1. Bob Rauner, MD, MPH Partnership for a Healthy Lincoln School Based Weight Status and Fitness Tracking

2. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

3. Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

4. Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

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

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

7. Obesity Trends* Among U.S. Adults BRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

8. 1999 Obesity Trends* Among U.S. Adults BRFSS, 1990, 1999, 2009 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 2009 1990 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

9. Prevalence of Obesity Among U.S. Children and Adolescents (Aged 2 –19 Years) National Health and Nutrition Examination Surveys

10. Importance of Having Your Own Local Stats

11. Elements of Successful Community Change 3 Basic Principles: A 3-Way Partnership  Bottom up (grass roots efforts)  Top down (support from officials, leaders, policies)  Outside in (best practices from the experts) Action based on local data Community wide change in behavior is most successful if the community sees it as in its own best interest Taken from: “Just and Lasting Change: When Communities Own Their Futures”, by Daniel Taylor-Ide and Carl Taylor, 2002, Johns Hopkins University Press, Baltimore, MD.

12. 2009 LPS Elementary Schools Percentage Overweight & Obese N=16,257

13. 2009 Obesity Prevalence – Title 1 vs. Non Title 1 Elementary Schools

15. Percent of 4 th & 5 th Grade LPS Students Passing Fitness Test by Weight Status 106/133 2,471/3,089 510/825 403/1,006

16. 2009-2010 Kearney Public Schools Percentage Overweight & Obese Source: Unpublished data – Courtesy of Kate Heelan, Ph. D., University of Nebraska at Kearney

18. Do It Yourself Data Collection – CDC.GOV CDC Children’s BMI Tool - http://www.cdc.gov/healthyweight/assessing/bmi/c hildrens_bmi/tool_for_schools.html http://www.cdc.gov/healthyweight/assessing/bmi/c hildrens_bmi/tool_for_schools.html Downloadable Excel Spreadsheet Calculates BMI percentile & summary statistics for up to 2,000 students

19. Outside Help for Data Ask for help Partner with a university/college/stats person Kate Heelan, PhD, FACSM Associate Professor/Director University of Nebraska at Kearney heelanka@unk.edu www.unk.edu/hpl heelanka@unk.edu www.unk.edu/hpl

20. Questions? Bob Rauner, MD, MPH Partnership for a Healthy Lincoln brauner@healthylincoln.org