1. M AINE I NTEGRATED Y OUTH H EALTH S URVEY (MIYHS) HEIGHT AND WEIGHT TRAINING MODULE 2010/2011 SCHOOL SURVEY

2. INTRODUCTION This training module is designed as a refresher course for school nurses to conduct accurate height and weight measurements of students participating in the Maine Integrated Youth Health Survey in 2010/2011 school year. Your school has been chosen to participate this year. This course is required to be completed by every school nurse who will be conducting this valuable screening. Aggregate data gathered from this screening will be used as a longitudinal measure of overall student risk of obesity and will inform local, regional and state stakeholders of the overall health of school-age children and may inform the effectiveness of systemic interventions aimed at reducing the obesity burden of school-age children in Maine.

3. MIYHS H EIGHT AND W EIGHT T RAINING Definitions: Height Weight Body Mass Index – not needed to calibrate for this survey Calculating BMI All Students in Grades: Kindergarten Grade Three Grade Five

4. MIYHS H EIGHT AND W EIGHT T RAINING Protocols for screening Inform parents of screening by methods discussed in text. Permissions must be sent home and parents have the right to opt out of their child participating in this survey and screening. Maintain student confidentiality during screening. Do not screen or record height and weight information for students whose parents have refused to participate in this survey. Record results in two columns FT and IN and pounds (rounded) on the forms provided. Height and weight screening done in the fall of 2010/2011 may be used if this protocol was followed.

5. MIYHS H EIGHT AND W EIGHT T RAINING Height Equipment Stadiometer – portable or stationary Large stable base Horizontal head piece – 3” or longer Weight Equipment Digital scale that can be calibrated to zero Measure weight in pounds Reset to zero between students ⊘ No use of cloth tapes, yardsticks, graphics attached to the wall or metal measuring rod

6. MIYHS P ROCEDURES Height Procedures

7. HEIGHT PROCEDURES Direct or assist student to: Remove shoes Remove hair ornaments including barrettes, hair ties, clips, etc. Stand with back to the stadiometer, touching the stadiometer Legs together (or contact at some point) Knees straight Head in Frankfort Plane (Fig. 2) Lower headpiece with sufficient pressure to press hair down to scalp Read at eye level Record on appropriate MIYHS form in two columns, FT (feet) and IN (inches)

8. MIYHS P ROCEDURES Weight Procedures

9. W EIGHT P ROCEDURES Have student remove shoes and heavy clothing (jackets, sweatshirts, etc.) Set scale to ZERO Place scale on firm surface – NOT on carpet Have student stand still in the center of the platform Weight read to the nearest pound (round up from.5 and down from.4) Provide results to the student Record the weight on the back of the MIYHS survey form (5 th grade students) or on the spreadsheet provided for K and 3.

10. MIYHS H EIGHT AND W EIGHT T RAINING R ECORDING AND R EPORTING Once the heights and weights are completed and recorded, place each survey in an envelope and write the student’s name on the front. Sort by grade and classroom teacher and return to the school contact person (5 th grade only) Kindergarten and Grade Three spreadsheets are electronic and can to be returned via email.

11. MIYHS H EIGHT AND W EIGHT T RAINING C ONCLUSION Now that you have read the materials and viewed this power point presentation, please take the quiz. This is an open notes quiz. All participants must score 100 on the quiz. Once this is completed, you may proceed with screening the students in grades participating in the MIYHS survey. Thank you.