)

Physical Education in Schools

Self Reports of Students Weight

School Based Health Center Dat

Random Sample Student Chart Review Heights & Weights

Community / Recreational Data

Recommended Time Allotment for Students’ Physical Education

what we found coordinated school health program s eight components
What We FoundCoordinated School Health Program’s Eight Components
  • Health Education
  • Physical Education
  • Health Services
  • Family / Community Involvement
  • Mental Health Services
  • Nutrition Services
  • Healthy School Environment
  • Health Promotion for Staff
what we found achievement tied to good health
What We FoundAchievement Tied to Good Health
  • Physical Activity
      • Improves self esteem
      • Reduces anxiety and stress in teens
  • Documented Facts
      • Good health and nourishment enhance performance on cognitive testing
      • Improved tests scores are a result of participation in school breakfast program


what we think about what we found conclusions
What We Think About What We Found CONCLUSIONS
  • Big picture realized, however, data gaps remain
  • Efficient way to leverage existing resources among local governmental entities to ensure program implementation, program operation and program sustainability
  • Collaboration is effective
  • Collaboration works
  • Partners/stakeholders committed
what we think about what we found c0nclusions cont d
What We Think About What We Found C0nclusions (cont’d)
  • Obesity problem brought to the forefront and able to obtain buy-in from Public Health Director, Public Schools CEO and the Mayor
  • The Coordinated School Health Program is a vehicle to address health initiatives, particularly the prevalence of obesity among school age children


compelling message for public health
Compelling Message forPublic Health
  • Advocacy and resiliency is needed to reverse the obesity epidemic among school age children
  • National and local resources are required
  • Buy-in of the community; students, parents, private sector, clergy, businesses, media and other stakeholders
compelling message for public health1
Compelling Message forPublic Health
  • Healthy Youth Make Better Students
  • Better Students Make Healthy Communities