Presentation given by Ruth Litchfield, ISU Extension to Regional School Work Group in January 2009.

1. Weighty Issues: Why and How Schools Should Be Involved

2. Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Iowa Source: http://www.cdc.gov/ No Data <10% 10%–14%

3. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Iowa Source: http://www.cdc.gov/ No Data <10% 10%–14%

4. Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Iowa Source: http://www.cdc.gov/ No Data <10% 10%–14% 15%–19%

5. Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Iowa Source: http://www.cdc.gov/ No Data <10% 10%–14% 15%–19% ≥20

6. Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Iowa Source: http://www.cdc.gov/ No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

7. (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Obesity Trends* Among U.S. Adults BRFSS, 2002 Iowa Source: http://www.cdc.gov/ No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

8. Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Iowa Source: http://www.cdc.gov/ No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

9. Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Iowa Source: http://www.cdc.gov/ No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

10. Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Iowa No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: http://www.cdc.gov/

11. Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: http://www.cdc.gov/ Iowa

12. Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: http://www.cdc.gov/ Iowa

13. Source: http://www.cdc.gov/brfss/

14. Source: http://www.cdc.gov/brfss/

15. What About NE Iowa? Source: http://facits.idph.state.ia.us/facits/ Iowa Allamakee Clayton Fayette Howard Winneshiek Overweight 37.3% 38.2 38.1 37.8 38.2 35.9 Obese 22.5% 23.2 23.2 22.8 23.0 21.5

16. Children and Weight One in two children (ages 6-19) in the U.S. is overweight (obese) or at risk of overweight (overweight)

17. Overweight/Obese Trends Percentage JAMA 2002, 2004, 2006

18. What About Iowa Youth? Source: Youth Risk Behavior Surveillance System, 2007 National Iowa Obese Females 9.6% 8.8% Overweight Females 15.1% 10.6% Obese Males 16.3% 13.7% Overweight Males 16.4% 16.2% Obese Total 13.0% 11.3% Overweight Total 15.8% 13.5%

19. What about NE Iowa? Source: Iowa WIC program http://www.idph.state.ia.us/wic/common/pdf/2007_pednss_county.pdf Iowa Allamakee Clayton Fayette Overweight 85-95% 17.5% 15.7% 19.8% 23.4% Obese >95% 14.9% 15.7% 14.9% 12.9%

21. Excessive weight gain in childhood precedes adult obesity and related problems. Overweight children are 43.5 times more likely to have at least 3 cardiovascular risk factors. Source: Nicklas (2001) Journal of the American College of Nutrition 20(6): 599-608 HEALTH HAZARDS AHEAD

25. Child Nutrition and WIC Reauthorization Section 204 of P.L. 108-265 June 30, 2004

38. Should schools be in the health business?

39. Mean scale scores in English–language arts by fitness standards achieved.

40. Mean scale scores in mathematics by fitness standards achieved.

43. Nutrition Outcomes (Florida 1990) Wide Range Achievement Test (WRAT) scores  Classroom behavior  Nutrition quiz scores 