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Child/Adolescent BMI Assessment --Pike County, 2008-2010. Epi/Surveillance & Preventive Medicine Teams June 18, 2010. Objectives. Assist Pike County Health Department with entering school screening data Evaluate trends Sex School Year
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Child/Adolescent BMI Assessment--Pike County, 2008-2010 Epi/Surveillance & Preventive Medicine Teams June 18, 2010
Objectives • Assist Pike County Health Department with entering school screening data • Evaluate trends • Sex • School • Year • Report findings and compare to national and state data • Provide tools to facilitate data entry
Definitions Body Mass Index (BMI): Weight (kg) / Height (m2) or Weight (lbs) / Height (inches2)x 703 Overweight: Children with BMI values at or above the 85th percentile of the sex-specific BMI growth charts Obese: Children with BMI values at or above the 95th percentile of the sex-specific BMI growth charts
Healthy People 2010 • Reduce the proportion of children and adolescents who are overweight or obese • Overweight & obesity: leading health indicator • Reduction in the proportion of children overweight/obese to 5% is a target goal • U.S. has made little progress
Prevalence of overweight and obesity among children 10-17 years of age Source: National Survey on Children’s Health
Prevalence of obesity among children 10-17 years of age Source: National Survey on Children’s Health
Methods • Obtained hardcopy data on 6th grade children attending public school in Pike County, Kentucky • Data available for 2008-2009 and 2009-2010 school years • 12 schools included in analysis • Microsoft Excel used for analysis
Variables Examined • Sex • Age at screening • BMI • BMI percentile
Results • Prevalence of Overweight and Obesity among children by selected variables • Sex • School • Year
Prevalence of Overweight and Obesity among 6th graders by sex--Pike County, 2009 Source: Pike County Health Department
Prevalence of Overweight and Obesity among 6th graders by sex--Pike County, 2010 Source: Pike County Health Department
Prevalence of Overweight and Obesity among 6th graders by school--Pike County, 2009 Source: Pike County Health Department
Prevalence of Overweight and Obesity among 6th graders by school--Pike County, 2010 Source: Pike County Health Department
Trends in Overweight and Obesity among 6th grade students--Pike County, 2009 Source: Pike County Health Department
Limitations • Incomplete records • Inconsistent measurement precision • Relied on estimations of percentile for one school
Conclusions • Kentucky has higher rates of overweight & obesity than the U.S. • Pike County has higher rates of overweight & obesity than KY & U.S. • Prevalence in Pike County is similar in boys and girls • Most 6th graders with weight issues are obese
Recommendations • Explore feasibility of electronic data transfer • Consider use of free CDC program for ease of data entry • Standardization of data collection • Quality Control • Use data to highlight magnitude of problem and special needs of community
Team Members • Pike County Health Department • Danita Bartley • Patrece Beverly • Jan Johnson • All others who showed great hospitality and kindness • U.S. Public Health Service • CDR Jennifer Williams • CDR Maria Cano • LCDR Araceli Rey • LCDR Deborah Dee • LCDR Jan Linkenhoker • LT Terri Stenmark • Preyanka Makadia