Kim S. Kimminau, Ph.D. Kansas Health Institute

1. Kansas School Nutrition and Physical Activity Survey, 2006Obesity Task ForceTopeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

2. Project • Survey development • Focus areas • Opinions • Nutrition (school meals, a la carte, vending) • Physical education • Physical activity • Policy and practices

3. Project • Respondent groups • District-level food service administrators • School-level food service managers • Authorized representatives • Health and physical education teachers • School administrators and others (principals FCS teachers, nurse, counselors)

4. Response Rates by District • School nutrition survey 63% • District nutrition survey 86% • Physical activity survey 37% 96% of school districts represented in at least one of the three surveys

5. Response Rates bySchool Type

6. Opinions

8. Breakfast • 90% KS schools offer breakfast to students

9. Vending Machines • Beverage only: 15% • Vending (both): 58% • Urban schools: 55% • 2.6 snack, 4.9 beverage machines • Rural schools: 78% • 1.3 snack, 3.3 beverage machines

10. Vending Machines • Top five most commonly available items: • Carbonated beverages…89% • Water……………………..89% • Juice………………………77% • Chips and snack foods….74% • Candy……………………..71%

11. Vending Revenue Uses • Sports/clubs (uniforms, travel)………...57% • Student incentives………………………46% • Teacher/staff incentives………………..15% • Supplies (paper, pens, PE equipment)…..........................................3% • Facility improvements…………………..11% • Supplemental budget orgeneral fund……………………………….7% • Food service program……………………5%

12. A la Carte Offerings • “All other food and beverage items sold by the school food service program in the school cafeteria or other locations where school meals are served or eaten” • Available in: • 33% elementary schools • 46% middle schools • 49% high schools

13. A la Carte Offerings • Routinely available: • Milk…………………………..81% • Juice ………………………..75% • Water………..……………...72% • Chips and snack foods ......71% • Ice cream …………………..68% • An additional entrée from the school lunch …………..56%

14. Other Policies-Nutrition • Time available for lunch • 60% of schools provide 15-20 minutes • 10% < 15 minutes and 30% > 20 minutes • Open campus • 15% of middle and 19% of high schools offer open campus • Influenced most by students and district administrators (least by parents and community) • Food serving and dining facilities • 90% indicate accommodations are adequate

15. Physical Education

16. 100 80 60 40 20 0 K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Grade Physical Education • 93.4% of KS schools offer physical education with at least 25% physically active class time; issue is requirement Required Physical Education % of responding schools

17. Physical Education • Weekly participation • About 98% elementary schools • 70% middle schools • Less than 10% high schools • More days, on average in rural schools • PE class duration • 49% report 20-30 minutes; 41% report over 40 minutes • 17% of schools have decreased amount of time for PE during last 3 years

18. Recess • 84% elementary schools offer • 25% have decreased time over past 3 years • Typically follows lunch period • Classroom……..75% • Playground…….41% • Gymnasium……38% • Multipurpose…..12% • Cafeteria……….10%

19. Intersection of Policies

21. Kansas Policy Option?

22. Influencing Factors • Factors influencing decisions regarding student wellness, nutrition and physical activity (strongly agree/agree– Administrators) • Laws & regulations……………67% • No Child Left Behind………….60% • Superintendent/principalrequests……………………......59% • Testing………………………....55% • Local board…………………....47% • Students…………………….....41% • Community…………………….38% • Budget………………………….17%

23. KHI Recommendations • Kansas needs to develop a comprehensive, statewide strategy • Progress and improvement using the school wellness policy guidelines should be required in all Kansas public K-12 schools • As recommended by the IOM, all food and beverages sold or served to students in school should be healthful and meet an accepted nutritional content standard • An in-depth review should be conducted of how the school lunch program is financed at the local level • State policymakers should institute more comprehensive physical education requirements in Kansas public middle and high schools • Kansas lacks basic information on the level of overweight and obesity among children – collect height and weight data to calculate BMI of public school students

24. Kansas Health Institute Healthier Kansans through informed decisions