Obesity in Chicago Public Schools and Healthy CPS


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Obesity in Chicago Public Schools and Healthy CPS

  1. 1. Obesity in Chicago Public Schoolsand Healthy CPSApril 17, 2013Eric Jones, MPH Stephanie Whyte, MD, MBAChicago Dept. Public Health Chicago Public Schools
  2. 2. Report Highlights• Descriptive statistics on childhood obesityare now available for CPS, CDPH, andcommunity groups to devise specializedinterventions• Overall obesity prevalence in the threegrade levels assessed was 25%• Obesity estimate for kindergarten-agedstudents is lower than what was reportedin two previous studies• Healthy Places and Healthy CPS,initiatives of Healthy Chicago, focus onchanges in policies and environments
  3. 3. CLOCC’s Ecological Model:Factors Influencing Childhood ObesityInstitutions/CommunityFamilyC/OCell/OrganSocietySource: Consortium to Lower Obesity in Chicago Children (CLOCC). www.clocc.netIndividual
  4. 4. Body Mass Index (BMI)• Obesity refers to excess body fat• BMI =Weight (kg)/height(m)2• Recommended for adults, adolescents,and children• Does not distinguish between fat andmuscle
  5. 5. UnderweightHealthy WeightOverweightObeseDefining Obesity in ChildrenUsing 2000 CDC BMI Growth ChartsSource: CDC http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html
  6. 6. Prevalence of obesity in 2-19 yearolds, United States, 2009-2010Source: Ogden et al., JAMA 2012. http://www.nmqf.org/presentations/12OgdenCJCP3.pdfBoys GirlsPercent
  7. 7. Prevalence of obesity among children and adolescentsaged 2-19 years by poverty income ratio and race-ethnicity,United States, 2005-2008Source: CDC/NCHS http://www.cdc.gov/nchs/data/databriefs/db51.pdf
  8. 8. Prevalence of obesity among children aged 2-12years in six Chicago communities compared withUS, 2002Source: Margellos-Anast et al., Public Health Reports 2008.http://www.suhichicago.org/files/publications/PHR_child_obesity.pdf
  9. 9. Data Source• Illinois Child Health Examination formmust be completed by students enteringkindergarten, sixth, and ninth grades• Paper forms entered by school staff intoIMPACT-SIM, the district’s web-basedstudent information system
  10. 10. Overall Assessment• Records of 88,527 CPS students in thethree grades assessed– 44% Hispanic– 42% non-Hispanic black– 9% non-Hispanic white– 3% non-Hispanic Asian• 59,794 (67.5%) had recent, valid, andcomplete data sufficient for BMI percentilecalculation• Obesity prevalence was 25%
  11. 11. Orange bars denote 95% confidence limits (i.e., the margin of error associated with each estimate).Adjusted estimates of obesity prevalenceamong CPS students in kindergarten by race-ethnicity, 2010-201111.312.117.424.920.00 5 10 15 20 25 30Non-Hispanic AsianNon-Hispanic WhiteNon-Hispanic BlackHispanicAllNational estimatefor 2-5 year olds2008CLOCC estimates(CPS & Archdiocese)2003
  12. 12. Adjusted estimates of obesity prevalence amongCPS students in kindergarten, sixth and ninth grades, 2010-2011Orange bars denote 95% confidence limits (i.e., the margin of error associated with each estimate).
  13. 13. Estimates of obesity prevalence among Chicago Public School studentsin grades kindergarten, 6, and 9 by community area of residenceFive lowest estimates (%)Lincoln Park (7) 12.7Mount Greenwood (74) 12.9Loop (32) 13.5Armour Square (34) 14.1Lake View (6) 14.2Adjusted for non-response and standardized to District-wide grade-level enrollment proportions.Five highest estimates (%)South Lawndale (30) 32.9Hermosa (20) 31.3East Side (52) 30.9Lower West Side (31) 30.5West Lawn (65) 30.2
  14. 14. Community Transformation Grant:Small Communities• Design and implementcommunity-level programsthat prevent chronicdiseases• Expanded to support smallcommunities• A total of $70 millionnationwide• Directly impact about 9.2million AmericansHCPS Leadership Team/December2012
  15. 15. Healthy CPS Strategic DirectionsHealthy andSafeEnvironmentsTobacco-FreeLivingActive Living,HealthyEatingEmotionalWell-Beingand MentalHealthHealthy Students, Better LearnersHCPS Leadership Team/December2012
  16. 16. Active Living, Healthy Eating: TacticsStrengthen Nutrition Education programmingIncrease water consumption at schoolPolicy implementationDevelop grant communication strategySupport healthy mobile food vendorsStrengthen Physical Education programmingStrengthen Physical Activity programmingDevelop parent engagement strategyHCPS Leadership Team/December2012
  17. 17. Strengthen Nutrition EducationHCPS Leadership Team/December2012Objective (CPS)• Overall: Increase the number of teachers whodeliver health education in alignment with theNational Health Education Standards from 800 to5,800.• Strategies:– Conduct Health Education Curriculum Analysis Tool insample of 25 Chicago Public Schools, including asupportive school system– Convene Health Education Committee to developguidelines for health education implementation
  18. 18. Increase water consumptionHCPS Leadership Team/December2012Objective (CPS)• Overall: Increase the number of elementarystudents with access to drinking water throughoutthe school day from 0 to 4,000.• Strategies:– Purchase and disseminate water bottles to 10 pilotelementary schools– Provide technical assistance to 10 pilot schools todesign a plan to increase water consumption– Develop model standards of practice to increase studentwater consumption and distribute standards district-wide
  19. 19. Policy implementationHCPS Leadership Team/December2012Objective 1 (CPS)• Overall: Increase the number of students inschools that meet the revised criteria of theChicago Public Schools local wellness policy from30,00 to 70,000.• Strategies:– Provide technical assistance on action steps andpromising strategies and practices to assist schools inmeeting the requirements of the new Local SchoolWellness Policy– Implement a system to monitor compliance with andimpact of the revised School Wellness Policy
  20. 20. Policy implementationHCPS Leadership Team/December2012Objective 2 (CPS)• Overall: Increase the number of students with accessto healthy snacks and beverages that align with thenutrition standards outlined in Chicago Public Schools’Healthy Snacks and Beverages policy from 0 to 40,000.• Strategies:– Provide technical assistance on action steps and promisingstrategies and practices to assist schools in meeting therequirements of the new Healthy Snacks and BeveragesPolicy– Assess school compliance with Healthy Snacks andBeverages Policy
  21. 21. Support healthy mobile food vendorsHCPS Leadership Team/December2012Objective (CLOCC)• Overall: Increase the number of students with access tohealthy mobile food vendors on school grounds from 0 to10,000.• Strategies:– Survey vendors to identify challenges and opportunitiesfor providing healthy food options on school grounds– Provide technical assistance to vendors at 25 schools onproviding healthy food and beverages options on schoolgrounds– Create Healthy Mobile Vending guidance for schools
  22. 22. Strengthen Physical Education ProgrammingHCPS Leadership Team/December2012Objective 1 (CPS)• Overall: Increase the number of elementarystudents engaged in moderate-to-vigorousphysical activity for 50% of Physical Educationclass from 0 to 266,000.• Strategies:– Convene external Physical Education stakeholders todevelop strategic plan for strengthening PhysicalEducation– Develop standardized scope and sequence for PhysicalEducation in collaboration with Physical EducationLeadership team based on national standards
  23. 23. Strengthen Physical Education ProgrammingHCPS Leadership Team/December2012Objective 2 (CPS)• Overall: Increase the number of students in fivehigh schools with access to 4 years of requiredPhysical Education courses from 0 to 2,500students.• Strategies:– Develop operating procedures for schools to requirefour years of physical education.– Pilot programming at five high schools– Draft district-wide guidance on requiring four years ofphysical education for all high school students
  24. 24. Strengthen Physical Activity ProgrammingHCPS Leadership Team/December2012Objective (CPD)• Overall: Increase the number of children receiving30 minutes of physical activity per day in ChicagoPark District early childhood programs from 0 to2,800.• Strategies:– Provide technical assistance to Chicago Park District toadopt a voluntary policy requiring a minimum of 30minutes of physical activity in early childhood programs– Apply voluntary policy to all new Chicago Park Districtearly childhood programs
  25. 25. Develop parent engagement strategyHCPS Leadership Team/December2012Objective (HSC)• Overall: Increase the number of parents activelyengaged in School Wellness Teams from 0 to 290.• Strategies:– Develop guidance for Chicago schools on parentalengagement in schools wellness teams– Conduct four trainings for stakeholders on guidance forparent engagement in school wellness teams
  26. 26. STUDENT WELLNESSSchool WellnessEnvironmentPolicyRecessPEFoodAccessHealthySchoolCertifiedWellnessTeamsPartners
  27. 27. HEALTHIERUS SCHOOL CHALLENGEHealthy Snacks andBeverages PolicyRewards &PunishmentsStandards forNutrition in SchoolMealsHealthy Fundraising Physical Activity NutritionEducationComprehensiveWellness Policy
  28. 28. HealthierUS School Challenge Certification as of December 2012 with prevalenceof overweight or obesity among CPS Students in grades kindergarten, 6, and 9 bycommunity area of residence, 2010-201170 schools certified75 pending certification
  30. 30. POLICY GOALS• Codify current health and wellness initiatives andpolicies• Standardize best practices across the district• Align policies with HealthierUS School Challengestandards• Preempt new USDA regulations for snacks andbeverages outside of school meals• Set achievable expectations for schools to encouragecompliance• Establish CPS as a national leader in student health bymeeting and exceeding school wellness policy bestpractices
  31. 31. facebook.com/ChicagoPublicHealth @ChiPublicHealth312.747.9884CityofChicago.org/HealthHealthyChicago@CityofChicago.org