Nashville Community Health Needs for Children and Youth, 0-24

1. Nashville Community Health Needs for Children and Youth, 0-24 GOAL 3Children and Youth Engage in Good Health Practices

2. Children and Youth Engage in Good Health Practices means… • Increase physical activity of all children in and out of schools. • Provide nutritious food options and nutrition education for all children. • Improve the health status and practice of school faculty and staff. • Provide coordinated school health education.* *The Coordinated School Health Model was developed by the CDC and is a partnership model with the purpose to optimize school health and help ensure positive educational outcomes.

3. There are many issues that prevent children from engaging in good health practices. • Access to nutritious foods. • High-calorie diets; little or no exercise. • Youth do not see health as an area of concern. • Role models and champions. • Mixed media messages (e.g., a la carte, vending machines, advertising). • Disjointed efforts. • Lack of evidenced based, replicable programs. • Sufficient funding. • Full continuum—home, school, after school.

4. Numbers help tell the story… NATIONAL • According to the National Center for Health Statistics, one in five children in the United States is now considered overweight. • The Centers for Disease Control and Prevention (CDC) predict one-third of American children born in 2000 will eventually develop Type II diabetes if current eating and exercise trends are not reversed; minority children are at a higher risk. • The average child gets less than 15 minutes of vigorous activity daily. • Hospital costs related to childhood obesity have tripled in the last decade. • The estimated annual cost of obesity in the United States in 2000 was about $117 billion.

5. Numbers help tell the story… STATE • Tennessee ranks 48th among states for overall health. • Tennessee is among the 5 worst states for Type 2 diabetes in children. • 43% of students in Tennessee are overweight or obese (Coordinated School Health Pilot Programs in Tennessee). LOCAL • Nashville Youth Risk Behavior Survey* (YBRS) found 13% of Nashville youth are obese, based on body mass index (BMI) and only 32% surveyed attend Physical Education classes daily. • 2006 Live It! GFRWB* Pilot Findings: • 50% of children had a BMI above the 84th percentile (considered overweight). • 29% of children are at or above the 95th percentile (considered obese). • Nationally, 35% of children are either classified as overweight or at risk for becoming overweight. • Results indicate 5th and 6th graders are at risk for chronic disease. * Live It! Go for the Red, White, and Blue.

6. Currently, a number of programs in the community address these issues. • Most efforts are disjointed, many are in the pilot stage, some are state mandated without direction or dollars attached. • Examples Include: • SPARK • Live It! Go for the Red, White and Blue • 90 minutes of required physical activity • Coordinated School Health • Obliterating Obesity Project in Schools (OOPS) • Action for Healthy Kids • Jump Rope for Heart / Hoops for Heart • Blue Cross Blue Shield Walking Works for Schools • Commit to Be Fit • YMCA of Middle Tennessee—“The Gulick Collaborative” NOTE: This slide provides only a few examples of programs; it is not intended to be a comprehensive list.

7. There are many gaps in today’s programs and services. • Programs are disjointed. • Programs are not to scale across the city. • Need baseline from which to measure progress toward goals. • Opportunity for culturally/racially sensitive programs. • Reaching the full continuum—school staff, parents, children, community. • It’s about accepting a change in our culture is necessary—Hardwiring Wellness in every Community. “Health and education go hand-in-hand: one cannot exist without the other.”

8. In the next 2-5 years a number of changes are expected. If something isn’t done to alter nutrition and physical activity trends in our youth, the incidence of health problems attributed to childhood obesity will grow exponentially every year. • Tennessee has made significant strides as evidenced by recent Public School Vending Legislation, Body Mass Index Legislation, 90 minutes of required physical activity legislation and Coordinated School Health Legislation. • More emphasis and dollars placed on preventive programming for obesity prevention. • A more collaborative approach with providers. • More replicable, evidenced based programs. • Increasing knowledge of the importance of applying good nutrition and physical activity.

9. References • The Centers for Disease Control and Prevention. Overweight and Obesity: http://www.cdc.gov/nccdphp/dnpa/obesity/. • The Centers for Disease Control and Prevention. Physical Activity and Good Nutrition: Essential Elements to Prevent Chronic Diseases and Obesity. “At A Glace 2005.” http://www.cdc.gov/nccdphp/aag/aag.dnpa.htm. • http://www. sparkpe.org • 2003 Youth Risk Behavior Survey. • Evaluation and Treatment of Childhood Obesity “American Family Physicians,” American Academy of Family Physicians. http://www.aafp/990215ap/861.html • National Conference of State Legislatures http://wwwncsl.org/programs/health/ChildhoodObesity-2005.htm. • www.walkingworksforschoolstn.com/fast_facts/ • Tennessee Coordinated School Health Program. • Live It! Go for the Red, White and Blue Program.