C oordinated A pproach T o C hild H ealth CATCH Peter Cribb, MEd UT-Houston School of Public Health CATCHTexas.org CATCHInfo.org

Because we can’t afford to “WEIGHT!” Why children’s health?

Behavior change is influenced or determined by the environment – because environments value and reward certain behaviors. Basic Assumption

Overweight Children and Adolescents: NHANES Source: Medline, 2006 Ogden et al. JAMA;195: , Hedley et al. JAMA;291: Equal or greater than 95% age/sex CDC Growth Charts

To address the obesity problem we need to affect an environmental change – to create an environment that teaches, reinforces and rewards physical activity and healthy eating habits (which is the premise of Coordinated School Health Programming). Assumption #2

? How did get to be so?

? Consider the messages we send to our nation’s youth…

…about health and wellness? Winners of the Tobacco Prevention Persuasive Poster Contest WHAT’S WRONG WITH THIS PICTURE?

? Consider the messages we send to our nation’s youth…

…about physical activity?

? Consider the messages we send to our nation’s youth…

…about nutrition?

If you change the environment… Behavior will follow.

What is CATCH? Coordinated Approach To Children’s Health A multi-component, school based coordinated health approach to help children adopt healthy dietary and physical activity behaviors.

What is CATCH? Coordinated Approach To Children’s Health It’s an evidence- based tool for schools to use to create & support a healthy school environment.

Classroom Curriculum Food Service Physical Education Family The 4 CATCH Components

CATCH Middle School Components CATCH Component TitleGrade Level Description Classroom Curriculum Heads Up IMPACT 6 th – 8 th 7 th Nutr & PA (11) Diabetes & CV Disease (16) Osteoporosis (5) Physical Education CATCH PE6 th – 8 th 6 th – 8 th PE Box K-8 th PE Guidebook Sessions year round NutritionEat Smart6 th – 8 th School food service program & nutrition guidelines FamilyCATCH Newsletter Family Fun Events 6 th – 8 th Update of CATCH news & information Events focusing on healthy eating & PA

Goals of CATCH Eat Smart Provide students with tasty, healthy school meals Maintain required levels of essential nutrients and student participation Coordinate healthy messages with the rest of the school Child Nutrition Services

Eat Smart guidelines align with federal standards and 2005 US Dietary Guidelines Provides guidelines for vending & a la carte foods and beverages Recommendations for healthy catering at school functions Promotion of healthy foods Recommendations for fast food offerings Eat Smart

6 th – 8 th grades (Heads Up & IMPACT materials) Curriculum Focus: Knowledge (Nutrition, PA, Diabetes, CV Disease, & Osteoporsis) Case studies Interactive videos & activities Peer role models Promotes critical thinking Classroom Curriculum

Alignment with TEKS & state and national science education standards Teacher-friendly objectives, content, classroom activities HEADS UP Curriculum

Behaviorally based lessons to adopt healthy eating and physical activity behaviors Improve healthful eating habits with more servings of calcium each day Increase participation in daily MVPA Higher frequencies of weight bearing PA IMPACT Curriculum

CATCH PE is designed to promote children’s enjoyment and participation of MVPA (moderate to vigorous physical activity) during PE classes, extracurricular activities, and recreation time with family and friends. Goal of CATCH PE

Students enjoy physical activity Students will be involved in MVPA for 50% of class time Students are provided many opportunities to participate and practice skills Students are encouraged to be physically active outside of school Emphasis on weight-bearing activities & lifetime physical activities in 6 th – 8 th CATCH PE

Serve as an educational program that raises awareness about health & wellness Motivates parents, students, and community members to change their behaviors Provide opportunities for parents and family members to visit the school and actively participate in CATCH Influence healthy changes in the home and community Family Component

CATCH Newsletter: Providing CATCH updates and news and highlighting CATCH Champions. Family Fun Events: Repeatable family health activities at least once a year Participation by CATCH students and families, teachers, food service staff, physical education specialists and administrators Community involvement opportunity Activity booths highlighting healthy snacks and fun activities Family Component

CATCH Partners hipCATCH Partners hip Get InfoGet Info Newsle tterNewsle tter Resour cesResour ces Trainin gTrainin g What's NewWhat's New WHAT IS CATCH? Watch CATCH Video CATCH: From Research to Practice The CATCH Program will be featured in the Centers for Disease Control (CDC) sponsored Public Health Webinar series “Grand Rounds” on June 15th from 2-3pm EST. Overview CDC is changing to meet the challenges of public health in the 21st century. To address the shifting landscape of public health, the CDC is concentrating on improving the health of individuals through a holistic approach instead of focusing on specific diseases. CDC is using a “life stage approach” to focus its efforts on achieving the highest health status for people in the United States. People have different health needs and perceptions as they progress through life. CATCH Newsletter

Screenings Student Poster Exhibits Diabetes Education Family Fun Events & Parent Outreach

Because CATCH Works! Why CATCH? CATCH has repeatedly demonstrated that the health environments of schools can be changed. CATCH has demonstrated it positively changes children’s health behaviors,

Because CATCH Works! Why CATCH? CATCH 6 th – 8 th demonstrated an increase in vigorous physical activity levels and activity time after school and on the weekend. CATCH 6 th – 8 th has shown a decrease in TV watching and sedentary activities. CATCH 6 th – 8 th (HEADS UP) has shown improvements in standardized test scores. CATCH 6 th – 8 th (IMPACT)demonstrated effects in increasing bone density (e.g., stiffness index).

High-energy, dynamic and multi- dimensional One full day All groups train together as a coordinated team It’s FUN! CATCH Implementation Trainings

Observable Changes in Schools

It takes everyone working together!

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